HomeMy WebLinkAbout122 ACACIA AVE; ; 79-4636; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Appljcant to complete numbered spaces only. Phone 729-1181 Permit NO. 39- '/b 36
Change of use to
11 Valuation 01 work: $
SPECIAL CONDITIONS:
PLAN CHECK FEE 5 3 PERMIT FEE S
Type Of
CO"5t.
MlCRO FILM FEE
0CCUDa"CY
GW"D
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMB^
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
ING. HEATING, VENTILATING OR AIR CONDITIONING.
ORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
F 120 DAYS AT ANY TIME AFTER WORK IS COM- ION OR WORK IS SUSPENDED OR ABANDONED FOR A
EAD AND EXAMINED THIS
INANCES GOVERNING THIS 0 BE TRUE AND CORRECT.
WITH WHETHER SPECIFIED
VIOLATE OR CANCEL THE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASU PERMIT VALIDATION CK. M.Q. CASH
TOTAL FEES $ 79
INSPECTION RECORD
FOUNDATIONS:
SET BACK
DATE .__ REMARKS
"~ INSPECTOR
TRENCH
REINFORCING
FOUNDATION WALL & WEATHER PROOFING
-
-
CONCRETE SLAB
FRAMING
-
INT. LATHING OR DRYWALL
EXT. LATHING -
MASONRY
- -
. ".
FINAL
.I /* ' 3; //e q
/' I
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
RE.QUEST FOR INSPECTION TIME:
I~SPECTOR PERMIT NO. DATE: 10-/0-7q
OWNER
ADDRESS f 2z . m c &c/&
BUILDING - 0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT - GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING n FRAME
n INSULATION
0 EXTERIOR LATH
RlOR LATH OR DRYWALL
FINAL
I ELECTRICAL I
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
n ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.I.
0 SMOKE DETECTOR
+FINAL
I PLUMBING I I MISCELLANEOUS I
O UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST e;Ay~~~~
0 PLENUM AND DUCTS n COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
OEI~;;~;ING
READY FOR INSPECTION: 0 MONDAY 0 TUESDAY 0 WEDNESDAY 0 THURSDAY 0 FRIDAY
0 A.M.
0 P.M.
SPECIAL INSTRUCTIONS
REQUESTED BY PHONE NO.
PERSON TAKING REPOR
w6 TIME:L.
INSPECTOR PERMIT NO. 77e DATE:
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT - GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL /x
PLUMBING I
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PLlCO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
0 FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.I.
0 SMOKE DETECTOR
0 FINAL
I
MISCELLANEOUS
n PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
[3 REFER PIPING
n FINAL
1 I
READY FOR INSPECTION: 0 MONDAY 0 TUESDAY 0 WEDNESDAY 0 THURSDAY
0 A.M. -
SPECIAL INSTRUCTIONS
n DUPLICATE
Date Signed
bditpm
45 465
I*"?& I50 uhl4P.65
SEND PARlS 1 AND 3 WllH CARBONS INlAn.
PARI 3 Wall BE REWINED WllH REPLY.
,....* . I ... '. .. l.,l * \.
BUILDING DEPARTMENT - DATE :
BUILDING ADDRESS: 4 pB-w
Y PLANNING DEPARTMENT
ZONE LOT WIDTH
UNITS ALLOWED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
FRONT SETBACK: REAR SETBACK:
'ALLOWED
PROVIDED
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN CO
ENVIRONMENTAL PROTECTION REQ: ',., ,
SCHOOG FEES : . DISTRICT : .AMOUNT :
ADDITIONAL COMM NTS:
//7 I A
OK .TO ISSUE: dl OK TO FINAL DATE rw!~ (I)/['[ b- I -
ENGINEERING DEPARTMENT & /.A-oH J 60aF
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION DRIVEWAY LOCATIONS
GRADING PERMIT EASEMENTS /L/# DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO 1SSUEd"- DATE !o-/.?? PWI OK TO FINAL DATE
" ""
FIRE DEPARTMENT
SPYISKLING 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
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729-1181
CERTIFICATION
employ any person in any manner so as to become subject to the workers' compensation
I certify that in the performance of the work for which this permit is issued I shall not
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.
shall be deemed revoked. I understand that if I fail to comply with the workers' compensation laws, this permit
firm or company, to do all or part of the work for which this permit is issued shall assure
I further certify that if I should contract or subcontract with any person, including any
compliance by that contractor or subcontractor with Section 3800 o dornia Labor
Code.