HomeMy WebLinkAbout2613 DAVIS AVE; ; 72-1469; PermitPermit No
BUILDING PERMIT APPLICATION ,- *•ms<******* 15^5
of CARLSBAD, CALIFORNIA 92008
'Applicant t6 complete numbered spaces only PhOfie 729-1181
JOB ADDA CSS
2 & / 5
LE«ALIOESCR
_
(FHSEE ATTACHED SHEET)
MAIL ADDRESS
SF-'VC*
MAIL ADDRESS LICENSE NO V
ARCHIECT OH DSI«NER MAIL ADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
MAIL ADDRESS
USE OF BUILDINC
8 Clano DNEW
- ^-
O*bDIDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Descrto work /*L^lBlltff*'"'±.7
y
- -_£s ^T
10 Change of un from
Chtngtof unto
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Vr
r
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>(Wf*r
11 Valuation of work S
///r-'rV?'PLAN CHECK FEE PERMIT FEE /t
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 FOB^SSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required DYes DNO
NO of
Dwelling Units
OFFSTREET PARKING SPACES
Covered I 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
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL^B-rCOMPUED WITH WHETHER SPECIFIEDHEREIN OR NOT. THE afMUkJIJNQ OF A PERMIT DOES NOTPRESUME TO QIVE AUTHORlTMBmVIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATCDWItOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
ZONING
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
tqRjL/r *>
f (BATE)
Required Received Not Required
• I8NATURE Of *CTOR OR AUTHORIZED ACENT
SIGNATURE OF OWMM (1 f OWNER IUILDER)(DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR