HomeMy WebLinkAbout2663 LA GRAN VIA; ; 75-146; Permit~ . BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ~ ',°'-/t/F
Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No./ ,. 7 Co
JOB AOOA C:SS ASSESSOR'S
:J..W~ /tJ. (dM'l ,;,~ PARCEL NUMBER
LOT NO 1 1.K I TUCT
BuuK PAGE I PAR.
1 ~~;:;. Osr.c ATTACHED SH[£TI
OWN[IIII MAIL ADOllltSS ZIP Pl-ION(
2 I
CON TIIIACTOIII MAIL .A.00111[55 PHONC LICCNSC NO, STATE CITY
3
AIIICHIT[CT 0111 OCSlC;Ntlll MAIL ADOJIC55 . PHO"'[ LICt,..St NO,
4 I D ~.) .
tt.GJNCtlll MAIL A.00111£55 PHONC LIClN St NO,
5
COMPENSATION INS, CARRIER MAIL ADOIIICSS BIIIANCH
6 -?~ (,'j J, P~, ~ .....--, -
USl. o, IUILDINC -?I 7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE ...
9 Describe work: !
~ / ·V?_ I' ,~oi/t 2. ~
10 Change of use from
Change of use to
1 1 Valuation of work: $ ~::Joo GU ,,,,ou I t?'-"
PLAN CHECK FEE s PERMIT FEE S V'
SPECIAL CONDITIONS. , MICRO FILM FEE Type of Occupancy
Const Group
Sile of Bldg 'i::,} No. Of Max
(Total) Sq. Ft! Stories 0cc Load
--Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED 8Y ~-7.AOVEO FOR ISS 'All<CE BY Zone Zone Required □Yes □No e?~ ~Ji,A -No. Of OFFSTREET PARKING SPACES:
Dwelling Units No. 'No. CATE Covered Sq. Ft. Open
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 IS 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)
1'· 1 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 OROINANCES GOVE.RNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT.
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.
SIGNATU"C o, CONTll'tACTOflt 0,. AUTHOfltlZ.1:0 AGCNT (DATE)
•H:"'fAT Ill[ OIi" OWN[Jlt 1,-OW~tllll IUIL.DCJII CATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS_Y_O;;..Uc;...;..;R..cP..cE_R_M_IT ___ _,. _________ _
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
GI
INSPECTOR
INSPECTION RECORD 1 ~-/'-Ip
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL ~-9'., 76 CJ, /c' /4 --~ Y.)~/&,u
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.