HomeMy WebLinkAbout2311 MARCA PL; ; 78-3830; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only.
Joa ADDA ESS
L [GAL I 1 DUCA,
OWNC:R
Phone 729-1181 Permit No .•
PHONE
-,
ASSESSOR'S
PARCEL NUMBER
PAGE I
2 i ///I 15 J
PAR.
CON TRAC TO" STATE LIC, HO, CITY LIC. NO.
3
AAC .. ITtCT OA OtSIGNUI MAIL AOD'IESS , PHONE LIC[NSt NO,
4
(NGIN(fllt MAIL AOOA[55 PMONC LICCN5£ NO.
5
COMPENSATION INS, C,ARRI ER ; MAIL AOOIIICSS 8"-ANCH
6 ?-1,.,, e . .,.
ust 0,. IUILOINC.
7 r /
NO. BORMS NO. BATHS
8 Class of work: 0 NEW □ ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work : I .2
10 Change of use from
Change of use to
11 Valuation of work : $ PERMIT FEE s 7 -
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t::.-_J<' '."1 -PLAN CHECK FEE$ ;,;> > _,,.,. I ►s•P·E·C-IA_L_C_O_N_D_IT-IO_N_S_: _____________________ -t _________ .,.. ____ _._ ____ --,-;M:-:,-:1 c=-=R:-:0:--:F:-:l-:-L-:-M:-::F-::Ec:E:----i•
1-------------------------------f Type of Occupancy Const Group
1-------------------------------f Size of Bldg. (Total) Sq. Ft.
No. Of
Stories
Max.
0cc Load
-----------.-----------,,------------1 Fire use Fire Sprinklers
APPRovio FOR 1ssuANCE BY zone zone Required □Yes D No APPLICATION ACCEPTED ev PLANS CHECt<EO BY
,r9J.-,o J-N-o-.-o-,------~-0-F_F_S_T_R_E_E_T_P_A_R_K_IN-G~S~P-A_C_E_S ______ ~
f ' f¼ Dwelling Units No. I No. o ATE Covered Sq. Ft. Open
(r., .1~
DATE / I
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
T ION 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 G IVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANV OTHER Sl ATE OR LOCAL LAW REGULATING
1~oN;~~:~ ;~ "lZ ~E;~M,:~NCE o~ co::R;~oN.
-SIGNATUA< o, SQNT.ACTb• 0•.7.:•110 AGENT
'.111GNATU"£ 0' OWN[JII 1, OWN[llt 8UIL0llll
IDATI I
-fDATl)
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
/ -" TOTAL FEES $ __ r_f' ___ -----~--
INSPECTOR