HomeMy WebLinkAbout2575 HIGHLAND DR; ; 74-1771; PermitCity of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No_-;.,;'4-~J/
JOB ADDA CSS ASSESSOR'S
~S7S ftlh?/-l t? .,:J ryp or PARCEL NUMBER
LOT NO. . Im I T . ACT BOOK PAGE I PAR,
LEGAL I <Osct ATTACHED SHE.CT) 1 ocsc•.
OWN£fll MAIL AODIIIC5S 21. PHONE
2 ✓{, ,I._ /9 N,i ,-,./ I(',, fi/ ,t.. ,,c) l'J/ I ~ J .....
CONTfllll:ACTOllt MAIL ADOIIIESS PHONE LICCNSC NO. STATE CITY
3 -~ I--;>T "") ;"";) GAt/-9 &C O~r ,, ,.,.. 0 7J J.I, t./ N,/ C .. -1 3 .,.. 3 l-::, -,,-,~~
AIIICHITECT Ollt DCSIGNtlll M.A.IL AQO,t[SS PHONE LICENSE NO,
4 Ii , \· ---CNGINC[R MAIL AODIIICSS PHONE LICCNSC NO,
5 r-
COMPENSATION INS, CARRIER MAIL AOOIIICSS IUU.N CH
6 1/-, ... --';Hp -
USC 0~ BUILDING
7 r;~ Rt,;--
8 Class of work: 0 NEW 0 ADDITION $J ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: ' I\ e; 7 ..t.) /. L :2 P/1 S...!./9/,.. .J--.J-"1 $ 7,'-) JV OA I' /;>,-JAN 8 .... 7M I
,--:1.,Q .., q r.,, ;::: P/J.t> p ..!
10 Change of use from cARPol? !
Change of use to (J~ ??/19{,,t:-
11 Valuation of work: $ I/), fJO D PLAN CHECK FEE$ I PERMIT FEE s /c !!..!:...
SPECIAL CONDITIONS: MICRO Fll.M FEE Type of Occupancy
Const. ,,.--f. Group ..
Size of Bldg. No. of ~ Ma><.
(Total) S<t Ft. -•4.!,_orle• 0cc. Load
Fire ' --r ~Sprinklers use _..,,,.....
APPLICATION ACCEPTEO 8V PLANS CHECKED 8V APl>A~VEO F°il.-iCE ev Zone Zone ulred OYes O No
N o. of OFFSTREET PARKING SPACES: ~-/2 Dwelling Units No. 'No. CATE j 0ATlt Covered Sq, Ft. Open
NOTICE I I Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRI CAL, PLUMB-PLANNING 0EPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ENGINEERING DEPT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR THE GRANTING OF A PERMIT DOES NOT NOT, PRESUME TO GIVE AUTHORITY TO VIOLATE OR C/\NCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PJ~RFORMANCE OF CONSTRUCTION.
,·~ ,A ·c-,.-/
SfGNATU,t:t o, CONT""CTOfll ... AUTHOflllZ!D AGtNT (DATE.I
SIGNATUfllE OP' OWNE.Jlt IIP' OWNCJII BUILDE") OATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR