HomeMy WebLinkAbout2407 LA PLANCHA LN; ; 77-4701; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ,
P'!lr1n1t7~JJ ~J6(/.,7t,>,<B.L0 Applicant to complete numbered spaces only. Phone 729-1181
J09 AODR ESS
~r/-/JIM 0/11 at;{~?,?# ASSESSOR'S 2Cf07 PARCEL NUMBER
I LOT NO. 'b t./ I·~ /w~CT ya_ m/Y#M'a-;f-.5};;< ATT~CD m<TI
BOOK PAGE I PAR.
LEGAL 1 ocsc•. /,.
20WNE/J/ C/'/-MAIL A00"£'sS 7 l IP . PMONE a~~lfl~ r ---D CON T"AC TOR fo~·7r~7C) ;;-~ PHONE. STATE LIC. NO, \._CITY LIC, NO.___..
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MAIL AOORCSS PHONC / LICENSE NO.
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({_ ~')PEN&~· c?)~.c-~-iifi""/1-;, ·/1~~✓1 / 4/JvL~ -,l:;.' l/(CJ,7/£-? .4
7usC§i,L~: ;?~ /O~ce NO. BORMS NO. BATHS
8 Class of work: □NEW 0 ADDITION ~TIDN 0 REPAIR 0 MOVE 0 REMOVE ,_ I
9 Describe work: :=;-~,.e ,A-CE. J_,p~ I 11/' o,f,R~( IVON 6/.A A -LJ~ J 'r7'[Vl{'r~
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10 Change of use from
Change of use to
11 Valuation of work: $ ___,-._~ a-0
PLAN CHECK FEE s{s, O c/ I (-?_ o,O
"iV' J :l..CO PERMIT FEE S
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft Stories 0cc. Load
-/J Fire Use Fire Sprinklers '""" "7.5f-" PLANS CHECKED BY
"~"
zone Zone Requored OYes O N o
No. of OFFSTREET PARKING SPACES:
DATE/ Dwelling Units No. 'No. DA Covered Sq. Ft. Open . Special Approvals Required Received Not Required NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. '
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI~ ENGINEERING DEPT.
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT . ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
H~HE GRANnNG o, A 'ERMOT ooes NOT PRESUM GI ~TY TO VIOLATE OR CANCEL THE . PROV! NS F NY 0TH T TE OB LOCAL LAW REGULATING
CON Rgc,: ~NCE ~ CONSTRUCTION. ' W1 --·-4 1kfe ·IY'77 ~ / VVVf
51GNATU Y' CONTrH,.,,ON Oft AUTHO .. ltCO AGtNT (OATC)
SIGNATII"-£ 011" OWNCft IF OWNCN IUILOEN) DATE)
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$/ g-"....!?
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL f-/-?7 ~
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.