HomeMy WebLinkAbout2658 Ocean St; ; 74-1725; Permitl 0 . 0
BUILDING PERMIT APPLICATION .. ,
City of CARLSBAD, CALIFORNIA 92008
'7 -Applicant to complete numbered spaces only. Phone 729-1181 Permit No. --:,I J ·-
JOII AOOR tSS ASSESSOR'S
Oc. -;, f ,9 ~ 'fl.I' p ,A.» PARCEL NUMBER
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L.OT NO. I OLK I TRACT
BOOK PAGE I PAR.
LEGAL I <Osc_c ATTACHtD SHEC.TI 1 OE5CR,
OWNC,t MAIL AODAE.55 21 P PMONC
2 ' '..>. f?1.t" , Cb''°' Oe ~# l(I C#.i-1 ..s t1t9.n ~ -., . ,, . J,---CONTRACTOR (oi.J MAIL •DDAESS PHONE. ' LICENSE NO. STATE CITY
3 -la!-..)
ARCHITECT OR OtSIGNtR MAIL ADDRESS PHONE LICE.NS( NO.
4 -t.NGINttf\ MAIL ADDl'l:£5S PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH
6
use OF BUILDING .1
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : ~(..O~U WAL c.... -F4!!A,.,ee I.:
10 Change of use from
Change of use to
11 Valuation of work: $ '771/--PLAN CHECK FEE$ I PERMIT FEE $ ~---
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTEO BY PLANS CHECl(EO BY APPROVEO FOR ISSUANCE BY zone zone Required OYes ONo
DATE '-/'1 ~ ' No. of OFFSTREET PARKING SPACES,
Dwelling Units No. 'No. DATE Covered Sq. F1. Open
r NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING. VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED lS NOT COMMENCED WITHIN120DAYS, 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 AND 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 THE GRANTING OF A PERMIT DOES NOT 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.
SIGNATURE. or CONTIIACTOllt 011 AUTHO"12£D ACCNT
~·/~
(DATE)
~IGNAf UfU OP' OWN[fl IIP' OWNtlll IUIL0t1') DATE)
WHEN PROPERLY VALIDATED (IN TH>S SPACE) THIS IS YOUR Pl:RMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
I
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
?
~--/J.,?f I/ 01<: ;:-~ FINAL
LOW-UP, ETC.
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