HomeMy WebLinkAbout2041 CHARLEEN CIR; ; 74-1182; Permit„. •,— . •'- T, 1
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spates only. PnOHG 729-1181 .Permit No
JOB ADDF^ESS
LOT NO.
- LEGAL
1 DESCR.
OWNER
2iH- ;•*.' y •••
CON TRACTOR
3 • , : . . ,,•
4
EN GIN EER
5
fi -f '*' *r? ^4"i «* ASSESSOR'S
V '^ jf* j& JV^V* - ft* « - PARCEL NUMBER
BLK TRACT % _ . BOOK PAGE PAR.
Q5EE ATTACHED SHEET)
MAIL ADDRESS ZIP PHONE
£ MAIL ADDRESS PHONE LICENSE NO. STATE CITY
MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS PHONE LICENSE NO.
COMPUNCTION INSV,S-ARRI ER jj*f MAIL ADDRESS , BRANCH
USE *OF BUI LDI N G
7
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^ifff ^nef^
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8 Classofwork: SlMEW DADDITIONf [^'ALTERATION DjEPAIR D MOVE D REMOVE
9 Describe work:
10 Change of use from
Change of use to
*^? *""""* jA &11 Valuation of work: $ </ •*§. ft d*f>
4SS&- fj? ^** £
SPECIAL CONDITIONS:*«
APPLICATION ACCEPTED BY:
DATE
SEPARATE PERMITS
ING, HEATING, VENT
THIS PERMIT BECOM
TION AUTHORIZED I
CONSTRUCTION OR V
PERIOD OF 120 DA
MENCED.
I HEREBY CERTIFYAPPLICATION AND KALL PROVISIONS OFTYPE OF WORK WILlHEREIN OR NOT, TPRESUME TO GIVE /PROVISIONS OF ANYCONSTRUCTION OR
^PLANS CHEfKEO BY APP^OVE^) FOR ISSUANCE BY
j$*$ .-$& ^/Hlm
NOTICE » f! i
ARE REQUIRED FOR ELECTRICAL, PLUMB-"*
LATING OR AIR CONDITIONING.
ES NULL AND VOID IF WORK OR CONSTRUC-S NOT COMMENCED WITHIN 120DAYS, OR IF
VORK IS SUSPENDED OR ABANDONED FOR A
YS AT ANY TIME AFTER WORK IS COM-
THAT 1 HAVE READ AND EXAMINED THIS
MOW THE SAME TO BE TRUE AND CORRECT.
LAWS AND ORDINANCES GOVERNING THIS
- BE COMPLIED WITH WHETHER SPECIFIED
HE GRANTING OF A PERMIT DOES NOT
OTHER STATE OR LOCAL LAW REGULATING
SIGNATURE OF CONTRACTOR OR Au THOR I ZED. AGEN T (DATE)
"'-''.:.-/
SIGNATURE OF OWNER (IF
"'- , ^"> * f >i -1 ''" ' ,'' ' \ -'-- £ •? •• '- : • • fi &
OWNER BUtLDER) - _/ (DATE)
PLAN CHECK FEE $ C,.«^" PERMIT FEE $ 5*^" •£»'""""r'fc"
MICRO FILM FEEType of Occupancy
Const. Group
Size of Bldg. gj& JJ? No. of Max.
(Total) Sq. Fy^jp Tp Stories Occ. Load
Fire Use Fire Sprinklers
Zone Zone Required LJyes I. JNo
£ OFFSTREET PARKING SPACES:
J?°' °f N I No^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.
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
-.
INSPECTOR
USE SPACE BE LOW FOR NOTES, FOLLOW-UP, ETC.