HomeMy WebLinkAbout1005 DAISY AVE; ; 78-5180; PermitMODEL NO
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BUILING PERMIT APPLICTION%
City of CARLSBAD, CALIFORNIA 920O8
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CONTRACTOR MAIL ADDRESS
ARCHITECT OR DESIGNER MAIL ADDRESS
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ENGINEER MAIL ADDRESS
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COMPENSATION INS,CARR,|FR MAIL ADDRESS -^
6 "S '< (V V i- £~ ° <• *\ \/^ JL wJ
USE OF BJILDING 1 V
8 Class of work D NEW D ADDITION D ALTERATION
9 Describe work \^ tX V \ O
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10 Change of use from
Change of use to
11 Valuation of work $ /r* ^ '_> /
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED F OR ISSUANCE BY
DATE *"*^ J .''I'DATE'
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING HEATING VENTIuATING OR AIR CONDITIONING
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
MENCED
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PROVISIOWS'*OF AN& OTHER STATE OR LOCAL LAW REGULATING
rONSTR Uf^prtN <~>R\J"HF 'PFRFORMANCF OF CONSTRUCTION
>\Xjv~ X\^k H^HS^X^ ^ ' * » * ^>
SIGNATURE OF CONTRAC"toR OR AUTHORIZED AGENT (DATE)
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WHEN PROPERLY VALIDATED (IN 1
PLAN CHECK VALIDATION CK MO CASH
r< -3 O ASSESSOR S
U V S V> W \ PARCEL NUMBER
BOOK PAGE PAR
Z 1 P PHON E
^NS M C \A SAr'VVlnPS f
V • ^g^pNE STATE JLlC NO J Cllfr LIC NO
PHON E LICENSE MO
PHONE LICENSE NO
•• i '*£• '' s' ' ""•* x*r/B'IANCH
NO BDRMS NO RATHS
D REPAIR DMOVE n REMOVE
Co v C ^
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PLAN CHECK FEE $ S PERMIT FEES / , J — —
MICRO FILM FEEType of Occupancy
Const Group
Size of Bldg No of Max
(Total) Sq Ft Stories Occ Load
Fire Use Fire Sprinklers
Zone Zone Required [ JYes 1 !NO
,^' ;. ' OFFSTREET PARKING SPACES
Dwelling un.t. go^^^ ^ pt No^
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
FHIS SPACE) THIS IS YOUR PERMIT
PERMIT VALIDATION CK £// MO ^--C^SH£rn ") ^~*~> y"\V •*.£ . ft*V , ' "t
-.^^^W^^SsTOTAL FEES S ;s^£»(^-"-*^
INSPECTOR
MODEL NO
Applicant to complete numbered spaces only
BUILDING PERMIT APPLIC
City of CARLSBAD, CALIFORNIA 92008
PnOn6 729-I1O1 Permit No
JOB ADDfl ESS y
LOT NO BLK TRACT
- LEGAL -y * — v — » (T*
/ &*/ / 3 3/ -
ASSESSOR S'ARCEL NUMBER
BOOK PAGE PAR
OWNER MAIL ADDRESS ZIP PHONE
CONTRACTOR MAIL ADDRESS PnONE STATE LIC NO CITY LIC NO
ARCHITECT OR DESIGNER v MAiLADDRESS PHONE LICENSE
4
ENGINEER MAIL ADDRESS PHONE LICENSE
5
NO
NO
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
n ^ ^
USE OF BJILDING
NO RDRMS NO BATHS
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work /2.rt,i "Z* ^i^ /~^>£'<f? //S&fTf -S^ F ff.F n.S^ *"T ^J '
/ '• / ff jf'^g'^' "/ / - /?
10 Change of use from ^p
Change of use to
j**~ \ ^.
1l Valuation of work $ ,«— y ^
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE D FOR ISSUANCE BY,3 f ••}, <y ?/
D A T E V W DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING HEATING VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
srttN*ATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
PLAN CHECK FEE S PERMIT FE
Type of Occupancy
Const Group
Size of Bldg No of
(Total) Sq Ft Stories
Fire Use
Zone Zone
OFFSTREET PARKINGNo of
Dwelling Units ^° . gq p^
Special Approvals Required Rece
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
•-
= S ^} "*~~"^
MICRO Fl L.M FEE
Max
Occ Load
Fire Sprinklers
Required QYes DNO
, SPACES
INo[Open
ved Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
— /STOTAL FEES $.
BNSPECTOR
REQUEST FOR INSPECTION
PERMIT NO.
/o\ HP, J ~ -OWNEf
TIME
^-jr-7//^DATE ^ /g7.
/
BUILDING '
d FOUNDATION
d REINFORCING STEEL
d MASONRY
d GROUT -GUNITE
d FLOOR AND CEILING FRAME
d SHEATHING
d FRAME
d EXTERIOR LATH
d INSULATION
d- INTERIOR LATH OR DRYWALL
>§ FINAL
ELECTRICAL
CH TEMPORARY SERVICE
CD ELECTRIC UNDERGROUND
Q ROUGH ELECTRIC 1
IZ1 POOL BONDING AJIf
CH ELECTRIC SERVICE l/JLv
[Zl CEILING HEAT fll 1 A
a G F i ' f ^
CH SMOKE DETECTOR V
[Zl FINAL
^-.-
PLUMBING
C] UNDERGROUND PLUMBING
CD UNDERGROUND WATER
Q ROUGH PLUMBING
CD TOP OUT PLUMBING
O SEWER AND PL/CO
O TUB OR SHOWER PAN
CD GAS TEST
Cj WATER HEATER
a FINAL
MISCELLANEOUS
d PLENUM AND DUCTS
CZI COMBUSTION AIR
C] PATIO
D SIGN
n GRADING
CH DRIVEWAY
CH CONDITIONED AIR SYSTEMS
HH REFER PIPING
[H FINAL
READY FOR INSPECTION DMONDAY
DAM
DPM
DTUESDAY DWEDNESDAY HURSDAY D FRIDAY
SPECIAL INSTRUCTIONS
REQUESTED BY..PHONE NO
PERSON TAKING REPORT.
REQUEST FOR INSPECTION
INSPECTOR-
OWNER
PERMIT NO
TIME
.DATE
ADDRESS.
BUILDING
d FOUNDATION
d REINFORCING STEEL
d MASONRY
d GROUT-GUNITE
d FLOOR AND CEILING FRA
d SHEATHING
d FRAME
d EXTERIOR LATH
d INSULATION
d INTERIOR LATH OR DRYWALL
d FINAL
ELECTRICAL
d TEMPORARY SERVICE
d ELECTRIC UNDERGROUND
d ROUGH ELECTRIC
d POOL BONDING
d ELECTRIC SERVICE
d CEILING HEAT
d G Fl
d SMOKE DETECTOR
d FINAL
PLUMBING
[Zl UNDERGROUND PLUMBING
a UNDERGROUND WATER
C] ROUGH PLUMBING
CU TOP OUT PLUMBING
C] SEWER AND PL/CO
CU TUB OR SHOWER PAN
CU GAS TEST
C] WATER HEATER
d] FINAL
MISCELLANEOUS
C] PLENUM AND DUCTS
1Z] COMBUSTION AIR
[Zl PATIO
CD SIGN
CZ GRADING
D DRIVEWAY
LH CONDITIONED AIR SYSTEMS
CD REFER PIPING
Q FINAL
READY FOR INSPECTION D MONDAY D TUESDAY D WEDNESDAY D THURSDAY JfFRIDAY
DAM
DPM
SPECIAL INSTRUCTIONS
REQUESTED BY.
PERSON TAKING REPORT.
LAl^JL^^
RMATION SHEET
BUILDING—ErETTTRTMENT
BUILDING ADDRESS:
RECEIVED
DATE:
SEP 12 1978
CITY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
70NE /C / LOT SIZE_
.UNITS ALLOWED /
LOT WIDTH
UNITS PROVIDED
' PARKING SPACES REQUIRED
> % COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED
PROVIDED
_PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK:
n
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ:/ / ?• » V.
ADDITIONAL COMMENTS:
OK TO ISSUE:
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS
LEGAL DESCRIPTION
ADDITIONAL COMMENTS,
J.
^.../--DRAINAGE
TO ISSUE:DATE PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPPINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP
EXITS
LOCATION
OK TO ISSUE:DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE