HomeMy WebLinkAbout2855 CARLSBAD BLVD; ; 73-3406; PermitPermit No
Applicant to complete numbered spaces only.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
JOB ADDR ESS
COMTIIACTOR MAIL ADDRESS
AHCHITCCT OK DCSICNER
*BBB^P<B^^RMp v^WIHB^pft^B ^B
1990
,/ yy V-
LICENSE NO.
LICENSE NO.
UBE OF IUILDIN*
10 Charge of use from
11 Valuation of work: $ 7*900*
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I 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 SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTMORtTX TO VIOLATE OR CANCEL THEPROVISIONS OF ANy OTJ4ER£ZATE OR LOCAL LAW REGULATINGj_ -r^gj^FoRMANCE OF CONSTRUCTION.CONSTRUCTION
)f1
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
SIGNATURE OP,H AUTHORIZED ACENT
SIGNATURE OF OWM£*.L.llf OWNER BUILDER)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK-M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR