HomeMy WebLinkAbout1017 TULIP WAY; ; 79-4051; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 2 q
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit N / -
.JOO AOOR (SS ASSESSOR'S
I f)\'1 '1l \\..\{) rn~" 8/ 16/79 l~EL NUMBER 7. ,D
LOT NO. 9LK
I
TRACT .J ,Bv0K PAGE I PAR,
LCOAL I <□sec ATTACHCO 5HCC. I 1 DESCR, 2~ 7~·3<U'AM,r1t ....... -S.P1f!U·U·e-r? .th\ lllll,-~
OWN(A MAIL ADDR ESS PHONE
2 1u,, , ,...ll.JI , t'=H \ ~ fffi F"H el..\~ -If)\'") '1l,t,\,P uttKI r ~~t~nq~
CONTRACTOR MAIL ADDRESS ,
"-.:_HONE -_;;:;;;, STATE LIC. NO, CITY LIC, NO,
3
It'" H -Lu n,,~ 1\-r"1. l L.4 I i7'l?
A"CHITCCT OR OCSIGNC.llt -~AIL AOOAtSS PHON C LICENSE NO.
4 -CNGINECR MAIL AOORC.55 PHONE LICENSE NO.
5 -COMPENSATION INS. CARRIER MAIL AOOLllESS BJl!:ANCH
6 -
use Of' SUILOING
7 U..,,f.l~ r7 -~IT\ ~ <... ~ NO. BDRMS ~ ' NO. BATHS ).._
8 Class of work: □ NEW !)iAOOITI0N □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: w f'lnl'\ o,in.,~ r (\' \ l'>'t'I l"'a.l~ I\\ r't"t'\ II\ I) Y? or...,-,~ ~Q,• ,h,, 'A. 3-?.) Ii) -
10 Change of use from
c~< .,
Change of use to ,.
11 Valuation of work : $~ (35 J-,
),--~ PERMIT FEE $ ~
(/<.,
PLAN CHECK FEES .5--
SPECIA L CONOITIONS: / MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
r) A ,6 A • J ~ _---?, JJ !Total) Sq. Ft. Stories 0cc. Load
--~-----.. Fire Use Fore Sprinklers
AP~.2A
0
CCEPTEO BY PLANS CHECl(E D BY A~~P VEt;,' ISSUANCE BY Zone z o ne ReQu1red 0 Yes □No
No. of OFFSTREET PARKING SPACES:
DATE 8-/0 ~/J,,,,_. ..._Owe11,ng Units No . I No.
JO -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 AN D VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE 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 ENGINEERING DEPT. APPLICATION A N D KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIF IED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAN CEL THE PROVISIONS OF ANY OTHER STATE OR L OCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATU ~-~9~~• gA[OOIZEO ACENT
!DATE)
) <ti i C)hc
51C:.NATU 0 r, OWNER IF OWNCII IUILOE") . • OA T[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O.
TOTAL FEES$
CASH -o
2~ p
....
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS;
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
/ I I ~
(~
1 (' ,/# FINAL I nA)
\ 1) I
USE SPACE BELOW FOR NOTES, FOLLOW-11P,\ETC.
..
BUILDING
BUILDING
PLANNING DEPARTMENT
ON SHEET
CITY OF CARLSBAD
Building Department
1 t ao / ZONE ____ f-i-:c-~ _____ LOT SIZE _________ LOT WIDTH __ -+-/-------
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED -----------
% COVERAGE ALLOWED PROVIDED ------------------------
BU IL DING HEIGHT ALLOWED PROVIDED __________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
l'f .... I ALLOWED ~..,
PROVIDED-------?-Jf--;--/b /
It/
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEES: DISTRICT: AMOUNT:
• ADDITIONAL c"'JiM:"Js: ~ / L
OK TO ISSUE:.6l___..7ffeP:'-'-__ DATE of..J/79 OK TO FINA1 ________ DATE ____ _
?o.n ~ 3 '3t?fl7
R. 0 . W .__.,&~'4'11----INDUSTRIAL WASTE Jt/A IMPROVEMENTS__,_N___.A::......__ ___ _
SEWER CONNECTION HA DRIVEWAY LOCATIONS AJA
GRAD I NG p ERM IT --M.....L...-C4._.c___ __ E_A_S EMEN Ts JJ~.~__.__,_.L-..<-D-'--R-A_I_N_A_G_E _N_IJ __ _
LEGAL DESCRIPTION ~ ad~
ENGINEERING DEPARTMENT
ADDITIONAL COMMENTS ----------------------
OK TO ISSUE:~ DATE !J'-/J, 77 PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRI~KLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DA TE ________ _