HomeMy WebLinkAbout2151 Levante St; ; 79-2684; PermitMODE"L NO. _________ _
1. BUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008 '11 17 1.
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
-,~_ ,JL. Pf
I LOT NO.
1 ~~;~~-c.; y I TRACT
I / /,V,
OWN[ ..
2
PHONE
ASSESSOR'S
PARCEL NUMBER
BuuK PAGE I PAR.
CONTIIIACTO,-• MAIL ADORtSS STATE LIC. NO, CITY LIC. NO.
3 ,
I I I I
AfllCHITCCT OA 0l51C:Ntlll MAIL AOORtSS LICEN5t NO.
4
ENGINEER MAIL ol.OORtSS PHO,..[ LIC[NS[ NO.
5
COMPENSATION INS, CARRIER 6 ,..
MAIL AOOIH:ss J ~
(_:..i} • • • . ,tJ. -t.-.fu:.-
8 .. ANCH
U.SC OF IUILOING
7 { /
NO. BORMS NO. BATHS
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
f $
' 7,fr4 ,,_. ~ I t "• -V 11 Valuation o work: ci ., PLAN CH ECK FEE s
~S_P_E_C;._I_A_L_C_O_N_D_I_T_IO_N_S_: __________________ ~ Type of
Const
1------------------...:·:......-----------f Sile of Bldg. (Total) Sq. Ft.
-
Occupancy
Group
No. of
Stories
I PERMIT FEE $ /rl'
MICRO FILM FEE
Max.
0cc. Load
~~'°'-....,."'----,,..,..,,..,..,.~-,.------..,,..------,.-----,-------4 Fore use F rre Sprln klers APPL1'1'T10'1': A.CCEPTE o ev PLANS CHE CKE o ev • APP(.j-v~s, .,ssu-ANCE ev 1--z_o_n_e _______ +-z_o_n_e _______ __._R_e_q_u,_,_ed_O_Y_e_s __ D_N_o-1
~ p lf1'f.. ,.-OFFSTREET PARKING SPACES·
DATE 7 ~ 3.JJ DA'T~ ~:e~1'.ng Units ~g;,e,ed $q. Ft. ,~gen
NOTICE Special Approvals Required Received Not Required
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 THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL 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 PERFORMANCE OF CONSTRUCTION.
I
SIGNATUAC o, CONT,.ACTOllt o,-AUTHOJIIIZE:0 AG[NT (DATE:)
~IC.tU,TUll[ OY OWN[llt IIY OWN[JII 8UIL0tflll DAT[)
PLANNING DEPT.
HEAL TH DEPT,
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT,
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 $ __ :; __ 7 ____ _
INSPECTOR
INSPECTION RECORD
DATE -.--REMARKS IN.,.••ECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
d FINAL 1/ 1~ ----
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
------------------------
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
DAliECEIVED
JOL 2 3 1979
ZONE LOT SIZE LOT WIDTH ---------------------------~
'UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED ----~--
INTRUSIONS
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEES: DISTRICT:
ADDITIONAL COMMENTS:
REAR SETBACK:
AMOUNT:
1
0K TO ISSUE: '(/4; DATE 1-'2-'-1·1'1oK TO FINAL _______ DATE ____ _
ENGINEERING DEPARTMENT ~ . (/' ;;:t,i_; ~ 1 ;:l-d lJJ 'ti, 11 7 cJ , (I-()
(
~? '
R. 0. W. """" INDUSTRIAL WASTE 1-J l IMPROVEMENTS_lv-'--"~------
SEWER CONNECTION V :A DRIVEWAY LOCATIONS __ ~......,t+----------;-----
GRADING PERMIT 1,(A EASEMENTS Hl>"t! S:wo .. ...,..,,. DRAINAGE---'-N-'-'-A....,__ __ ,._ppf.y
LEGAL DESCRIPTION___.,(~,::.:..;~=c;-:....:..A-,~. ~~~,AP'D......,"-"-V~~----------------------
ADDITIONAL COMMENT~sJ&~,·~e~±i';;ii1~fl!i1'111E:'•~1~,,-~~LI ___________________ _
OK TO ISSUEct-fe¼;_ DATE 1·?-3:J) PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING 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 ________ _