HomeMy WebLinkAbout1066 BUENA VISTA WAY; ; 75-16; PermitDNTRACTOR MAIL ADDRESS
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S Class of work: 'IQ NEW ~AOOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
I IO Change of use from
Change of use to I
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PLAN CHECK FEE S
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PERMIT FEE S ydh 3 i,pr $ :cAc/ I1 Valuation of work: $
MICRO FILM FEE - SPECIAL CONDITIONS: ' Occupancy
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
MENCED. PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
SIGNATURE Or OWNER (IF OWNER OUILDERI (DATE1
Size of Bldg. No. of Max. (Total) Sq. Ft. Stories Occ. Load
Fire Use Fire Sprinklers
Zone Zone Required Oyer UNO
'
I OFFSTREET PARKING SPACES:
No. No. No. of
Dwelling Units Covered 1%. Ft. Open - Special Approvals I Required 1 Received I Not Required
PLANNING DEPT. i I I I
HEALTH DEPT.
FiRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
I I I I I
I
I I
'NHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
CASH 1 I PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
k,*
IN SPECTOR
To Date
Dote Signed
45 465 hd8p / SEND PARTS 1 AND 3 WITH CARBONS INTACT.
PART 3 WILL BE RETURNED WITH REPLY Pdy POL (50 XElI 4P465
PERMITEE'S NAME CONSTRUC TlON ADDRESS . ---_ -/ -_
AAILING && ADDRESS: -b, PAPp ...
EXAMPLEOF PLOT PLAN
IRAW TO APPROXIMATE SCALl
,WIDTH OF
EXISTING EASEMENTS, AND CURB-TO-PROPERTY LINE DISTANCE.
USE, LOCATION. AND OUTSIDE DIMENSIONS OF ALL EXISTING
BUILDINGS AND ACCESSORY BUILDINGS SUCH AS RETAINING
WALLS, SIGNS, ETC.
2.
3. DISTANCE BETWEEN BUILDINGS AND DISTANCE TO ALL LOT LINES.
A. LOCATION. OUTSIDE DIMENSIONS, AND USE OF PROPOSED
NEW CONSTRUCT I ON. CURB TO
1 d-
f. CITY OF CARLSBAD
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