HomeMy WebLinkAbout2853 CAZADERO DR; ; 79-1379; PermitMODEL NO
Applicant to complete numbered spaces only
BUILDING PERMIT APPLICATIQbj/7^58
City of CARLSBAD, CALIFORNIA 920083QQIS958 oa
Permit No 7 7" / 3 "79Phone 729-1181
JOB ADDRESS
LOT HO BLII TRACT
LE SAL — ^
1 D E 5 C R -^ / _V A. , j. _
OWNER Mfl|L 40DRES/
2 Se^l /£ — T^Vt/e-^-h &.- <2$&2Avet
CONTRACTOR / M 4 , L 6DDHESs
3 <^-& , & h c /* 3>/ JTiv* f£ : /A^ - ^K(. ;
ARCHITECT OH DESIGNTR MAIL. AtAflESS
ENG1METR MAIL ADDRESS
5
COMPENSATION INS CARRIER MAIL ADDRESS
6
USE OF BUILDING
' 5>PD ^7f(ST-
8 Class of work D NEW/^H^ADDITION J D ALTERATION
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9 Describe work "2* fX ry^ '
10 Change of use from
Change of use to
JJ Valuation of work $ *S~^9 /£ £?
SPECIAL CONDITIONS
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flPPLICOTIQN ACCEPTED BV PLANS CHtCKED 6V APPROVE rff^H ISSUANCE BY
^2hjz&^^ Ji&uzz^
~^ V 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
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
SIGNATURE OF CONTRACTOR OB AUTHORIZED AGENT (DATE)
SIGNATURE Of OWfJEH (IF OWNER BU 1 L D E " ) (DATE)
ASSESSOR S '
BOOK PAGE PAR
ZIP PKOur
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PHONE LICENSE NO /
PHONE LICENSE NO
BRANCH
NO RDRMS NO RAT US
D REPAIR DMOVE D REMOVE
PLAN CHECK FEE S / ^" PERMIT FEE S ^7^/9
MICROFILM FEETypo nL — _. — 1 fli-rnpanry
Const jf f\*/ Group
Size of Bldg j. No of Max
(total) Sq F/)?-1"^ Stories Occ Load
Fire Use Fire Sprinklers
Zone Zone Requ red QYCS DNO
OFFSTHEET PARKING SPACESNo of
Dwelling Units Covor< d Sq Ft Open
"^»cial Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Speci(y)
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
TOTAL FEES £t
BUIUJTNG PERMIT APPLIC
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only PnOflB 729-1181
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JOB ADDR ESS
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OWNER MAIL. ADDHEB* Il&WIMMI
CONTRACTOR f MAIL ADDRESS ^fceWW*^
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE
4 Afov /fa*
ENGINEER MAIL ADDRESS PHONE
5
COMPENSATION INS CARRIER MAIL ADDRESS
6
,,/ ' .J **• -?. NO. BDRMS
(QS*' ATTACHED 3*
*»S %.'&»'
ASSESSOR'S
PARCEL NUMBER
&60K PAGE PARECT|
^B!^-,^ PHONE
»?3*
__|llllii STATI LIC. NO. CITY LtC. NO.
LICENSE NO W
LICENSE NO
BRANCH
MO. HATHS , , ,
8 Ctraofwork D NEW ^g^DQITION ) D ALTERATION D REPAIR Q MOVE D ^JjgJ®^
9 Dwcribt work 2L ft &¥*?p\vr f f
1 GT o)-u1°\ v M0
10 ChwtfB of use from
*Change of use to
1 1 Valuation of work $ <% *} £p &
SPECIAL CONDITIONS
••
^APFLIC A TtojukcpEPTeo av PLANS CHECKED BV AWRCpEq*«( ISSUANCE BV
DATW^Pr XX*^""^'* ^- wrfTE^w %-^U^xt-^1
"""^ ^ NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
tNG, HEATING, VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAVS.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 CERTIFV THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS '
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
WJtBlm O« NOT. THE GRANTING OF A iPERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SICNATURE or CONTRACTOR OR AUTMORiZtB Aft CUT (DATE)
KfaHATuMC OP OWN^R (IF OWNER BUILDER) lOATl)
PLAN CHECK FEE * ,
Type o(-*-jV A t
Const JT j\J
SizeofBldfl , *>
(Totat) Sq K/tiT1'*
F(r«
Zone
No of
Dwell mg Unit*
Special Approvals
PLANNING DEPT
HEALTH DEPT
FIRE OEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT.
•
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS
, ,*- *•»»
c? pER
Occupancy
Group
I No of
Stories
Use
Zone
OFFSTREETPA
No.Covered SQ>
Required
YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O CASH / PERMIT VALIDATION CK.
*
& T OTAL
_^^WIF?*• ^^£&
MICRO riL.M FEE
Max
Occ Load
Fire Sprinklers
Required (3vei ONO
RKING SPACES
INo.Ft. |Op«n
Received Not Required
MO CASH
FEES S * T
INSPECTOR