HomeMy WebLinkAbout1714 CANNAS CT; ; 77-3906; PermitMODEL NO*
Applicant to complete numbered spaces only.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No..77
JOB ADDH ESS ASSESSOR'S
PARCEL NUMBER
- LEGAL1Dcscn.(QSEE ATTACHED SHEET)PAGE
MAIL ADDRESS
CONTRACTOR WAIL ADDRESS STATE LIC. HO.CITY LIC. NO.
LICENSE NO.
ENGINEER MAIL ADDRESS LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS
USE OF BUILDING
NO. BDRMS NO. RATHS
8 Class of work: D-HEW D ADDITION C ALTERATION D REPAIR D MOVE ID REMOVE
9 Describe work:
.*-*•
10 Change of use from
Change of use to
11 Valuation of work: $PLAN CHECK FEE S PERMIT FEE S
SPECIAL CONDITIONS:Type of
Const.
Occupancy
Group
MICRO FILM FEE
Size of Bidg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
APPLICATION ACCEPTED BY PLANS CHECKED 6V APPROVED FOR ISSUANCE BV
F,re
Zone
Use
Zone
Fire Sprinklers
Required QYes QNc
No. Of
Dwelling Units
OFFSTREET PARKING SPACES
SQ. Ft.Cohered Op^n
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 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 SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE Of CONTRACTOR OR AU TMOR 1 I E D "»"6 EN T
SIGNATURE Of OWNED ll f OWNER BU'LDEfl)
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEHRING DEPT.
WATER DEPT.
Required 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.CASH
TOTAL FEES $.
INSPECTOR