HomeMy WebLinkAbout2225 PAMPLONA WAY; ; 78-4195; PermitMODEL NO • ..._ __________ •
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No 7K~ 4//9.;:,...J J
JOB AODA CSS AS$ESSOR'S '
"''_,.) -r PARCEL NUMBER .,., ' ' / --~
LOT NO, I ILK
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LEGAL I '/' ~~ -:,,J ;/. I tOscc ATTA(HE.O SHt:E.TI 1 ocsc•. .L :J~ -·' I -
OWN CA MAIL ADDR ESS ZIP PM ONE
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CON TftAC TOf\ MAIL AOORCS5 , PHONE STATE LIC, NO. CITY LIC, NO.
3 ">; l .63-?? d I ,I _;-"') _/.j/,) £ / ,,, I/ ff/'; I I ,, r i': t lo, .... r. ..
AIIICHIT[CT OR OC51GHCft M•tt.. AOQ,it[SS PHONE LIC[N$[ NO.
4
tNGIN[[ft MAIL AOOft[SS PHONE LtC[NSE NO.
5
COMPENSATION INS. C ARRIER M AIL AOOftCSS IUUNCM
6 /. ~ -~ /;,, _,,,,,,,.. ___ .; h / /I,,,.. /~ ---~ .. ~ .
use 0,. &VlLOl,..G I r
7 NO. BDRMS NO. BATHS
8 Class of work: 0 NEW ~OOITION 0 ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: k:.c. 7 Al 71 I ? /,,f!/ ~-"-,,<..., ?, 9. ,,, µ,,,:y,h ., ~ -'
/.::,.·,i I '
10 Change of use from
Change of use to .
11 Valuation of work: $ // . I t 1ft--J -l PERMIT FEE $
/, -PLAN CH ECK FEE S
SPECI AL CONDITIONS: MICRO FILM FEE
Type of Occupancy
-Const. Group -
J. ' ✓...,.. .-. -,Z . . .r· Size of Bldg . No. ot Max.
; -A' -(Total) Sq. Ft. Stories 0cc. Load .,,.,.
Fire Use Fire Sprinklers
APPLICATION t'C~EPTEt)-l!Y PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Z one Required □Yes 0 No
1//: ~1--zr. No. of OFFSTREET PARKING SPACES,
~/2,_q Dwelling Units No. !No. OATE OATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMa-PLANNING DEPT.
ING, HEATING, VENTI LATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.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
APPLICAT ION 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 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
-_...,__
SIGNATui.E. Of CONT•ACTO,. Ofll AUTHOIIJIZCO AGENT (OATC)
SIGN.AT ,ts-0" OWNC,t 1, OWNtlll I UILQ[,t) DAT E.I
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ ---'~-Y.::~/!.__ __ ) __ _
INSPECTOR
'
INSPECTION RECORD 7}{-l/(9S::-
DATE REMARKS INSPEtTOR
FOUNDATIONS:
SE
TA
RE
REQUEST ,.I;'~ INSPECTION TIME ~ --
INSPECTOR 'C-~ PERMIT NO .. __ ...,..q. ____ DATE: tJ -~ f'
FC OWNER _________ --..+~,...c;~...y..,....~1:..1...-.::::l----------------
WI
CONCRI
FRAMI~
INT. LA
EXT. lJ
MASON
FINAL
USE SPAI
D FOU
0 REINFORC -G STEEL
D MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□ MONDAY □ TUESDAY □ WEDNESDAY ~HURSDAY
D A.M.
READY FOR INSPECTION: D FRIDAY
O P.M. n _f n n
SPECIAL INSTRUCTIONS _______ ;,..,.D~-Jl~_T::;;___i. ____ \~......,~tl--~---....::.,_-\---
REQUESTED BY _____ S-==----g_---+ _________ PHONE N0. ___ 4;_---+---
PERSON TAKING REPORT _______ _