HomeMy WebLinkAbout1733 CEREUS CT; ; 77-3885; Permit;^s*gii«igTOH?r'i»aCTm1^^
PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered'spaces only.Phone 729-1181 Permit No..
JOB ADDRESS . . •'- ,. •"- • '. ^
f>3 *• <'*'.'.. .- />W/
LOT NO. .' •: BLK ' . . TRACT
1 DESCR f T* ~J f »
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OWNER • MAIL ADDRESS
/|^/V^/^'W *' - ,.*V^<£V t? . A.;X x ' ^/l ''^ . ^.^•/;; ,X',
CONTRACTOR ' ' -'"^ MAIL ADDRESS
3' &*sr;£ ' '
4 cV^i" , • ,^.^-''"-' A* A-/ . •'•/•>"/- -/-.'3-
5
COMPENSATION INS. CARRIER MAIL ADDRESS
6 • . •' '.df -r: ,,y /, j^ • ". i^r ^ ;--¥ y ..^ /
USE or BUI'LDING7 :;-:v> :.,„., ,- • ••
8 Classofwork: D^EW D ADDITION D ALTERATION
?9;,v>Describe-worki:; ;-ii ,, -.,••' •'•••> ; , ..-•-.•'••'• •. ' • '• S'"-/' Jr- /.,-.- i,:,v: f tf -i ? *• L- -•>:•.-">
;'.".. . ' • ' -^'# />/- -^ ->*
10 -Change of use from -? /
.'.''•• ' . . «3^ . i
Change of use to
11 Valuation of'work: $ ""^m •'•<. <T ^:^*
: • ' ":-;'. :• ' :f •**$,. ^£. """
SPECIAL 'CONDITIONS:^
APPLICATION ACCEPTED BY PLANS CHECKS D BY APPROVED FOR ISSUANCE BY
DATE DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
: ING, HEATING, VENTILATING OR AIR CONDITIONING.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
HEREIN OR NOT, THE GRANTING OF A "PERMIT DOES NOT
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
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/1/-^^,,A, >. jff&S. ,t S 'j^?: ?> '
S1GNATU'RE"'OF CQN TR A~C TOBf OR AUTHORJ'ZE'O AGENT ' (DATE)
'SIGNATURE OF OWNER- (IF OWNER BUILDER). - -\- • (DATE)-
ASSESSOR'S
PARCEL NUMBER
BOOK PAGE PAR
_/*' ^•-•..y,v'.J . ''W& . . ^
ZIP PHONE
si- ./••!•. f/$^ / ' . /itf" V . /*/ •'$«?* '&'£
PHONE STATE .LIC. NO. • CITYtLIC.NO.
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PHONE LICENSENO.
PHONE . LICENSENO.
BRANCH
NO. RDRMS NO. BATHS
D REPAIR D'MOVE D REMOVE .,-
/'/'",/ .$•<•£'>•• /,' ^X- /.••<'>./.-'-<;i>
^ / ' ,„•,/* ir,*/
. ; • /?-j, • ' ' • ••
J- •*' t / iWM^'//.,./ £„€/
: :- •-:-:-:;5j^^KS^Si-- -- -• ^^ «f.'^L'•JrfcBaLu, •tiii*'*?*''1 ^Hu # ^n****^PLAN CHECK FEE S .^W ' "' PERMIT FEE V ;'-. g
MICRO FILM F.EEType of Occupancy
Const. • Group
Size of Bldg. No. of • Max.
(Total) Sq. Ft. Stories Occ. Load
Fire Use Fire Sprinklers
Zone Zone .Required Qves DNO
OFFSTREET PARKING SPACES:
No. of N '
Dwe.ling 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.
. ' ' ' ' A;- . .. '• .
;.,»':;'••••, V .' ' .'
;•]
- 51M*."$
1
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