HomeMy WebLinkAbout2624 EL CAMINO REAL; A; 79-693; PermitMOOEL NO. _________ _ RECEIVED
BUILDING PERMIT APPLICATION JAN 3 0 1979
City of CARLSBAD, CALIFORNIA 92008 ., 11 1 BP
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No .--J09 A.DOR £55 ASSESSOR'S
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OWN(A "'11\IL A.DOR CSS "p PHONE.
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CONTRACTOR Pi:?Ye\-1 MAIL ADDRESS PHONE (, 1-4-,) STATE LIC. NO. CITY LIC. NO,
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ARCHITECT OR DESIGNER MAIL AOOR£$S PHON £ LICE.NS£ NO.
4 5 t· t'A 44("' VPJ.-\S AVi= 'J ~•o~ { l 14)"2..77 ··C'j~l C. -34-·~,
ENGINEER MAIL ADDRESS PHONE L1CC.NS£ NO,
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COMPENSATION INS. CARRIER MAil. AOOflE'SS 91'A.NCH
6 COt..i~f;,.C,T~ .
USE OF" BVILOINC.
1 11'7-..... --... ·-. 1?-1=:AL-i!·'::i'i"AiE' OA=\~MS 1---I I' ,---N~S
8 Class of work: 0 NEW 0 ADDITION [jJ ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: iU'7,-~l4-\.0 ~'OP-OvPl-i=>' c,.!'i).ET? 1 10 Arn:>, "'11:'-. ":;.Tu 0 r·CUT? J
iµ-r. PARTmo t-,l':,, I 3 ·NI? t,ec~ .
10 (;l;iu91 iii 11,11 hsm
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11 Valuation of work: $ ~' 10 ~oo PLAN CHECK FEE S /8~ I PERMIT FEE0 $;:2,~oq
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
Size of Bldg. No. of Max.
(Total} Sq. Ft Stories 0cc. Load
A Fire Use Fire Sprinklers
APPLICATION ACCEP1'EO av PLANS CHECKEO ev :?."""" Zone Zone Required D Yes 0No
No. of OFFSTREET PARKING SPACES:
Dwell,ng Units No. JNo. DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTli...ATING OR Al R CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
~O G~TY TO VOOLATE OR CANCEL THE S OF ANY 0TH TATE OR LOCAL LAW R:J~G TION OR TH RFORMANCE OF CONST CTI N.
'tZ.,r.,. ,/ .I -"_JI -, /_ :2// 9 C. ~NATUR~ OF CON°(fl.l,('Tg)I OR AUTHOiflZ£0 AG£11"r /°Arr;Y
SIGNATURE OF OWNER (IF OWNE" 8UILOElll) (DATE)
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTALFEES$~-~-r-~t::'~~-;2_~,..__--C)~