HomeMy WebLinkAbout1702 EVERGREEN CIR; ; 77-273; PermitMODEL/NO;·~,----------BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 9200&. 25·77 !'900lt*******7.50
Permit No 7 -.,.:;) 7 S Applicant to complete numbered spaces only Phone 729-1181
JOII AODR Ess ASSESSOR'S 17() v ev,. "-·~ PARCEL NUMBER
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!.OT NO. ,,w I TFIA.C T B-K PAGE I PAR.
!.E G.A.L l (QSEE ATTA.CHED SHEET/ 1 DESCR.
OWNEFI MA.1 l AD0FIE5S '" Pf<ONE
[') '-\:S'{ $'\ (
2 .h"\ l I AO 0 8c.l/'v', 1707 "-l "'"''t\ ,,,..._ t".!DJ\t'\ 0. ~ oO,, (l r. n Q .\\.. C\J'Co~
3 CONT:;;:R \ p MAil ,\DDFIESS (J PHONE STATE LIC, NO. CITY LIC. NO.
,\Fl(MITECT OR DESIGNER MAil A.ODRESS PMON E LICENSE NO.
4 Se l p
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 --
COMPENSATION INS. CARRIER MA.IL ADDRESS IIRANCH
6
USE Of BUILDING
7 I I 0 NO. BDRMS '"3 NO. BATHS 2 "
8 Class of work: liYNEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
f< P \ (l i° 1\1 i°1'1t l,J.,yL\. • 9 Describe work:
_I t f 1 X ~r31 ..20 c/ / !FJ
10 Change of use from· '7 / A A _.,./ -...,:.,-, , /_ _// = . / -/,,, :/-
Change of use to
11 Valuation of work: $ ~00. 05>-PLAN CHECK FEE$ ~ ~ .:!,_, I -~
/ -PERMIT FEE $ &. -
SPECIAL CONDITIONS, MICRO FILM FEE Type of Occupancy • Const. Group
Size of Bldg. No. of Max.
(Total) SQ. Ft. stories 0cc. Load
Fire u,e Fire Sprinklers
APPUCA "ON ACCH''I? PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required 0Yes DNo
No. of OFFSTREET PARKING SPACES:
OAT./5. Dwelling Units No. 'No. DATE Covered Sq, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· HEAL TH DEPT.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEiRTHJS
APPLICATION AND KNOW THE SAME TO BE TRUE ANO CO ECT. ENGINEERING DEPT
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT.
HEREIN OR NOT, THE GRANTING OF A PERMIT POES 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.
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'" ' 0,-OWN[ ' WNEA !IUILOEFI) IDA T[)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION cK. M.O. CASH
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TOTAL FEES$ __ ~/~_:,:,,,=,::_-
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2~16-77 Wall -Okay footings and Steel. E. Plude.