HomeMy WebLinkAbout1019 DAISY AVE; ; 78-5688; PermitMOOELNO
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Applicant to complete numbered spaces only
BUILDING
* City of CARLSBAD, CALIFORNIA 9
Phone 729-1181
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JOB ADDRESS ^^ ,- 'It— ) > 1
_ LE6AL
1 DESCR
OWNEP
LOT NO ,-.. ILK TRACT
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~ MAIL ADDRESS ZIP
CONTRACTOR MAIL ADDRESS PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE
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ENGINEER MAIL ADDRESS PHONE
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COMPENSATION INS CARRIER M*IL ADDRESS
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USE OP IUILDINC
NO BDRMS
ASSESSOR S
PARCEL NUMBER
BOOK PAflfi PAR
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PHONE
STATE LIC NO CITY LIC NO
LICENSE NO
LICENSE NO
•RANCH
MO BATHS
8 Clan of work D NEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work jbbt t £ f //^// O /«^ )( /0> :=;" ' 1 *H ^f*
10 Change of use from
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11 Valuation of work $ | | t3 o?
SPECIAL CONDITIONS
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IN ACCEPTED BV f f LANS CHECKED BV APPROVED FOR ISSUANCE BY
DATE '
NOTICE
\TE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ATING VENTILATING OR AIR CONDITIONING
ERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
1 OF 120 DAYS AT ANY TIME AFTER WORK IS COMD
BY CERTIFY THAT 1 HAVE READ AND EXAMINED THISATION AND KNOW THE SAME TO BE TRUE AND CORRECTOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS>F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED1 OR NOT THE GRAFTING OF A PERMIT DOES NOTHE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGAUCTION OR THE PERFORMANCE OF CONSTRUCTION
IE OfVtOHTftACTOPI OH AUTHOIUCEO' ACENT , (DATE)
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1C OPOTNKR (IP OWNER BUILD!*) tf f '•- (DATE)
/ **PLAN CHECK FEE $ (^
Type of Occupa
Const Group
Size of Bldg No of
(Total) Sq Ft Stories
Fire Use
Zone Zone
fio of °~ST
Dwelling Unit. "wind
Special Approvals Require
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
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MICRO FILM FCCicy
Max
Occ Load
Fire Sprinklers
Required Qyes DNO
REET PARKING SPACES
INoSq Ft (Open
d Received Not Required
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PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION
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CK MO CASH
/£<&
TOTAL FEES S * ^
INSPECTOR
INSPECTION RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
DATE REMARKS
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INSPECTOR j<
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(/S£ SPX»CF BELOW FOR NOTES, FOLLOW UP, ETC
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT
BUILDING ADDRESS
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DATE nrT o ntrtn — *> U
^^^^^^^^.rxCl I Y OF CARLSBAD
Building Department
PLANNING DEPARTMENT
7 ONE PC _ LOT SIZE
UNITS ALLOWED /
LOT WIDTH //
UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
2-
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED 26 '
PROVIDED
PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK
(0 '
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS Ay A
.
REAR SETBACK
J~ I
ENVIRONMENTAL PROTECTION REQ
ADDITIONAL COMMENTS X*-
OK TO ISSUE OK TO FINAL DATE
ENGINEERING DEPARTMENT
ROW INDUSTRIAL WASTE IMPROVEMENTS
?SWER CONNECTION
CRADING PERMIT
DRIVEWAV LOCATIONS
EASEMENTS
LEGAL DE SCRIPT ION
DRAINAGE
ADDITIONAL COMMENTS
OK TO ISSUE DATE )Q/3oh%OK TO FINAL DATE
FIRE DEPARTMENT
SPPIMCLING 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