HomeMy WebLinkAbout2174 CHESTNUT AVE; ; 75-122; Permith. ifinf 1
I BUILDING PERMIT
I City of CARLSBAD, CALIFORNIA 92008
jj Applicant to complete numbered spaces on/y. PnOHS 729-1101 Permit No._^
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ASSESSOR'S •:'•'.'
PARCEL NUMBER
LEGAL
D E S C R .
BOOK PAGE PAR
MAIL.ADDRESS :;.^
:CON TRAC TOR LICENSE NOJf .'STATE CITY
MAI L ADDRESS LICENSENO.
ENGINEER L1CENSENO.
COMPENSATION INS. CARRIER
USE OF BUI LDI N G
8 Classofwork: D NEW D ADDITION DALTERATION D REPAIR D MOVE 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 of
Const.
Occupancy
Group
MICRO FILM FEE
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Oce. Load
APPLICATION ACCEPTED BY:.PLANS CHECKED BY APPROVED FOR ISSUANCE BY.
Fire
Zone
Use
Zone
Fire Sprinklers
Required DYBS DNO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No.
Covered
.Sq. Ft.
No.
Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, H'EATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT .BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, 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 WIT«*H WHETHER SPECIFIED
HEREIN 0Sr NOT, THE GRANTING QF* A PERMIT DOES NOT
PRESUMEjfO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
Required Received Not Required
UCNATURE OF CONTRAC.TOR OR -AU T>^ OR 1 Z E D AGENT. ., . . ..
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
INSPECTOR ,,:,
CK.M.O.CASH