HomeMy WebLinkAbout1250 CARLSBAD VILLAGE DR; ; 76-585; Permit; BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PnOnS 729-1181 - - - ' Permit No
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CONTRACTOR
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COMPENSATION INS CARRIER
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MAIL ADDRESS ^XIA T\l^"\ 7"C TiIrfPliftEr^\\7 1? T% LICEN5ENO STATE CITY
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MAIL ADDRESS PHONE ,*(>•>, LICENSE NO ^.
MAIL AODRE55 PHONE , LICENSE NO
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MAIL ADDRESS BRANCH
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8 Classofwork D NEW " D ADDITION E ALTERATION D REPAIR D MOVE . D REMOVE
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10 Change of use from jj&'VV f'r $*' J *** ri
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11 Valuation of work $c •><-,' ^ ^ •/**/? '""^"
SPECIAL CONDITIONS •
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APPLICATION ACCEPTED BY^ PLANS(CHECKED BY
-DATE /••-.<**"£ „ $
' * '
APPROVED FOR ISSUANCE BV
* DATE
'NOTICE <
SEPARATE PERMITS ARE REQUIRE
ING HEATING, VENTILATING OR Al
THIS PERMIT BECOMES NULL AND \
TION AUTHORIZED-IB NOT COMMEK
CONSTRUCTION OR WORK-IS SUSPEr
PERIOD OF 120 DAYS AT ANY T
MENCED
" 1 HEREBY CERTIFY THAT 1 HAVE
'APPLICATION AND KNOW THE SAMEALL PROVISIONS OF LAWS AND OR
TYPE OF WORK WILL BE COMPLIED
HEREIN OR NOT, THE GRANTING
PRESUME TO GIVE AUTHORITY TC
PROVISIQNS-Ol3 ANY OTHER STATE
t CONSTRUCTION -OR THE !*PERFOR
f'Sl CMATURE OF CONTRACTOR OR AUTHORIZED
SIGNATURE OP OWNER (IP OWNER BUILDER)
D FOR ELECTRICAL, PLUMB
=lCqNDmpNING _ "
DID fF WORK OR CONSTRUC
CEO WITHIN120DAYS, OR IF
JDEDOR ABANDONED FOR A
IME AFTER WORK IS COM-
READ AND EXAMINED THIS
TO BE TRUE AND CORRECTDINANCES GOVERNING THIS
) WITH WHETHER SPECIFIED
OF A PERMIT DOES NOT
VIOLATE OR CANCEL THE
DR LOCAL LAW REGULATING
W1ANCE OF CONSTRUCTION
AGENT / (DATE!
(DATE)
PLAN CHECK FEE S _• PERMIT FEE S £ ^ ^^"^ ~"
-,&* MICRO FICM FEEType of Occupancy
Const ,' Group"
Size of Bldg No of Max: ^
(Total) Sq Ft Stories ^ Occ Lo'ad
Fire Use ,. Fire Sprinklers
Zone Zone Requ red (QYes DNO
OFFSTREET PARKING-SPACESNo of
Dwelling Units Covered Sq Ft - Open
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT ^r"
FIRE DEPT
SOIL REPORT ^
OTHER (Specify)
ENGINEERING DEPT ,/
WATER DEPT ,
"
'•
t
' '.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT -
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION
INSPECTOR
CK M O CASH 4?V
INSPECTION RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE
4-\J-%
REMARKS
^7 ^?(?/(f^/^^-^
INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC