HomeMy WebLinkAbout1738 ROGUE ISLE CT; ; 76-2693; PermitMOOEL NO. _________ _
BUILDING PERMIT APPLICATIO~ ;.;7331u-u •l .. :0
City of CARLSBAD, CALIFORNIA 92008 -?✓--..-2 L 7 Applicant to complete numbered spaces only Phone 7 29-1181 Perm It N 0 -JOI ADDA (~5
LOT NO.
LtG,.L I 1 OESCR, //'I
2
3
4
5
6
OWN CA
I I
CONTRACTOR -,
1-L
AIIHHllCCT OR 0t51GNEA
lNGINEER
COMPENSA.TION INS, CARRIER
USC 0" 8,JILOINC
1 I t '1 ,. • o/.J
MAIL A.0011[55
MAIL ADDRESS
MAIL AOOAC.55
MAIL AOORCSS
MAIL AOOIICSS
L • .~ I f I {r
r I ( ...-.77 r~ '::d':
P~J -,;_Q., T
ZIP
PHONE.
PHON C
PHONE.
NO. BDRMS
(n 5E( ATTACHED SHE(Tj ,.,, ., '
PHONC
( l
ASSESSOR'S
PARCEL NUMBER
ovvK PAGE I
,
PAR.
STATE LIC, NO, CITY LIC, NO.
LICENSE NO,
LICENSE NO,
8AANCM
NO. BATHS
8 Class of work: 0 NEW 0-AODITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: f---1-f I U C ✓ tit. "1 I t;, X _o
10 Change of use from
Change of use to
11 Valuation of work: $ / PLAN CHECK FEES
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: __________________ --l Type of
Const.
1----------------------------------t s,ze Of Bldg. (Total) Sq. Ft
~----------.-----------,-----------l Fire APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone
/ f
DATE DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOI D 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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT
PRESUME TO GIVE AUTHORITY TO V IOLATE OR CAN CEL THE
PROVISIONS OF ANY OTHER STATE OR L OCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIO N.
1-.------------------------~~~---SIGNATUAC 0,. CONT"ACTO'I O'I AUTMOJIIIZED AGE.NT (DATE) -r
t1tGNATllftC 01" OWNER ,,. OWN[" I UILOER} OAT ti
No. Of
Dwelling un,ts
Special Approvals
PLANNING OEPT,
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT.
/
Occupancy
Group
No. Of
Stories
Use
Zone
I PERMIT FEE $
/
MICRO FILM FEE
Max
0cc. Load
Fire Sprinklers
Required 0Yes 0No
OFFSTREET PARKING SPACES
No.
Covered
Required
Sq. Ft.
Received
I No, Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O, CASH PERMIT VALIDATION CK, M.O. CASH
TOTAL FEES $ __ /:c........;_r ___ -__ _
INSPECTOR
INSPECTION RECORD
DATE REMARKS 1----------------------1-------_;;.....;.,.;.;.;._ -FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL ?-.)5_7/
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
, .
----,.JSPECTOR
1-----
O Resident ia I
O Multiple Res., Tract
or Commercial
REQUEST FOR
INSPECTION
O Mobi lehome Park
ID# ................ Space# ......... .
Inspector .. ~~···························· Permit No ................... -.......... Date .. 7..-:-/.'l=Zl
ONner ....... _ .................... ::C.,.~············~···~·····~····A······:2_·fr·L·················
~~~::: ................. 2=3 ...................... c ..... ~~ ....... -Z:.Sk ...... c~!! .. ~
B(JILDING ELECTRICAL MISCELLANEOUS
.................................. □ .................................. □ ................................ □ ....................... .-.......... □
.................................. O Gas .......................... O Pool Bonding .......... O Porch ........................ 0
Fdn. Forms .............. O Water Heater ............ O Pole ..... , .................. O Patio ........................ O
Steel ........................ O Soil Line ................ O Pump , ..................... O Driveway .................. O
Sheathing ................ O Undergrnd. Plbg ....... O Underground .......... O Sign .......................... O
Lath .......................... O Undergrnd. Water .... □ Ceil Heat .............. O Wall .......................... O
Frame ...................... O Rough ...................... O Rough .................... O Fence ...................... O
Final ........................ O Final ............... $-i.fll\.~al •· ... ;.:·~·· .. ·····~ Gr~~, .. 6 ... i .. D
Ready for Inspection -· Mon., Tues., Wed., n?u?s., ~. '7 '1
Special lnstructi~ns ·-.. )/o. ..... /?.-.e.~C.~(.~C.:. ........... l&!..?..f!:...-;:.;s. .................. . .. 7.a-.... d..-:e.I,, .. k_ .... £.~.t:':. ........ ~.'tZ.E.h .. f?.~77..Ll. ....... ~.~E...::==. ... .
Requested by ......... O,.v.J ... --,..1. . ...,-.. t,e.,.. ............. .
Phone number............................................................ Person Tak ing Report: ....................................... .
cUlfi~ // t/J/ fa~
~ • (J. K 1a paµA,
c111~ r1 ~ ~ ;j~
~
7--c "---z r
~ ~
a C Cl
t ;_J~------
K ✓
J-------