HomeMy WebLinkAbout2637 DAVIS AVE; ; 70-675; PermitBUILDING PERMIT APPLICATION
Hy of CARLSBAD, CALIFORNIA m-t-io 5
Applicant to complete numbered spaces only
JOB ADDR ESS
LEGAL
| DESCR
2 (, 37
ATTACHED SHEET)
MAI L ADDRESS
<?-?£ 77
CONTRACTOR MAIL ADDRESS LICENSE NO
ARCHITECT O FTt) ES I GN ER MAI L ADDRESS LIC ENSE NO
MAIL ADDRESS LICENSE NO
MAIL ADDRESS
USE OF BUI LDI N G
WOoV
8 Classofwork L^-flEw D ADDITION DALTERATION D REPAIR D MOVE ' D REMOVE
9 Describe work
10 Change of use from
Change of use to
11 Valuation of work PLAN CHECK FEE PERMIT FE
o
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5-0
\)
SPECIAL CONDITIONS Type of
Const
Occupancy
Group ~Division
Size of Bldg
(Total) Sq Ft
No Of
Stories
Max
Occ Load
APPLICATIfltfrftCCEPTED BY PLANS CHECKED BY APPROVEDFQH ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required
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
5IGN\TURE OF CONTRACTOR OR AUTHORIZED AGENT
BfENATURE OF QXtNER (iFtrWNER BUILOER)(DATE)
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 1 969 REORDER FROM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 050 so LOS ROBLES* PASADENA CALIFORNIA 91101