HomeMy WebLinkAbout2742 AUBURN AVE; ; 84-523; PermitDECLARATIONS
OWNERAUILDER --1 LENDER WORKER'S COMPENSATION - 71 I II
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Pink - Applicant Gold temporary File White - Inspector Green ~ (1) Finance (2) Data Process. Yellow - Assessor
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City of Carlsbad Is& "ELLANEOUS
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1200 ELM, CARLSBAD, CA 92008 TEL. (619) 438-5525 RECEIPT I-.
Address
CltY zip Tel.
I I state LIC. city s ClaOOif. Lic. NO. I
COMPLETE FOR PLAN CHECK ONLY
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LEGAL DESCRIPTION &,A- /J^3
' *CX/ &--7 ASSESSORS PARCEL NO __
DESCRIPTION OF WORK
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PLAN ID NO. Jy- 3-23
DESIGNER ADDRESS
PHONE
CONTACT PERSON
Signature of Applicant Date/&
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01.00-00-8806 * PLAN CHECK FEE
VALUATION J, y3-l" ,
DEMOLITION
HOUSE MOVING
PARKS AND RECREATION FEE
PUBLIC FACILITIES FEE
SCHOOL FEE - DISTRICT
Carlsbad
Encinitas
Sa" Marcos
CERTIFICATE OF OCCUPANCY
Sa" Diego
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TOTAL FEE I $ ys-,
*WARNlhG: PLAh CnECn FEES AnEHt hO ACTiOh S TAI(Eh BY THE
APPLICAhT Ih I80 DAYS Ah0 h0 BJ -11 hG PFRMIT 5 SS-ED ARE
FORFE TED TO ThE C TI
COMMENTS:
White - Applicant Yellow - File Pink - (1) Finance (2) Data Process Goid - Assessor
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ENCINITAS SCHOOL FEES: SAN DIEGUITO
CARLSBAD SAN MARCOS
% COVERAGE REQUIRED SETBACKS
BUILDING HEIGHT FRONT
FENCES/WALLS
-- TWO CAR GARAGE REAR
$ COMMENTS: 2
“r u REDEVELOPKNT APPROVAL REQUIRED: ,-- n
1- ss u LANDSCAPE PLAN CMENTS: Y
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- ENVIRONMENTAL REQUIRED:
ADD IT I ONAL COMMENTS :
OK TO ISSUE: & DATE: /qh(/(YOK TO FINAL:
**************** P ...................................
DATE:
ENGINEERING_ LEGAL DESCRIPTION VERIFIED? A.P.N. CHECKED?- /
PARK IN LIEU - P.F.F.
R.0.W: IMPROVEMENTS :
E.D.U:
SEWER:
LATERAL: DRIVEWAY: -
GRADING PERMIT:
DRAINAGE:
~ ,, EASEMENTS:
‘’ vm OK TO ISSUE: f.=;-N-- DATE: /o////,Y
ADDITIONAL COMMENTS :
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* ENGINEERING INSPECTION REQUIRED:
PUBLIC FORKS INSPECTOR: ..-
FINAL OK: DATE:
IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
ATTENTION PROPERTY OWNER:
An "owner-builder" building permit has been applled for in your name and bearing your, signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
2. I (have/have not) -
3. I have contracted with
+ the proposed property improvement (yes or no)
.A / signed the application for a building permit.
ollowing person (firm) to provide the proposed construction.
Name Phone
Address Contractors License No.
city
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work.
Name Phone
Add res s
4.
Contractors License No.
CI ty
5. I wlll provide sone of the work but I have contracted (hired) the following persons to provlde the work indicated:
Name Address Phone Type of Work
Signed: Property her J /-
Social Security Number
Date: /& -//- p\
EACH SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD BUSINESS LICENSE AND FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TO THE CITY OF CARLSBAD.
Initials