HomeMy WebLinkAbout1733 ROGUE ISLE CT; ; 76-2568; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 /J/
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
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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