HomeMy WebLinkAbout270 Juniper Ave; ; 68-477; PermitCITY OF CARLS~ ApplicaC,.11 for BUILDING Permit BUILDING DEPARDn:N~ o '117
1 0t 729-1181 -Ext. 36 {tl6 -( , Bu~~ng Permit Fee
LO For Aoolicant to Fill In 1,., ·f Ju, P +
(! ,. hi--w ' ~ •'•rn 6 ,,.,, , • _ L-A , v -'7 P, , ,, -__.., AUG -6, 9/S~LBlin*** ***6.00
Owner's Name , , / -,.4 L.,t..A...0-C~ (./J.I ~-.,Ja-.A..L
Moil Addm, -',;'~1~02-___ __ c)I,),~:!"::;~''~'--------,-____ B_u;.;.i;.;ld~in;.,g:..;;.e~ott-• .;;U.;;se;;...;O;.;n;.;.lv,__ ___ __
V\ /lJ II Buildiog Addll ,;?7/', ), · -_, ~~ 1
Contractor ~ .LA._,.,, J /}/JM 0
./J,~ St. Nea, ,:Z,i_./ '-P _,e_~
Contr. Address ----~c_:;____:___:_::: n.JL/='---------IJ II ,
To Const. 0 To Add 0 To Alter 0 Convert D
To Move From --~~--~-',--o-------~-----tt)(,: ~ ~
Type of Const. "--------'-v__,'-<.,_,~------=~~"--'CL=..__.'--d
f d F:~m: ~o,oncy, •:c, / /
To Be Used For ___ "7_:__:::-...<..4==~==""'--------1~"'----
Kind of Foundation~ /P.J' No. of Storie,~~-----
Floor Space (Sq. Ft.} _____ __,,.,%c"'-'"--'oL::__:=:___ ___ :____
Gar~ge Floor Space (Sq. Ft.) Atti;che..J~--------
Detache,.J~--------
Lega[ Description ________________ _
Block Lot
Subdivi:,ion ______ " ____________________ _ o,
Section Township Range
No. of Existing Building ______________ _
Wiil this construction i~
alion? Yes O No T _
Signature of App!icent
any plumbing insti!l!otion or alter-
I ACKNOWLEDGE THAT I HAVE READ THIS APPl.lCATJON
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUl\...OING.
) CERTl FY THAT I AM FROPERL.Y REGISTERED ANO/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD ANO
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF" THE ABOVE DESCRrBEO RESlDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE -------------------
Set Back Bldg.
Front P.L. Main Bldg.
Side P.L.
Rear P.l. Other
Group Zone Approved by
Contractor City Bu$. lie, No, ____________ _
Water Meter Sewage Disposal Sys+em
Inspection Record
--------------------------------------
Utility Company Ndified --Dute_ ______ By _____ _
Final ====~-~-~---~"---__ -----; ------------------------==~-~-=
11 a ch1;d is tcnd0r0;d for paym8,1t for the above foe and the
check is not honcr':J when presented for payment, your
buildi,'.g permit will be imrr,cdial-ely revoked,
City of C.,r!sb~d Building Dept.
Permit void 1f work 1s not commenced w1thrn 60 days of 1ssu;:ince.
B ILDI PE PPLI 0 a
LJ4t1-g.s/ • • z
City of CARLSBAD, CALIFORNIA " > • 0
st.!:..1..£ 0
Applicant to complete numbered spaces only. SEP -1!· 70 -cc 726**' ·f>j ~•I
}-•
JOB ADDR ES$ " l' 0 _T,.,..-.. ,,.. .r.;.. i... ~
LOT NO, . I '" I TRACT (0SEE ATTACHED SHEET!
~ <:) 1 ~~;~~-~ ~ OWNER MAIL ADDIIIESS '" PHONE
2 ~'>/r,'J Gn"'"""'"'"J _., "7 ,1 _Tr ..... • ... ---£-J., 7J. 1-111,, p ~ i-..,
CONTRA'.CTOR MAIi. ADDRESS PHONE LICENSE NO.
3 ,.\¢tn, ,, 'I I'--..
... RCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. ~ 4 ' ENGINEER MAIL ADDRESS PHONE LICENSE NO, I, ~ 5 I, •
u NG RMITA CATION 1
5
LENDER MAIL AODRE:SS Bl'IANCH I, t,.. 4
6 I, ' Iii ' USE OF BUILDING • • ' 7 ~ \.
8 Class of work: □NEW ~ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
~01' '\.
9 Describe work: c,.,,._ i. • .:,. I::' . /J. I><f' n--~-~ ' I -~ >J '. " r
10 Change of use from
Change of use to
11 Valuation of work: $ ..t{ O d. PQ -, ~PERMIT FEE d-..r~
PLAN CHECK FEE
SPECIAL CONDITIONS, Type of Occupancy
Const. Group Division
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Dec. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE av Zone zone Required Dves □No
~::>-No. of OFFSTREET PARKING SPACES:
Dwelling Units Covered I Uncovered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR AIR 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 FDR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
1 HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
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
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 PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CDNTRACTOlt OR AUTHORIZED AGENT (DATE)
f .. _~ ... ' ){8. f)-,;/70
SIGNATUltr"III" OWNER II" OWNER BUILDElt) !DATE)
l WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
')./ ~ -
INSPECTOR
,::,..~..., 1 nn 1 a.,:;a REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS. 110 50, LOS ROBLES. PASADENA, CALIFORNIA 91101
INSPECTION RECORD
I
DATE -REMARKS
FOUNDATIONS: . ~ ~
'sE,..if'~ ) I -0 -il-'!-:f?
TRENCH
, REINFORCING
FOUNDATION WALL &
WEATHER PROOFING '
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
-
EXT. LATHING
MASONRY
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-
·r \
FINAL
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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