HomeMy WebLinkAbout1718 CANNAS CT; ; 77-3905; PermitMODEL NO. A''
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit NO.••-> "™in
JOB AODB ESS
171$ &0M
LOT NO. BLK
* LEGAL •
1 OESCR. • : /
Asses'sofc'^4" Ali: ' " ""• J
. PARCEL NUMBER
TRACT BOOK PAGE PAR.
OWNER MAIL ADDRESS ZIP PHONE
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 ? -
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL ADDRESS IHANCH
6
USE OP BUILDING
7
8 Class of work: Q*EW D ADDITION
NO. HDHMS NO. BATHS
D ALTERATION D REPAIR d MOVE D REMOVE
9 Describe work: /^r-_j- r * A t
^lf~ * ?/i
tO Change of use from /v .-• /f ]
Change of use to
11 Valuation of work: $ ":-\ " V ^5*
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BV PLANS CHECKED BV AP
DATE D
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELE
ING, HEATING. VENTILATING OR AIRCONDITK
THIS PERMIT BECOMES NULL AND VOID IF WO
TION AUTHORIZED IS NOT COMMENCED WITH
CONSTRUCTION OR WORK IS SUSPENDED OR A
PERIOD OF 120 DAYS AT ANY TIME AFTE
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AN
APPLICATION AND KNOW THE SAME TO BE TR
ALL PROVISIONS OF LAWS AND ORDINANCES
TYPE OF WORK WILL BE COMPLIED WITH WH
HEREIN OR NOT, THE GRANTING OF A P
PRESUME TO GIVE AUTHORITY TO VIOLATE
PROVISIONS OF ANY OTHER STATE OR LOCALCONSTRUCTION OR THE PERFORMANCE OF
SIGNATURE OF CONT«*CTOR OR AUTHORIZED ASENT
SIGNATURE Qr OWNER (IF OWNER BUILDE*)
PROVED FOR ISSUANCE BV
ATE
ECTRICAL, PLUM8-
DNING.
RKOR CONSTRUC-
IN 120DAYS.OR IF
BANDONED FOR A
R WORK IS COM-
3 EXAMINED THIS
UE AND CORRECT.
GOVERNING THIS
ETHER SPECIFIED
ERM1T DOES NOT
LAW REGULATING
''/• xy
(DATE)
(DATE)
PLAN CHECK FEE S ' J "PERMIT FEE S •'I^X*'-"'
' -*1 MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) 5q. Ft. Stories Occ. Load
Fire Use Fire Sprinklers
Zone Zone Requ red OYCS QNO
OFFSTREETNo. of
Dwelling Units No^^
Special Approvals Required
PLANNING DEPT.
HEALTH OEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
1
PARKING SPACES:
No.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.CASH
TOTAL FEES S
INSPECTOR1