HomeMy WebLinkAbout2522 Levante St; ; 76-1095; Permita ~
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No.
JOe AOOR ESS. ASSESSOR'S
.. v~#"f.~ .~ PARCEL NUMBER
l..OT 1110, I •c• --I TR •c T BOuK PAG e: I PAR.
LCG .. C I /71 ~,~: t0sc£ ATTACHED SH!,E:,T) 1 DCSCR. ... /'/,
OWNER MA IL ADD"' ESS ?IP PHONE
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CONTRACTOR MAIL ADDRESS PHONE LIC£N5E NO. STATE CITY
3 ·.ct: co c-cr-J"b l".~ ~ ;76, ZJ!t;" / .
ARCHl 'T£CT OR DESICNER MAIL ADDR ESS P'HON E LICENSE. NO,
4
Et-I G 1N E.£R MAIL AOOR tss PMOl>IE LICENSE NO.
5
COMPENSATION INS. CARRIER MA IL AOOA E: 55 BJIIIANCH
6
US[ or BUILDING
7
8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work : '?.-::P·/m f? F '"l I\ ·r,r"" WA '--
10 Change of use from
Change of use to
11 Valuation of work: $ l,7 ~ I PERMIT FEE $
L<,/
PLAN CH ECK FEE s -SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Size of Bldg. No. ot Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHFCKED BY APPAOV~O FOR ISSUANCE BY Zone zone Required OYes O No
No. of OFFSTREET PARKING SPACES:
DATli "'.._,.,, • .,, Dwelling Units No. I No. OAT£ Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, 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 THIS 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 HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT Pl1ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
12,.,-:_ '.,If'_/,/(,, F;,-'"..,,; !,f)I ~..I-~# r
SIGNATURE: o, CONTffA(TQ,W OR AUTHORIZED AGENT , (DAHi
SIGNATURE OP' OWNER lP' 0WN£1111 &U ILDE.R) D•TE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M,O. CASH
INSPECTOR
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
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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