HomeMy WebLinkAbout2620 CHESTNUT AVE; ; 71-184; Permit^^• /-S'Y
BUILDING PERMIT APPLICATION sCity of CARLSBAD, CALIFORNIA mn-71
Applicant to complete numbered spaces only.
JOB ADDR ESS
. LEGAL
|DESCR.
ATTACHED SHEET)
MAIL ADDRESS LICENSE NO
MAIL ADDRESS
USE OF BUILDING
8 Class of work:[ZfNEW ^DDDDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $o
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
APPLICATION ACCEPTED BY:PLANS CHECKED BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required [Jves DNO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered 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. ..
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
-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 STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR • THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
Required Received Not Required
SIGNATURE OF CON1
SIGNATURE OF OWNER (IF OWNER BUILDER)
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 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 so. LOS ROBLES • PASADENA, CALIFORNIA 91101