HomeMy WebLinkAbout1280 Laguna Dr; ; 73-7490; Permit...... --
BUILDING PERMIT APPLICATION
Permit No. /3-7'-/9[
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
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LEGAL I ' I ;y/. QsE£ ATTACHED SHI.CT> 0 1 D£SC~. r ,I /1 -ll I '" -"' OWN[III /4., ._,,,, r: I MAIL ADDJIICSS ~IP ,I /v PHONE // , -"' 2 I / .tar~Y-"/2 /-~ 'l:J -,. ' L ~ CONTIIIIAC TO,_ MAIL ADDIIIESS PHONE LICENSE NO,
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AfillCHI TECT Ott DESIGNCIII MAIL ADDRESS PHONE LICCNSI. NO. 11::: 4
[NGINEER MAIL ADDRESS PHONE LICENSE NO. I~ 5
LIN DEN MAIL AOOlltESS B"ANCH
6
USE or IIUILOING ~ /. ~ (
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8 Class of work: □NEW 0 ADDITION □ALTERATION 0 REPAIR □MOVE ,□ REMOVE \ 3 --:z
9 Describe work: ? ., / ,,f Ir
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10 Change of use from
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Change of use to
11 Valuation of work: $ PLAN CHECK FEE -✓ I PERMIT FEE -~,-:~
SPECIAL CONDITIONS: .~ / -(
Type of Occupancy
i,?' 7 vtr r 't L (. ~ Const. Group Division
,i ,'/ (~ ; __ ✓ ~✓ _I. 7 '/ -Size of Bldg. No. of Max.
/ ,, -(Total) Sq Ft Stories 0cc. Load --
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVEO FOR ISSUANCE BY Zone Zone Required OYes ONo
/ A ., OFFSTREET PARKING SPACES: No. of j uncovered Dwelling Units Covered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF F IRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-OTHER (Specify) MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRU CTION.
51GNATURI: o, CONT,-ACTOR Ol't AUTHORIZ.11:0 AGCNT (OAT()
:!SIGNATURC 0,. OWN[R (I,. OWNE" ■UILDCR) DAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR