HomeMy WebLinkAbout2030 CHESTNUT AVE; ; 76-978; PermitBUILDING PERMIT APPLICATION
, City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.__
" f-I'.l-.- • * •
JOB ADDRESS ' _ .# • . . Jt*&
. LOT NO." """ ""* ' ''' BLK - TRACT
DESCR. ••.,'.
OWNER ' >? • " •'••«, MAILADDRESS
CON^Bi^fo'R1^ :'"' MAIL ADDRESS3 *'J>AMrtn &ff££M&£ ' &6,&&l &
4 -. • '
ENGINEER -• \ MAIL ADDRESS
5 '£»•''..' '• ' '
COMPENSATION INS. CARRIER ' ^'\' •* , •«** MAIL ADDRESS $?,'/??
/*.ls*"" ^^ Kfi^Cl^^V^^ *'%*»<T!fe«^st"> ' :f$?&' "^~ '/ ,*J^'1. /*;.>•* W^*' C"^*"f
USE OF^BU 1 LDI N^G • . " ' ' "**""'
8 Class of work: D NEW ^ADDITION D ALTERATION
9 Describe work: .,. . ^ ^ „ C •- |//- #e ffi ^) €•-• "*
10 Change of use from
Change of use to
11 Valuation of work: $ / fjf' '"i, ^ •"•«*"•*
SPECIAL CONDITIONS:
,*Tf
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY
'| /' -I5'
DATE - , ,C?A T E * f f *% f *~
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.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
HEREIN OR NOT, THE GRANT,MSfG OF A PERMIT DOES NOT-PRESOM"E\ TO GIVE AUTHOR IT*Y TO VIOLATE OR CANCEL THE
PFTOVISIQNS OF ANY OTHER.STATE OR^COCAL LAW REGULATINGCONSTR-OCTION OR^THE PERFORMANCE OF CONSTRUCTION
/ 3 x&#^>4sj? • x^/^<^>^ -^ — *^ — /s* /i$&
SJAftU&tiPtf^ E1" O F CONTRAC TORPOR AUTHORIZED AGENT - (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
j& ' ASSESSOR'S
X"\ " ' PARCEL NUMBER -
•-Wv BOOK P AG E P-AR.
SEE ATTACHED SHEET)
'••ZIP' PHONE ; •**£.
<4«£* PHONE LICENSE NO. STATE . . CITY
PHONE /^'Xj?*1*^ /^ /£L L ' ^^'N s E N ° '^^^ 3*%^*$
PHONE LICENSE NO.
BRANCH *• -J. y*"""^
" ' 1 • • ' "/'.''
D REPAIR D MOVE D REMOVE
^
ff&f**f-y ' • •
7 .* * • . . . ,-. • _
PLAN CHECK FEE $ >^-»M— - PERMIT FEE $ •.'/ *> "***""
MICRO FILM FEEType of Occupancy •
Const. Group •
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
Fire Use i Fire-Sprinklers
Zone ' Zone Required Qyes DlMo
OFFSTREET PARKING SPACES:No. of
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.
"f
•f "
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
INSPECTION RECORD
FOUNDATIONS:
SET BACK
TRENCH
' REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
DATE
',•.
REMARKS
'
.•v
N
INSPECTOR
;
>
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
5-12-76 Final: Mice job*,, Q.,K. to final. T. Mata