HomeMy WebLinkAbout2535 DAVIS AVE; ; 78-4245; Permit• YT"
MODEL NO..
)f*3BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 « " *
Applicant to complete numbered spaces only PnOllC 729-1181 Permit No
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ASSESSOR'S
PARCEL NUMBER
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(LJ»tt ATTACHED SHEET)
PAGE
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MAIL ADDRESS
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CONTRACTOR o STATE LIC. NO.CITY LIC. HO.
ARCHITECT OM DESIGNER MAIL ADDRESS LICENSE NO
ENGINEER MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF IUILOIN*
NO BDRMS NO BATHS.
8 Clittofwork D NEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 0«cr*.work
10 Chan|« of use from
Ch«i|( of ut* to
11 Valuation of work $PLAN CHECK FEE $— PERMIT FEE »> tTli
SPECIAL CONDITIONS Type of
Const
Occupancy
Group
ICRO P4L.M FEE
Size of Bldg
(Total) Sq Ft
No of
Stories
Max
Occ Load
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required QYBS DNO
No of
Dwelling Units
OFFSTREET PARKING SPACES
|NoSq Ft (OpenNoCovered
NOTICE
SEPARATE-PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING, HEATntG. 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
Special Approvals
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
ENGINEERING DEPT
WATER DEPT
Required Received Not Required
SIGNATURE OP CONTRACTOR OR AUTHORIZED AGENT
SIGNATURE OP OWNER IIP OWNER SUILOER)IDATET
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
TOTAL FEES S ** ** ' ^ V
INSPECTOR
LOCAL CODE COMPLIANCE CERTIFICATION
(Section 221 (d) 2 (f) National Housing Act)
GLORIA RODRIGUEZ
Mortgagee
• .
Property Address:
2535 Davis Street Carlsbad, California (92008)
Street City Zip
IT IS HEREBY CERTIFIED by the Undersigned:
1. That he is the Building Inspector pf the
"(Official Title)
Carlsbad - San Diego
(City-County)
California
State
2. That it is a part of his official duties to inspect and/or determine whether
buildings, structures, real property or premises meet or comply with the
requirements of State and Local Laws, Ordinances, Codes, or Regulations relating
to Public Health, Safety, Zoning or otherwise, which may be applicable thereto.
3. That on July llth L_»197_5 , the property of premises above
described was inspected and as of that date said property or premises and-the
structures and buildings located thereon did meet and comply with the require-
• ments of all said laws, codes and ordinances applicable thereto.
4. That on , 19 , the property or premises above
described was inspected and as of that date said property or premises and the
structures and buildings located thereon did not meet and comply with the
requirements of all said laws, codes and ordinances applicable thereto for the
following reasons:
DATED This Eleventh (llth) day of July ^ ,T5 78 A
^—-^ / A7T~72-
(Signed) x—JC>^^ ^^//7$£
TONY A/MATA
/Name Printed)