HomeMy WebLinkAbout1706 EVERGREEN CIR; ; 77-9329; PermitMODEL NO. ____ ,.,._. ___ _
BUILD NG PERMIT APPLIC TIO~
City of CARLSBAD, CALIFORNIA 92008
Applicantto completenumberedspacesonly Phone 729-1181 Permit No
-,-, 3
.,
J OB AOOR r~ S ASSESSOR'S
/70((; i Vt-Ca re-e,,J Ct-..--PARCEL NUMBER
LOT NO J 19L· I TRACT evvK PAGE I PAR.
L (CAL I .} (Q SE.E ATTACHED SH(ET) 1 O[SCR, I -~
OWNtR ""1AIL AODllltSS "p PMON£. -....
2 .. \ i \u •>li I• I, j "' ,, ... _, -... "-I
CON TRAC TO,-MAIL ADDRESS PHON [ STATE LIC, NO, CITY LIC. NO.
3 I
A .. CMI TCCT OR DESICNCR M AIL AOOACSS PHON [ L ICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LIC[N5£ NO,
5
COMPENSATION INS. C ARRI ER MAIL AOOlltESS &IIANCM
6
use Of' &VILDINC -7 1,.-\J NO. BORMS NO. BATHS ..
8 Class of work: ONEW CT°AOOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
7//o f.( -.. ./.LJ-,."" ~ ~/.. _/~ J
, J ,,. ,
'-' I
10 Change of use from J/;; :,t-
• .
Change of use to
7/t/ u&-I c.. (' r 11 Valuation of work: $ -PLAN CHECK FEES PERMIT FEE S -
SPECIAL CONDITIONS. MICRO FILM FEE Type of Occupancy
Const Group
Size of Bldg. No. o f Max.
(Total) SQ. Ft Stories 0cc. Load
,,. Fire Use Fire Sprinklers
APit/~':/CCEPTEDi)/
'ANS CHECKED BY APPROVE O FOR ISSUANCE BY Zone Zone ReQuored DYes 0 No
No. o f OFFSTREET PARKING SPACES
DATE l) Dwelling u n,ts No. 'No. DATE Covered SQ, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR Al R CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE Or COHT1'ACT011t OR AUTHOlll!Zl.0 AC.~HT (OAT£)
I. .. l i.. 'J ,1
SI GNAT JU' 0,-0WH£fl .i,: 0WN£111 au1LO[II DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ ___ K-'---------
INSPECTOR
INSPECTION RECORD 77-'13~ ' DATE ' REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
F01
WE -
CONCRE di 1~ -
FRAMlf\ & f-7o -
INT. LA -
EXT. U c;J av(/ .A;JP ~'-A-.
-
MASON -
FINAL
/-2 J-?T
USE SP/.
---
' '
ARTMENTAL INFORMATION SHEET RECEIVED
BUILDINJl""nEPARTMENT ' DATE:_~ ..... ......,......,.....,....,. __ ?J . OCT 3 11977
BUILDING ADDRESS: &~-' CITY OF CARLSBAD
BulldlRg l>e13eFtment M.:1·
PLANNING DEPARTMENT
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED PROVIDED ------------------------
BU IL DING HEIGHT ALLOWED PROVIDED-----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: ____ DATE ____ OK TO FINAL ________ DATE. ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION DRIVEWAY LOCATIONS ---------------------GRADING PERMIT EASEMENTS ,d)r2A/e DRAINAGE ____ _
LEGAL DESCRIPTION ~oz: .s;, CTJ?-4~8
ADDITIONAL COMMENTS l'?&u'f'/A//L.,IG-CP;ILC., z:o 2f8i" 1l'vr£Z: /() r ~A/,P
c uR8' mc,r:-
OK TO ISSUE: & DATE .3/0CT77PWI OK TO FINAL DATE ___ _
FIRE DEPARTMENT
SPRiliKLING 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 _______ _