HomeMy WebLinkAbout2550 CARLSBAD BLVD; ; 71-104; PermitBUILDING PERMIT APPLICATION
1
e City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
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JOB ADDR ESS
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ATTACHED SHEET)X\\OWNER
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'/ , WAIL ADDRESS
CONTRACTOR MAIL ADDRESS LICENSE NO.
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
ENGINEER MAIL ADDRESS LICENSE NO.
MAIL ADDRESS
USE OF BUILDING
-J-
8 Class of work: D NEW D ADDITION HI ALTERATION D REPAIR D MOVE D REMOVE
B Describe work:
•fjt
10 Change of use from
Change of use to
11 Valuation of work: $PLAN CHECK FEE PERM)
SPECIAL CONDITIONS:Type of
const, /••r"It. .L^L
Occupancy
Group Division
Size of Bldg.
(Total) Sq. Ft.
No. Of
Stories /
Max.
Occ. Load
APPLICATION ACCEPTED BY
C7
PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required Qye
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN 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.
Special Approvals
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
Required Received Not Required
SIGNATURE OP CONTRACTOR OR AUTHORIZED AGENT'
/
SlfffTATURE OF OWNER (IF OWNER BUILCERI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
Form 100.1 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • so so. LOS ROBLES • PASADENA, CALIFORNIA 91 101