HomeMy WebLinkAbout1145 CARLSBAD VILLAGE DR; ; 71-183; Permit••2ruj/v\DiiN<^ rcKMii ArrLiuAiiuiN
PERMIT r7A/^,7 City of CARLSBAD, CALIFORNIA wmo-71 5^r 599**'
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JOB ADDRESS ""••
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CONTRACTOR ^_^ MAIL ADDRESS ,/ PHQNE"}tif / -y *»„ C"«T//X' C E(4S E NO
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ARCHITECT OH DESK^yER T' J MAIL ADDRESS
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Q PHO^ ' LICENSE NO
ENGINEER MAIL ADDRESS PHONE LICENSE NO
LENDER MAIL ADDRESS BRANCH
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USE OF BUILDING . |
8 Classofwork C NEW (DADDITION DALTERATION DREPAIR iT^^-v—^
9 Describe work
SPECIAL CONDITIONS
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APPLICATION ACCEPTED BY PLANS CHECKED BY *^7*~ K"*pm5&&fi feBbAjflCE BY
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NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL. BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
j? / Jf s? *n D -* * $ -» , */7^^/l^y^/^ Jy&sfiyiJ&f 3^~Jt"SIGNATURE OF CONTRACTOR OR AUTHORIZED ASEHT »» -" (DATE)
SICNATl RE OF OWNER (IF OWNER BUILDER) (DATE)
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PERMIT FEES
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Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT $
TOTAL FEE $
-? Fee
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
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PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
Form 100 2 9-69
INSPECTOR
REORDER FROM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 so LOS ROBLES • PASADENA, CALIFORNIA 91101