HomeMy WebLinkAbout2729 CHESTNUT AVE; ; 78-5371; PermitHI
MODEL NO.
BUILDING PERMIT APPLICATION
v>? City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces, only. PnOPe 729-1181 *'* Permif No.
JOB ADDRESS ^..^ " . .'
f f '"if '"**% f ****** *Qi £ j£ J /*'?j!5' ' *•'4j^ ? '-CX" I V~f><* '•&**••>" ' f^J'\ff\ (f^*?*"* *
L 0 T N O . .. ^ ,3/7 BLK TRACT
OWNER -, MAIL ADDRESS ZIP
2 fyjIUOfJ^ £?£# CMC^A*"* £#*• CAgiS'&Ao ft
ASSESSOR'S
PARCEL NUMBER
BOOK PAGE PAR.
PHONE
CONTRACTOR /**% MAIL ADDRESS PHONE * STATE LIC. NO. CITY LlC.iNOj:
ENGINE E"R MAIL ADDRESS PHONE
5
COMPENSATION INS. CARRIER MA I u? ADDRE 55 i
USE OF BUILDING / /
NO. BDRMS
LICENSENO.
- LICENSE NO.
BRANCH
Nfl. RATHS
8 .Class of work: D NEW ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work: AftT'Vj 0t/f A. >**#*' ^ ••• ' % ^ ^~~ " " ^ " ' &' ^'
10 Change of use from
Change of use to
11 Valuation of work: $ ^-i c^ ^"| ""*
SPECIAL CONDITIONS:
/'"'%\ .„
APPlllCATION.ACCEPTED B^^ PLANS CHECKED BY APPROVEfo/OR ISSuA|ICE BY
DATE ' DAT^iJ jr f^ J; ?^ f
NOTICE ***\ 1 /
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMEf-
ING, HEATING, VENTILATING OR AIR CONDITIONING.?
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
MENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
ALL. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
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
f * - v 1-VV,*. {««».»*%,*». J 1,.^ v - *-r
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) , (DATE)
PLAN CHECK FEE $ ^J '**" P
Type of Occupancy
Const. Group
Size of Bldg. No. of
(Total) Sq. Ft. Stories
Fire Use
Zone Zone
, , OFFSTREET FNo. of
Dwelling Units Covered 5
""'Special Approvals Required
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
t/'V' ' "'ERMir'FEE $ || ;
MICRO FILM FEE
Max.
Occ. Load .;.s
Fire Sprinklers • •. .v
Required Qyes 0No
>ARKING SPACES: ^ ,
INo. /* '\ \>q. Ft. OpejF ^
Received Not Reqifire'd/
* f
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o. CASH
* : —'• {
f 1TOTAL FEES $ " -~J
INSPECTOR
INSPECTION RECORD
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
DATE
//-/cf- :
REMARKS
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S^>~-OR
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.