HomeMy WebLinkAbout2642 DAVIS AVE; ; 71-910; PermitBUILDING PERMIT APPLICATION
1
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only NW-1-71 2
MAIL ADDRESS^ ^- . -^ ZIPrsA-vm \-c_.
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ARCHITECT OR DESIGNER MAI L ADDRESS LICENSE NO
LICENSE NO
MAI L ADDRESS
\
8 Class of work 'H'NEW D ADDITION D ALTERATION 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 FEE
SPECIAL CONDITIONS Type of
Const
Occupancy
Group Division
Size of Bldg
(Total) Sq Ft
No of
Stories
Max
Occ Load
APPLICATION ACCEPTED BY ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required Qyes
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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL 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
OR THE^.PE-HHORMANCE OF CONSTRUjCTI,ON
Special Approvals
ZONING
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
Required Received Not Required
s i G NRTtrwe"5F CONTRACTOR ba AUTHORIZED AGENT (DATE)'
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
Form 100 1 9 69
INSPECTOR
REORDER FROM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 SO LOS ROBLES • PASADENA CALIFORNIA 91101