HomeMy WebLinkAbout1435 CHESTNUT AVE; ; 76-1550; PermitMODEL NO.
Applicant to complete
JOB ADOR ESS
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I LOT NO., LEGAL1PESC"-,PiigeaL*
OWNER
CONTRACTOR
ENGINEER
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BUILDING PERMIT APPLICATION «s*w*~«-*
City of CARLSBAD, CALIFORNIA 92008^ X j -~
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COMPENSATION INS. CARRIER
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USE OF «"" ""tj|i|| ^Y1
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•i**^-*y-35*^ai
' M' ' l i8 Class of work: QNEW ^fD ADDITION
9 Describe work; -i
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1 TRACT
1 Hap lio» i
MAI L ADDRESS
?«CU IPS: 716
MAI L ADDRESS.
S235 2828
ZIP
PHONE
MAIL ADDRESS PHOM£
MAIL ADDRESS * PHONE
MAIL ADDRESS
&^*S^V^ NO. BDRMS
D ALTERATION D REPAIR D
ASSESSCf^BCEL
" HOOK
QSEE ATTACHED SHEET) 1.^^
-1- . 909PHONE '«'""'•
75>08a6
STATE LIC. MO.
LICENSE NO. .
BRANCH
NO.
WS
NUMBER •*"
PAGE PAR.
220 $3
- • .
CITY LIC. NO.
BATHS
MOVE D REMOVE
Loi ^ HaiM 2\ 78* mtalninE y&21 / «£ ^£<& &* ,
ff 9
10 Change of use from
Change of use to
11 Valuation of work: $~?/^7*°
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY
DATE
PLANS CHECKED BY
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR E
ING, HEATING, VENTILATING OR AIR CONDI
THIS PERMIT BECOMES NULL AND VOID IF V
TION AUTHORIZED IS NOT COMMENCED Wll
CONSTRUCTION OR WORK IS SUSPENDED OR
PERIOD OF 120 DAYS AT ANY TIME AF
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AAPPLICATION AND KNOW THE SAME TO BE 1ALL PROVISIONS OF LAWS AND ORDINANCTYPE OF WORK WILL BE COMPLIED WITH VHEREIN OR NOT, THE GRANTING OF APRESUME TO GIVE AUTHORITY TO VIOLAPROVISIONS OF ANY OTHER STATE OR LOCACONSTRUCTION OR THE PERFORMANCEv / •'.;„,,,
SISNATITRE-'OF CONTRACTOR OR AUTHORIZED ASENT
SIGNATURE OF OWNER (IF 3WNER BUILDER)
APPRO\(ep FOR ISSUANCE BY
jiff"* "I f " *? r
LECTRICAL, PLUMB-
DONING.
l/ORKORCONSTRUC-
fHIN 120DAYS.OR IF
ABANDONED FOR A
TER WORK IS COM-
ND EXAMINED THIS•RUE AND CORRECT.
ES GOVERNING THIS
VHETHER SPECIFIED
PERMIT DOES NOT
rE OR CANCEL THE
L LAW REGULATING
OF CONSTRUCTION.
(DATE)
(DATE)
PLAN CHECK FEE $
Type of
Const.
Size of Bldg.
(Total) Sq. Ft.^
Fire IV
Zone, 1 ^
^No. of / \
Dwelling Unit*
Special Appijbvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
o
Occupancy
Group 1
| No. oi /
l«^/-
fluse // z°ny i
J L°TTR7
/ Required
PERMIT FEE $ jjjj
/ MICRO FILM FEE
V , Max.
A '.-Oce.Load /
/ggJLiMx Fire Sprinklers
^ I : Requ'fed DYBS DNO
T PAR*ING SPACES:
* INo.Sq.ft. (Open
Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O. CASH PERMIT VALIDATION CK. M.O.
TOTAL FEES *'',•«
CASH
INSPECTOR