HomeMy WebLinkAbout2350 CAMINO VIDA ROBLE; ; 79-3013; PermitMODEL NO..
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only.Phone 729-1181
CONTRACTOR CITY LIC. NO.
MAIL ADDRESS LICENSE NO.
ENGINEER MAI L ADDB ESS LICENSE HO.
COMPENSATION INS. CARRIER MAIL ADDRESS
USE OF BUILDING
NO. BDRMS_NO. BATHS.
8 Class of work: D NEW D ADDITION D ALTERATION P REPAIR D MOVE d REMOVE
9 Describe work:
Change of use to
11 Valuation of work: $PLAN CHECK FEE S PERMIT FEE S
SPECIAL CONDITIONS:Type of
Const.
Occupancy
Group
MICRO FILM FEE
Size of Bldg.
(TotalJ Sq. Ft-
No. ol
Stories
Max.
Occ. Load
PLANS CHECKED BV
Fire
Zone
Use
Zone
Fire Sprinklers
Required Cve
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No.
Covered Sq. Ft.No.
Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION 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 THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION 10R THE PERFORMANCE OF CONSTRUCTION.
XL
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
Required Received Not Required
AU THOBIZEO AGENT IDATE]
SIGNATURE OF OWNER HP OWNE.a BU1LI3EB1
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $.