HomeMy WebLinkAbout2203 CAMEO RD; ; 71-296; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA A+W~ %? wf
Y 14
ENGINEER LICENSE NO.
MAIL ADDRESS
6
7
USE OF BUILDING
4 8 Class of work: 6~- MITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
1' 9 Describe work: I
A AAA 4
10 Change of use from
I Change of use to
1 11 Valuation of work: $
~SPECIAL CONDITIONS: /
N 0 T IC E ',/'
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 WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A
MENCED. PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
TOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER WILDER) (DATE)
Occupancy Type Of
Const. I Group I Division
Size of Bldg.
(Total) Sq. Ftsa
L
Fire Zone
No. of
No. of
Stories Occ. Load
Fire Sprinklers
Zone Rewired OYes ON,
OFFSTREET PARKING SPACES: I Uncovered Dwelling Units Covered -.
Required I Received 1 Not Required Special Approvals I
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT I I I
OTHER (SDecifvl 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
INSPECTOR
Form 100.1 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 0 50 SO. LDS ROBLES 0 PASADENA, CALIFORNIA 91101
PLUMBING PERMIT APPLICATION
ILK LOT NO. LEGAL 1 DESCR.
TRACT (OSEE ATTACHED SHEET)
I I I
MAIL ADDRESS ZIP PHONE
I
PHONE ICENSE NO.
ucd;t
MAIL ADDRESS P~ h. eigAd*lG7
P&- OWNER
ARCHITECT OR DESlG MA'IL ADDRESS PHONE LICENSE NO.
4
5
6
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
LENDER MAIL ADDRESS BRANCH
USE OF BUILDING
1
SPECIAL CONDITIONS:
18 Class of work: ~EW 0 ADDITION 0 ALTERATION 0 REPAIR
~ ~~-
No. I Type of Fixture or item 1 Fee
I WATER CLOSET (TOILETI I$ I
1 PERMIT FEES
- I/
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
NOTICE
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
THIS PERM I T BECOMES NULL AND VOID IF WORK OR CONSTRUC-
I DISHWASHER II
URINAL
DRINKING FOUNTAIN
FLOOR--SINK OR DRAIN
SLOP SINK
.
I
CE BY I LAUNDRY TRAY I I
CLOTHES WASHER
/ GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP. ,
I. 1 / I WATER HEATER
<sic
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
MENCED.
/ ,525
(DATE)
- SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
I
PERMIT $3 50
TOTAL FEE $8 CIQ
SEWER
CESSPOOL
SEPTIC TANK & PIT
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.2 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e SO so. LOS ROBLES e PASADENA. CALIFORNIA 91101
Q ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA "-9-71 - cc
ADDlicant w- 2-$F to comol e numbered sroaces onlv.
LENDER MAIL ADDRESS BRANCH
1
USE OF BUILDING
1 Class of work: @W 0 AODlTlON 0 ALTERATION 0 REPAIR I I
1 Describe work:
I I PERMIT FEES
SWITCH
I I I I I I Total I I I I1
LIGHTING F 'Xtu res - ED BY PLANS CHECKED BY
RANGES CLO. DRYER WTR. HTR.
NOTICE GARBAGE DISP. STA. COOK TOP
ECOMES NULL AND VOID IF WORK OR CONSTRUC- CLOTHES WASH. I TION AUTHO~IZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF I I I
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SPACE STA. APpL- IJ2 H.P. MAX. I
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- I 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 GIVk AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Form 100.3 9-69
INSPECTOR
REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 0 SO SO. LOS RO8LES 0 PASADENA, CALIFORNIA 91101