HomeMy WebLinkAbout1013 FOXGLOVE VW; ; 78-5443; PermitMODEL NO;--B-UILDING PERMIT APPLICJ\TION '
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only
JOB ADDA ESS ,_ ,
LCCAL I LOT NO., , I "'J 1 OCSCA. r r .r--... : ---
OWN[O (.//;;f'Y°''T V.
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CON Tl'tAC TOl't
3
ARCHI TECT OR DESIGNER
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[NGINC£R
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COMPENSATION IN\ CARRIER
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Phone 7 29-,1181
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MAIL AOO,t[SS ~
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MAIL ADDRESS PHONE
MAIL ADDRESS P110N E
MAIL AOOR[SS PHONE
MAIL AODl'tCSS
NO. BDRMS
PHONE
ASSESSOR'S
PARCEL NUMBER
BOOK PAGE I
,I
/ -·' /
PAR,
STATE LIC, NO. CITY LIC. NO.
LICENSE NO.
LICENSE NO.
BRAN CM
ND. BATHS
8 Class of work: 0 NEW ~OOI TION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: /1'1 +,o /( ..,-I (..
t O Change of use from
Change of use to
t t Valuation of work: $ PLAN CH ECK FEE $
~S~P~E~C~I_A~L~C~O~N~D_IT __ IO~N_S __ : ------------------~Type of
Const
..-----------------------------Size of Bldg. (Total) Sq. Ft
1----------,,----------,.----------1 Fore APP;L~CA '.0"'. ACC()EPTE/O{BY 7.0NS CHECKED BY APPROVED FOR ISSUANCE BY Zone
( 0 ~,II~ / fl )p TIJ No. of
DATE DATE Dwelling Units
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING. HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO 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.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
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.
SIGNATU"E o, CONT,.ACTO,-01111 A.VT'HO"lllD AGENT (DATE)
SIGNATUIIE 0 ,. OWN£1'1 ,,,. OWNCIIII aulLDE") DAT[)
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
Fl RE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT.
Occupancy
Group
No. of
Stories
I PERMIT FEE $
MICRO FILM FEE
Max .
0cc. Load
use Fire Sprinklers
zone Required 0Yes
OFFSTREET PARKING SPACES·
No. Covered
Required
Sq. Ft.
Received
I No. Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
,)
lo/-
T OTAL FEES$ ___ {_' ____ _
INSPECTOR
INSPECTION RECORD
.,
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUN
WEAl
CONCRETE
FRAMING
INT. LATH
EXT. LATI-I
MASONRY
FINAL
USE SPACE i
REOUES1_P.?R INSPECTION .. TIME:
INSPECTOR // )pt PERMIT NO. DATE: /449
OWNER di~
/CJ/!~~~ ADDRESS
( ILDING)
D FOUl'J'D A~ ~-
__.,,,
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
0 FLOOR AND CEILING
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
FRAME
INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
'
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
Ir,
5,rJ £
D PLENUM AND DUCT~!!! ;,o
D COMBUSTION AIR /~/. ~
D PATIO y/j)i/lfl
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: DMONDAY D TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
DA.M.
DP.M.
REQUESTED BY ~ PHONE NO._~_S<_~_-_l'.:._'.:i_d_cJ __
PERSON TAKING REPORT _ _,,,.~:K::....:-=-----7
-
-
-
-
-
-
-
-
-
...
·@·~
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS: /013
' Fcrc9 la u--e 0e w
PLANNING DEPARTMENT
RECEIVED
DATE: --o,...,..c ....... , -10-19-78-
CITY OF CARLSBAD
Building Department
/
ZONE £-I • LOT sizE Zo X//O
I LOT WI D TH___.Z'---u>-=~-----
UNITS ALLOWED __ ~{)_...A~)~/(-3--_____ UNITS PROVIDED __ __,c!)=--~-Vi".c.-_____ _
~ PARKING SPACES REQUIRED PROVIDED
% COVERAGE ALLOWED ~----_,_'{_a_'_l_o ____ PROVIDED ___ O_#:::.__ ______ ~
BUILDING HEIGHT ALLOWED "JS' PROVIDED
FRONT SETBACK: SIDE SETBACK:
9 0' A-eLOWED ,-z'
PROVIDED OK
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: ------
REAR SETBp.CK:
;t/'
OK TO ISSUE~-~-T-E_f_o_/_o_/_;_i_O_K_T_O_F_I N_A_L~~~~~~~~~~~~~~-D-A_T_E:::::::::
ENGINEERING DEPARTMENT
R.O.W. _____ INDUSTRIAL WASTE
SEWER CONNECTION DRIVEWAY LOC~IONS----=z=-
GRADING PERMIT -=~~:~-=--=--=--=-~-_-E-A-SEMENTS ~ ~ DRAINAGE
LEGAL DESCRIPTION~~~~~-d~V~~~-C~f~7_3_-~3~2~~~~~~~~~~~~~~~~~-
DATE io//0 /7f I ( f
PWI OK TO FINAL JV) ft DATE ----I' ----
FIRE DEPARTMENT
SPFit;KLING 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 _______ _