HomeMy WebLinkAbout1811 GUEVARA RD; ; 79-4522; Permit•,
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MODEL NO. (l1"'1f i,i '4/ ltY 7!;; l4-t-BUILDING PERMIT APPLIC Tl0~ 0
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r ti• Sf'!
tl..50 TL
Slf 119
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181
JOB AOO!llt ESS
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ASSESSOR'S
PARCEL NUMBER
BvuK PAR,
I LOT NO
1 ~~;~~-6' <Ost[ ATTACHED st-ttETI PAGE I
OWN (PI: ~/.(/ t MAIL AOO"(SS ~"!.'.!,: ~~ PHONE
2 , I/ ( l..t ,/ff Y.:: '"" 1(1 't/, ,. /ti'. I ,· ~
CONTAACTOf\ r MAIL .t.OORCSS PHON C STATE LIC. NO. CITY LIC, NO.
3
ARCHITECT OR OCSICNCA MAIL AOORCSS PHONE LICEN SE NO.
4
[NCIN[[lll M AIL AOOR[S5 PHONE LICENSE NO.
5
COMPENSATION INS, CARRIER MAIL AOOIIIIESS BRANCH
6
use Of' 8;.JILOING
7 NO. BORMS NO. BATHS
~
8 Class of work: 0 NEW 0 ADDITION J3_ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: f:•f>I "" l J I \ I I ,lw -¥',,,rj fJ/ A'..O"'\ I I'~ /Aw-J
10 Change of use from I I
Change of use to
11 Valuation of work: $ PLAN CHECK FEES
~S_P_E_C_I_A_L_C_O_N_D_IT_I_O_N_S_: ___________________ __,,Typeof
Const
1----------------------------~ Size of Bldg J f (Total) Sq. Ft
I . . ' I ,
Occupancy
Group
No. o f
Stories
I ,
I PERMIT FEE $
MICRO FIL.M FEE
Ma><.
0cc. Load
•
1------.;:..;.•/ ___ ..----------..---~/.;.;if:;.;l_r;:..'1.;:' f.,.,,..;.,i;..:..,l:;;;-,:.·,"..i;.,'".J--1 Fire u se Fire Sprinklers
APPL,ICA TrN ~IE;faTED alv PLANS CHECKED BY ll.(. :PPJF\OV~,' FO_. ,,,,'~rrfE:ev 1-Nz_oQ_n __ eo_f ______ -4_z_o_n_e _______ _,__R_e_q_u_11_e_d_O_v_e• __ D_N_o-l
\/ 1 ' , OFFSTREET PARKING SPACES
D 11 u It No. JNo. DATE , DATE we ,ng n • Covered Sq. Ft. Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC-
T ION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 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 CONSTRUCTION .
.StGNATUtltl 0 ,-CONT .. ACT01' 0 .. AUTHOJllllltO AGlNT (DA Tt I
<IIIGNATUJll( 0,-OWNER 1,-OWNtflt 9UILDE")
Special Approvals Required Received Not Required
PLANNING DEPT.
HEALTH DE_PT_._+-------+-------+-------~
FIRE DEPT
SOIL REPORT ---+-------+-------+-------~
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT. . -,414}
/
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ __ / __ ?' __ _. __ -__
INSPECTOR
INSPECTION RECORD
--DATE REMARKS · J~PHCTOR -FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING •
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
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-->--•
-~ FINAL ~ 7._ ---·-
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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