HomeMy WebLinkAbout2505 LA MACARENA AVE; ; 76-4109; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATIO~
L0t /lfq c ~ ~ of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
73J * '411••10.sD 7 {, _.. ////y
J08 A.DOR (SS ·( ASSESSOR'S ,<5'o!S l)1/H(, NI} /f"(' \ _t\_~ l PARCEL NUMBER
LOT 1<,jQ. I OLK I TAAC T 6vvK PAGE I PAR.
LEGAL I ) ~ tOscc ATTACHto 5HttT) 1 DCSCA. /_ ' ' _.,
O'WNCA MAIL ADDRESS ZIP PM ONE
2 T (_. (. K (._ < \ \. +i\<. t \ ~ I . I -CONTRACTOR MAL' ADDRESS PMONC. STATE LIC. NO. CI TY LIC. NO.
3 \ Ll....\..,.,c...i N \_ ~ -n • \ \ C" .. . -
A,.CMITECT OR Of.51CN[R MA L ADORES~ PHONE LICENSE NO.
4
ENCINCCJ\ MAIL ADDRESS PMO"IE LICENSE NO.
5
COMPENSATION INS, CARRIER MAIL AOO,.ESS 8,.ANCH
6
USE Of 81,.llLOING
7 NO, BDRMS NO. BATHS
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: \ A,, ~ J \/ (.; R.-'(_, ) ~ f IC, ' ( .)
10 Change of use from
Change of use to
£.Sd --' I
--,, 4-,. 11 Valuation of work: $ ~ -PLAN CH ECK FEE S PERMIT FEE S C
SPECIAL CONDITIONS: Type of Occupancy MICRO F'ILM F'EE
Const Group
S,ze of Bldg. No. of Max.
(Total) SQ. Ft Stories 0cc. Load
' Fire Use Fire Sprln~lers
APPLICATION ACCEPTEO BY ,
DYes □No PLANS CHECKED av APPROVED ,oR ISSUANCE av ZO!l• Zone Required
L No. of OFFSTREET PARKING SPACES:
OATµ 'J -'No. Dwelling Units No. CATE 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 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-
MENCEO. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL. PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT, TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES 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/
,, -..,,c ,
5\GHATURl OP' CONTRACTOIII o-. AUTHOlltlltD AGENT IOATE I
.!ilGNATUIU 0,. OWNtlt 11,-OWNtlll 8UIL0[111:) !DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH r.J __,
TOTAL FEES $ __ .c.r_V ____ _
INSPECTOR
INSPECTION RECORD ------DATE REMARKS I !: 'ECTOR --FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL 8t
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING •
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
/c:2 -(.,-77
• INTERDEPARTMEN~-JAL INFORMATION SHEEdT DATE: ;O-J6-.... 7k.
BUILDING DEPARTMENT
BUILDING ADDRESS: _ ______!,~::::;__5ZJ __ ··_,s==-:...__..£:__.:_. ~=1//4~--~.a.~...d'jl-..J/2:......1G.a.~-· ---~--
no ~ @oOW
PLANNING DEPARTMENT
LOT SIZE & LOT WIDTH, ________ ZONE,--1-/.._2_-_/.___ __ _
UNITS PROVIDED _ __,u.;,,-_.___,..LLOWED ____ ~RKG. SPACES PROVIDED ____ REQ. __ _
% OF COVERAG"--,.,.,¥,.>L-ALLOWED __ ::::-:-""''--. -~BLDG. HEIGHT _____ ALLOWED .-,
FRONT SETBACK_'-"'"',.__SIDE YARD REAR YARD --INTR~
ENVIRONMENTAL PROTECTION REQ'TS. }(Jd LANDSCAPE PLAN ______ _ ,>
ADDITIONAL COMMENTS, ___________________________ _
ISSUE PERM~ DAT< to/-t?/M OCCUPANCY ______ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ______________ INDUSTRIAL WAST,:;_ ___________ _
IMPROVEMENTS ___________ ,SEWER CONNECTION ____________ _
DRIVEWAY LOCATION ________________ GRADING PERMIT _____ _
EASEMENTS, ____________________ RAINAGE ________ _
LEGAL DESCRIPTIO,._ ____________________________ _
ADDITIONAL COMMENTS ___________________________ _
ISSUE PERMIT l?.f. > ~-.,'/ DATE ______ OCCUPANCY ______ DATE ____ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ____________________________ _
FIRE PROTECTION EQUIPMENT ___________ _.IRE ALARMS ________ _
EXITS _________________________________ _
FIRE HYDRANTS, ___________ _ LOCATION, _____________ _
ADDITIONAL COMMENTS, ___________________________ _
ISSUE PERMIT ________ ATE ______ OCCUPANCY ______ .uATE ____ _
WATER DEPARTMENT
C M W O ________ 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.