HomeMy WebLinkAbout1009 DAISY AVE; ; 79-4217; PermitMODEL NO
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BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ^8?'79S
numbered spaces only Phone 729-1181 Perr i No -^
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BRANCH
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8 Class of work D NEW ^"ADDITION
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9 Describe work //WD />£?<> Jt
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NO RATHS ^-
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10 Change of use from I3ft'/n& i'^^"
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11 Valuation of work $~J&£&^&& jOj?2-0°
SPECIAL CONDITIONS
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APpficMPN ACCEPTED BY
DME ft ' *•"
PLANS CHECKED BY
NOTICE £
SEPARATE PERMITS ARE REQUIRED FOR E
ING HEATING VENTILATING OR Al R CONDI
THIS PERMIT BECOMES NULL AND VOID IF V
TION AUTHORIZED IS NOT COMMENCED Wl"
CONSTRUCTION OR WORK IS SUSPENDED OP
PERIOD OF 120 DAYS AT ANY TIME AF
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ A
APPLICATION AND KNOW THE SAME TO BE 1
ALL PROVISIONS OF LAWS AND ORDINANC
TYPE OF WORK WILL BE COMPLIED WITH V
HEREIN OR NOT THE GRANTING OF A
PRESUME TO GIVE AUTHORITY TO VIOLA
PROVISIONS OF ANY OTHER STATE OR LOCA
CONSTRUCTION OR THE PERFORMANCE
f4*£^*tJ£*S '?£%*-* r*Qs(n, n^Lt
SIGNATURE OF OW&f'OR (IF
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R OR AUTHORlfED AGENT
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OWN ER BU ILDE R)
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APPROCEID Ffl^R ISSUANCE BY
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LECTRICAL, PLUMB
TIONING
VORK OR CONSTRUC
PHIN 120 DAYS OR IF
ABANDONED FOR A
TER WORK IS COM
ND EXAMINED THIS
"RUE AND CORRECT
ES GOVERNING THIS
VHETHER SPECIFIED
PERMIT DOES NOT
TE OR CANCEL THE
L LAW REGULATING
OF CONSTRUCTION
(DATE]
ft -9-79W ' (DATE!
PLAN CHECK FEE $ £
Type of
Const
Size of Bldg
(Total) Sq Ft
Fire
Zone
No of
Dwelling Units
Special Approvals
PLANNING DEPT
HEAL! H DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS
PLAN CHECK VALIDATION CK
_f ~^~ " PERMIT FE
Occupancy
Group
No of
Stories
Use
Zone
OFFSTREET PARKING
NoCovered Sq Ft
Required. Rece
YOUR PERMIT
- X2*2"
MICRO FILM FEE
Max
Or.c Load
Fire Sprinklers
Required Qjves DNO
SPACES
NoOpen
ved Not Required
•
MO CASH PERMIT VALIDATION CK MO CASH
rt CO/ 9^^TOTAL FEES $ ' f ~^
i^SPECTIQW RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL 8
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
I MASONRY
FINAL
DATE
f
USE SPACE BELOW FOR NOTES. FOLLOW UP, ETC
REMARKS INSPECTOR
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729-1181
CERTIFICATION
I certify that in the performance of the work for which this permit is issued I shall not
employ any person in any manner so as to become subject to the workers' compensation
laws of California
If, after making this certificate, I become subject to the workers' compensation pro-
visions of the California Labor Code, I will forthwith comply with Section 3700 of the
Labor Code
I understand that if I fail to comply with the workers' compensation laws, this permit
shall be deemed revoked
I further certify that if I should contract or subcontract with any person, including any
firm or company, to do all or part of the work for which this permit is issued, I shall assure
compliance by that contractor or subcontractor with Section 3800 of the California Labor
Code
SIGNED
PRINT NAME AND TITLE
JOB ADDRESS
DATED
REQUEST FOR INSPECTION
INSPECTOR,.PERMIT NO,
TIME
.DATE
OWNER...
ADDRESS-
B<JILDING
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iff
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J REINFORCING STEEL -,
:! MASONRY
GROUT GUNITE
j FLOOR ANQ CEILING FRAME
j SHEATHING
] FRAME
"} EXTERIOR LATH
j INSULATiO -I
INTERIOR LATH OR DRYWALL
FINAL
ELECTRICAL
CD TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
CH ROUGH ELECTRIC
C] POOL BONDING
CH ELECTRIC SERVICE
a CEILING HEAT
D G F 1
(Zl SMOKE DETECTOR
Q FINAL
^ PLUMBING
%
;/!"] UNDERGROUND PLUMBING
%"] UNDERGROUND WATER
,^t J ROUGH PLUMBING
-ft J TOP OUT PLUMBING
ft ] SEWER AND PL/CO
fl j TU3 OR SHOWER PAN
.3t J GAS TEST
'•iff ! WATER HEATER
ft 1 FINAL'4
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READY^ FOR INSPECT'ON D MONDAY D TUESDAY
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MISCELLANEOUS
rn OLENUM A^JD DUCTS
LJ COMBUST'ON A;;R
Q PATiO
a SIGN
CH DRIVEWAY
UJ CONDJTSOiMs? Al-5 SYSTEMS
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SPECIAI INSTRUCTIOMS ^U^^>^
REQUESTED BY e WO
PERSON
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE; AUGff •?-')
< CITY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
70NE LOT SIZE LOT WIDTH fa
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED '2/y
PROVIDED o/<u
_PROVIDED_
PROVIDED
PROVIDED
SIDE SETBACK:REAR SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN/COMMENTS:
ENVIRONMENTAL PROTECTION REQ :
SCHOOL FEES: &1i£W> DISTRICT:AMOUNT
ADDITIONAL COMMENTS:
I
tf
OK TO ISSUE:#OK TO FINAL DATE
ENGINEERING DEPARTMENT
R . 0 . W ._ AJ A INDUSTRIAL WASTE
SEWER CONNECTION _ A//] DRIVEWAY .LOCATIONS
GRADING PERMIT
A/A IMPROVEMENTS'
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSUE
EASEMENTS DRAINAGE- A/4-
PWI OK TO FINAL
FIRE DEPARTMENT
SPPINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP.
EXITS
LOCATION
z
OK TO ISSUE'DATE OK TO FINAL DATE
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