HomeMy WebLinkAbout2010 COSTA DEL MAR RD; ; 75-130; PermitApplicant to complete numbered spaces only
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit NO
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF BUILDING
8 Claaofwork D NEW D ADDITION JgrALTERATION D REPAIR D MOVE D REMOVE
9 Describe work
10 Change of use from
Change of use to
11 Valuation of work $ X. • z**''"./ x- o^"
r ^- •"' \ \ / ' ' ' -^PLAN CHECK FEE PERMIT FEE $
SPECIAL CONDITIONS Type of
Const
Occupancy
Group
MICRO FILM FEEo O
Size of Bldg
(Total) Sq P*.-
No of
Stories
Max
Occ Load
APPLICATION•• 'PLANS CHECKED BY APPRfJVEP FOR ISSUANCE BY
. I V.
Fire
Zone Zone
Fire Sprinklers^-**
Required jp^j DNO
No of!
Dwelling \Jnits
OFFSTREET PARKING SPACES
NoCovered Sq Ft
I NoOpen
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING, HEATING, VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND 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 VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PEBFORMANCEXOF CONSTRUCTION
Special Approvals
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
SIGNATURE OF OWNER IIF OWNER BUILDER!(OATE)
Required Received 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
--H
INSPECTOR
INSPECTION RECORD
1
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
2-27-75 Fdn Forms; O.K. B. Nelson
3-13-75 Frame Partial; O.K. B. Nelson
3-27-75 Roof Sheathing: O.K. B. Nelson
9-20-75 Pour Pit and Misc. Foots: O.K. B. Nelson
9-22-75 Partial Fdn. Forms: O.K. B. Nelson
10-6-75 Frame: Partial O.K. B. Nelson
10-14-75 Frame: O.K. B. Nelson
10-23-75 Lath; O.K. on metal lath only. B. Nelson
10-28-75 Total Interior lath: O.K. B. Nelson