HomeMy WebLinkAbout2575 DAVIS AVE; ; 71-278; PermitBUILDING PERMIT APPLICATION
7/
ibered sp
City of CARLSBAD, CALIFORNIA tnto-n
Applicant to cbmpletfTnumbered spaces only
JOB ADDR ESS
LEGAL
DESCR
ATTACHED SHEET)
MAI L ADDRESS
CON TRACTOR MAIL ADDRESS LICENSE NO
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
MAI L ADDRESS
USE OF BUI LDIN G
8 Class of work W D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work
10 Change of use from
Change of use to
11 Valuation of work $ /4/^/) ^z 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
CEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required Dves DNO
No of
Dwelling Units
OFFSTREET PARKING SPACES
Covered Uncovered
f NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING VENTILATING OR AIR CONDITIONING1
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 THIS
TYPE 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
Special Approvals
ZONING
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
Required Received Not Required
SIGNATURE 0.- CONTRACTOR OR AUTHORIZED AGENT
SIGNATURE OF OWNERfTlF OWNER BuJJLDER)
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 1 969 REORDER FROM IN TERN ATION AL CON FERENC E OF BUI LDIN 6 OFFICI ALS • so so LOS ROBLES • PASADENA CALIFORNIA 91101