HomeMy WebLinkAbout2195 BASSWOOD AVE; ; 76-31; PermitCity of CARLSBAD, CALIFORNIA 92008 CP arrrtar -_
Applicant to complete numbered spaces only. Phone 729-1181
ASSESSOR'S PARCEL NUMBER *--? JOB ADDR ES
BOOK PAGE PAR.
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LOT NO. BLK TRACT (OSEE ATTACHED snEET1 LEGAL 1 DESCR.
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AmcniTEcT on OESIGNER MAIL ADDRESS PHONE LICENSE NO.
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH
USE DF BUILDING
B Class of work: 0 NEW ADDITION ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
IO Chanqe of use from
Change of use to
I1 Valuation of work: $
SPECIAL CONDITIONS:
APPROVED FOR ISSUANCE BY
DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS. OR IF CONSTRUCTION OH WORK ISSUSPENDED 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 GlV'E 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 CuTnoRIzLD AGENT (DATE1
SIGNATURE OF OWNER (IF OWNER WJILDLRI (DATE1
Occupancy Type Of
Const. Group
Size of Bldg.
(Total) Sq. Ft.
No. of I Stories
I Max.
Occ. Load
Fire Fire Sprinklers
WATER DEPT. I I I I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
.I I N SPECTOR
c c LOCAL CODE COMPLIANCE CERTIFICATION 16-31
(Section 221 (d).2 (f) National Housing Act)
RAYMOND H. CATHELL' . .
Mort gag ee
- Property Address :
2195 BASSWOOD AVE. CARLSBAD, CA. 92008
Street City Zip
IT IS HEREBY CERTIFIED by the Undersigned:
1. That he is the of the
CITY OF CARLSBAD
(Ci ty-County)
CALIFORNIA
State
2. That it is a part of his official duties to inspect and/or determine whether buildings, structures, real property or premises meet or comply with the requirements of State and Local Laws, Ordinances, Codes, or Regulations relating to Public Health, Safety, Zoning or otherwise, which may be applicable thereto.
3. That on JANUARY 14 ,19 76 , the property of premises above described was inspected and as of that date said property or premises and the structures and buildings located thereon =meet and comply with the require- ments of all said laws, codes and ordinances applicable thereto.
ereto for the
0
- ,1976 . JANUARY day of
(Signed )
15 th DATED This
W
(Name Pri n ted )
Title BUILDING INSPECTOR -