HomeMy WebLinkAbout2503 JACARANDA AVE; ; 76-1012; Permit0 BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No.
Joe ACOR £55 ASSESSOR'S
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CONTRACTOR MAIL AODRESS PM ONE L JC[NSE NO, STATE CITY
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ARCHITCCT 0~ DCSIGNCR MAIL AOOAESS PHOM£ LICEN5-C NO,
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£NGIN£CA MAIL ADDRESS PMON£ LICEN5£ NO.
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COMPENSATION INS, CARRIER MAIL AOOftCSS 8ftANCH
6
USC or I UILDING
7
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8 Class of work: □ NEW □ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: /-11r,1, r. • r~ ,1.,,. "JJ ~...::';(/ -1~ J!-r
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10 Change of use from
C~ange of use to
11 Valuation of work: $ I / £-~ I PERMIT FEE $
,/4;'<,_
! J -PLAN CHECK FEE$ ,.
SPECIAL CONDITIONS: MICRO FIL.M F5E Type of Occupancy
Const. Group
Size of Bldg. No. of Max. -(Total) Sq. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE av Zone zone Required □Yes 0 No DAT/.~,J • .,_.No. of OFFSTREET PARKING SPACES,
No. I No. DATE Dwelling Units Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-,___
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, 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 EXAMINEO THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
WATER DEPT.
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PE::IFORMANCE OF CONSTRUCTION.
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$1C.""ATU~[ o, CONTftACTOft Ofll AVTHOJIIIZCD AGENT tDATCI r
Slt.NATu,u: o, OWN[III (ti" OWN[" BUILDtRI fDATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. -M.O. CASH
INSPECTOR
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