HomeMy WebLinkAbout2430 STEVEN CIR; ; 71-299; Permit1
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Apphcant ,2L,:it.~1.;i, on~ity
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of CARLSBAD, CALIFORNIA 5~11 "' ~ ,n APR 28·71 ., t•• -cc ,, --"' .. ..
BUILDING PERMIT APPLICATION
JOB ADDA ESS cJ. / ~ Sb v'---U1....-w/
LOT NO. I BLK I TAACT 1 ~~:~~. tOstt ATTACHED SHEET) N . --....... .....-
i°W"E"V11 su Koch J -;;LJAES~Se ~-t ) ZIP PHONl $' ~
3 CONT/TOA c:9tu f) J Ji .J MAIL ADDRESS PHONE LICENSE NO. <.J' 0J 5=: 0 AlllCHITECT 01111: DESIC.NER MAIL ADDRESS PHONE LICENSE NO. s 4
ENGINEER MAIL ADDRESS PHONE LICENSE NO, 0 t-5 I t l
LEND ER MAIL AOOfU:ss Blll:ANCH
6 f USE o, 8UILDING
7
8 Class of work: □NEW 0 AD DITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE :t 9 Describe work: 5///fJ-o 5U--o <;';(JJ. -, +,, -
.D.-e C ()\_ c{-h:uz_ & ~ u}µl,e
10 Change of use from
Change of use to
11 Valuation of work: $ 2XDD~ ~ 7-sa PLAN CHECK FEE PERMIT FEE -SPECIAL CONDITIONS: Type of~ Occupancy
Const. , Group Division
Size of Bldg. No. of I Max.
(Total) Sq. Ft. Stories 0cc. Load
f ,.... Fire Use Fire Sprinklers
APPLICATI ~N ACCEPTEO BV, PLANSCHED APPRO~ANCE :V Zone zone Required □Yes □No ~rJ( No. of OFFSTREET PARKING SPACES:
/J • Dwelling Units I Covered I Uncovered
V ~NOTICE I Special A pprovals Required Received Not Required
SEPARATE 'PERMITS ARE REQUIRE D FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR Al R CONDITIONING. HEAL TH 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 T IME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND 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 GRANTI NG 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.
SIGNATU RE OP' CONTRACTOfll OR AUTHORIZED AGl:NT lk/41 d~ / <
SIGNATt1RE n wowNER n,. OWNER BUILDER) ✓ DATllf
/'--"' WHEN PROPERLY VALIDATED (IN T HIS SPACE) THIS IS YOUR PERMIT
I' LAN CHECK VALIDATION CK. M.O. CASH PERM IT VALI DATION CK. M.O. CASH
INSPECTOR
Form 100.1 9·69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e SO SO. LOS ROBLES e PASADENA, CALIF'ORNIA 91101 /