HomeMy WebLinkAbout1207 CARLSBAD VILLAGE DR; B; 76-3331; PermitMODEL NO
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PnOnG 729-1 lOI Permit No /JOB ADDH ESS f t
LOT NO BLH TRACT
1 DESCB
OWNEB J*\ t t t^ML«DDRE5S
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CONTRACTOR > MAIL ADDRESS
4
ENGINEER MAIL ADDRESS
5
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF BUILDING
8 Class of work D NEW D ADDITION rfatfERATION
9 Describe work _/ / ~jr'< .ff f\/,"/~ //* (C* vf/fl
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10 Change of use from
Change of use to
11 Valuation of work $ ^C^jO -—^
SPECIAL CONDITIONS
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APPLICATION ACCEPTED BV PLANS CHECKED BY APPRQVEQ"Vqft 1SSUB.NCE BV
DATE D"^TE8f \J / 'V?3
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING HEATING VENTILATING OR Al R CONDITIONING
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A
MENCED
I HEREBY CERTIFY THAT t HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
'HEREIN ORSNOT, THE GRANTING OF A PERMIT DOES NOT
PROVISIQNS'OF ANY OTHER.STATE OR LOCAL LAW REGULATING
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SLGHB.TURE OF COHTRHCtOB OH fcVJ THOB 1 1ED llSEUT IDA76)
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SIGNATURE OF OWNER IF OWNER SUILDEK) (DATE]
t t'' "™^>J ' ASSESSOR S
/""*N PARCEL NUMBER
BOOK PAGE PAR
IIP PHONE
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f v*£ t ff «' •** r f " ~"<-A-'' **"
, PHONE STATE LIC NO CITY LIC NO
PHOHE LICFNSEWO
PHONE LIC EN SEND
BRAN CH fjrf
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NO RATH.^
D REPAIR D MOVE O REMOVE
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PLAN CHECK FEE S / J$ PERMIT FEE 5 &< v>
MICRO FILM FEE
Type of»*wj- f „ Occupancv e/^ t s-t (,/
Const \/ f- f /-•$ 1 Group p - J£ / — ""
Size of Bldg i No of Max
(Total) Sq Ft *£„„ f Stories Occ Load
f f -*" .Fire * Use -f** ^>L Fire Sprmklers
Zone Zone ^ jf ***, Required LJves 1 !NO
OFFSTREET PARKING SPACESNo of
Dwelling Units ~° . q,, Ct nnnnL,ovt?r(?Q ^^ ^^ upcn
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
1 OTAL FEES S
INSPECTOR
INSPECTION RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE
I0£faf *
// /~7£
REMARKS
*SS
INSPECTOR
^7
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/:M*t£s
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
10-15-76 Very good nailing on drywall O.K. to proceed. T. Mata