HomeMy WebLinkAbout222 PACIFIC AVE; ; 74-724; Permit---
BUILDYNG PERMIT APPuc'i:r10N
City of CARLSBAD, CALIFORNIA 92008 n. / r;"J , ,/
Applicanttocompletenumberedspaceson/y Phone 729-1181 Permit No /" ',l/-I
JOl!I AODR ESS ASSESSOR'S '"'. PARCEL NUMBER ,..
~
l,OT NO. 1"LK Ir.ACT s..,....,K PAGE I PAR. LtoAL I t0.5££ ATTACHED .SHLET) 1 DE:OC".
OWNER ., MAIL AOO .. ESS ZIP Pt-10Nt.
2 t. VIN ~ -
CONT .. ACTOA n y MAIL ADDAE55 ' Pt,tONE LICENSE NO. STATE CITY
3 bf: 4. _$1,b W7 -~
A.'IC:HITtCT 0 111 OE.SICN(.111 MAIL ADOAES5 PHONE LIC(.N!E NO.
4
ENGINEER MA.IL AOOA[S5 PHONE LICENSE NO,
5
COMPENSATION INS. CARRI ER MAIL A00ft£5S 8 11tANCH
6
USE Of' 9UIL01NG
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ('111; 1 J; t}): I JH/' ) ff-( A.IJ 2 I) 1 <} r -'-~ ..... If {. r, ',t(JiJt,. t.E L rB
10 Change of use from
Change of use to
11 Valuation of work: $ llso ) I PERMIT FEE s ~ ,,r.-0 PLAN CHECK FEES , ..:)
SPECIAL CON DITIONS· MICRO FILM FEE
Type o f Occupancy
Const. Group
Size of Bldg. No. of Max
(Total) Sq. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
APPUCATION ACCEPTED ev PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required D Yes □No
DATE /,
_/ ,I OFFSTREET PARKING SPACES: )/) DATE -9 ;/., 1•I' No. of JNo. Dwelling Units No. Covered Sq. Ft. Opnn -Special Approvals NOTICE Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL T H DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS. 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 ANO KNOW THE SAME TO BE TRUE ANO 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.
51GNATU .. l o, CONT,.ACTOIII 0,. AUTHOJlltCO ACa.NT (DAT[)
~ /4_,.,.,,J ' ,f _/ .!I / -/11i Ir ,'
51GNATUIU 0" OWNEPl"!(I,. OWNE,t l!JILCUO OAT[)
WHEN PROPERLY VALIDATED (IN THIS $DACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD 1tf-7Y/
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
T RENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL '1,/,~ rr M.tL . /
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
/
T ~ .-t½';Y ~~~u, . Z .,¢"~
,.
0 C
BUILDING PERMIT APPLICATI0"-1
City of CARLSBAD, CALIFORNIA 92008
Applicantto complete numbered spaces only. Phone 729-1181 Permit No
JOB A COR £5S Ji ASSESSOR'S
c/.x.>l I/ /7 PARCEL NUMBER
-
LOT NO. I OLK I TRACT ~ BOOK PAGE I PAR.
L£0AL I tO sc, ATTAC.Hro sHcc,TI 1 ocsc•.
OWN(R
(v,_r1tl ..
MAIL ADDRESS/ ZIP 4 PHONE
2 l '~ ) ! ,::-l_, 'JJ I 7 J ' '1._\J,d(
3 CONT•;~x ;_ .lJ-: l t-1._7, ·: M,._IL ADDRESS -PHONE L1trNSE ~,o. STATE CITY
( s i ~ f'.i k.i'I .um ·~.··., (,,{1 J1L:S' ..2 .r: -.
A,_CMIT(CT 0 .. O[SIGN[R -MAIL AOORC55 PHONE ' . LIC&NS.t. H -
4
ENGIN££A MAIL ,t,OORESS P'HON.£ L!Cil"-'51:.. NO,
5
COMPENSATION INS. ~ARRER-t,,O.ti.. AOOR tSS BIii.A.NCH'
6 Bftii; fYu -use o, BUILDING
7
8 Class of work: 0 NEW 0 ADD ITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: fiEr: cf i~/: I~ IIIG l/l,~ .. '1 (\... •"1!d~t1i?. PJt. \. 1-c•S { t~lt (i -. ' S'v Lt.&J {
10 Change of use from
Change of use to
11 Valuat ion of work: $ '1{lr"" / 1 PERMIT FEE$\,/~
e:_("I
PLAN CHECK FEE$ -
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const. Group
' s,ze o f Bldg. No. Of Max.
(Total) Sq. Ft Stories 0cc. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone zone Required OYes O No
No. of OFFSTREET PARKING SPACES·
DATE Pl )t,.. o/·.:t'J-' Dwelling Units 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 AIR CONDITIONING. HEALTH DEPT.
.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF FIRE DEPT
CONSTRUCTION OR WORK IS !WSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD O F 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ENGINEERING DEPT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT.
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ' I -'
SIGNATUIIU o,-CONTlltACTOJt OJIII AUTH0lllt11t0 AGE.NT (DAT£)
';'/,·~ ~ .. .:;y)wl ' . . l I -
ISICiNATUfllt 0,. OWNEJ\ ,,. OWN[lt aulLCElllt (DATE:) "'Ji
WHEN PROPERLY VALIDATED (IN THIS SPACE) T::H:.:.IS::....:.IS~Y..:O:..:U::..R:..:...:P..:E:.:.R.:.:.M:..:..:...:IT~-------------
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD "I'-/-7 /D
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT .• LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL ,J,J./ /. Ma;/,,.
~
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
______ is~ ~ ~/-0
~~f'. :c; ~ : [
.. , I
I N.., .... ,..., l&fldU pRO?£R,-\I \J\.lE'
J ' • " '
· l .,7' I: J
I ~-' c")_ I
·.•._i!jf:£11 t-:I .1:-.. A H '(.: qj Jr~-1u-lttfr
0 1---.-l -rl--,-1....,l.ll.c.' -,-1-, 1:
"ttfW,rtS PJ\Tla ~I ~c·-' . -;_Y:';~\
I ~ oWHt..R'.s rAn<l
!l I"-. l I I••.
l 1/
I
I i I .
!
'
SC~ L f.• 1/t/'..:: I ' ·
Nbt11-i More: /Jl.l.. /J~r..s ot.. · ~uPPoL-r 11..Jt,,
tzM 60-S TO STAN}, ON
~ <'-'UYJ('' ·• c5f'0l-uT i:\1.i;u ._. ·.-.•
1/2-'', x11.." Foo"Tl~C,S -e,,'' 46•1>£
G-t.4o~. ·
At)Thlt'19N To t✓oRrrJ clt\iATIC'l'-J -7..r-:~F~R .SrR,uc.7 vt.tf L MeM 13€1!.S TD
13£ .),4Ue.l.l/.S n..e ('ol.J.57 .
Ill/Nii £I} It... 3 t." II.So C>l' ~ ....