HomeMy WebLinkAbout2565 DAVIS AVE; ; 71-719; PermitBUILDING PERMIT APPLICATION
1
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only
JOB ADDR ESS
- LEGAL1 DESCR ATTACHED SHEET)
MAI L ADDRESS
/ ,'MAI L ADDRESS LICENSE NO
ARCHITECT OR DESIGNER LIC EN5E NO
MAI L ADDRESS LICENSE NO
MAIL ADDRESS
USE OF BUILDtN G
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work
- go' -
10 Change of use from
Change of use to
11 Valuation of work $PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS Type of
Const
Occupancy
Group Division
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 Qves DNO
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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN 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
Special Approvals
ZONING
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
Required Received Not Required
SIGNATURE OF CONTRACTOR OR AUTHORIZED AETEN
SIGNATURE OF OWNER (IF OWNER BUILDER)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
CK MO CASH PERMIT VALIDATION CK MO CASH
Form 100 1 9 69
INSPECTOR
REORDER FROM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 SO LOS ROBLES • PASADENA CALIFORNIA 91101