HomeMy WebLinkAbout165 CHESTNUT AVE; ; 75-307; PermitBUIL0PG PERMIT APPLIClfION
City of CARLSBAD, CALIFORNIA 92008
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OWNER| / J ' - ' * 'MAIL ADDRESS
CONTRACTOR -, ' . MAIL ADDRESS
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ARCH, TECTOM DESIGNER. • . -,^-V . "A"-""""*
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COMPENSATION 'INS. C^Ft-RTE R«:»r . sHjf.^ ' ~*V MAIL ADORES S\6 . ' \ ; ' // \ ¥ ^
USE OF BUILDING '• . ^ "*X* % ^ **"*"
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8 Classof.work: -DNEW DADDITION DALTERATION
9 Describe work: . • J\^: .. &¥*»*>" f "^ ^-' -¥ '-"/ *
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10 Change of use from
Change of use to
11 Valuation of work: $
SPECIAL CONDITIONS:
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APPLICATION ACCEPTED BY: • PLANS CHECKED BY: APPROVED FOR ISSUANCE BY.
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DATE : • «> DA^EU^> *
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT •PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
•SIGNATURE 0 F .CON TR AC TOR OR AUTHORIZED AGENT . (DATE)
aS'^)^/^^>' f/''.^^'&^^^^^^ff' ?/F "^ £~~~,-*•*?;£**' ^er—"^^ •{ S*' Jl^~~^~*" tt**££St**f^*i*f^ "'V )fi?i&. / ^*^?
'SIGNATURE OF OWNER*(IF OWNER BUILDER y (DA'T£)
/ ' • ASSESSOR'S
/ . PARCEL NUMBER**-**' • s*j& • :-• '••'.• '•:.-•
BOOK PAGE PAR.
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•'.ZIP PHONE
PHONE " LICENSE NO. STATE CITY
PHONE-. ' LICENSE ^NO^
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PHONE ' ^ |»oy,5.CN'S*E NO.
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f>f * t Jf • ^V.<^% / I/ CXI/ "" •B«INCH ^e»-*^«^:;,.i/ & v- • •. •• . :If . • •••-..=..
D REPAIR D MOVE^^Jfej REMOVE ,*/ '
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PLAN CHECK Peei&i.^,^, .. PERMIT FEE $ &~~. •"*w**!*"
, / MICRO FILM FEEType o-f-w-1 a / Occupancy - . .
Const. */„. /V*r Group
^fze of Bldg. t „ »^v No- of Max.
T&otal) Sq. Ftf G(#£j Stories Occ. Load
Fire Use Fire Sprinklers
Zone Zone Required Qyes ONO
OFFSTREET PARKING SPACES:
Dwelling Units Covered Sq. Ft. (Open
Special Approvals Required Received Not Required
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT. . .
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH -PERMIT VALIDATION ' CK.
. INSPECTOR
M.O.CASH
INSPECTION RECORD
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
DATE REMARKS
• • ' •-
INSPECTOR
1)
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.