HomeMy WebLinkAbout2842 CAZADERO DR; ; 77-9797; PermitMODEL NO
Applicant to complete numbered spaces only
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 -"T} /Vlfl-?//"'*/ / / /In T ' t fPhone 729-1181 Permit No
JOB AQQR L = S -./ $ H y c /» -z /; .474 v <y
LOT WO BLK TR AC Ti tEKt rj <f ey ^ /; t „ j
OWNER MAIL ADDRESS2 1? /: 6 fr>* c x 9 5V ty A-'/^ /?<*
CONTRACTOR MAIL ADDBESS3 A7 / ^ ///> /^ /-' // **# n / / /* ;/# '
1 ARCHITECT OR DESIGNER MAIL ADDRESS
ENGINEER MAIL ADDRESS
COMPENSATION INS CARRIER MAIL ADDBESS6 5 //>//" /-^<- '•> />«•/ 7 </<$•/: -
USE OF B J 1 L D! N G
8 Class of work D NEW D ADDITION D ALTERATION
9 Describe work ft f~ J /* / ,^ / /*. £ \^
<Q 4 X £ $ '
10 Change of use from
Change of use to -,
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11 Valuation of work $ 4ZJ*j*f // -*^"/ S*J f
SPECIAL CONDITIONS '
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APPLICATION ACCEPTED BV PLANS CHECKED BV APPROVED f OR ISbUANtE EV-• t * ( / f
SY nubDATE DA/E.XV /l/'^
NOTICE \ t
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICA^, PLUMBING, HEATING VENTILATING OR AIR CONDITIONING
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
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SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) f
SIGNATURE OF OWNER (If OWNER BUILDER) (DATE)
,-- ASSESSOR S
f) yV \ Ij j PARCEL NUMBER
f ** f F ' *- C -™*^ jil'U*
BOOK P AG E P AR
7/1 f?t & >st '*- r
>- IIP o / -* -T oT- / "? r'"'*••"-/ J 1 j - J y $ - t 3 > -^
PHONE STATE LIC NO CITY L1C NO
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PHON E LICENSE NO
PHONE LICENSEMO
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*<*, NO RDRMS NO BATHS
D REPAIR D MOVE D REMOVE
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PLAN CHECK FEE S -^ ^ PERMIT FEE S "*"*
Ml CRO FILM FEEType of Occupancy
Const Group
Size of Bldg No o( Max
(Total) Sq Ft Stories Occ Load
Fire Use Fire Sprinklers
Zone Zone Requ red Dves DNO
OFFSTREET PARKING SPACESNo ol
Dwelling Units Covered Sq Fl Open
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
* ' :
'
WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
7
OTAL FEES S.
INSPECTOR