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HomeMy WebLinkAbout2401 La Tinada Ct; ; 77-199; Permit-MODEL NO. _________ _ -BUILDING PERMIT APPLICATIO~ City of CARLSBAD, CALIFORNIA 9200~' 9· 7 ~P:;0 167&••tt••21.00 Applicant to complete numbered spaces only Phone 729-1181 JO!I AOOFl ESS LOT NO, I"'. J OWN [l'I: M.0.1 L ADO RESS '" Perm ,t No (□SEE ATT.O.CHED SH[[TI PHONE '? 7-19'7 ASSESSOR'S PARCEL NUMBER BOOK PAGE I PAR. 2 L~r.i1 ,,~ R.:.nc.~ 'f;Joog CONTl'l:.0.CTOl'I: MAIL ADDRESS PH Q,-E STATE LIC, NO. CITY LIC, NO, 3 '"'"""'~( Al'l:CHITECT 01'1: DESIGNER MAIL ADDRESS PHO,-E LICENSE NO. 4 ENGl,-EEFl MAIL ADOl'l:ESS PHONE LICENSE NO. 5 COMPENSATION INS. CARRIER MAIL AQOl'l:[SS 8!11ANCH 6 ________________________________________________ __. . ., USE OF 8UILOING 7 c; C: ("). NO. BDRMS NO. BATHS 8 Class of work: □NEW ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE 9 Describe work:(d'~ t" --• - 10 Change of use from Change of use to 11 Valuation of work: $ /7.,--z,~ PLAN CHECK FEES SPECIAL CONDITIONS, t------------------------------1 Type of Const. 1--------------------------------< Size of Bldg. 42-(i<. (Total) Sq. Ft. t-:-:;::-:-;,:-;~~,;:-;-;;-;-:~;--:-,;;:--:::::;-;:-:~;-;-;:--;:-:;---....,.-:-:::::-;:::,;-;:-;r-::::,:,-:-,c::-;-::1 Fire APPLICATION ACCEPTED BY PLANS CHECKED BY APP~OVE p1ssuANCE BY zone No. of DATE DA Dwelling Units NOTICE r 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 ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO 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. $1G,-ATUl'I:[ Of CONTRACTOl'II 01'11 AUTHOIIIIZ[D AGENT lDA Tt f s½ifrtE Of OWNER~ILD[l'I:) OA TE) Special Approvals PLANNING DEPT. HEAL TH DEPT. Fl RE DEPT. SOIL REPORT OTHER (Specify) ENGlNEERING DEPT. WATER DEPT. 7,--I PERMIT FEE s ,- Occupancy Group No. of Stories Us, Zone MICRO FILM FEE Max. 0cc. Load Fire Sprinklers Required Dves DNo OFFSTREET PARKING SPACES: No, Covered Required Sq. Ft. Received INo, Open Not Required WHEN PROPERLY VALIOATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH TOTAL FEES$~:?-~_/ ____ _ REQUEST FOR /J/ln . INSPECTION T1ME_~r_•"L~- 1n,;,cto, _ _ ___ /hM.. . -,, ;::_•":'._ _ __ _ o., 'jf, ;;Jt,,-7 7 Owne, ____________ ~£1.__v-c---r_ ,.__~~==---------=---- Address •• BUILDING PLUMBING ELECTRICAL MISCELLANEOUS ~u~·st~d ·~y.: ........... ~.......... _.)) --:r Phone number.. -----··················· Person Taking Report: --"-----"----'--- INTERDEPARTMENTAL INFORMATION SHEET DATE: /--/ 7-Z 2 BUILDfNG DEPARTMENT BUILDING ADDRESS: ___ ___,2,?:...;t/,r;..1.'/J:L,,/-/_....1,~~~¼eu!!::' ::t:!:::ill.4f:fll!!5hc:«..,L-w&a.-___ ---,-___ _ PLANNING DEPARTMENT LOT SIZE---------+---f,,-aEU""I % OF COVERAG"'------ FRONT SETBAC,.__ __ __,._ ENVIRONMENTAL PROTE l~SUE PERMIT ~# ENGINEERING DEPARTMENT PROVIDED ____ REQ. __ _ _____ ALLOWED ___ _ _____ INTRUSIONS ___ _ ----t-_...,.--__ LANDSCAPE PLAN ______ _ DATE 1/11/77 OCCUPANCY _____ DATE ___ _ R.o.w. ______________ lNDUSTRIAL WAST ____________ _ IMPROVEMENTS __________ ,SEWER CONNECTION ___________ _ DRIVEWAY LOCATIONS, _______________ GRADING PERMIT _____ _ EASEMENTS•----------~--------RAINAGE ________ _ LE'GAL DESCRIPTION ___________________________ _ ADDITIONAL COMMENTS __________________________ _ l~UE PERMIT _______ ,DATE-+--w--'-+_._---______ ATE ____ _ 1 . EIRE DEPARTMENT SPRINKLING SYSTEM ___ ---;;,_...,_...--:::al/f-Jf-tflt--+.;-r.r--,--· .... • __________ _ FIRE PROTECTION EQUIPME LOCATION, ____________ _ ADDITIONAL COMMENTS __________________________ _ ISSUE PERMIT _______ ,DAtE _____ OCCUPANCY ______ DATE ____ _ WATER DEPARTMENT C M W D _______ CARLSBAD ____ OLIVENHAIN......,. ___ SAN MARCOS ___ _ ADDITIONAL COMMENTS __________________________ _ ISSUE PERMIT _______ DAT.._ _____ OCCUPANCY ______ DATE ____ _ SENT TO PLANNING SENT TO ENG. DEPT. ------- RETURNED TO BLDG. RETURNED TO BLDG. DEPT. ----