HomeMy WebLinkAbout2806 VIA DIEGO; ; 77-5670; Permit..
MODE.L NO, _________ _
G PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
App/icanttocompletenumberedspaceson/y Phone 729-1181 Permit No
JOB AOOR CSS ASSESSOR'S ,.. o f,, I ✓_/ J, ,,<-· PARCEL NUMBER _., -LOT NO. I OLK
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CON TlltAC TOllt M"'IL ADD•ESY PHOM E STATE LIC. NO. CITY LIC. NO.
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,UICMITCCT OR DtSIGNtfll MAIL A0011l[55 PHONE LICEN5C NO.
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ENG IN ECJlt MAIL AOOAESS PHONE LICCNS E NO.
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COMPENSATION INS. CARRIER MA.IL ADDJIICSS BlllANCH
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7 NO. BORMS NO. BATHS
8 Class of work: □NEW ;6.AOOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
✓'.,) ..J. ./.7 __/__. / (/4.._ ✓ ~7..:.1 -9 Describe work: / //_ ~-.,, ,_.,c .. 4 ,r ,J
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10 Change of use from
Change of use to
bcY?' ,._ ,. r -i PERMIT FEE S
/' ......
11 Valuation of work: $ ---PLAN CHECK FEES ..,.,I /'
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FO/SSUA;CE BY zone Zone Required DYes □No ,I: OFFSTREET PARKING SPACES: -:r I j DATE \. ,,,~ I. No. of !No. Dwelling Units No. DATE . Covered Sq. Ft. Ooen
rJ _l NOTICE Special Approvals Required Received Not Required
SEPARAT PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMS-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 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 VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING . CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATU"I o, CONT,-ACTO,-o.-AUTMOlilllZCO AGE.HT (DATE)
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51GHATU"E OP' OWHUI (1, OWN[III au I LDC") DATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ~-TOTAL FEES $ __ __,_L_:__ ____ _
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
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE: 7-rf-7 /
BUILDING ADDRESS: :zfa& ~ "-,~~
T~~dzZ~-
PLANNING DEPARTMENT
ZONE __________ LOT SI ZE _________ LOT WIDTH. _________ _
UNITS ALLOWED
I -------------::=---
' PARKING SPACES REQUIRED -.--+---..---1-~---PROVIDED _______ --+4---.w--
% COVERAGE ALLOWED
BUILDING HEIGHT
-------~~~ ___ PROVIDED ----~~ill-i,...._,~~--
----+---+----""-c----PROVIDED
' FRONT SETBACK: SETBACK:{).A
ALLOWED
~
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE:~ DATE#70K TO FINAL _______ DATE ___ _
ENGINEERING DEPARTMENT
R.O.W. ---~ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNE JTION ________ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT EASEMENTS __________ DRAINAGE ____ _
LEGAL DE SC RIPTION _____________________________ _
ADDI TI Ot~AL COMMENTS ____________________________ _
OK TO ISSUE: __ _ DATE ______ PWI ____ OK TO FINAL ____ DATE ___ _
1 FIRE DEPARTMENT
SPRiliKLING 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 ________ DATE ________ _