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HomeMy WebLinkAbout1733 ROGUE ISLE CT; ; 76-2568; PermitMODEL NO. _________ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 /J/ Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No JOB AOOR ES5 - L [GAL I 1 DC5CR. OWN(A 2 I TR ACT MAl\-"-"ll"V•--,. ~'J-4,~ ' -' ! ln SC( ATTACHED 5HC£T/ \. 2 IP PHONE ASSESSOR'S PARCEL NUMBER BOOK PAGE I 7 <;~ . . PAR, CON TA ACTOR MAIL. ADDRESS PHONE STATE LIC, NO, CITY LIC, NO, 3 / ARCHITECT OR OCSIGNtA MAIL .t.OOR(SS PHOM E LICENSE NO, 4 £NGIN CCR MAIL AQQ!q£5S PHONE LICENSE NO, 5 COMPE:NSATION INS. CARRIER MAil. AOOIIIC.SS 8NANCH 6 USE Or-9i,.IIL0tNG <..:_co e. 7 :) NO. BDRMS NO. BATHS 8 Class of work: □NEW C'.} ADDITION 0 AL TE RATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CH ECK FEE $ 1-S_P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S_: __________________ --i Type of Const 1-------------------------------~ Stze of Bldg. (Total) Sq. Ft. APPLICATION ACCEPTED BY PLANS CHECKED BY Fire APPROVED FOR ISSUANCE .BY Zone DATE /\ DATE NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- 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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHE~ S•TATE 0~ LOCAL LAW REGULATING CONSTRUCTION QR THE PERFORM'ANCE OF CONSTRUCTION. -----.. I ' SIC.NATU~t 0,. CONT,-ACTO,-0111 AUTHOllll1£0 AGCNT ID.ATC~ 511.NATUIIIC 01' OWNE,-1,-OWNCIII BUILD[,-OATC) No. of Dwelling Units Special Approvals PLANNING DEPT. HEALTH OEPT. 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 Fore Sprinklers Requored DYes DNo 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$ ________ _ 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 USE SPACE BELOW FOR NOTES. FOLLOW-UP, ETC. 7-30-76 All O.K. to final. T. Mata