HomeMy WebLinkAbout2675 Highland Dr; ; 73-2545; PermitBUILDING PERMIT APPLICATION --,-s
Permit No. City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181
JOB ADDA CSS
~. ~A""
.,
;.! {C /~ ,. ,.. ""'~-
LOT NO. (/ I BLK I TlltACT
LEGAL I 65 Qsct ATTACHED SHEET) 1 DE~<•• ~ ' _;i':'lln!); ~
OWNE• L'·:,v_. FM.I'!-~~' D. ~"I 'll"'\><""4AIL Aoo••·· ZIP PHONE
2 .J~ eto, 'n=.u '~-~ 2&7;.; 1:lrffl fmA: or .. , a: .... . J~ CJaJO'S ~ _;}-,,' '"'31
CONT,-ACTOJIII MAIL ADDJIIIESS PHONE LICENSE NO.
3
A"CHITCCT 0111 DCSIGNEJI MAIL ADDRESS PHONt LICENSE NO.
4
ENGINECIII MAIL ADDRESS PHONE LICENSE NO.
5
LE.NDC:llt MAIL AODIIICSS 8JIANCH
6
USE. 0,-IUILDING r 7 • ..,,_ • ,·) / ' --_ ..
~
8 Class of work: □NEW 0 ADDITION CJ ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: ~ ft., ~ --.. 'fft Ci:! ~ ---~ "' ,S .. ,, ., ·-.-•1 'lfl'""II •--,. · .U, l.o.illL !; C: .. 11.1'.fTJ..J;._ ~
10 Change of use from .--.... _.,.h, ~"
Change of use to ~~
11 Valuation of work: $
,c•O--
,:;..[r~., .,,L/ / <. / PLAN CHECK FEE I I PERMIT FEE -I'"!
SPECIAL CONDITIONS: Type OJ Occupancy
Const. j t,....J Group Olvlslon
Size of Bldg. No. of ~ Max.
(Total) Sq. Ft Stories 0cc. Load
'
li,
Fire Use Fire Sprinklers
APACCEPTEO BY PLANS CHECKED BY APPROVH FOR ISSUANCE BY Zone Zone Required OYes ~ pf!(' No.of /
OFFSTREET PARKING SPACES:
Dwelling Units Covered I Uncovered
0 '-
:Ii 0 z IJJ
"" > ll D
D ll
"' "' "'
□No
,_
Special Approvals Required Received Not Required NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-HEALTH DEPT.
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 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.
SIGNATURE o, COMT .. ACTO,. O" AUTHOlllllZl.0 AGCNT (OAT!.)
SIGNATUllll[ 0,-OWH[fl ti, OWNE" 8UIL0CA) 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
::z
0
1