HomeMy WebLinkAbout1175 CAPE AIRE LN; ; 71-860; Permit//
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.13-71
,LEGAL
IDESCR.
ATTACHED SHEET)
MAI L ADDRESS
LiCEWSE NO.
ARCHITECT OR DESIGNER MAI L ADDRESS LICENSE NO.
MAI L ADDRESS LICENSE NO.
MAIL ADDRESS
USE OF BUILDtN G
8 Class of work: J>WtW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work:
/\T
10 Change of use from
Change of use to
11 Valuation of work: $*7\PLAN CHECK FEE //PERMIT FEE
SPECIAL CONDITIONS:Type of
Const.
Occupancy
Group Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required Dves DNO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE S
SEPARATE PERMITS ARE REQUIRED FOR ELECTR#AL, 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, 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 SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GUVt AUTHORITY TO VIOLATE OR CANCEL THE
PROVIS.IONSX3F/ANY OTHER STATE OR LOCAL LAW REGULATING
)R THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
7/
Required Received Not Required
/ (OATE)
SI CNATURE OF OWNER (IF 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
Form inn 1 Q.BO REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 SO. LOS ROBLES • PASADENA, CALIFORNIA 91101