HomeMy WebLinkAbout2140 Janis Way; ; 71-1071; PermitBUILDING PERMITAPPLICATIOJ,,;d
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City of CARLSBAD, CALIFORNIA ltCtJ-71 'Sill! ...... , ~,---ct
Applicant to complete numbered spaces only.
JOI! AOOR £5S c!)-1t/-6 \. 7a/1/!J'f 1,}t(ll I LOT NO, I"' I TRACT tf (□SEE ATTACHED SHEET) LEGAL 1 DESCR,
i'w"'/1112.." (YJ R. S. Sf? {~Mm ~;"';,a_£ I ,t_,1 d'-t· !t.17'.
PHONE
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001\JTu n.RJ MAIL ADDRESS u PHONE LICENSE NO. " ' -~ ~ ARCHITECT OR 0£511;,NER MAIL A.DDRESS PHONE LICENSE NO,
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ENGINEER MAIL ADDRESS PHONE LlCENSI:: NO, ~~ 5 . r-,.~
LENDER MAIL ADDRESS BRANCH '\-... 6 ,. ,.. '
USE OF BUILDING ~ ~ ..
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8 Class of work: □NEW □ ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE (~ 1
9 Describe work: &C'-(~ (,{}-1).. pf. nt'-Y1.-/4.( J-t1, c-r( ,1.. __,(. ~ ~~
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10 Change of use from ?f-1 i l--'
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Change of use to
11 Valuation of work: $ //4/J trf:!.-_ V I PERMIT FEE
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'I _.--PLAN CHECK FEE
SPECIAL CONOITIONS: Type of Occupancy
Const. Group Division
Size of Bldg. No. of -Max.
(Total) Sq. Ft. Stories 0cc. Load
. Fire u,e R-1 Fire Sprinklers ;:yr eoev· PLANS iECKEO BY: APPROVED FOR ONCE BY zone Zone Required Dves D
-h~ (7 '°" I \ R.£, ;. No. of I OFFSTREET PARKING iPACES:
I Dwelling Units Covered Uncovered
f 1~11 E
Special Approvals Required Received Not Require
SEPARATE PERMITS ARE RE IR D FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING : ~ IR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ,,, ,ao,,.,= o, ~= =o oaoo=•m =m, '"" TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPE IFIED
HEREIN OR NOT, THE GRANTING OF A PER IT DO NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE O CANC L THE
PR~~~s OF ANY of R STATE OR LOCALiREGU ATING CONST CTION /4 TH PERFOia,&1ANCE OF ONSTR CTION.
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SIGNATURE OP' CONTRACTO o, '"'""' ....... , I T"'
$IGN4T"R£ OF OWNER IP' OWNER IIUlLDER) !DATE)
WHEN PROPERLY VALIDATED CIN THIS SPACE I THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Fnrm l nn_ 1 Q.69 FIEOAOER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e 150 SO. LOS ROBLES e PASADENA, CALIFORNIA 9110