HomeMy WebLinkAbout1740 CATALPA RD; ; 77-3894; Permit/-TV* "'•"/'• * ^k - > " ^^ I
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'- BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 1 ~r "
Applicant to complete numbered spaces only Phone 729-1181 Pe(mit No
JOB ADD" t ES
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O/iNEB * MAIL ADDRESS
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CONTRACTOR MAIL ADDRESS
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ARCHITECT OH DESIGNER MAIL ADDRESS
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ENGINEER MAIL ADDRESS
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COMPENSATION INS CARRIER MAIL ADDRESS
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USE OF BJILOENG
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8 Class of work D-NEW D ADDITION C ALTERATION
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10 Change of use from *)
^Change of use to
11 Valuation of work $ / ^ ^} C ' -^
SPECIAL CONDITIONS
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APPLICATION ACCEPTED BV PLANS CHECKED 8V APPROVED FOR ISSUANCE BV
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 ISSUSPENDED 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
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SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT (DATE1
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE]
' ASSESSOR S
, T , PARCEL NUMBER' f •>•'
SOOK PAGE PAR
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71P 11 PHONE
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PHONE STATE LIC NO CITY LIC NO
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PHONE LICEN5ENO
PKONE .. LECENSENO
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1 BRANCH
NO BDRMS NO RATH=;
D REPAIR D MOVE D REMOVE
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PLAN CHECK FEE S ^ " "" ' PERMIT FEE S / * "'*"*"
MICRO FILM FEE
Type of Occupancy
Const Group
1Si*e of Bldg No of t Max
(Total) Sq Ft Stories | 'Occ Load
Fire Use Fire Sprinklers
Zone Zone ) Required Qyes DNO
OFFSTREIIT PARKING SPACESNo of ' f
Dwelling Units ^!o . ) cn Ft OnsnCovered ot-l rl uptsn
Special Approvals Required Ji Received Not Required
PLANNING DEPT >
HEALTH DEPT ''
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT J
WATER DEPT f '
1
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1
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WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION
INSPECTOR
CK M O CASH
TOTAL FEES $,