HomeMy WebLinkAbout1716 TAMARACK AVE; ; 71-34; Permit11-31 0 ~
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City of CARLSBAD, CALIFORNIA Pl >
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JAJf 15-71 8()lf••-· ** .. , 00 Applicant to complete nu[71bered spaces only. -cc .. ..
BUILDING PERMIT APPLICATION 1
JOB ADDA ESS 17/t, r~~~~-~_A7~ ~ I LOT N0.4 I OLK I T•ACT LEGAL Q!!n:.t ATTACHED SH£CT) 1 otsc•. 7 ~ "1 I rZA I/ ~ 1~7 /_;;,
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CONTRAClrOR -MA IL. ADDbtSS PHONE LIC[NS t NO, ~ ~ ~ -~~
•¥,ECTOR OESIGNEAil
ca. ~£?A_ ~ MAIL ADDRESS PHONt. LICENSE NO. '
4
ENGINEER MAIL ADDRESS PHONE LICENS E NO,
5 -~ ' ..
L ENDER MAIL ADDRESS BfU,NCH ' 6
I~ use o, BUILDING
7 IJ~ --
8 Class of work: □NEW ~N 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE ~
9 Describe work: {5:?_,,,/A/ ~ ~'---1Qro p_J? ,J, I _L_; _/ ecJ ~-~ ....
C/ {I cf
10 Change of use from l ~ .
Change of use to
11 Valuation of work: $ 7FcJ(!)e PLAN CHECK FEE c= I PERMIT FEE 9 c(JC)
SPECIAL CONDITIONS: Type of Occupancy
Const. Group Division
Size of Bldg. No. Of Max.
(Total) Sq. Ft. Stories 0cc. Load
~ -Fire Use Fire Sprinklers
APPLICATION ACCEPTEO av. PLANS CHECKEO SY CT?Z~-Zone Zone Required □Yes □No
OFFSTREET PARKING SPACES: No. of
J Uncovered Dwelling Units Covered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
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.
G, Ca~ta.~
SIGNATURE o, CONTRACT0,.0 AUTHORIZED AGENT {DATE)
SIGNATURE 01' OWNER 111' OWNER BUILDER) tDAT!)
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
BUILDING PERMIT APPLICATION
USE 0 ,. BUI LDING
7
8 Class of work: 'ANEW O ADDITION O ALTERATION O REPAIR O MOVE 0 REMOVE
10 Change of use from
Change of use to
I ,...?, o_,/ 11 Valuation of work: $ c..,, o , PLAN CHECK FE E
._S_P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S_: ___________________ Type of
Const .
-------------------------------Size of Bldg. (Total) Sq. Ft.
Occupancy
Group
No. of
Stories
I PERMIT FEE
Division
Max.
0cc. Load
Use Fire Sprlnl<lers
1
-----------.--------------------Fire APPLl°'\ION A~CEPTEO BY: PLANS CHECKEO BY APPROVED FOR ISSUANCE BY Zone Zone Required □Yes O No
() ct:'<}
( ) NOTICE
SEPARATHERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID I F 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 APPLICATI ON 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
No. of
Dwelling Units
Special Approvals
ZO NING
HEAL T H DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
OFFSTREET PARKING SPACES:
Covered I Uncovered
Required Received Not Required
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL T HE 111-----------!-------+-------+--------; PROVISIONs1g;~y OTHER STATE OR LOCAL LAW REGULATING
c°S?JJ~:~ORMANCE o~;;;;;;N.
/ (DATE)
S IGNATURE Of' OWNER II F' OWNER 8UILD£R) (DAT E)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR