HomeMy WebLinkAbout2588 EL CAMINO REAL; D; 79-1907; Permit/
7 50 MODEL NO. TL .-
BUILDTNG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 "Permit No.
JOB ADDRESS
.-
4 #
ASSESSORS
ARC EL NUMBER
LEGAL
LOT NO.
1O(SCR.
BLK TRACT
IEJSEE ATTACHED SHEET)
BOOK PAGE PAR.
0W1cR'-• •J t.- 3$*..lL ADDRESS ZIP, PHONE
CO TRACTOR MAIL ADDRESS
3
PRONE STATE LIC. NO. CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
J)L7'
ENGINEER MAIL ADDRE
5
PHONE LICENSE NO.
COMPENSATION INS. CARRIER jj MAIL ADDRESS
6
BRANCH
USE OF BUILDING
NO. BDRMS_______ NO. BATHS_______
8 Class of work: Li NEW Li ADDITION ]4TERATION 11 REPAIR Li MOVE LI REMOVE
9 Describe work:
' (g,-r- £.'
(Z." *
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE $ ,.Z.P'!R'" PERMIT FEES
SPECIAL CONDITIONS. Type of
Const.
Occupancy
Group
MICRO FILM FEE
SizeofBf9 k
(Total)
No.(/,I(,
5Stories
Max.
0cc. Load
__________________________________________________________________ Fire
Zone
Use
Zone
Fire Sprinklers
Required Lives LiNo APP LICA1ON ACCEPTED BY 1 1
LJA,V
PLANSCRECKED BY APPROVED FOR ISSUANCE BY
/
" / NoOAT1'4I Units =
OFFSTREET PARKING SPACES
Cgered {Sq. Ft.
NOTICE
, SEPARATE PERMITS ARE REQUIRED FOR ELECTFI L, PU1B.(
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.
Special Approvals Required Received Not Required
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
SIGNATURE OP,,CONTRACTOR OR AUTHORIZED AGENT IDA1EI
SIGNATUREOF OjWNER4IF OWNERUUILDERI
\ '4/4177 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLA'$ CECK/QPL1DATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ (A9\
/7
INSPECTOR
.- .. INSPECTION RECORD 'iq'qo7
DATE - REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &•
WEATHER PROOFING
CONCRETE _SLAB,
FRAMING
tNT. LATHINGOR DRYWALL .
EXT. LATHING
MASONRY.
FINAL
USE SPACE. BELOW FOR NOTES FOLLOW-UP, ETC.
REQUEST FOR INSPECTION
INSPECTOR_______________________ PERMIT Nb _____
OWNER
ADDRESS___________________
'TIME:_______________
DATE:
,fl7
BUILDING
LI FOUNDATION
LI REINFORCING STEEL --
LI MASONRY.
LIGROUT-GUNITE -
LI FLOORAND CEILING.FRAME
SHEAtHIiG
LI FRAME
LI EXTERIOR LATH
El INSULATION
C:1 INTERIOR LATH OR DRYWALL mwo FINAL
ELECTRICAL
LITEMPORARYSERVICE
LI ELECTRIC UNDERGROUND
ED ROUGH ELECTRIC
LI POOL BONDING
LIELECTRIC SERVICE
LI CEILING HEAT
El G.F.I.
LI SMOKE;DETECTOR
LI FINAL
PLUMBING
LI UNDERGROUND PLUMBING -
El UNDERGROUND WATER
LI ROUGH PLUMBING
LI TOP OUT PLUMBING
LI SEWER AND PL/CO
LI TUB OR SHOWER PAN
LIGAs TEST
LI WATER HEATER
LI FINAL
MISCELLANEOUS
El PLENUM AND DUCTS • -
LI COMBUSTION AIR
LI PATIO
LI SIGN
LI.GRADING
LI DRIVEWAY
EL CONDITIONED AIR SYSTEMS
LI REFER PIPING
LI FINAL
READY FOR INSPECTION: DMONDAY D'TUESDAY JW EDNESDAY DTHURSDAY 0 FRIDAY
DA.M. , f'
DP.M. '.
SPECIAL INSTRUCTIONS • - •
REQUESTED By_79 PHONE NO.. - •
PERSON TAKING REPORT
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
lawsof California. . .
If, after.making this certificate, Ibecone subject to the workers' compensation pro-
visions of thèCaIiforniá LaborCode, 1 will forthv,ith comply with Section 3700 of the
Labor Code
I undertandthatif, I-fail to cdmpIwith the wôrkërs' compensation laws, this permit
shall be deCmed'revoked.
I further certify that if I should contract or subcontract with any person including any
firm or company, to:dö-.aII orpàrt 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
SIG NE
PRINT :NAME
JOB ADDRESSG2S
/
DATED:
INTERDEPARTMENTALINFORMATION SHEET E C E I V E D
IL EPARTMENT çvy9 'g DATE;__________
BUILNG ADDRESS: . El ci1H//L/O JUL 6 1979 Df
CITY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH____________________
UNITS ALLOWED UNITS PROVIDED___________________________
PARKING SPACES REQUIRED PROVIDED________________________
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED
.
PROVIDED
FRONT -SETBACK:- SIDE SETBACK: REAR SETBACK:'
ALLOWED
PROVIDED________________
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: •
• •
SCHOOL. FEES: • DISTRICT: AMOUNT:,
ADDITIONAL COMMENTS: • '
OK TO ISSUE: •_• DATE • • OK TO FINAL DATE _•
ENGINEERING DEPARTMENT ' ' ' • •• '
R."O.W. 4/ INDUSTRIAL WASTE IMPROVEMENrS :1/4
SEWER CONNECTION ' DRIVEWAY LOCATIONS •4
GRADING PERMIT ,j4_• EASEMENTS __A/A_•,DRAINAGE __________
LEGAL DESCRIPTION Z C4M)k)O Z6/?
ADDITIONAL COMMENTS
•
"•.•
cOK TO ISSUE ______ DATE ___PWI OK TO FINAL ___DATE________
F'IEDEPARTMENT • • • • • •
SPRINKLING SYSTEM SJA ____FIRE PROTECTION EQUIP. _
• •• . jAj FIRE ALARMS
.• EXITS______________________________
FIRE' HYDRANTS p LOCATION ' - • • •
ADDITIONAL COMMENTS • _•