HomeMy WebLinkAbout1737 ROGUE ISLE CT; ; 76-2458; PermitMODEL NO. _________ """.:
BUILDING PERMIT APPLICATION~, fl.
City of CARLSBAD, CALIFORNIA 92008 -,/ Applicant to complete numbered spaces only Phone 729-1181 Permit No
Joa ADDA [$5
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LCGAL I 1 DCSCA ,
LOT NO. l TRACT
OWN CA MAIL AOOAC.SS
2 C r 1 L . S" 0 }o r.,, t n
CONT1':ACTOR MAIL AOOACSS
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A"CMIT[CT OR OCSICNCR MAIL AODACSS
4
[NGIN CCR MAIL AOORC5S
5
COMPENSATION INS, CARRIER MAIL AOOlll:(55
6
use OF BUILDING
7
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ZIP
PHON £
PHONE
PHONE
NO. BDRMS
(nSC[ ATTACMEC 5H[[Ti
PMON[
ASSESSOR'S
PARCEL NUMBER
BvvK PAGE I
l ;,. 'j_ -· I) "1 /
PAR.
STATE LIC, NO, CITY LIC, NO,
LIC[NSC NO.
LICENSE NO.
811tANCH
NO. BATHS :2
8 Class of work: □NEW ffi.AOOI TION □ ALTERATION □ REPAI R □ MOVE □ REMOVE
9 Describe work :
10 Change of use from • .i .,,.
Change of use to ;'7./4~,td!-,L,/ /. l "7£ ,,.,.
~
11 Valuation of work: $ -✓ <.
-
~-• ,f .(;. '-"' PLAN CHECK FEE s
t-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: __________________ -; Type of
Const
t--------------------------------1 Size of Bldg.
(T otal) SQ. Ft.
t----...,..,,.---=---.-----------,.....----------1 Fire APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone
No. of
DATE Dwelling Units
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUM B
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-MENCED.
I HEREBY CERTIFY THAT I HAVE READ A N D EXAMINED THIS
APPLICAT ION AND K N OW THE SAME TO BE TRUE AND CORRECT.
A LL PROVISIONS OF LAWS A ND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WIT H WHETHER SPECIFIED HEREIN OR N OT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO G IVE AUTHORI TY TO VIOLATE OR CAN CEL THE
PROVISIONS OF A NY O THER STATE O R LOCA L LAW REGULATING CONSTRUCTION OR T HE PER FORM ANCE OF CONSTRUCTION.
SIC.NATURE 0 ,. CONT,.ACTO" OJI! AUTMOlltlttO AGCNT !OAT [)
SIGNATV"C O" OWN[ft ,,. OWN[llt a vlLOCft)
Special Approvals
PLANNING DEPT.
H EAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
,
:, ,,, /~L-:d
~· .,. .
Occupancy
Group
No. of
Stories
I
/'_J / ~ ' ~
1..,....,""-"""'
PERMIT FEE $ -..,.,,.
MICRO FfLM FEE
Ma><.
0cc. Load
use Fire Sprinklers
Zone Required OYes
OFFSTREET PARKING SPACES·
No. Covered
Required
Sq. Ft.
Received '
No, Open
Not Required
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK . M .O. CASH
T OTAL FEES $ ________ _
INSPECTOR
INSPECTION RECORD -:!_ (;, -.::2.}-Pb<{-
DATE REMARKS INSPECTOR
-
FOUNDATIONS:
SET BACK
TRENCH .,
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING -
CONCRETE SLAB
FRAMING --
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
-I-
--
FINAL
USE SPACE BELOW FOR NOTES. FOLLOW-UP, ETC.
Fdn. Forms: 7-20-76 O.K. to proceed good pier footin~T. Mata