HomeMy WebLinkAbout2663 LA GRAN VIA; ; 75-80; Permit:) 1
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant co complete numbered spaces only. Phone 7 29-1181 Permit No
J09 AOOR tSS ASSESSOR'S
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LLGAL I C.:u. Q scc ATTACHtO SHC[T) 1 O<SC~. -
OWNC" fl lllI!.II ;; MAIL AOD .. £55 ZIP PHONC
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CONTRA.CTOIII b~h)A MAIL A00A£55 PHONt LIC[NSC ""0• STATE CITY
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ARCHITECT OR 01:SICNCR MAIL AODR[SS PHON£ LICCMS£ NO.
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CNCilNCClll MA1L AOD!lt£55 PHONE LICCN5[ NO,
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COMPENSATION INS. CARRIER MAIL AOOJlt£S9 I JIANCH • 6 ii,'✓ ,,' r' ..--..-__ .
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uac 0,. 81,;ILOING J /: ./:;1/ . / ;1 7 ~ X J r, r: j
8 Class of work: □NEW □ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: //-{-f/ ff,/ .
10 Change of use from
Change of use to
11 Valuation of work: $ -fo-4 0..., I PERMIT FEE $ 114 ()O /') PLAN CHECK FEES
SPECIAL CONDITIONS· MICRO FILM FEE Type of Occupancy -
Const. ·-N Group ----
Size of Bld9. ·--')tf r No. of Max
(Total) SQ Ft Stories 0cc Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED ev PLA"'S CHECKED BV APPR~ISSUANCE -8~ Zone Zone Required OYes O No '1:/ ~o of OFFSTREET PARKING SPACES
CATE / I OAT ,-/J.d Dwelling Units No. !No. Covered Sq, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT,
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, 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 G IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
SIGNATURE o, CONT .. A.CTO-.: o.-AUTHo .. ,z,o AGlNT !DATE)
91CNATull[' 0,-OWNUI 11,-OWMl.,t 8UILOEJU OAT(.)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL \
EXT. LATHING
MASONRY
FINAL IL-~7b o~Z-~ '4 7M .. _-
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
1-24-75 Fdn. Forms: O.K. B. Nelson,_ ____________________ _
2-13-75 Sheathjng: O.K. B. Nelson
2-18-75 Lath: Verbal O.K. to wrap. B. Nelson -------------------
2-28-75 Lath And Drywall: O.K. E. Plude