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HomeMy WebLinkAbout2410 Jacaranda Ave; ; 82-182; Permit"' z 0 " .. .. :'i u .. 0 .. I[ 8 .. .. 0 -' 5 ~ .. z ~ z 0 " .. "' z w .. ,. 0 u "' <C w "' <C 0 ,. ii O 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. l•C No _ Closs I hereby atf1rm that I am exempt from the Con- ~!o;·~~~~i;;: ~;' ~t~~.~~l~~r~~,(~r county wh,ch requires a pem11t to construc1 ,11Uer. ,mprol'I!, demolish, or repair any structure, prior to 11s issuance also requires the applicant for such perm,1 to tile a s,gned statement that he ,s licensed pursuant to 1he prov1smns of the Con tractor's License law (Chapter 9 commencing with 5eclloo 7'CO) of Dw,s,on 3 ol the Business and Pro- fessions Code) or that ,s exempt therefrom and the bas•~ for the alleged e~emptmn Any vmla!1on of Section 7031 5 by an applicant tor a permit sub1ec1s me apphcant 10 a c1v1I penalty o! not more 1han !Ive hundred dollar., (S,500) □ 1, as owner of the property, or my employees ,.,th wages as their sole compensat,on, w111 do the worlt. and the structure Is not intended or offered tor sale (Sec 7()4.(, Business and Pro!ess,olls Code The Contrac!or's License Law does not apply to an owner o! property who builds or improves thereon and who does such work himself or through his own employees. provided that such 1mproveme,1ts ate n.ol 1ntende1 or ottered !or sale If. however. the bu1ldmg or ,mprovement ,s sold within one year of completion, the owner-builder will have 1he burden of provmg thal he d,d not build or ,mprove for the purpose of sale) D I, as owner of the property. am exclus1~ely con1ractmg w,th hcensed contractors to construct the proiect (Sec 7CMA. Business and Protess1ons Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts Im each proiects w1tri a contractor(s) hcens.e pursuant to !he Contractor's License Law) 0 lamexemptunderSec for this reason . B & PC D I hereby afllrm that t ha•e a cert1f1cate o! consent to sell-insure, or a cert1f1cate of Workers Compensation Insurance. or a cert,f1ed copy thereof ;Sec 3800. Labor Code) POLICY NO COMPANY O Copy ,s hied with the c,ty □ Cert1t,ed copy ,s hereby furmshed CERTIFICATl OF EXEMPT!ON FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,f the permit ,s !or one hundred dolia~ 1$100) or less) 0 I cer11fy that m the performance of the won< !or which this perm,t 1s issued. I shall not employ any person m any manner so as to become sub1ect to the Worl<ers· Compensation Laws o! C.iilfom1a NOTICE TO APPLICANT 11, after m.ikIn-;i this Cert, t,cate"ot Exemption. you should become sub1ec1 10 the Wor1<.ers· Compensation prov1s1ons ol !he Labor Code. you must forthwith comply with such p,ov,s1ons or lh1s perm,t shall be deemed revoked 0 I hereby a!t,rm 1hat there ,s a conslrucl10" :ending agency tor tt,e pertorrnance of the worl< to, ,..h,ch 1hrs perm,! ,s ,ssued (Sec 3097 C>vil Code1 Lenders Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB AOORESS :J!flD •.. . . \. . Jr. Ta:c:..o..:fu \l.\t'.X:& . BUSINESS UCENSE # VALUATION PERMIT NUMBER AV. ST_.IOATE OF APPLICATION RO. 1 Vii\.~ y '{'a'! PRIME CONTRACTOR, J CONTRACTORS PHONEtt-ZONE ~)--/ g./ .... """" !!:.NE.R"S NAME ;' • , . .'. -. -, .--• · • :. :. • / ,_. ~ OWNER'S f'HONE ~l."l.t"'I ~\-(.:6.:. :'t;':$...'1\Mll?:~~-:'·~ 9'1.~-94"1 ... ~ OWNER'S Mt•.t..lNG ADOR'ess. ~r:~· . . · •. II . ••_· ·;". . .. . LICENSE NO. n•N 1.0. • BLDG use coo, 1l.tt 10 :r-a,~r-g,"I.IU.":~:-~,-,b ,i~ .. ' ~TATE LICEN~E # STANDARD PLAN# BUILDING SO. FOOT AGE LO.T BLOCK §UBD1Vl$oN • . •· .i ASS~ l'AJl(la NO. lh ,:.;. I..;. ~I'll t,,,,Jt;,; ' \ ;.J"5$ 0 ;() '-/ ~00 DESIGNER ,,,.,,. DESIGNER'S ADDRESS OESJGNER'S PHONE .~f--. F/P FLA ELEV. NO OCC GP EDU A. /· I ...,_ -,.,. STORIES re;... t, r ltl'U YO NO --- RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT . AREA v □NO YON □ TYPE CONST ace LOAD I FIRE SPA YO NO i.~ l:~i ;-:: r . l..;-i 1,;;_.<~ = // Nor Valid Unkss fbchine Certified QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP EACH BUILDING SEWER >---+--. ---·-- EACH WATER HEATER ANO/OR VENT --··---------- r-~·fH GAS SYSTEM_2 !0 4 OUTLETS ~ACH GAS SYSTEM 5 OR MORE .._ _ _,__EA_C_H_INSTA~ .. ALTER, REPAIR WATER PIPE ~--EACH VACUUM BREAKER L__~R SOFTNER -==-ti E-~CH R~~~ ~R~-IN (INSIDE~- TOT AL PLUMBING l QTY. ELECTRICAL PERMIT· ISSUE NEW CONST EA AMP/SWT:·BKR ---+-- --+--- ·--+-- --t--· INSTALL FURN DUCTS iJP TO 100,000 BTU OVER 100,000 BTU I----· - BOILER/COMPRESSOR UP TO 3 HP I I BUILDING_P~!!M!L_ SIGN PERMIT +------+-- -~----''---I-PLAN CHECK I 801LER/COMPRESSOR:C15HP. I I TOTAL PLUMBING METAL FIREPLACE ____ ELECTRICAL . .. ---. ---· -- VENT FAN SINGLE DUCT ____ _j ____ :__-,1---'MECHANICAL --------+----~-MOBILEHOME t-- MECH EXHAUST -HOUU-'UUC IS RELOCATION OF EA FURNACE/HEATER -1 ~iEH0MEPARK INSP SOLAR t-- . ·---.,._ __ TQT,4,L MECHANICAL STRONG MOTION + r= I ~FIRE SPRINKLERS OTY. SOLAR -ISSUE I .PuBuc FACILITIES FEE ----"'-.. -----------+-------l·-BRIDGE FEE =----scHOOlFEE-~-□IS-TRiCT ----II-COLL EC I UK::i ----· 01-000-4220 i 01-000-422~'-~-+--- ~I --_____, _01-000-4806 01-000~~ -------1 01-000-4223 01-000-42~~ -- 01-000-4225--+-- 01-000-4226 f---- 65-640-0519 -------, --01-000-4~ -· 25-000-49~_ --- --·- 1 PH 3 PH ----+-·--jj---1-?0RA~~TANKS ----------+-~~!1.s~ad ROCK STORAGE • D Enc1mtas -t-- 65-6_?_~-05~9-----!-- 65-624-0519 EXIST BLDG EA AMP/SWT/BKR 1 PH 3 PH -+-.. PUMP PLAN CHECK FEE ·--- ---------+-----'----11. San Dieguito 65-625-0519 ~ r San Marcos 65-626-~ REMOOEL.1ALTER -+---PER CIRCUIT . -·1----------+-+-. -------- I-TEMPPOLE 200AMPS f---+-□c_VccEc_R_200 AMPS TEMP OCCUPANCY 130 DAYS) ·---·--ff---+-- ·-. ----+.-----· . -+---+ --- ------ir--.. +----- ----- -- --··+---··-- ·-··---+--- J__ _____ _ -i -------!I----j TOTAL SOLAR TOTAL ELECTRICAL TOTAL FEES PAYABLE T v-.r --- <, _,··· --~··,· ,·"' ,,, ~ u: >, oi 0 a. E ~ I _Q 0 (!) E " .Q 0. a. <( I ~ C a: 0 "' "' " "' "' <( I ,: _Q ai >- ,;; "' " 0 D 0:. " ;;; 0 ~ " u C " C u. C " i" (!) 0 u " a. "' C 2 I HAVE CAREFULLY EXAMfNED ~~C),,~iND PERMIT'' AND DO HEREBY E•piration. ~~~bytheBuiktingOfficialunderthePf~~ionsof'thil '!/t" MfQlillHlt., Pbllllf-◄-a¼:Ja,l~--0¥£1':" CERTIFY UNDEfl PENAL TY OF""~URY THAT ;\LL t~ON HEREON INCLUDING THE Code ~all exJ)lre by liffl!~Ol'I and become n~ll ~nd void. If the bi.nldmg or work ·~· Cr"' ,ANO. f\Jl~ OF DECLARATIONS ARE TRUE AND coi:mr::-t":T AND I r.ff>fl.tetGERtlFY AND AGREE IF A PERMIT IS aultlc~nzed ~y such ~rmit IS not commenced w1th1n 180 days fr~ the date of such , · , O¥Efi <lif --~~UT , . 1 ...... "'-¥• ru9..-1 permit, or 1f the building or woril authotiZed by such permit ta auspended or ---~' , --~• ISSUED. TO COMPLY WITH ALL C TY, COUN-TY ANJ) STATE t.AWS GOVEFINING BUILDING CON· t~•~ba!!!!ndo~Md!!!!1•~•!•~•(.!!lim!!!!•1afte,!!!,~tt>!!!!•~W0!2!!1k!J!i>~c~om'!!!!m~•~•~c!ed!..!!fo~•~•~~ri~od!!,SU1~!!1>~•~-____ ..,..,,,~~,.,.,..----------~~~f'-----.ii STRUCTION, WHETHER $PEC!Afl)fll:REIN OR NOT. JAL.SO AGREE TO SAVE INDEMNIFY AND c , ""'l'IIE,.::;___ PP~V n KEEP HARMLESS THE CITY OF C,VlLS~O .!iGAfN$. T"AU..UABIUTIE&. JUDGMENTS, COSTS AND ~I A~S SI~:-1f. CONTRACTOR O A ED BY EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJ0 ciJY IN CONSEQUENCE OF THE BY PH 0 GRANTING OF THIS PERMIT., .~ . " ' , " , • ~ ........_ Q.__ ONE lo/7/r~~ } ..... , INSPECTION TYPE DATE INSPECTOR BUILDING ----FOUNDATION REINFORCED STEEL MASONRY GUNITE·OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING - SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND $HOWER PAN GAS TEST ' ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC • ELECTRIC SERVICE • BONDING '1 G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL ,,{./ PLUMBING . ) ",V .,r / ELECTRICAL 8,1"" "i,r;- MECHANICAL n,,,.w, / " ,V ' ,. GAS (/ I / V / BUILDING ,,, SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED --. - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES -- INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO - FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE -POST TENSIONED CONCRETE -- FIELD WELDING ---------------HIGH STRENGTH SOL TS ~----· ---------I SPECIAL MASONRY I -~ i PILES CAISSONS ----~- i I ' ----I i I - I j I -------------------~ - . ---- ----- - -----·--- ------ ----- ., z 0 ~ "' .. -' :.l C "' I[ 8 "' .. C -' 3 ~ .. z ~ z 0 " ~ z .. .. "' 0 0 ., ir .. " "' ~ l[ O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dlvlslon 3 of the Business and Professions Code, and my license is in full force and effect. Lie No Cla,s I hereby att,rm that I am exempt from the Con ~,'0;·a~~~i;:: ~; ~~1~1:s,1i~1~~e'8t~~~.\~ir counly which requires a permit 10 construc1 alter. improve, demolish. or repair any structure pnor to ,ts ,ssuance also requires !he applocant for such permit to hie a s,gned stalement that he ,s l,cen58d pursuant to the prov,s,ons of the Con tractor's License Law (Chapter 9 commencing wrth Sect,on 70ClO o! O,v,s1on 3 of the Business and Pro tess1ons Code) o, !hat ,s exempt !here!rom arid the bas•S !or the alleged exemption Any v,olat,on of s«t1on 7031 5 by an appl,can1 to, a perm11 sub1ects tne applicant to a c1v11 penalty of not more 1han 1,ve hundred dollar.; (S500) O I, as owner ot the property, or my employees 11,nth wages as their sole compensa1•on, w,11 do the wort<, and the structure 1s not ,ntended or offered to, sale (Sec 7044, Business and Protess1ohs Code The Contractors L•cense Law does no1 apply to an owner ot property who builds o, improves !hereon and who does such won< h1mse1! or triroug~ h,s own employees, provided tha1 such 1mproveme;its are not m1ende'.l or oflered for sale II. however. the building or improvement ,s sold w,th1n one year ol complet,on. the owner-builder w111 have the burden of prov,ng that he did not build or ,mprove for the purpose of sale) D I. as owner 01 1he property. am exclus,vely contract1nc;1 wrth licensed contractors to cons1ruct ~r~:;~~ac;~-l~cu:~~=s~!nJ:;~t~f!~p~! to an owner o! property who builds or ,mproves !hereon. and who con1racts tor each proiects w,th a contractorls) hcense pursuant to the Con1f1octo,·s License Law) 0 I am exempt under sec tor 1h•s reason . B & PC D I hereby a!lorm that I have a cert1!,cate of consent 10 self.insure. or a cert1!1cate of Workers Compensation Insurance. or a cen1!1ed copy thereof (Sec JBOO. Labor Codel POLICY NO COMPANY 0 Copy ,s filed w,th the city 0 Cert11,ed copy ,s hereby !urn,shed CERTIFICATE:. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sect<On need no! tie completed ,! the perm,1 15 101 one hundred dollars iSHX)) or less) D I cen1ty that ,n 1he per1ormance o! the wort< for wh,ch this perm,t 1s issued. I shall no1 employ any person many manner so as to t.iecome sub1ect to the Won<ers Compensation Laws ol Cal1!om1a NOTICE TO APPLICANT If. after maktn~ lh1s Cert, hcate o! Exemp11on, you should become sub1ec1 l'J the Wort<ers· Compensation prov1s,ons ot the Labor Code. you must !or1hw,th comply w,th such prov1s1ons or 1h,s perm,! shall be deemed revoked D I hereby aH1rm that the,e ,s a constrJct,o~ 1end1ng agency !or the per1ormaw,e of 'he wofl< lo, wh,ch tn,s D£!rm,! ,s ,ssued 15ec 3037 C,v,: Code1 Ler,der s Na...-,e ___________ _ Ll'nder s Address __________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT ~200 Elm, Carlsbad, California 92008 (7~4) 438-5525 APPLICATION & PERMIT J08 ADDRESS 1..~Q -\A.('_A~\t":A OWNER'S NAME ~ \~\.)\,.At:=: OWNER'S MAILING ADDRESS .c:=._Aa. }~ ,~ ~~7Z-~iDIVISIQN DESCRIPTION-bf WORK l OWN£ R'S PHONE I )f;.'?f~::.cr52zo -A-z--~ AV.J_T I Dq: 1~8P,.CATION PRIME CONTRACTOR CONTRACTOR'S ADDRESS DESIGNER 1----------------------------------------l! DESIGNER'S ADDRESS BUSINESS LICENSE # CONTRACTORS PHONE # LICENSE NO. STATE LICENSE# DESIGNER'S PHONE ~w'-~_\__Q__(:O~ --------I F/P FLA ELEV j [ NO I ace GP \ EDU f crnsus rnAo I ce CANO USE I eARK,NG S>ACE I ReS uN,;s I GRADING f:ERMIT ISSUED y □ N 0 YO NO I REDEVELOPMENT AREA vQ NO STORIES TYPE CONST \I -1\. 12=--3 OCC LOAD ""-i 0 Fl RE SPA YO Nii ,:g41 ZONE PERMIT NUMBER Bl-310 PLAN 1.0. # BLDG USE CODE fA-110 c~ STANDARD PLAN# BUILDING SO. F90TAGE ~r/{ Not Valid Unless Machine Certified QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO,-QR VENT ---+------------ EACH GAS SYSTEM 1 TO 4 OUTLETS BUILDING PERMIT -□~BTU ~---~-4~~ -INSTALLF_URN DUCTSiJPTOlD, --1 SIGNPERMIT_. _ -l ___ -_-----_ --+--__ ----f-~ -0 VER 1 OO .DOD BTU -f------rPLAN CHECK ~ ~ ft±fil -_ _ --------j --TOTAL PLUMBING ---- -----\--f-_ -t+ -_-_ -_ -_ -_ -~--' -_ -_ -_ Tl_MEELECTRICAL --+-=--""' ~l~---;,\:-\1-~--•--~-/i-_._ MEGHAN!:_----~-==t -------= ---1 -- ------- t---- BOILER/COMPRESSOR UP TO 3 HP ---+ ~~- EACH GAS SYSTEM 5 OR MO RE EACH INST Al ALTER, REPAIR WATER PIPE ---------- EACH VACUUM BREAKER f---+----· ----- WATER SOFTNER ---+--+----------- ~T-CH ROOF _DR=l~~D~~-- TOT AL PlllMBING _L -----~ ~~~~-r--lr;:;;;; = = ----~-~~= PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE ------ BRIDGE FEE 2.00 QTY. -------+--- NEW CONST EA AMP.'SWT BKR I PH 3 PH EXIST BLDG EA AMPiSWT/BKR I PH 3 PH REMOOEL'ALTER PER CIRCUIT f---+--------- TEMP POLE ZOO AMPS f----- 1---+-0VER 200 AMPS TEMP OCCUPANCY {30 DAYSI +- 1--_J_ SCHOOL FEE -DISTRICT -T-t----t---1'------ Carlsbad Enc1nitas -- San D1egu1to --+----------- PLAN San Marcos -- -+--- V --------#----- ----· --- ----j------ -+--- t-------- -~ f---------- f------- -- TOTAL ELECTRICAL 1 I -t--- 1 TOTAL FEES PAYABLE I i.+, 00 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permrtissuedbythe&ilding Offic1alundertheprovisionsofthis CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMAT\ON HEREON INCLUDING THE Code shall expire by Um.it~ilon ~d become n~II ~nd void. If the building or work DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER GERTI FY AND AGREE tF A PERMIT IS aulh~nzed by such permit Is not commenced within 180 days from the date of such * AN OSHA PERMIT IS REOUtREO ~ EXCAVATIONS OVER 5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVl:A 3 STOAJES IN HEIGHT ISSUED· TO COMPLY WITH All CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON ~rm::o or tf the buil<1ing or work sulhonzed by such permit is suspended_ o, STRucT10N, WHETH.,EA SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY AND <-,'c::"'::';::"":°"":'':-'••c•uUomo•c•""""'"-'"'!!!•awe0e'>'-"'''-"cosmme°"'"""~c••e•.!10S'C''-'~"•°""-'0e1-11•80"-'!!l'L--c--f"~~..,..,,-,,---------------------I KEEP HARMLESS THt CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT'S SIGNATURE Jf. OWNER O CONTRACTOR O A~PR VED BY ~ DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE q q_f:,_ GRANTING OF THIS PERMIT. BY PHONE □ ~ ". I --v , "' LL >-;;; 0 "-E ID ,- D 0 (.'.J c ~ -~ Q_ "-"" I ~ C ii: 0 00 00 ID 00 00 "" I ~ !2 <D >- '" 00 ID " 0 a: ~ <ii D ~ ID " C ~ C LL s C ID ID a 0 u ID "-00 E ~ " ;: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING i G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED I -...... , ... - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION AEQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE -~ POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS ~------------ SPECIAL MASONRY -- PILES CAISSONS -~ - , ------ - • INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT .. BUILDING ADDRESS: d).'f/o Oa-~a< PLANNING DEPARTMENT DATEi!ECEIVED SEP O 11981 CITY OF CARLSBAD BulldlRS gepaftment ZONE __ [2__-_,..__ _____ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED ___________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED eL PROVIDED ____ /"J_-11L~----- % COVERAGE ALLOWED -----"_t::::::_ _______ PROVIDED __ __:V=-~t::::. _____ _ BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: # A!,LOWED PROVJDED __ ~oc.+1v..,.c;,/ __ _ INTRUSIONS i SIDE SETBACK: REAR SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: -N"-11-!A:------------------ ENVIRONMENTAL PROTECTION REQ: ~0~'t.~€~t'.vtL..:..>~e-)..,_ ____________ _ ADDITIONAL COMMENTS: ~fVL.:..tlL"''----------------------- OK, To IssuE~DATE 'lj1:/s1 OK TO FINAL _______ DATE. ____ _ ENGINEERING DEPARTMENT R.O.W. ______ INDUST WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT EASEMENTS. _________ DRAINAGE ____ _ LEGAL DESCRIPTION ii:z-/~ C..T' 7:3 ~ / ADDITIONAL COMMENTS ____________________________ _ OK TO ISSUE:illUO✓ DATE ~ ~2. ~I PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS. _______________ _ FIRE HYDRANTS LOCATION. _________________ _ ADDITIONAL COMMENTS ____________________________ _ t OK _J;O ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ ~~ WATER DEPARTMENT tJ REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _