HomeMy WebLinkAbout2203 CAMEO RD; ; 71-354; PermitBUILDING PERMIT APPLICATION 5;Alo
MY 18-71 -3 9m** 7/-3fyA/ City of CARLSBAD, CALIFORNIA
BLK LOT NO. LEGAL 1 DESCR.
Applicant to complete nu4bered spaces only.
JOB ADDRESS .
TRACT (OSEE ATTACHED SHEET)
CCEPTED BY
I I I
OWNER MAIL ADDRESS ZIP PHONE
MAIL ADDRESS PHONE LICENSE NO.
&e F22 2
F
ARCHITECT OR OESIGNE MAIL ADDRESS PHONE LICENSE NO.
EN G IN EER PHONE LICENSE NO.
MAIL ADDRESS BRANCH
USE OF BUILDING
7
PLANS CHECKED BY
~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~ ~~
8 Class of work: c] NEW ADDITION 0 ALTERATION 0 REPAIR 0 MOVE c] REMOVE
110 Change of use from
Change of use to
690 11 Valuation of work: $&&,
SPECIAL CONDITIONS:
t/' '
1 I, , I
NOTI~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 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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PRESUME TO GIV~ AUTHORITY TO VIOLATE OR CANCEL THE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT \
SIGNATURE Of OWNER (IPMNER BUILDER1 (DATE)
PERMITFEE rc , - PLAN CHECK FEE
Type of Occupancy
Const. Group Division
Size of Bldg. No. of Max.
[Total) Sa. Ft. Stories / Occ. Load
Fire Fire Sprinklers
Required Dyes ~NC
OFFSTREET PARKING SPACES: No. of
Dwelling Unlts Covered Uncovered
Special Approvals Reauired Received Not Reauired
ZONING i I I
HEALTH DEPT.
FIRE DEPT. I I I
~ ~ ~
SOIL REPORT
OTHER (Specify) I I I I
Y Y WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHE&. VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Fnrm 1nn 1 4-69
INSPECTOR
REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 0 SO SO. LO5 ROBLES 0 PASADENA. CALIFORNIA 91101