HomeMy WebLinkAbout2815 ELMWOOD ST; ; 74-895; Permit'
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only, PhOHG 729-1181 Permit No;
JOB ADD* ESS
LOT NO.
, LESAL
] DESCR.
OWNER2 &*€! r>Jbtf*- FT ^** ™ f 1
CONTRACTOR
3 jO /~ *£.+ **IJ^u i-tffTf=.
4 ^ggpz—
ENGINEER
5 m..'i"* —
O *" ASSESSOR'S
)/tft •"-. C,?"" PARCEL NUMBER
• LK TRACT BOOK PAOE F^AR.
(QSEE ATTACHED SHEET!
MAIL ADDRESS ZIP PHONE
/ yfMAIL ADDRESS PHONE LICENSE NO. STATE CITY
I MAIL ADDRESS
VyF^Hf*7c5 fy%&^>t^c^xk/&i?feir &sto4&/
lMAIL>OlftESS TJ PHONE LICEW»E NO. 'f
COMPENSATION INS. CARRIER M*IL *DDRE3S ' BRANCH
USE Or BUILDING
rhjtrlh A*
f '
8 Class of work: d NEW D ADDITION D ALTERATION B REPAIR D MOVE D REMOVE
9 Describe work: /^\a~.\ JA^^-^,C - ^.Li**jhr+ ^;W >n.v-^^it / j^ "p '
10 Change of use from
Change of use to
11 Valuation of work: $•^"7^^-21^'/ ^J>
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY
DATE
SEPARATE PERMITS
ING, HEATING, VENT
THIS PERMIT BECOM
TION AUTHORIZED t
CONSTRUCTION OR V
PERIOD OF 120 DA
MENCED.
1 HEREBY CERTIFYAPPLICATION AND KALL PROVISIONS OFTYPE OF WORK WILHEREIN OR NOT. TPRESUME TO GIVE /PROVISIONS OF ANYCONSTRUCTION OJT^
jf jfPLANS CHECKED BY APPROWB FOR JESUANgTBY
-? g^flfc-jrAj^.l^ATE jfr2€,fff.
NOTICE /
ARE REQUIRED FOR ELECTRICAL, PLflMB-
LATtNGOR AIRCONOtTIONlNG.
ES NULL AND VOID IF WORK OR CONSTRUC-
S NOT COMMENCED WITHIN 120DAYS, OR (F
VORK IS SUSPENDED OR ABANDONED FOR A
YS AT ANY TIME AFTER WORK IS COM-
THAT I HAVE READ AND EXAMINED THIS
NOW THE SAME TO BE TRUE AND CORRECT.
LAWS AND ORDINANCES GOVERNING THIS
_ BE COMPLIED WITH WHETHER SPECIFIED
HE GRANTING OF A PERMIT DOES NOT
AUTHORITY TO VIOLATE OR CANCEL THE
OTHER STATE OR LOCAL LAWHEGUUATING
THE .PERFORMANCE OF CCrflSTmOCTlON.
t JJAk w£"¥sf
SIGNATURE OF CONTRACTOR OR AUTHORIZED A6EHT ,.•*" y IDAfE)
SIGNATURE OP OWNER (tr 3WNER lUILDC*) (DATE)
PLAN CHECK FEE S f\LX PERMIT FEE S jf*3f i*""*^ '
MltRO FILM FEEType of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) S«. Ft. Stories Occ. Load
Fire Us* Fire Sprinklers
Zone Zone Required Qves DNO
OFFSTREETNo. of
Dwelling Units Covered
Special Approvals Required
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
«~
PARKING SPACES:
I No.Sq. Ft. | Open
Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
INSPECTION RECORD
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
DATE
sr-7-^
REMARKS INSPECTOR
{P^Jjk.
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.