HomeMy WebLinkAbout1401 Forest Ave; ; 72-234; PermitBUILDING PERMIT APPLICATION
,. -"/ City of CARLSBAD, CALIFORNIA 92008
Permit No._._ --Ph 729 1181 Applicant to complete numbered spaces only One •
.J08 ADDA £55
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C] ADDITION O ALTERATION O REPAIR O MOVE O REMOVE t" 3
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8 Class of work: ONEW
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE I PERMIT FEE I ~, /{',L.;
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~S_P_E_C_I_A_L_C_O~N_D_I_T_IO~N_S_·~~~~~~~~~~~~~~~~~~_,,Typeof
Const.
Occupancy
Group
Size of Bldg. '11'? No. of
(Total) Sq. Ft .• 1"'1 / Stories
Division
Max.
0cc. Load
1-----------,-----------..----------' Fire use Fire Sprinklers
APPLICATION ACCEPTEO BV PLANS CHECKED BY APPROVED FOR ISSUANCE BY zone Zone Required DYes 0No 1-~~~~-~-~--+~~~~--~~~......L-~~~~~--~~ OFFSTREET PARKING SPACES No. of
Dwelling Units Covered I Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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 CONSTRUCTION.
Special Approvals
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
Required Received Not Required
; '
IOATE)4/L.1-------+------+-----1-------l SICNATUfllE o, CONT .. ACTOfll Ofll ,A,UTHOAIZED AGl:NT
SIGMA.TUR£ 0" OWN[R (I I' 0WN£1t 9UILDE"> tOATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
P.LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
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