HomeMy WebLinkAbout1726 CATALPA RD; ; 77-3895; Permit, "V* MO DEL" NO '-V '"^-T g -^ 1{^' '- 'Jf 'l
'-' > - /t^ BUILDING: PERMIT APPLICATION
; City of CARLSBAD, CALIFORNIA 92008 * - -
Applicant to complete numbered spaces only PnOHG 729-1181 * ' Permit No
JOB ADDRESS
LOT NO BLK TRACT
* LEGAL
1°E5CB .''^/r'l f*',' *' f f
O*iNEB MAIL ADDRESS
2 i? j > f J S~ "V." -J ' - , ,^
CONTRACTOR MAIL ADDRESS
*3 ^
4
ENGINEER MAIL ADDRESS
5 /AA » /"'^
COMPENSATION INS CARRIER MAIL ADDRESS
G 1-^ j?»•
USE OF B J 1 LDI H G
7
8 Class of work Q-NEW D ADDITION d ALTERATION
9 Describe work ^%^%^^v^^4^y^^fX/vlX?/^|*'v^^?-/^i'1
*/'& * //•'
i10 Change of use from
1
Change of use to
11 Valuation of work $ ^ S?V *Q ^^~
SPECIAL CONDITIONS
*
APPLICATION ACCEPTED BY PLANS CHECKED BV APPROVED FOR ISSUANCE BY
DATE 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
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
""HEREIN ~OR NOT, THE GRANTING OF A PERMIT DOES NOT '
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
f ^* e*
^x* A ^ /&-<* . - - -T\,v >?y
SIONATUHE OF CONTRACTOR OR AUTHORIZED A5ENT (DATE)
"
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
ASSESSOR S
PARCEL NUMBER
BOOK PAGE P AR
ZIP PHONE
PHONE STATE LIC NO CITY LIC NO
jff f /•„ *'-V /
PHON E LICENSE NO -. k .
PHONE LICENS6NO
BRANCH
NO RDRMS , NO RATHS
D REPAIR D MOVE D REMOVE
X^f^* *£**&*» Wte£/.',;. -**,
^,^ , .^.-<f
3/0 %B
'
PLAN CHECK FEE S V £,,- PERMIT FE*E S ' / ™-^
MICRO FILM FEE
Type of Occupancy
Const Group
Sue of Bldg No of , Max
(Total) Sq Ft Stories - Oct. Load
Fire Use ' Fire Sprinklers
Zone Zone Required QVes DNO
OFFSTREET PARKING SPACESNo of ,
Dwelling Units Covered Sq Ft ' Open
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT , . '
WATER DEPT ,,
'
*
- -
t „,
A-
V
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