HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; 77-9121; PermitMODEL NO [SiBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PnOflG 729-1181 Permit No
«- •»
MAIL ADDRESS
CONTRACTO AIL ADDESS STATE LIC NO CITY LIC NO
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSENO
ENGINEER MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF BJ 1 LDI N G
7
^
X NO BDRMS NO BATHS
8 Class of work D NEW D ADDITION LTERATION DREPAIR D MOVE D REMOVE
9 Descnbe work <£, /A/^TrftL
\10 Change of use
Change of use to
11 Valuation of work $PLAN CHECK FEE S PERMIT FEE $
j C.
/ O
SPECIAL CONDITIONS Type of
Const
Occupancy
Group
Size of Bldg
(Total) Sq Ft
No of
Stories Occ Load
APPLICATION ACCEPTED BY PLANS CHECKED BY
A
APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required DYes
No of
Dwell, ng Umts
OFFSTREET PARKING SPACES
£°vere(j
INoSq Ft jOpen
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 120 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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
Special Approvals
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
SIGNATURE OF OWNER (IF OWNER BUILDER)IDATEI
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
TOTAL FEES S.
INSPECTOR
INSPECTION RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE
3
REMARKS
*
INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW UP ETC