HomeMy WebLinkAbout2804 VIA CLAREZ; ; 78-A; Permit• MODE~ NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 I I
A pp, an t to complete numbered spaces only Phone 729-1181 Permit No
JOB ,•go1 (/24.---{!_~ ASSESSOR "S
PARCEL NUMBER
LOT NO, )(o I BL• ........ I r • •c r I BooK PAGE I LtGAL I :; / tO sct ATTACHED s11c£.TI 1 ouc•. ./
OWNC~. lL.4 3 MAIL A00llllC55 21• PMONC f
2 I,: ,. 1$ d A,,""i)(:.~' ..Z bl ·l ~ ', "'l \ ,. .., /) •/ -. '-1-1;.t: I I ~
I • I
PAR.
CON TllllAC TOIIJ MAIL A00 llllC5S PMON t STATE LIC, NO. CITY LIC. NO.
3 ;. F -
AflCHIT[CT 01111 0[51C.,H[III MAIL AOOlltCSS PHONE LICC.N5t NO.
4 ,-I ,£
tNGINC[llll MAIL AOO'tESS PMON C LIC[M5t NO.
5
COMPENSATION INS, CARRIER ""4AIL AOOllllCSS IIIIANCH
6
USC 0,, l \t'ILOING
1),-7 I ,, "1 <., /I NO. BORMS NO. BATHS • -
8 Class of work: □NEW ~ADDITION 0 ALTERATION 0 REPAI R □MOVE 0 REMOVE
9 Describe work: OPE 1..1 il /J-I o vi l,li;=' ~ I t J ,7 tt'E,_ /,)I 1 10 I'· vf-k,;;_. .
(A1 \..t C ,., ~'{. D5E ,:i) ( i~
,, I )
10 Change of use from
Change of use to
; .-.
(, rrz~ r.,; .J (/ I 11 Valuation of work: $ '!I-,/ 7 t.-PLAN CHECK FEES --PERMIT FEE S
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
,r
Soze of Bldg, No. of Max.
(Total) SQ. Ft Stories 0cc. Load
Fire use Fire Sprtnklers
APPLICATION ACCEPTE O BV PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required 0Yes 0No
J .t v . J N o. o f OFFSTREET PARKING SPACES·
I l No.
'
No. DATE GATE 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 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 THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO 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 VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATU"lt OP' CONT"AC TOIII 0" AUTHO,.IZtO AGtNT IDATt)
!IIGNATUfllC o, OWNCIIII , ,. OWNCJt au ILDtlt) DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATI ON CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -,
TOTAL FEES $ ---'t"--'tJ __ ✓ ___ _
INSPECTOR
r
INSPECTION RECORD ;Y-7 ,
' D4TE REMARKS INSP~CTOR FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL /1-Jt:J--DJ" t!)_ // T~~
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
~~:.;;;RDEPARTMENTAL INFORMATION SHEET RECEIVED
BUI~DING DEPARTMENT
BUILDING ADDRESS:
CITY OF CARLSBAD
2 .2 _ c:::2_ I Buildlng Department
PLANNING DEPARTMENT
ZONE fc LOT SIZE LOT WIDTH ----------------------------
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED -----------
% COVERAGE ALLOWED PROVIDED -------------
BU IL DING HEIGHT ALLOWED-::---------PROVIDED
:::::E:E_T-BA_c_K_= ___ (\l I~ _;spEror/4 j -R-EA_R_S_E_T_B_A_C_K_: __ _
PROVIDED _______ \~
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS: L . --:a:,v,--,--,~'-n---------------
ENVIRONMENTAL PROTECTION REQ: £k.c-~1'°7' ~~A'-}/2, ()i/,al'o ~)
ADDITIONAL COMMENTS: /1,)15'7' ~
/l-j';c c;,vett-/71 /if
OK TO ISSUE:
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE ------IMPROVEMENTS
LA 1'7, c. ~ ·µ .:> k~)
C.,.. 0 I ? / ~ # 3-o
---------------
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT _______ EASEMENTS '71-eno ~-11--1.iMLDRAINAGE ____ _
LEGAL DESCRIPTION~Lt.~:2~~....l<...='-==-------------------------
ADDITIONAL COMMENTS
OK TO ISSUE,#<-DA_T_E_/_O_f_f;_L_7 __ f __ P_W_I~~~~~--~-O-K_T_O_F_I_NA_L_tv;_L._/t_ DATE ___ _
FIRE DEPARTMENT
SPFiliKLING SYSTEM FIRE PROTECTION EQUIP . -------------------
FIRE ALARNS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE -----------------------
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ ____,;_