HomeMy WebLinkAbout1835 CHESTNUT AVE; ; 77-4916; PermitMOD£L 'UN
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No.:2_
JOB ADDR ESS
LOT NO. BLK TRACT
. LEGAL f^., ff— «•
IDESCR. ^ 'lL±£f^' C~ Cf tf /
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OWNER MAIL ADDRESS 'ZIP
ASSESSOR'S
PARCEL NUMBER
BOOK PAGE PAR.
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PHONE
UOOfr 7c*9 0*3 OS*
CONTRACTOR MAIL ADDRESS PHONE STATE L1C. NO. CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE
ENGINEER MAIL ADDRESS PHONE
COMPENSATION INS. CARRIER MAH- ADDRESS
^~)Tfl~T£ P<jAj£ cJV?AJ f\ ) £&>& &?$~3> — 4jtys3,l
USE OF BUILDING
7 1 * **" / ) \j 1 1\3 / o ) $U ' — N0- BDRMS
LICENSE NO.
LICENSE NO.
BRANCH
NO. RATHS
8 Class of work: D NEW ^pDDITION ^^LTERATION D REPAIR D MOVE D REMOVE
9 Describe work: a ^_ r •?- s? /^ //
X 7
S<5 £f ?f£\ i ' i
10 Change of use from
Change of use to
11 Valuation of work: $ ^~[l$'0/' (^L^
SPECIAL CONDITIONS:
.
APPLICATIONX^CE^ED B>^ PLANS CHECKED BY APPROVED Ffl^SSLiltNCE BY
DAT!^ ^" f/ DATEtXl U\ **^^
NOTICE * /
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION 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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CONTRACTOR OH AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
// f~i /^PLAN CHECK FEE $ / £0 '(*/(^J P
Type of Occupancy
Const. Group
Size of Bldg. No. of
(Total) Sq. Ft. Stories
Fire Use
Zone Zone
OFFSTREETPNo. of
Dwelling Units p°' . 5
Special Approvals 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
ERMIT FEE $ v^CX ' C'CC'
MICRO FILM FEE
Max.
Occ. Load
Fire Sprinklers
Required Gves DNO
ARKING SPACES:
No.
q. Ft. Open
Received Not Required
/-
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES S ( fj
c. ",
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ^ ^
Applicant to complete numbered spaces only. PhODG 7 29-1181 Perm it No. / f ~f / /
JOB ADDRESS
LEGAL
IDESCR.
—_,
(LJSEE ATTACHED SHEET)
MAIL ADDRESS
k T-/
ZIP
r/rVcA
CONTRACTOR MAIL ADDRESS STATE LIC. NO.CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
ENGINEER
5 /'
MAIL ADDRESS LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS
USE OF BUILDING
;/„ <r
8 Class of work: D NEW D ADDITION ^ALTERATION D REPAIR
9 Describe work:
SPECIAL CONDITIONS:
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No. Each Fee
APPLICATION ACCEPTED BY:
./
PLANS CHECKED BY:APPROVED F
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NOTICE \
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfRUC-
TION 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 THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD-
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE
SIGNATURE OF OWNERilF OWNERS Ul LDER)IPATE)TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERM IT VALIDATION CK.M.O.CASH
INSPECTOR