HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; 73-1178; PermitBUILDING PERMIT APPLICATION
Pe™ « NO jL^^fi^V C"y °' CARLSBAD- CALIFORNIA 92008 .„ .t
Applicant to'complete numbered spaces only Phone 729-1181
JOB ADDR ESS o
M
^ATTACHED SHEET)
MAIL ADDRESS
CONTRACTOR•n
II...I
,TARCHITECT OR DESIGNER
MAIL ADDRESS
^anajaggsa //ir
LICENSE NO
MAIL ADDRESS LICENSE NO
"""ENGINEER
5
MAIL ADDRESS LICENSE NO
MAI L ADDRESS
USE OF BUILDING
,8,,, Class of work D NEW D ADDITION ^ALTERATION D REPAIR D MOVE D REMOVE I
v. Describe work
£? C *"
10 Change of use from
Change of use to
11 Valuation of work $PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS Type of
Const
Occupancy
Group Division
Size of
(Total)<Sq Ft
I t No of
Stones,
Max
Occ Load
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
V'
Fire
Zone ,Zonex I.,.,,-
Fire Sprinklers
Required Dves DNO
No of
Dwelling Units
OFFSTREEJ-PA^RKING SPACES
Covered '•— ** Uncovered
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 60 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"
Special Approvals
ZONING
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
Required Received Not Required
\ Sl'GN\ATURE^OF*CONTRAC.!rOF» DR^'AUTHO'R 12 CO* AGEN T
SIGNATURE OF OWNER (IF OWNER BUILDER)
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
FOUNDA1 ION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
Fram
FINAL
DATE
r 'i '7 •>U/J./ /J-
6/13/73
REMARKS
6 v. J\ .
O.K.
INSPECTOR
B >T 1 r" r-i i-iwelson
B« Nelson
USE SPACE BELOW FOR NOTES, FOLLOW UP, ETC