HomeMy WebLinkAbout1450 BUENA VISTA WAY; ; 76-3379; Permit1, e *g.)grftasra BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
4pplicant to complete numbered spaces only. Phone 729-1181 Perm it No.
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LOT NO. BLU LEGAL (OSEE ATTACHED SHEET1 1 DESC1.
OWNER MAIL ADDRESS ZIP PHONE
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CONTRACTOR 'MAIL AOORESS PHON E STATE LIC. NO. CITY LIC. NO.
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ARCHITECT on DESIGNER MAIL ADDRESS PHONE LICENSE NO
ENGINEER MAIL AOORESS PHONE LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS (IRANCH
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U5)E OF BUILDING ' 3Cd ic,$J .%\-$ NO. BDRMS NO. BATHS
B Class of work: 0 NEW 0 ADDITION WLTEAATION 0 REPAIR 0 MOVE 0 REMOVE
Change of uze'to
,- 11 Valuation of work: $
SPECIAL CONDITIONS:
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WPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
DATE 1 DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 SPEClFlED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
SIGNATURL OC CONTRACTOR OR AUTHDRIZLD AGENT IDATEI
I r
PERMIT FEE $ *% PLAN CHECK FEE $
Type of Occupancy MICRO FILM FEE
Const. Group
Size of Bldg. No. of Max.
(Total) Sa. Ft. Stories OCC. Load
Fire
Zone I use
Zone
OFFSTREET PARKING SPACES: No. of
PLANNING DEPT. i I I
HEALTH DEPT. I
FIRE DEPT. I I
SOIL REPORT
OTHER (specify) I
ENGINEERING DEPT. I
WATER DEPT. I I I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VAL I DATl ON CK. M.O. CASH
TOTAL FEES $
4
INSPECTOR
SET BACK I
TRENCH
RE INFORCING
FOUNDATION WALL & WEATHER PROOFING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
INSPECTOR ===l
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