HomeMy WebLinkAbout2099 TRUESDELL LN; ; 77-6937; PermitMOD.!iL NO. _________ _
BUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
App/'cantto ompletenumberedspaceson/y Phone 729-1181 Permi t No I C 77/7.]7
JOB ADDR (55 ·.-· ,.,;1 C /} /.!-f ~✓ C fl!.
ASSESSOR"S
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LOT .... >? I ILK I ... ~;,1;~ 1/4, BOOK PAGE I PAR,
L<GU I )/,l/4 ,..,......pscc ATTACHtO SH(.['r) 1 one~.
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OWHCII'-# _,/ MAIL A00RC.5S II P PHON( ,,,,.
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CONT"Ac:..,;eR MAIL A00111£SS PHON t STATE LIC. NO. CITY LIC. NO.
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' /-'/ / ' AlltCHIT[CT 0111! OCSIGNtR MAIL AOORCSS PHONE LIC[NSC NO,
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lNGIN[[R M•IL AOOIIIESS PHON[ LIC[NSC NO.
5
COMPENSATION INS. CARRIER MAIL AOOllltCSS &IIIANC~
6 . --
ust o, BYILOING
7 NO. BORMS NO. BATHS
8 Class of work: 0 NEW Ol'Aoo1TION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: d??,,.-,£.id/; ;r,; ✓, / ti-/$}
10 Change of use from J
Change of use to
~ /;/)-' C .//1 I .. J /-11 Valuation of work: $ -PLAN CHECK FEE 5 PERMIT FEE 5 -
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
' Const. Group ,.
S11e of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. L oad
Fire use Fire Sprinklers
APPLICATION ACCEPTED ev PLANS CHECKED BV APPROVE O FOR l~UANCE BY z one z one Required D Yes □No ,, OFFSTREET PARKING SPACES,
_,r/ N o. of INo, Dwelling Units No. DATE DATE 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 WITHIN 120 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 T HAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND 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 SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SlGNATUIIIII. o, (OHTIIIIACTOIIII 01111 AUTHOIIIZCD AC.CNT IDATC)
51C.NATIIIIC OP' OWN[IIII 1, OWNCIIII BUILDCII) (DATCJ
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -"Z..J TOTAL FEES $ __ _, __ V' ____ _
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL 1--~--77 C ,t__ -r/Y"clL£v
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT DA TE : __ _,_A.u.,U~GL.-l.8.,___+.;]9H7+7-
BUILDING ADDRESS: CITY OF CARLSBAD
Buff ding Department
PLANNING DEPARTMENT
ZONE __________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED --~-.,,.__--1----1-,4---
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
LANDS CAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
REAR SETBACK:
OK TO ISSUE: ~ DAT'#J OK TO FINAt _______ DATE ____ _
,ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
• SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS ---------------------
.
LEGAL DESCRIPTION__p_.-~O~;t-~~~....LL~~~~Lj.~~',,,,:/L__J6,~~L .......,:,:~-----+-----
____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPFiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALAR.MS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
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