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Home My WebLink About2350 CIPRIANO LN; ; 79-1986; PermitMODEL NO BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-I 181 * i / / y * jSESSOR S «SD IPr pin flri JOB ADDR E S s^a c.L ASSESSOR PARCEL NUMBER LEGAL IDESCR ~7 ATTACHED SHEET) 'R . MAI L ADDRESS CONTRACTOR ft f L . MAIL ADDRESS I/ai T) £i>MO,MiE PHONE V ARCHITECT OR DESIGNER MAI L ADDRESS ENGINEER MAIL ADDRESS LICENSE NO LICENSE NO €^COMPENSATION INfc. CARRIERv<?fr£.IAI L ADDR ESS USE OF BJI LDI NG NO BDRMS_NO BATHS_ 8 Class of work D NEW /^ADDITION D ALTERATION D REPAIR DMOVE D REMOVE 9 Describe work APPLICATION ACCEPTED BY PLANS CHECKED BY 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 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 AC EN T * ( (DAT E ) f SIGNATURE OF OWNER (IF OWNER BUILDER)(DATE) / "^Special Approvals PLANNING DEPT HEALTH DEPT FIRE DEPT SOIL REPORT OTHER (Specify) ENGINEERING DEPT WATER DEPT Required Received Not Required WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH M*TOTAL FEES $_ A INSPECTION RECORD FOUNDATIONS SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT LATHING OR DRYWALL EXT LATHING MASONRY FINAL DATE 7/4£ REMARKS INSPECTOR J^^^rr-L 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 oermit 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 DATED INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT /(BJUsIiDING ADDRESS DA: >7£> LA&€^MAR 0 r 1P7Q^ CITY OF CARLSBAD c PLANNING DEPARTMENT t ZONE LOT SIZE LOT WIDTH UNITS ALLOWED UNITS PROVIDED PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK ALLOWED ' PROVIDED _PROVIDED_ _PROVIDED PROVIDED SIDE SETBACK INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS REAR SETBACK ENVIRONMENTAL PROTECTION REQ SCHOOL FEE - DISTRICT-AMOUNT ADDITIONAL COMME OK TO ISSUE ENGINEERING DEPARTMENT ROW INDUSTRIAL WAC-TE IMPROVEMENTS SEWER CONNECTION GRADING PERMIT DRIVEWAY LOCATIONS EASEMENTS J LEGAL DESCRIPTION_ DRAINAGE '^Cf ADDITIONAL COMMENTS /} ^ J OK TO ISSUE -/J&>_f DATE PWI OK TO FINAL DATE FIRE DEPARTMENT 3PWIMCLING SYSTEM FIRE ALARNS FIRE HYDRANTS ADDITIONAL COMMENTS FIRE PROTECTION EQJIP EXITS LOCATION OK TO ISSUE DATE OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE