HomeMy WebLinkAbout2731 CHESTNUT AVE; ; 78-5987; PermitMODEL NO..
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. PnOFIG 729-1181 Permit
JOB ADDS ESS ASSESSOR'SPARCEL NUMBER
- LEGAL
1 DESCR.
BOOK PAGE PAR
MAIL ADDRESS
CONTRAC TOR MAIL ADDRESS STATE LIC. NO.CITY LIC. NO.
ARCHITECT OR DESIGNER MAILADDRESS 5 LICENSE JN'0. •' '/ - ' --X#O' -''*.*
AIL ADDRESS LICENSE NO.
COMPENSATION INS. CARRIER
6 /^v^ <!---£.
MAIL ADDRESS
USEOFDUILDING
NO. RDRMS NO. BATHS
8 Classofwork: D NEW MADDITION DALTERATION D REPAIR D MOVE D REMOVE
9 Describework:
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
MICRO FILM FEE
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
APPLICATION ACCEPTED BY PLANS CHECKED BY ISSUANCE BY
-
Fire
Zone
Use
Zone
Fire Sprinklers
Required dlN
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No. . _ I No.
cve,e<i Sq. Ft.._[Open
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 120 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 CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
5IGNATUFIE OF OWNER (if OWNER BUILDER)IDATEI
Required Received Not Required
46*"* •
A*-*'
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.M.O.CASH
TOTAL FEES $.
INSPECTOR