HomeMy WebLinkAbout2827 CAZADERO DR; ; 78-917; PermitMODEL MO
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only
JOB ADDH ESS
LOT NO
1 LEGAL — ». — •
OWNER
2 \\ - t is. \1
CONTRACTOR
3 /*"\VjfUjV^V
ARCHITECT OH DESIGNED
4
ENGINEER
5
BLK
Phone 729-1181 Pe,m,, L /V-^/ /
, .f< ASSESSOR 5
AA^CVO ^ * PARCEL NUMBER
TRACT f . BOOK PAGE PAR
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MAILADDBC5S ZIP PHONE
i" MAIL ADDRESS PHONE STATE LIC NO CITY LIC NO
MAIL ADDRESS PHONE LICENSE NO
MAIL ADDRESS PHONE LICENSE HO
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
USE OF BOI LDINO
7
8 Class of work &NEW D ADDITION
9 Describe work
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10 Change of use from
C-.JL. ""
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NO RDRMS Nf> RATHfi
a ALTERATION C REPAIR D MOVE D REMOVE
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Change of use to
11 Valuation of work $JX. S- '/2 •^ ?J
SPECIAL CONDITIONS
APPLICATION ACCEPTED FJV
DATE
PLANS CHECKEDSV AF
O
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR EL
ING HEATING VENTILATING OR AIR CONDITI
THIS PERMIT BECOMES NULL AND VOID IF WO
TION AUTHORIZED IS NOT COMMENCED WITH
CONSTRUCTION OR WORK ISSUSPENDED OR A
PERIOD OF 120 DAYS AT ANY TIME AFTE
MENCED
I HEREBY CERTIFY THAT I HAVE READ AN
APPLICATION AND KNOW THE SAME TO BE TR
ALL PROVISIONS OF LAWS AND ORDINANCES
TYPE OF WORK WILL BE COMPLIED WITH Wr-
HEREIN OR NOT, THE GRANTING OF A P
PRESUME TO GIVE AUTHORITY TO VIOLATE
PROVISIONS OF ANV OTHER STATE OR LOCALCONSTRUCTION OR THE PERFORMANCE OF
SIGNATURE Of OWNER (IF OWNEH BUILDER)
PROVED FOR'ISSUANCE BV
ECTRICAL, PLUMB
DNING
RK OR CONSTRUC
IN 120 DAYS OR IF
BANDONED FOR A
R WORK IS COM
D EXAMINED THIS
UE AND CORRECT
GOVERNING THIS
ETHER SPECIFIED
ERMIT DOES NOT
OR CANCEL THE
LAW REGULATING' CONSTRUCTION
IDATE)
IDATE)
/" £-^ r)«c? t* iPLAN CHECK FEE S/ ^^ PERMIT FEE S ft/ ^"* <w™_.
MICRO FILM FEEType of Occupancy
Const Group
Size of Bldg No of Max
(Total) Sq Ft Stories Occ Load
Fire Use Fire Sprinklers
Zone Zone Requ red Qves ONO
OFFSTREET PARKING SPACESNo Of
Dwell, ngun.ts Covered SQ Ft Open
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER OEPT
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
<~-TOTAL FEES $.J^'
INSPECTOR