HomeMy WebLinkAbout2750 LA COSTA AVE; ; 79-4060; PermitBUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Perrn,t No
JOB ACOR £~5 ASSESSOR'S -'-" ~ --PARCEL NUMBER
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BOOK PAGE I PAR,
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1 Dts<•. . -OWNCfll MAIL AOOPl:C.55 ti. PHONE.
2 17 r/cC.IC -r ..,r.._., ,,, /,? <../1 f:.~lt.
CONT'U.CTOA M AIL ADDRESS PHONt STATE LIC. NO. CITY LIC. NO,
3 --
AJICH tTtCT OR DESIGNCJII MAIL AOOR(S$ PHONE LICCNS[ NO.
4 -
~ -lNGINEtfl MAIL AOOACSS PHONE LIC[N,t NO,
5 ..
COMPENSATION 11'(S, CARRIER MAIL AOOPl:ESS BRANCt-1
6 -
USE 0,. BUILOlkG
7 ' -JC"" A .--">'1 , ~ NO. BDRMS NO. BATHS
8 Class of work: tf-NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: S-o 1... ,,c.r-, /, /II ~IC r1-A,J A G I _,)I L .. :' // rP~JPr "."')~ -a:,_, //, /, I .,
10 Change of use from ry/ ,t7 rv :A· .
, { rT V
Change of use to
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11 Valuation of work: $ /,9 (' r'
., '., l -PLAN CHECK FEES PERMIT FEE S
SPECIA L CONDITIONS: ~ MICRO FILM FEE
Type of Occupancy
Const Group
S,ze of Bldg ) No. of ~ Max.
/ f -(Total) Sq. Ft. Stories ' 0cc. Load
cJ = ·-Fire use ii!-Fire Sprinklers
APPLICATION ACCEPTED av PLANS CHE CKE O av APPROV[O FOR ISSUANCE av Zone Zone ~ Required 0Yes 0No
N o. of OFFSTREET PARKING SPACES
~.-, / ~ Owellln9 Units No, ~ JNo. DATE DATE Covered Sq. Ft. _ Open
NOTICE Special Approvals R.rquired --Received _ Not Requ1rPd ,-
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT. (' .
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH OEPT, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTI NG 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 .
.I .
SIGNATUIIC o, CQINT,IIACTOIII 0111 AUTHOIIIZ.1.0 AG£NT ~ ID.ATE)
~ , -/ --SIC.NA.TUIIIC o, OWNUII ,,,. OWNEJII autLOt"> (DAT£)
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 $ ..,_c......::,,,,-c.__ _____ _
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
'
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.