HomeMy WebLinkAbout2409 JACARANDA AVE; ; 76-1014; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ,77t
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Applicant to complete numbered spaces only. Phone 7 29-1181
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COMPENSATION INS, CARRIER MAIL AOOlltlSS
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\JS£ or &UILOING
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ZIP
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P110NC
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Permit No. _
Qscc ATTACH[O SH(l:T)
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P..tON[
ASSESSOR'S
PARCEL NUMBER
BuuK PAGE I
LICFNSC. NO. STATE
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PAR,
CITY
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l.lC[NSE MO.
LICC"'ISE NOo
8 Class of work: □NEW 1B ADDITION 0 ALTE RATION 0 RE PAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Cliange of use to
11 Valuation of work: $ I, I '-/I PLAN CHECK FEE$
,_s_P_E_C_I A_L_C_O_N_D_I_T_IO_N_S_: _______ -____________ __, Type of
Const.
1-------------------------------t Size of Bldg. (Total) Sq. Ft
1------------.------------..------·------1 Fire ~ i;?;;~~:N,C~-BY, ::~:f (!_:{,?{ ,~, Dwelling Units
APP UC" TOON ACClPTE D BY
OATC
PLANS CHEC~l0 BY
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATIN G. VENTILATING O R A IR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WIT HIN 120DAYS, OR IF
CONSTRUCT ION 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 REA0 ANO EXAMINED THIS
APPLICATION ANO 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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PE:::IFORMANCE OF CONSTRUCTION.
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!IIGNATLIIIIE 0" OWN[N (If' OW,..Ut IIUll..Ollllt) IOATt)
SpP.cial A pprovals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
/ -I PERMIT FEE$ /_, -
Occupancy
Group
No. of
Stories
u se
zone
MICRO FILM FEE
Ma><.
0cc. Load
Fire Sprinklers
Required Oves O N o
0FFSTREET PA RK ING SPACES:
No, Covered
Required
Sq, Ft.
Received
INo.
Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YO __ U_R_PE_R_M_IT _____________ _
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O, CASH
I
INSPECTOR