HomeMy WebLinkAbout2608 LUCIERNAGA ST; ; 77-6668; Permitf
MODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB AOOIII C~S • ASSESSOR'S
P ARCEL NUMBER
LOT NO, [ OLK I TR At T BOoK PAGE I PAR,
Lt GAL I -~;. 5 cr.-=..-~ I I Qstt ATTA.CMCD 5Ht£.TI l otst•.
OWN CA MAIL A DON [SS ll P PMON[
2 a • -• -•• --•·---·
CON TlltAC TO,_ MAIL AOOAESS PHONt STATE LIC, NO. CITY LIC. NO,
3
A"CHIT[CT O R 0t.51GNCA MAIL AOORCSS PM ONE LIC[N$C NO,
4 apu;I t
CNGINCCR MAIL AOOA[SS PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER ~ MAIL AOOIIIESS BfU,NCM
6 -·
use OF 8JILDINC ' 7 i NO. BORMS NO. BATHS
8 Class of work : □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: Rf.TZ.!HffiG WAI.to -t,. --L--"'
--m lgh cllUl 6S' long
10 Change of use from
Change of use to
l l Valuation of work: $ ~-) <_ 1/~ I PERMIT FEE $ Yt-_) PLAN CHECK FEES
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const Group
Size of Bldg. No. of Max
(Total) SQ. Ft. Stories 0cc. Load
.-Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BV APPRJ O FOR lSUANtE BY Zone zone Required 0Yes 0No
OFFSTREET PARKING SPACES:
DATE Vg/1/1 .1
No. of I No, Dwelling Units No. DATE Covered Sq. Ft. Open
NOTICE \ I Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.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 ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF. LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT,
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER ST ATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/:; -" ,;,J
SIC.NATUftE. OP' C7T'4.ACT0'4 Oft AUTiiOllllll.0 AC.ENT (DAT()
~ICN.t,fllft[ 01' OWN[fl I,. OWNCft BUILDl:1111 IOATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ __ /.._U __ -__ _
INSPECTOR1