HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; 76-4227; PermitMODEL NO
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PhORG 729-1181 PeTrnil No "V~><'<
"£700 ASSESSOR S
PARCEL NUMBER
- LEGAL
1DESCR
BOOK | P AGE PAR
CONTRACTOR MAIL ADDRESS STATE LIC NO CITY LIC NO
ARCHITECT OR DESIGNER MAiLADORESS LlCENSENO
ENGIN EER MAIL ADCRESS I C E N S E NO
COMPENSATION INS CARRIER MAIL ADDR
o
USE OF BJILDINC
NO BDRMS_NO BATHS.
8 Class of work D NEW ADDITION ITERATION 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*
Group
MICRO FILM FE
Size of Bldg
(Total) Sq Ft j/ ,
No of
'Stories
Max
Occ Load
APPLICATION ACCEPTED BY 'LANSCHECKED BY APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone Required DNO
3T//V7&No of
Dwelling Units
OFFSTREET PARKING SPACES
No
Covered Sq Ft
INo
Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMB
ING HEATING VENTILATING OR Al R 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 APERIOD 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 CORRECTALL 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
Special Approvals
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
SIGNATURE OF OWN&« (/> OWNER BUILDEB1X
Required Received Not Required
W'HEN PROPERLY VALIDATED (IN THIS SPACE) THIS is YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
TOTAL FEES $.
INSPECTOR
INSPECTION RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE
A -ay-?:
REMARKS
J
INSPECTOR
#&v^
USE SPACE BELOW FOR NOTES, FOLLOW UP ETC
11-23-76 Partial frame- Okay B. Nelson.
12-8-76 Sheath-ing- Okay B Nelson.
12-16-76 Frame (partial) - Okay, B Nelson.
1-6-77 Dry Wall- Okay B. Nelson