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Home My WebLink About2031 CIMA CT; ; 77-9082; PermitMODE&iNO icSi Applicant to complete numbered spaces only BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 h«»**«**»8l5B Permit No 77 JOB ADD* ESS ASSESSOR SPARCEL NUMBER LEGALIDCSCR TT CJWS EtTl C.r. ARC ITtCT OR DESIGNER M DO ESS M I ODRESS L CE SE O COMPENSATION INS CARRIER 6 - // , M L ADDRESS , USE OF »u LO C NO BDRMS_NO BATHS. 8 Ctaaofwork DNEW L^KoDITION D ALTERATION D REPAIR D MOVE D REMOVE 9 Describe work 10 Change of use from Change of use to 11 Valuation of work $PLAN CHECK FEE $-PERMIT FEE $ SPECIAL CONDITIONS Type of Const Occupancy Group 4ICRO FILM FEE Size of Bldg (Total) Sq Ft No of Stories Max Occ Load Fire Zone Use Zone Fire Sprinklers Required DNO No of Dwelling Units OFFSTREET PARKING SPACES NoCove ed Sq Ft | No[Open 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 120 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION Special Approvals PLANNING DEPT HEALTH DEPT FIRE DEPT SOIL REPORT OTHER (Specify) ENGINEERING DEPT WATER DEPT Required Received Not Required SIGNATURE OT CONTRACTOR 0* AUTHORIZED AGENT * ym OP OWNEM (IF OWMCR BUILD 10ATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH TOTAL FEES $. INSPECTOR INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT LATHING OR DRYWALL EXT LATHING MASONRY USE SPACE BELOW FOR NOTES FOLLOW UP ETC CITY OF CARLSBAD BUILDING DEPARTMENT (714) 729 1181 CERTIFICATION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workers compensation 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 I understand that if I fail to comply with the workers compensation laws this permit shall be deemed revoked I further certify that if I should contract or subcontract with any person including any firm or company to do all or part of the work for which this permit is issued I shall assure compliance by that contractor or subcontractor with Section 3800 of the California Labor Code SIGNED _ PRINT NAME AND TITLE . JOB ADDRESS C>^^ / DATED INTERDEPARTMENTAL INFORMATION SHEET RECEIVED f BUILDING DEPARTMENT BUILDING ADDRESS £X Q ^ | (^J? DATE PLANNING DEPARTMENT 70NE OT SIZE LOT WIDTH UNITS ALLOWED UNITS PROVIDED PARKING SPACES REQUIRED / COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK ALLOWED PROVIDED _PROVIDED_ _PROVIDED PROVIDED 1977 Department SIDE SETBACK INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS REAR SETBACK OK: ENVIRONMENTAL PROTECTION REQ ADDITIONAL COMMENTS ENGINEERING DEPARTMENT ROW INDUSTRIAL WACTE IMPROVEMENTS SEWER CONNECTION GRADING PERMIT DKIVEWAV LOCATIONS EASEMENTS DRAINAGE LEGAL DESCRIPTION <£ 07- ADDITIONAL COMMENTS OK TO ISSUE DATE / g OK TO FINAL DATE DEPARTMENT SYSTEM E HYDRANTS DDITIONAL COMMENTS _FIRE PROTECTION EQJIP EXITS LOCATION OK TO ISSUE DATE OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE