HomeMy WebLinkAbout2536 LA COSTA AVE; ; 74-1286; Permit0 O
BUILDING PERMIT APPLICATION •
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. l .;2_$' (_
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CN GIN ECA ,, MAIL AOOR£55 PHONE LICENSE NO.
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COMPENSATION INS. CARRIER M AIL AOORCSS BIIIANCH
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use 0 ~ 8UILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
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#. .. -"' 1-:_ .6·-o Ht.GIi 0v-_,;!. ~ 11 9 Describe work: , ··-~. , .. \ t-:o ''\
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10 Change of use from r ,~ ~/~~✓ ~ -~ ?! u I "-_/ t"J · -... -~
Change of use to '. tY (/
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I} 2-L t:'lv I PERMIT FEE $ l'9~ 11 Valuation of work: $ ~ PLAN CHECK FEE$
SPECIAL CONDITIONS: Type of
MICRO FILM FEE Occupancy
Const Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stor ies 0cc. Load
Fire U se Fire Sprinklers
APPLICATION ACCEPTED BY PLAN$ CHECKEO BY APPROy E I) FOR ISSU,NCE 8 Zone zone Required O Yes □No
~/(/J7) /No. of OFFSTREET PARKING SPACES:
"' ~ Dw elling Unit s No. 'No. OATE Covered Sq. Ft. Open . Special Approvals Required Received Not Required NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICA L, PLUMB PLANNING DEPT. .
ING, HEATING, VENTI LATING OR AI R CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL A ND VOID IF WORK OR CONSTRUC-\. -' TION AUTH ORIZED IS NOT COMMENCED WITHIN120DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
1, PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-.
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT.
\, APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. .... ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNIN G THIS WATER DEPT.
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 ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
.
SIGNATl.J"CtOI' CONTIIIACTOIII ON AUTHOfillZl[D AGtNT ,m/ I• I=#~~~~~ '-, 7/..,,
-,11.NATIIIIIE Of" OWNtR f1r OWNLIII IVILDE") DATE)
WHEN ,P°F\OPERLY VALIDATED (IN THIS SPACE} TH IS IS YOUR PERMIT
PLAN CHECK VALIDATION (';:.-' M.O CASH PERMIT VALIDATION CK. M.O. CASH
"'J 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
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