HomeMy WebLinkAbout2540 LA COSTA AVE; ; 78-1237; PermitMODEL NO. ______ _._ __ _
BUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB AODIII £55
}.540 L~ Cosr4
ASSESSOR'S
PARCEL NUMBER
L£CAL I LOT NO,__ 8 l TRACT BvvK PAGE I PAR.
1 0£5CR. t.-C. S o. #= I 10sn ATTACH(O SHEtT)
11 . PHONE
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CON TIIIAC. TO'\_ " , MAIL AOOACSS PHONE STATE LIC. NO. CITY LIC. NO,
3 ''.I PEVEL. IJ I .7 /'1,.f ,_Al ...,S-t. /:/4 l v; I Alt, TV A' . : , -' --,-. -;>/
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LICEN5£ NO •
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ENCIN£t.A MAIL AOORtSS PHON[ LICENSE NO.
5
COMPENSATION INS. CARRIER
6 /JV M•IL AOOll'IE5S l!UU,NCH
USE OF IU'ILOING
7 NO. BDRMS NO. BATHS
8 Class of work: □NEW □AOO~ALTERATI0N 0 REPAIR O MOVt: ~E
9 Describe work :
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEES -I 'PERMIT FEE $
-.
" 1-S_P_E_C_I_A_L:_C.:..O.:._N_D_I_T_IO_N_S_: ------"--------------! Type of
Const
MICRO ~IL M FEE
I-,
1-----------------------------1 S,ze of Bldg. (Total) Sq. Ft
,. .. -.,.,.
Occupancy
Group
No. of
Stories
Nl~X/\ _l"f'),
dc :u.yit1 n
~.,,.---~-,--=---'T""----------.---'/'--..:....-----1 Fire Use F ...lsprlnklersA V
APPLICATIO./N ACrEP O"'BV PLAN~rHECKED BY APPROV~R ISSUANCE BY 1-z_o_n_e _______ +-z_o_n_e _______ .,,.~_e_o_u_ir_e_d_O_ll'_eess+\_[4-N_o~
I 6 r /r1.~4 ~ -OFFSTREET PARVSPACES:d ' .,, •. N o. of No. (\ 1' !No ' DATE DATE: ~-• Dwelling Units Covered :IQ. Ft Ope
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO 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.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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 V IOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRU<;TION OR THE PERFORMA~CE OF CONSTRUCTION.
~IGH.&TUIU 0,-OWNCN II,-OWNE.111 BUILOEfll DATE)
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEP/
WATER DEPT, j
, '
\ ~\
I' \ JV
Required \ 1 l .Aeceived _rM Required
\. -f
11
" /I/
• I" 7 I" \ 1 JU
J I
I~ 7
I /
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
'--., L/ TOTAL FEES$ _________ _ -
INSPECTOR
7