HomeMy WebLinkAbout2620 CHESTNUT AVE; ; 71-666; PermitBUILDING PERMIT APPLICATION
-City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
JOB ADDR ESS
LEGAL
DESCR.
QSEE ATTACHED SHEET)
CON/WlCTOR MAIL ADDRESS
ARCHITECT OR DESIGNER 'MAIL ADDRESS LltfEN'SE NO.
USE OF" BUILDING
8 Class of work:DT/EW a-AomrioN n ALTERATION n REPAIR DMOVE D REMOVE
9 Describe work:Yif
10 Change of use from
Change of use to
11 Valuation of work: $PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:Type of
Const.
Occupancy
Group Division
SizeofBldg.
(Total) Sq. F
No. of
Stories
Max.
Occ. Load
APPLICATION ACCEB<ED«Y PLANS CHEC&eB BY APPROVEfffon ISSUANCE BY
Fire
Zone
Use
Zone
No. of
Dwelling Units
Fire Sprinklers ^
Required Dves 0NcNo
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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE 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,,T-HE PERFORMANCE/ OF CONSTRUCTION.-
Special Approvals
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
Required Received Not Required
SIGNATURE OF CqMTRACTOR Off'AljTHOR 12 ED AGENT
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