HomeMy WebLinkAbout1306 BASSWOOD AVE; ; 73-1010; PermitBUILDING PERMIT APPLICATION
-7 3 City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 'errnit No. /~-Ltr , u
@*"i 3pplicant to comblete numbered spaces only. .*#P"f w- ~- -+
JOB ADDRESS
\\Ob C4.cTTk LOT NO. TRACT (OSEE ATTACHED SHEET) LEGAL i.; h k4 c c . .. L Y *. A A A 1 .i *. .A
I DCSCR. c - OWNER MAIL ADDRESS IIP PHONE
3
t
I
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
ENG INEER MAIL ADDRESS PHONE LICENSE NO.
-- 3
LENDER MAIL ADDRESS BRANCH
3
1
USE or BUILDING
Change of use to
PLAN CHECK FEE I1 Valuation of work: $
PECIAL CONDITIONS: Type of Occupancy
.-
c--c ,
Const. Group Division
I ,.." ,..- .+ '
J 5lGNATUCE OF CONTRACTOR OR AUTUORlZh AGENT (DATE) --. ,I I I I
SIGNATURE DF OWNER (IC OWNER BUILDER) (DATE)
WHEN PROPERL~'VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I N SPECTOR
-- %T m---F- ---- .-I_ / II <a 5% . '*F a , -* _. > I .-_
BUILDING PERMIT APPLICATION
-72 City of CARLSBAD, CALIFORNIA 92008
I&**.< Phone 729-1181 * c- 1- _* ..t
Permit No. r/~*fi u
Applicant to comElete numbered spaces only.
JO1) ADDRESS
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A ERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- M~NCED.
L -. 5
I
LICENSE NO. ARCHITECT OR DESIGNER #MAIL ADDRESS PHONE
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
-- B
LENDER MAIL ADDRESS BRANCH
i
I
USE OF BUILDING
DEPT.
SOIL REPORT
OTHER (specify) J
~ ~ ~~~
I Class of work: &W &DliON -0 ALTERATION 0 REPAIR 0 MOVE REMOVE
i
t LUk
3 IO Change off& from
Change of use to
I1 Valuation of work: $
I
PLAN CHECK FEE d
PECIAL CONDITIONS: Occupancy
Division
Size of Bldg. 2 -'b No. of Max.
(Total) Sq. Ft. Stories Occ. Load
WPLICATION ACCEPTED BY PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
Use I Zone
SEPARATE PERMITS ELECTRICAL, PLUMB-
THIS PERMIT BECOM WORK OR CONSTRUC-
ING, HEATING, VENT
. ..-&.--., ----.-.. -..-- . ..-..- ---- -_.- -..-._._.-- -... ^ I 1 I- I I
7YF't UF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GlVk AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR fH.E PERFORMANCE OF CONSTRUCTION.
/ SIGNATUCL OF CONTRACTOR OR AUTHORlZkQ AGENT (OATEI '. I "*'
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE1
WHEN PROPERL~VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CASH
IN SPECTOR