HomeMy WebLinkAbout1768 FOREST AVE; ; 75-588; Permit0 ()
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No ' Joe ADDR [$5 . -ASSESSOR'S
I" d <) /-0#'/l/ ..) r PARCEL NUMBER
LOT NO, Im I TRACT
BOOK PAGE I PAR,
LEGAL I 3 I , 1//71-Qs£t ATTACHED SHEE.T) 1 OESCR , ., IJ " 9
OWNE:A MAIL ADOACSS ZIP PHONE
2 '-1.,,,,£ Ii -, ~:,,A_/ "!>/ l".r;J, {J /j> // f '!/-. ..... I r ~
CONTf'ACTOR " MAIL ADDRESS PHON [ LICENSC NO. STATE CITY
3 -
ARCHITECT OR DE.SIGHER MAIL ADDRESS PHON E L I CENSE NO.
4
ENGIN£C:R--.,. MAIL AOOAESS PHONE LICENSE NO.
5 ' COMPENSATION INS. CARRIER MAIL ADDRESS " #.'' .~ &RANCH
6 ~,//>-i/i..J f ,4..-!_ i.~ .. ,,. ~ ,· "" USE. Of' 8UIL OINC .. ?
7 •
8 Class of work: D NEW t3ADDITION 0 ALTERATION 0 REPAIR D MOVE 0 REMOVE
9 Describe work: ' l/. " VFA -WCP() .r '/1J.1E"~ ~/,ff d T/i/ I A ~ Z'/Jf 511 p,ti~(
~ -2 ~~~r5 'i" r T
,
10 Change of use from ~,Vt!'>
·-
Change of use to
840 c,,,v •: ' 1 q,(70 11 Valuation of work: $ • r"\ PLAN CH ECK FEE S PERMIT FEE S /
SPECIAL CONDITIONS: ~ r I MICRO FII..M FEE Type of Occupancy
Const. Group
Size of Bld9. NO. Of Max.
(Total) Sq. Ft. Stories 0 cc. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED av PLANS CHECKED av APPROVED FOR ISSUANCE av Zone Zone Requtred 0Yes 0No
··-Ff-?·~ '""'°· of
OFFSTREET PARKING SPACES:
Dwelling Units No. 'No. DATE £>ATE . , Covered Sq. rt. Open
NOTICE .. Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
T ION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS. OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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~fC.NATUlllE o, OWNCfl (IP' OWNER 8UILD£111) IOAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR