HomeMy WebLinkAbout2030 CORDOBA PL; ; 70-1017; PermitBUILDING PERMIT APPLICATION
- TO I 7 City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only OCT HO"70
JOB ADDR ESS
. LEGAL
|DESCR
ATTACHED SHEET)
MAI L ADDRESS
CON TRACTOR MAIL ADDRESS L1C ENSE NO
ARCHITECT OR DESIGNER MAI L ADDRESS LICENSE NO
MAI L ADDRESS LICENSE NO
LENDER
6 .
MAIL ADDRESS
USE OF BUI LDIN G
Class of work D NEW 'ADDITION D ALTERATION D REPAIR D MOVE ' D REMOVE
9 Describe work
10 Change of use from
Change of use to
11 Valuation of work )/ ,PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS Type o
Const
Occupancy ^^ r*r"*
Group ' f_ <^^ \J Division
Size of Bldg
(Total) Sq Ft
No of
Stones
Max
Occ Load
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required Dve
No of »
Dwelling Units /
OFFSTREET PARKING SPACES
Covered ^S=—Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING, HEATING, VENTILATING OR" AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR.IFCONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR APERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMME MCE D ..
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 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
Special Approvals
ZONING
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
Required Received Not Required
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH
Form 100 1 9-69
INSPECTOR
REORDER FROM IN TERN A TION AL CON FERENC E OF BUILDING OFFICI ALS • 50 RNIA 91101