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HomeMy WebLinkAbout2209 PALOMAR AIRPORT RD; ; 81-116; Permit. CITY OF CARLSBAD— BUILDING DEPARTMENT - . APPLICATION & PERMIT -. USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 - - APPLICANT TO FILL- IN INFOR- MATION WITHIN RED LINES NO. - ' _IPrILPI'tNAI-4_j4j lf21fIGiWI_I2I-I_I_I JOB ADDRESS - - , ' AV. ST. I_I_I_I RD DATE OF APPLICATION BUS. LICENSE PERMIT NUMBER OWNER . 11 1111 __ C4 N 7HONE ,.Ara Y OWNER'S PMENTRACTOR( STATE LICENSE MAILING ADDRESS c',, CONTRACTOR'S ADDRESS " O ev 4 'e PHONE CONTRACTOR'S - - - - - - - ' ) Not Vehd Unless Machine Cemfied LOT ' BLOCK: SUBDIVISION .t4.I7 i r___•7'3e ASSESSOR'S PARCEL NO DESIGNER ' ' - - -, ' 7 ' ., . , . STATE LICENSE - DESCRIP.TIONOF -WORK -- -- - .' ' - - ' ' ' - j - DESIGNER'S ADDRESS LAND USE ZONING RE S. UNITS PARKING SPACE BLDG B - 0CC GP ST AN DARD PL AN # P TYPE CO N ST 0CC LOAD I_4_L1k -T INSTALL FURN_ DUCTS UP TO100,000 BTL QTY PLUMBING PERMIT AMT QTY MECHANICAL PERMIT AMT EACHFIXTURETRAP - ilL EACHBUILDINGSEWER ,J_ — OVER 100,000 BTU / EACH WATER HEATER AND/OR VENT .j..', . ' -BOILER/COMPRESSOR.UPTO3HP -EACH _GAS SYSTEM 1TO4 OUTLETS - - - BOILER/COMPRESSOR3_15HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 1630HP - EACH INSTAL' ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT - EACH _LAWN SPRINKLER_SYSTEM lIT MECHEXHAUST_—HOOD/DUCTS — WATERSDFTNER RELOCATION OFEAFURNACE/HEATER BUILDING PERMIT cc_. o 0 (jQ SIGN PERMIT 4: TOTAL PLUMBING CONTRACTOR . '2..'2. TOTAL MECHANICAL CONT ACTOR PLAN CHECK Vj(6!_to /_F ALLINCLUSIVE PERMIT/ ciTY ELECTRICAL PERMIT AMT — QTY.MOBILE - HOME PERMIT AMT TOTAL PLUMBING --—, - ELECTRICAL 117 NEW CONST EA AMP/SWT/BKR __/%_( 7_ AWNING MECHANICAV I .--' PH .25 --'-3 PH .PORCH' - ' '-. .v'-.--MOBILEHOME-- EXIST BLDG EA AMP/SWT/BKR SET-UP - SOLAR 1 _PH _25 ___3 PH RAMADA_CABANA — REMODEL/ALTER _ PER CIRCUIT FENCE OVER 6 _(ST S'1'R.3ki_(':-,_ via i_V') 1401.110 — TEMPPOLE _200AMPS /0_ TOTAL MOBILE HOME MICO FILM - OVER ZOOAMPS TEMP OCCUPANCY (30 DAYS) =1 - TOTAL ECECTR I-CAL - - ' CONTRACTOR - — -. - - . - , - - TOTAL FES PAYABLE -- - , I - - HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND 00 -HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I ,FUR HER CERTIFY AND AGREE IF A,PERMIT IS ISSUED;TO COMPLYWITH'ALL CITY,- SPECIFIED HEREIN OR NOT:-].ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM. - OF1'HE-GRANTING OF THIS PERMIT. - ' - - ' COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION,.WHETHER LESS THE CITY. OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAYACCRUE AGAINST SAID CITY INCONSEQUENCE ' , - , • r-' , AN OSHA, PERMIT IS REQUIRED FOR EXCAVATIONS DyE -, 5O" DEEP AND DEMOLITION OR CONSTRUCTION OF -. STRUCTURES,jDVER 3 STORIES IN HEIGHT APPLICANT'S SIGNATURE - ' ' OWNERD . CONTRACTORD AGENT,a'BYPHONED FP LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license lain full force and ef- fect. OWNER-BUILDER DECLARATION - Dl hereby affirm that I am exempt from the Con- tractor's License Law for the following reason - (Sec. 7031 .5Business and Professions Code), Any city or county which requires a permit to con- struct,- alter, improve, demolish, or repair any I, structure, prior to its issuance also requires the applicant for such permit to-file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 -- commencing with Section 7000 of Division 3 of - the Business and Professions Code) or that is ex- empt therefrOm and the basis for the allegedex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a, civil penalty of not more than five hundred dollars ($500). Dl, as owner of the property, or my employees with wages as their sole compensation, willdo the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to, an owner of property who builds or improves -thereon and who does such work himself or through his own employees, provided -. that such improvements are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion,- the - owner-builder ivill have the burden of proving that he 'did not build or improve for the purpose of sale). Dl, as owner of the property, am exclusively con- - - tracting with licensed contractors 'to construct the prOject (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property .ho builds or im- -- proves thereon, and who contracts for such pro- jects with a contractor(s) 1icen5e pursuant to the contractor's License Law). I am exempt under Sec._, B. & P.C. forthis reason Date - Owner. WORKERS' COMPENSATION D C ARATION -., I hereby affirm that I have a ce III a of con- sent to -,IeIf-lnsure, or a certific er orkers - Compeation Insurance, or a e thereo'r'(Sec. 3800, Labor C do) POLIC NO. COMPNY - - OCopy Is filed with the city. - DCertlfled copy is hereby furnished. - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Tbis section need not be completed If the per- mit is for one hundred dollars ($100) or less). I certify that in the performance of the work for - which this Ø'ermlt,ls issued, I shall not employ any person lq any manner so as to become subject to the Worers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject 'o1fie Workers' Compensation provisions of the LObor you must forthwith comply with such rovlstona or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency-for the performance of the work for $Mik ----'ItIs issued (Sec.3097, Civil Code). . . SITE ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION. FORMS .SETSACKSTOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING - - OK TO INSTALL SUB FLOOR • 5,' • \_• iS- ,.. • S SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK • TOILET -• OK TO POUR CONCRETE FRAME - • ROUGH ELECTRICAL ROUGH PLUMBING PLUMBING ROUGH_HEATING/VENTILATING FRAME OK.PLACE INSULATION - INSULATION OK • PLACE WALLBOARD WALLBOARD OK. PLACE TAPE ' EXTERIOR LATH OK. LACE STUCCO -V FIREPLAC€ .- DAMPER&SFEEt PLATE TIES/HEIGHT OF CHIMNEY OTHEI - • TEIP'POWER (POLE) ______ SEWER GAS TEST SWIM -POOL • STEEL BONDING - - * " • PRE DECK . FENCE PREPLASTER SHOWN • FRAME INALJN5PëcB1OG DEPT • -(Y.f OTHE.,j DEPT REQ COMPLETED ELEt METER— ERM—TEMP GAS METER—PERM—TEMP "-- I. --- S CERT OF OCCUPANCY ISSUED -S - - - '•5 5 . '5 I -• vs _46 -7o 'I/ I%O41P 50 1 VALIDATION City of Carlsbad APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPARTMENT . 1200 ELM 438-5525 Address where Business Building will be conducted 9-2061 rALoMA r A Rf'RT oA 0 Permit %,. % I - , Business NameofOccupant Fuzsrr TAT' Phone 43 Address of Home Office of A Home Office Occupant if different from above (000 'z. r 2IPJ &%J I1L-A qo4 Phone - Owner of Building F" gim & Address OO .Wj - Phone i4-- 4772 Type of Business At'1 I&I PJ Describe exact use of all portions of each building and lot 8Af.11..4.G' Previous use of Building Mowe (Jtt) LJL'' Type of.flammàble or explosive liquids to be used, if any - I certify that I have read the statements contained in this application; that they are true and correct, and that I make this statement under penalty of perjury. Dated this % day of' -1V12... 19 0 1—in the City of Carlsbad, State of California Signature of Signature of t/4C€/ Building Official 11A Use Zone - e FOR DEPARTMENTAL USE ONLY Occupancyouj " . Type of Construction J 7 Planning Department - Date (0 '2' Approved sapproved By Department Engineering Date ( - f Approved Disapproved By - -Fire vention Date (0 .q...-ç-i Approved 14 1,4.3i2t Disapproved By Health Department Date II41 f€A RI Disapproved . By Building Department Date - -fjApproved ved - By White - Building Dept. Yellow - Applicant' Pink - Finance Gold - Fire Dept. ,, ' - Si.. - CITY OF CARLSBAD- BUILDING DEPARTMENT • APPLICATION & PERMIT - USE BALL POINT PEN ONLY 1200' ELM AVENUE (714) 438-5525 - NO. - " - .105 A RESS ., AV. ST. R. DATE OF APPLICATION Bus. LIC NSE PERMIT NUMBER - ---i -i OWNER / U OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE hW ii icrr QAVi 1LikkTt3i . OWNER'S MAILING ADDRESS CONTRACTOR S A DRESS 'CONTRACTOR'S PHONE 2-13. Lr Sn ceuic, Sr 742.61k. w-Av STATE LICENSE- LOT 'BLOCK - SUBDIVISION - . - ASSESSOR'S PARCEL NO. - -5- - - - * - 'i I I 7NER DESCRIPTION tiP 1JbdL. ci'o, 1 aol/IJ5/ 8 - OF STORIES , , 71GNER S ADDRESS S ]DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZONING - - RES. UNITS PARKING SPACE- 'NUMBER Not Valid 'Unless Machine Cart,!i& BLDG SO. FT BLDG USE 0CC GP STANDARD PLAN S PLAN ID S - TYPE CONST 0CC LOAD - - I INSTALL FURN DUCTS UP TO 100,000 BTU MECH EXHAUST - HOOD/DUCTS o'- CITY. PLUMBING PERMIT AMT cITY MECHANICAL5PERMIT AMT EACH FIXTURE TRAP - EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT S BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 315 HP EACH GAS SYSTEMS OR MORE BOILER/COMPRESSOR 1630 HP EACH INSTAL ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT - EACH LAWN SPRINKLER SYSTEM - - WATER SOFTNER ' ' . -. RELOCATION EAFURNACE/HEATER '- .' - "BUI'LDI GPERMIT 14 ....f..-' - ' - 00 . . .. 'j O'- - - SIGN PERMIT - TOTAL PLUMBING TOTAL MECHANICAL '- PLAN CHECK CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT TOTAL PLUMBING - cITY. - .,ELECTRICALPERMIT AMT, , cITY, MOBILE HOME PERMIT. . MT. - -- ELECTRICAL 17 NEW CONST EA AMP/SWT/BKR AWNING5 7,MECHANICAL " I I I PH 25 , 3 PH PORCH MOBILE HOME - I EXIST BLDG EA AMP/SWT/BKR SETUP, ' SOLAR 1 PH 25 3 PH - RAMADA CABANA j - REMODEL/ALTER PER CIRCUIT ...,J" - FENCE OVER 6 '' tic2-y3c... /92L9..e7C_ I I I I - .TEMP POLE 200 AMPS . -' . -; TOTAL MOBILEHOME . . ' .. - . - . ''.MlCctfFlLM I- - OVER 200 AMPS - TEMP OCCUPANCY (30 DAYS) - _Q3.AZLULtL, TOTALELECTRICAL TOTAL FEES PAYABLE" - - - CONTRACTOR I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO AN OSHA PERMIT IS REQUIRED FOR EXCAVATIO' HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE NO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED TO COMPLY WITH ALL CITY .5-0" DEEP AND DEMOLITION OR CONSTRUCTION OF 1 i .5v COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER STRUCTURES OVER 3 STORIES IN HEIGHT 'S \ EXPENSES SPECIFIED HEREIN OR NOT. 1. ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM. LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,JUDGMENTS. COSTS AND WHICH MAY IN ANY WAYACCRUE AGAINST SAID CITY IN CONSEQUENCE - -OWNERD- 'C NTRACTOR OF THE GRANTING OF THIS PERMIT. - - - ' ' - - AP.VEDBY— - DATE rPPL~kNT'5fSIGNATURE* "94.1_ i-'/r7i _-'-AGENT 2 BYPHONED __ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under 'provi- sions of Chapter 9 (commencing with Section 7000) of DIvision 3 of the Business and Profes- sions Code, and my license lain full force and of- fed. . - OWNER-BUILDER DECLARATION Dl hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code). Any - city or county which requires a permit to con- struct, alter, improve,, demolish, or repair any - structure, prior to its issuance also requires the applicant for such permit to file i signed state- ment that he Is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption.Any violation of Section 7031.5 by an ap- plicant for a perihit subjects the applicant to a - civil penalty of not more than five hundred dollars ($500) - . - - Dl, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does. not apply to an owner of property whobuilds or Improves thereon and who does such work -. himself or through his own employees, provided that such Improvements are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion,' the owner-builder will have the burden of proving that - he did not build or improve for the purpose of sale). - - - r Dl, as owner of the property, am exclusively con- - tracting with licensed contractors to construct - the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- -, ply to an owner of property .ho builds or im- proves thereon, and who contracts--for such pro- jects with a contractor(s) license pursuant to the contractor's License Law(. lam exempt'under Sec._________ for this reason_- ' - - Date ______________ Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code(. - POLICY NO.___________________________ -COMPANY (dopy is filed with the city..' OCertif led copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - -. (This section need not be completed lithe per- - mit is for one hundred dollars ($100) or less). I certify that in the performance of the work for - - which this permit is issued, I shall not employ any - personIn any manner so as to become subject to the Workers' Compensation Laws of California. -- NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemptloiiyou should become subject to the Workers' Compensation provisions of the - Labor Code, you must forthwith comply with such ,provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for which this permit Is isauet(- "' I) APPLICANT TO FILL IN'INFOR-" MATION WITHIN REDLINES. 5:.. . SITE ADDRESS: T OWNER:' PERMIT NO: • FIELD INSPECTION RECORD INSPECTION DATE 'INSPECTOJ I INSPECTOR'S NOTES • .1 -a WOOD FLOOR FOUNDATION. FORMS .SET BACK .TOILET UNDER FLOOR PLUMBING.: - UNDER FLOOR HEATING - - • • I-, I OK TO INSTALL SUB FLOOR - SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK • TOILET - - OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK. PLCE.TAPE EXTERIOR LATIi 6K,-" PLACE STUCCO -' FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER - TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING k PRE DECK • - - ' • -. FENCE PREPLASTER SHOWN - S FRAME .PAN - • FINAL INSP BY BLDG DEPT - OTHER DEPT'SREQ COMPLETED ELECMETER—PERM--TEMP . GAS METER—'PERM—TEMP --.. /19/I , - CERT OF OCCUPANCY ISSUED . .. h7 p5A5 APPLICATION IOR.PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD TOSE ENGINEERING DEPARTMENT L\p 438.5541 -. . / FOR APPLICANT TO FILL IN . ISSUED BY . / BUILDING. DATE ISSUED ADDRESS If 2 71 VALIDATION OWNER 1.tJ1'h$ r MAILING ADDRESS 2 •. Jlf '• 4' Ei . . LATERAL CHARGE COMPUTATION CONTRACTOR MJ/ STANDARD 4 (Max H 30 V 101 OVER 30'H. _© 'FT.____________________ CONTRACTORS I ,. 4, OVER 10 V -FT.' ADDRESS p ç UM.d STANDARD 6 (Max H 30 V 101 1AIr $ •. •. . .. . .. . . . .. OVER 30' H. FT. 140_______ NEW BUILDING-. . . EXISTING BUIL'DING ' OVER 10'V. _____ ______ FT. LEGAL IDESCRIPTION .'% ,. . . .... ..• ,.. . TOTAL CONSTRUCTION COST tt SERVICE CHARGE (REPAVING ETC) j r73 -1i'i TOTAL LATERAL CHARGE - . . . . . . .• . .• . . . . . . . . . 'REMARKS: - - . - _c '•. •'• '• . 'LINE-COST DATA ASSESSM ENT DIST NO. FRONTAGE COST PER FT.'______TOTAL______ •• ....'. -: OTHER / LATE RALTLOCATION . - .. . '.:- CONNECTION FEE .NO UNITS COST PER UNIT 7\TOTAL '1 / ; - t' • I . .-'- PUMPSTATION'FEES -4. '• JI, ) - ,.._•.4. - , •1 ' T ,,_t . NO UNITS COST PER UNIT________ TOTAL . ' .4 .' ., .' . . . • . . . . - _______ . ,, . -. ,• .. ,. . . . ' • . , p - - - . . ' . ST . .•- . • . . . • ç I :-L TERAL NO. -- INSTALLATION DATE-- . . • -- TOTALCHARGES(LATERALETC) WHITE: Engineering GREEN Finance YELLOW Sanitation PINK Building GOLDENROD Permitter CARLSBAD Prepared by Bldg. Dept. VALUATION AND PLAN CHECK FEE Finance o Esgi]. PLAN CHECK NO,_j—t1( BUILDING ADDRESS ALorvia\ a.cl APPLICANT/CONTACT D HSeA1(esPHONE NO.2-7(, t BUILDING OCCUPANCY TYPE OF CONSTRUCTION BUILDING PORTION BUILDING AREA VALUATION -MULTIPLIER VALUE 4 - I Air Conditioning ______ Commercial j4z •. 2.85 . Residential . .2.40 Fire Sprinklers 1.30 Total Value Build in g Permit Fee 2 Plan Check Fee )LL4 ,/55 Account. No. 65-638-0519 (80% of plan check fee) j I .O 4 Account No, 01-000-4807 (20% of plan check fee) COMENTSi ------ IL DAVID SACIISO AlA ARCHITECTURE PLANNING 4/27/81 - JAMES GILsHIAri ESGILCORPORATION 0 9320 CHESAPEAKE DR. SUITE 122 SAN DIEGO, CALIF. 92123 RE: U.C.B. CARLESBAD BDS #8026 DEAR MR GILSHIAN - - . •:. - --- • - - - - - :. - --- - IN REPLY TO THE COMMENTS IN YOUR PLAN CHECK CORRECTION SHEET DATED 4/1/81, BY COMMENT NUMBER: - - - - i. No CORRECTIONREQUIRED. - - 2 I CHECKED WITH THE CITY OF CARLESBAD THERE ARE APPARENTLY NO REQUIRE- MENTS BY OTHER DEPARTMENTS. - - 3 REVISED SITE PLAN ALREADY SENT TO YOU ON 4/3/81 - • THE GUARDRAIL AT THE DECK IS LESS THAN 30" ABOVE THE SURROUNDING GRADE. THEREFORE, 42" HANDRAIIE IS' NOT REQUIRED. - -' 5. DON KAY, OF WHEELER AND GRAY, SPOKE TO YOU LAST WEEK CONCERNING THE - SOILS CONDITIONS. -HE ADVISED THAT YOU APPROVED THE FOUNDATIONS AS SHOWN - -- - ANDTHAT YOU REQUIRED NO FURTHER INFORMATION.'. - -- - 6 PEPSICO HAS SENT YOU INFORMATION ON THE ENERGY CERTIFICATION OF THEIR - UNIT. - - - - - THUS, I BELIEVE ALL THE REQUIREMENTS OF YOUR PLAN CHECK LETTER HAVE BEEN SATISFIED. - I AM MAILING TWO (2) REVISED SETS OF THE PLANS TO YOU (PEPSICO DRAWINGS REMAIN UNCHANGED AND ARE THEREFORE NOT -INCLUDED IN THESE SETS.) KINDLY AP- - - PROVE THESE TWO SETS AND FORWARD TO CARLESBAD. - ' - THANK YOU FOR YOUR ASS-I-STANCE. 0 VERY TRULY YOURS, ' - -- - - - - : - - - B. DAVID SACHSON AlA - BDS/PAc - 0 CC: M. - BROMBERG - - - - - 654 NORTH SEPULVEDA BOULEVARD SUITE 8 LOS ANGELES CALIFORNIA 90049 213) 476-7533 INTERDEPARTMENTAL INFORMATION SHEET OK TO ISSUE: .BUILDING DEPARTMENT , .YBUILDING ADDRESS: - WM -D . ATERECEIVED , 1 a CIJY (Jt UAFL65AD Building Department P LAN N i} G DEPARTMENT r 1II126 I:/i1' 4ti, L,\TI e-c ZONE P1IV\ LOT SIZE _LOT WIDTH____________________ UNITS ALLOWED UNITS PROVIDED___________________________ PARKING SPACES REQUIRED /1 _PROVIDED________________________ % COVERAGE ALLOWED. PROVIDED L) BUILDING HEIGHT ALLOWED PROVIDED FRONTSETBACK: SIDESETBACK: REAR SETBACK: ALLOWED PROVIDED O oK. INTRUSIONS . k. LANDSCAPE & IRRIGATION PLAN COMMENTS: Of ENVIRONMENTAL PROTECTION REQ: AAD I IONAL COMMENTS: /' ttJ i:M OK TO ISSUE DATE K TO FINAL_____ DATE_______ ENGINEERINGDEPARTMENT R.O.W. INDUSTRIAL WASTE IMPROVEMENTS______________ SEWER CONNECTION 61)4J, is LOCATIONS_________________________ GRADING PERMIT EASEMENTS ____DRAINAGE__________ LEGAL DESCRIPTION ADDITIONAL COMMENTS FIRE DEPARTMENT SPRINKLING SYSTEM FIRE PROTECTION EQUIP. FIRE ALARMS ___EXITS__________________ FIRE HYDRANTS LOCATION, ADDITIONAL COMMENTS OK TO ISSUE: DATE ___OK TO FINAL DATE WAVER DEPARTMENT 'REQ UIREMENTS OF APPROPRIATE DISTRICTS MET __DATE N - •,•' -? • -- - -