HomeMy WebLinkAbout2851 CASTILLA PL; ; 77-3961; PermitMODEL NO.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applican t to complete numbered spaces only. PhOnc729'118l PermitNo.
JOBAOOBESS jf j» jl ! / ,
ji<tfi On-Uk I'^^p ^ /* £<r>
LOT NO. BLK ' TRACT
1 DESCR.
/>
OWNER '^ / / V""" MAIL ADDRESS2 fi'.'r^T xvx7><y*- ' .
CONTRACTOR/ MAIL. ADDRESS
3 5^! » t r <£ >t r[gw?.~fy j
4
ENGINEER! / j, j 1 | MAIL ADDRESS
s erf.* «-f (s\t)&w f//tv»*vH t-H/'^t
COMPENsiriON INS. CARRIER M*'<- AODIIESS
6
7
8 Class of work: ^NEW D ADDITION D ALTERATION
9 Describe work: i^^,^^ „.,// */" If^
1 ' '
10 Change of use from
Change of use to
, ,~~ ''' '"~-
11 Valuation of work: $ v /•''")? ^—~~-^X* -J'. •"' " **»"^^r^
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY > PLANS CHECKED BY APPROVED FOR ISSUANCE BY
_^.: /^
DATE DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
HEREIN OR NOT, THB GRANTING OF A PERMIT DOES NOT
PROVISIONS OF Al^rOTHEiWSTATE OR LOCAL LAW REGULATING
••" J ••> ///A^-ii
S1GNATURE'%F CO/TRAC TOyOR AUThl^tZCD AGENT (DATE)
/ / ^
SIGNATURE OF OWNER (IP OWNER BUILDER) {DATE)
ASSESSOR'S
PARCEL NUMBER
d-isEE ATTACHED SHEET, B°°K " ™ * * *"'
ZIP PHONE
,/ , PHONE STATE LIC. NO. CITY LIC. NO.
'JhJ 2-H'S7ee?
PHONE LICENSE NO.
PHONE LICENSE NO.
BRANCH
NO. BDRMS NO. BATHS
D REPAIR DMOVE D REMOVE
[*i > _75"' -i*wj' /
- > ' ^ <•'""'' "'""PLAN CHECK FEE S „_/ " ^^^>. PERMIT FEE S _^ "^
Ml CRO Fl L.M FEE
Type of Occupancy
Const. Group
Size of Bldg No. of Max.
(Total) Sq. Ft. Stories Occ. Load
Fire Use Fire Sprinklers
Zone Zone Required QYBS DNO
OFFSTREET PARKING SPACES:No. of
Dwelling Units covered Sq. Ft. 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.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
TOTAL FEES $.
INSPECTOR1
To Date
/-^x^^yj^BeUfr^' 1 } <?(t^^^-M j fj f, ^J
I c/(/
Date Signed
4S465
foly fak (50 wHI 4T445
SEND PARTS 1 AND 3 WITH CARBONS INTAO.
PART 3 WILL BE RETURNED WITH REPLY.