HomeMy WebLinkAbout1015 Laguna Dr; ; 79-1206; PermitMODEL NO. _________ _
Applic
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 1 711-t / e2 Q t'rl
ttocompletenumberedspacesonly Phone 729-1181 Permit No , an
JOI AOOR C'SS t; ,"f .,...., (.,,,1 /, ASSESSOR'S . ,-i ( /U ~.,;;J I[ H yu,-,n. I ('.,,. PARCEL NUMBER , -,;
LOT NO I OLK I TRACT B....-Vr\ PAGE I PAR,
LtC.-.L I 1Qscc ATTACHED 5HEE TI
1 OCSC.1111.
OWNC.fll! MAIL AODlllCS~ ll P PHONC
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CON TIIU,C TOR MAIL AODA C.SS PHON [. ST ATE LIC, NO, CITY LIC. NO.
3
A"CHITECT O" Dt5IGNC" MAIL A00AE55 PHOM E LICE.NSF NO.
4
£.NGIN[tlll MAIL AOOA[SS PHOM[ LICENSE NO.
5
COMPENSATION INS, CARRIER MAIL A0O111t55 8"ANCH
6
USE o, Ii.II LOIN G
7 NO. BDRMS NO. BATHS
I -' Pt/. -1,'. 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE .-t.,. V
9 Describe work:
10 Change of use from
Change of use to
I PEF MIT Fl
1
11 Valuation of work: $ PLAN CHECK FEE$ E $ ,,
SPECIAL CONDITIONS. Type of Occupancy \ Ml~ ~ILM FEE
Const Group -j
s,ze of Bldg No. of Max.
(Total) Sq. Ft Stories J 0cc. Load
/1 Fire use Iv Fire Sprinklers
APPLICA flON ACCEPTED av PLANS CHECKED BY APPR0"/t,':.:/R ISSUANCE BV Zone Zone ~ Required OYes □No .Y 71 OFFSTR{ET PAF ~NG SPACES
k ' DATE~(
No of I No. Owelllng Units No. s( DATE Covered , F!I. Open
NOTICE Special Approvals Requir~d -R'!Jeived Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT. I j
ING, HEATING, VENTILATING OR AIR CONDITIONING HEAL TH DEPT. i\J ' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· \ L/1' TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT -\ ' \ I PERIOD OF 120 DAYS AT ANY, TIME AFTER WORK IS COM· OTHER (Specify) I -MENCED.
I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS ENGINEERING DEP ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT \ I 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 I PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING . -'\07" II A J It;, --CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ~-". l ,,, 1r· · ,,, I . . ~ -/
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Ill ' . ' SIQNA'fU"l 0,-CONTJIACTOtt Ott AUTHOflttlCD AQ[HT tDAT(I
~IGHATUJII[ 0" OWN[JII ,,. OWN[flt aulLOEII tOATEl
WHEN PROPERLY VALIDATED UN THIS SPACEI THIS IS VOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH --
TOTAL FEES $ ________ _
INSPECTOR
REQUEST FOR INSPECTION TIMEc_· ______ _
INS~ECTOR L~ PERMIT NO ________ DATE: (4/21
OWNER-----------------------------------
ADDRESS /2 / s-
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
' ELECTRICAL
r □ TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
L---------------------.-
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY . □THURSDAY D FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIO~~~=#~ r~~4-
REQUESTED BY __________________ PHONE NO,, _______ _
PERSON TAKING REPORT_--"&,#'-""'"'-'----->