HomeMy WebLinkAbout2540 CHESTNUT AVE; ; CB1978; PermitMODEL NO.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
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Applicant to complete numbered spaces only.PnOHG 729-1 181 '''Permit No ''*'
* f-5
?,.«*
JOB ADDRESS rt , *
LOT NO. BL.K TRACT
LEGAL
1 DESCR.
OWNER • MAIL ADDRESS ZIP PHONE
ASSESSOR'S
>ARCEL NUMBER
BOOK PAGE PAR.
• ;*'. ''•&*"'
CONTRACTOR <-.. MAIL ADDRESS . PHONE STATE LIC. NO. CITY LIC. NO.
3 'A
£^&-*'tf • t -i ' *
4
ENGINEER • MAIL ADDRESS PHONE LICENSE
5
NO.
NO.
COMPBNSATI&N INS. CARRIER MAIL ADDRESS BRANCH
USE OF BUILDING
NO. RDRMS NO. BATHS
8 Class of work: D NEW DADDITION ^ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work: /^575?A£~ $U #//(/£> jf-££S> .£>&&tfS && 0£z0S?#&*1 &?#*•&
J?j£ <fC/4f.£' WM/&0W Jf /^^T~ OF- *&$$£- C
10 Change of use from
Change of use to .,*•-
.«•>. .-X"" • — -
/ A"'-L^
11 Valuation of work: $ *~ $$^
SPECIAL CONDITIONS:
^'
jf
APPLICATION ACCEPTED BY. PLANS CHECKED BY APPROVEcf FOR ISSUANCE BY s
\t , IA... ..r n 14^- S-1/
DATE Wj DAT^E.^ "1 /
* NOTICE •:, .1) -' 'J
SEPARATE PERMITS ARE REQUIRED FOR ELECTmCAL, 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
PRESU&ae TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROWSI0NS OF ANY OT>*eR S'TiSrrE OR LOCAL LAW REGULATING
COJ^SJKUCTION OR jmE^Pt^FO^SlANCE OF CONSTRUCTION.
^/^ii&yN*'3'^^
SSGNASff'RE OF CONTRAC TOR>°^R'*AU TH'ORIZED AGENT JCATE)'
/ ' ~ (s
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
PLAN CHECK FEE 1™' ~"y$*l^/~~~ PERMIT FE
Type of Occupancy
Const. Group
Size of Bldg. . No. of
(Total) Sq. Ft. _ Stories
.Fire jfT use
£one f Zone
ijil,/-"-"-"""\ j* OFFSTREET PARKING
No. of '*•*
Dwelling Units Covered Sq. Ft.
Special Approvals Required Rece
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
,?'*" . t i ;' s. '
*c, / -•:" W
E S -S -"•"• "
MICRO FILM FEE
Max.
Occ. Load
Fire Sprinklers
Requ red QYBS DNO
, SPACES.:
No.
Open
ved Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
TOTAL FEES $.'7- f/' • .^^-
INSPECTOR
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:<JLf)
DATE:
RECEIVED
JUN 13 1978
CITY QF QflBLSBAD
Building Department
PLANNING DEPARTMENT
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
ADDITIONAL COMMENTS:
OK TO ISSUE:DATE OK, TO 'FINAL
ENGINEERING DEPARTMENT
DATE
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSUE:DATE PWI OK TO FINAL JJ/A-DATE
FIRE DEPARTMENT
SPPINf£?LNG SYSTEM
FIRE ALARMS
FIRE HYDJJANJS
ADDITIONAL COMMENTS
FIRE PROTECT10N EQUIP.
EXITS
LOCATION
OK TO ISSUE:DATE OK TO FINAL DAT'E
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE