HomeMy WebLinkAbout1130 TAMARACK AVE; ; 71-1021; PermitBUILDING PERMIT APPLICATION '7 / --/ O 2./ City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
JOB ADDRESS
1130
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f-5-"_'_'_"_'_" _________________ M_A_,_,_•_O_o_,_,_ .. ___________ ··_◊_-_, _________ '_"_'_"_'_'_"_◊_. ------,{<~',' ~
l.ENDER MAIL ADDRESS BRANCH ~ j
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, -8 Class of work: □NEW 0 ADDITION ~ALTERATION 0 REPAIR 0 MOVE 0 REMOVE ~ l:::
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10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE
I-S'-P-'E'-C'-1'-A-'L'-C=-O=-..cN.cDc.lc.T_I O'-N'--'-S_: -------------------! Type of
Const.
f------------------------------1 Size of Bldg. (Total) Sq. Ft.
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Occupancy
Group
No. of
Stories
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I PERMIT FEE «...<-c,
Division
Max.
0cc. Load
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APPL I CA TIO A o/PTED BY. PL/ AN/,,s c_1 H~CKED BY APP,,,.ROVED" {)"'',fS,.NCE BY ,__zN_oo_" __ •o-,-------1-z_o_n_e _______ ~_R_•_o_u_,_,e_d_□_Y_e_, __ □_N_.o If ..)'-/ OFFSTREET PARKING SPACES:
DwelJJng Units Covered ! Uncovered
I ' NOTICE \
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, DR 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.
Special Approvals Required Received Not Required
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED 11--------+--------t-------1-------, HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION .
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1
oF CONTRA.cf.,.. OR AUTHORIZED AGENT
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1' SIGN U OWNER IF OWNE" IIUILDER) DATE)
.'I WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YDUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.1 9-69 REORDER FROM: INTERNATIONAL CONFERE:Nr'.I=" ni= "'"",...a,~~--·-·