HomeMy WebLinkAbout1320 CHUPAROSA WAY; ; 74-1200; PermitBUILDING PERMIT APP1I
City of CARLSBAD, CALIFORNIA 92008
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ASSESSOR SPARCEL NUMBER
- LEGAL
1 OESCR
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(QSEE A TAC ED S EE |
CONTK CTOM MAIL ADDRCSS LICENSE NO STATE CITY
ARC ITECT OR DESIC CR M IL ADDRESS L CE S 0
AI ADDRESS LICE E O
COMPENSATION INS CARRIER MA"- ADDRESS
USE OF 1UILDING
8 Class of woi'k D NEW D ADDITION ALTERATION D REPAIR D MOVE D REMOVE
9 D«crrt,.work
10 Change of use from
Change of use to
11 Valuation of work $/J^jf PLAN CHECK FEE $PERMIT FEE $
SPECIAL CONDITIONS Type of
Const
Occupancy
Group
MICRO FILM FEE
Size of Bld«
(Total) Sq Ft
No of
Storlei
Max
Occ Load
APPLICATION ACCEPTED BJC
DATE
PLANS CHECKED BY APPROVED FOR ISSUANCE BY
DATE
Fire
Zone
Use
Zone
Fir* Sprinklers
Required QYBS DNO
No of
Dwelling Units
OFFSTREET PARKING SPACES
cSv.red Sq Ft INo|Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMB
ING HEATING VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS 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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
Special Approvals
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
Required Received Not Required
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE T (DATE)
SIC ATURE OF OW ER (IF OWNER JUILDER)ID*"'WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR