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HomeMy WebLinkAbout1519 TAMARACK AVE; ; 74-1363; Permit~-BUILDING PERMIT APPLICATION City of CARLSBAD CALIFORNIA 92008 ' :;,o/~ ~ 1 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. - JO a ADDA ESS ASSESSOR'S / // / rl PARCEL NUMBER -' ,, - LOT NO. I OLK I TAACT Q scc ATTACHCD SHEETI BOOK PAGE I PAR. LtCAt. I 1 DtSCA. OWNCN MAIL AOOIIII tSS tip PHO NC 2 I ·'·NL"': .s ,_ Jiu/ / ►lei TFlM/tR, f Z.2 iJ"'· ..l ' . ,_ ) .!. CON TIIIAC TOIII MAIL ADDRESS . PHONC -LICENSE NO, STATE CITY 3 /J. . All':CHITCCT OR OESIC;Ncfll MAIL A0O1t[55 PHONE LICtN.St NO. 4 CNGINCCA MAIL AOOftESS PHONt LICENSE NO. 5 COMPENSATION INS. CARRI ER ~ MAIL ADOllUSS BNANCM 6 ... :.__, _,, i~ -, USE 0" BUILDING u 0 7 8 Class of work : □NEW CJ ADDITION 0 ALTERATION ,, 0 REPAIR □MOVE 0 REMOVE - 9 Describe work : d,h, • c ,~ d i .,d I J r..rr 11. r 1J I ,; -r-r .,,--A ,~f.r . ,,. ? - ( ::J , , I ~ - 10 Change of use from ~--i ,o 'r ·'[ u~~~.:-__ Zvav1 I _5 f I --.,.. J Change of use to 9 ,.j ~- 11 Valuation of work: $ 7?L ,,-c-I /-,,) ~ ----PLAN CHECK FEE$ PERMIT FEE $ SPECIAL CONDITIONS: Type of Occupancy MICRO FILM FEE Const. Group Size of Bldg. No. of Max. _., (Total) Sq. Ft. Stories 0cc. L oad Fire use Fire Sprinklers APPLICATION ACCEPTEO 8Y PLANS CHECKEO ev ''\'.!"''" ""'i_:i Zone Zone Required O Yes ONo v No. of OFFSTREET PARKING SPACES: /-)/ Ci &J:J Dwelling Units No. 'No. CATE ~ Covered Sq. Ft. Open NOTICE I Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR C0NSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLI ED WITH WHETHER SPECIFIED WATER DEPT. HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. • - SIGJ.t.TU~t. o, CONTIII.ACTOIII Of' A.UTHOfUICO AGENT (OATC) \ ~ ';SIGNATURE 01' OWNtl'I' 1, 0WH£111. 9UILDCR) DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR