HomeMy WebLinkAbout2605 CARLSBAD BLVD; ; 76-2068; PermitMODEL NO.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. PrlORC 729-1181 Permit No,
JOB ADDRESS t- £ *• ft -if {* f
LOT NO, BLK TBACT ,__,
LECAL (LJstE ATTACHED SHEET)
1 OESCB,
OWNER ,._ MAIL ADDRESS H* PHONE
C*~-£r^??Z*\4 f /*^**V***1? C^P"C*<»-^*^*'''raf /Off* c^ ** *** " '•
SSESSOR'S
ARCEL NUMBER
BOOK PAGE PAR.
CONTRACTOR J^" /^ WAIL ADOlR?SS PHONE STATE LIC. NO. CITY LIC. NO.
3 (/
4
ENGINEER MAIL ADDRESS PHONE LICENSE
5
MO.
NO.
COMPENSATION iNS. CARRIER M*IL ADDRESS BRANCH
6
USE OF BUILDING
' Nn. nriRMS NO. BATHS
8 Class of work: D NEW D ADDITION D ALTERATION D REPAIR D MOVE ftflfMOVE
9 DB«rib«»ork: £%L*w+J */ frU <&&*«jLs*~S~ 6&£L .y t<3
10 Change of use from
Change of use to
11 Valuation of work: $
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BV APPROVED FOR ISSUANCE BY
DATE ' * DATE
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 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 HERESY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THtSTYPE 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.
SIGNATURE OF CONTRACTOR OR AUTHOJUZCO A.GENT (DATE)
4lUhATURE Of OWNER (IF OWNER BUILDER) [DATE}
PLAN CHECK FEE $ PERMIT FE
Type of Occupancy
Const. Group
Size of Bldg. No. of
(Total) Sq. Ft- Stories
Fire Use
Zone Zone
OFFSTREET PARKINGNo. Of
Dwelling Units Covered Sq. Ft.
Special Approvals Required Rece
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
• V^
MICRO FILM FEE
Max.
Occ. Load
Fire Sprinklers
Requ red QYes DNO
SPACES;
No.
Open
ved Not Required
"* .WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK WLIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
TOTAL FEES $.
INSPECTOR