HomeMy WebLinkAbout2102 JANIS WAY; ; 69-878; PermitCITY OF CARLSB~-
BUILDING DEPART~ , ,,
729-1181 -Ext. 36
CONSTRUCTION LENDER INFORMATION (OVE!ij
Applicatic j,r BUILDING Permit
For A00licant to Fill In /pq_,f,~
ding Permit Fee oo -
;:;}_/ o 2 ~.·,., ,,. ,;s: · w J) ... Moil Address -==-""--=--✓-'"l,/.,<f<i,,:Av=vr__,, ____ --'-'--,L-'
Coofrodo, e //. · · 0&--cA/JA
1
Coot,. Add,ess ,C.. 0 S° L /?,8.S'J I.ti O Op
To Coast. ~ Add □ To Alter D Convert D
To Move From-------------:------
T ype of Coast. _..,,./2-<w,.,_k=--~fL-"'O-'Mc.=-.,1<.,_,_-i._,,C-------
Frome, o/onrY• etc.
To Be Used Fe, _,__/{_,_,,1£""'-"-/-'-'----';{J..);::·• o..;,IJ«z.__j/CJ/_•~· ·---'--
Kind of Foundation C, OA/ C No. of ~e~
Fico, Space (Sq. Ft.) ,2/ 1: ,ft!._
Garage Floor Space (Sq. Ft.)
Attached _______ _ -Detache-la_ _______ _
legal Description
Lot Block
Subdivision ------------------o,
Section Townstlip Range
No. of Existing Building ---------------
Will this construction in~d..s.---ny plumbing installation or alter~
otion? Yes D No [B"""'"
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE Tt--lAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIAAOR jHAT I AM THE LEGAL OWNER
OF THE ABOVE D 'r:: ENTIAL PROPERTY.
SIGNATURE ,:/u11 • rf__ £°..d-1..<_
OF PERMITTEE 1 ,-,
Buil~inq De0t. Use Only
Boilding ~dd,.,s! ,2 / 0 C To#/ J {,v .1) 7
St. Neoc 4 q ~ ~w 1185t': ••• • ♦♦ .00
Set Bock
Front P.L.
Side P.L.
Rear P.L.. '"
GrQlJp·: , .-•.·. :' -r-r Zone &-1
Bldg. Valuotion.C < £ ~ -
Moin Bldg.
Garage
Other
Approved by" ,-..1,P?L ..
Contractor City Bus. lie. No. ____________ _
Water Meter Sewage Disposal Sys+em
Inspection Record
Utility Company Notified -Date ______ By ____ _
Final
If a check is i-ondered for payment for the above fee and the
check is not honon,d when prosented for payment, your
building permit will be immediately revoked,
City of Carlsbad Building Dept.
/ Permit void if work is not commenced within 60 days of issuance.