HomeMy WebLinkAbout2602 LA GRAN VIA; ; 78-4974; PermitMODEL NO. _________ _
BUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 eerm1t No .
J()15 AOO~ (!-$ ~ ~ Vi f½ l ASSESSOR'S 2-bO ,, ' ,,_,. l'1 -PARCEL NUMBER -I (.,'
L.OT NO I tLK I •~•c T BvvK PA.GE I PAR.
LE,AL I I (nSE.l. AlTA(M[0 Sl◄([TI 1 0[SC A. LJ ..
OWN£.fll {) LA -MAIL ADDJ!l:£55 ttP PMONt:
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CONTRACTOR M,t,IL •ooA£SS PHON £ STATE LIC, NO. CITY LIC, NO,
3 0 v.,, II F
•ACt-tlT[C.1 OR 0l51GNEIII Jr.1.A.11.. AO0ACSS DHON[ 1.IC[NS[ HO ,
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l.hCINCER MI\IL AOO .. ESS PHONE L1Ct."-SL NO.
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COMPENSATION INS, CARRI ER M._IL AOO,-£.SS IIIIIANC ...
6
U.9£ o, IUll.DINC.
7 NO. BORMS NO. BATHS
8 Class of work: 0 NEW ADDITION □ ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
I
9 Describe work: f.J VCF.!, /)I) If.'( /3.i(1Sllft, r'c J 10 ( 'I '1( 2, c;,-
10 Change of use from
Change of use to
11 Valuation of work: $ 1 .1 'lln ..J::!. / ( (.~ I PERMIT FEE $ I D
PL AN CHECK FEE $
SPECIAL CONDITIONS: MICRO FILM FEE Type of occupancy
Const Group
size of Slag. No. or Max
(TOid!) SQ Fl Stories 0cc Loaa
Fire Use Fore Sprinklers
APP,llCA Tl0:C7 BY '~j°"'"" ., ) APPROVfO FOR 155lJ4"iCE BY zone Zone ReQutred DYes 0No
' /. I OFFSTREET PARKING SPACES. ,,, . I No of
!No. Dwe11,ng units No. DATE OATE Covered Sq. Ft. Open .
NOTICE Specit1I Approv,ils Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING OFPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTAUC HEALTH DEPT
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•
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAV READ ANO EXAMINED THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. 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.
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SIC;.fA'TV.._I: OF ~QNT,,ACT,.0'11 o~;:UTMOl'IIZ(O ACi €.NT fl;lAT[)
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:!il'!NATUfU. OJI' OWH(ll u, ow~r.-,1u1t..D[lll:J (0,A.Tl)
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O CASH
TOTAL FEES$ ___ / ____ _
INSPECTOR
INSPECTION RECORD
REMARKS SPECTOR
DATE
FOUNDATIONS:
SET BACK
CONC
FAM
INT.
EXT.
MASI
USES
REQUEST FQR .. INSPECTION TIME :_-1-1__;;0_• ...... /..z..O __
INSP7r:roR· • ~2?
OWNE~(\V}\~ ~ \ C.... ~ J
PERMIT NO. _______ DATE: q.,-s-n
ADDRESS 'd-. (pf) d: j_ CJ-._ ~k
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION,·~·;TUESDAY~ □THU RSDAY
SPECIAL 1NsTRUCTIONs _________ Q.~--=-o}....:....._~'c....,' ..... )'---L..::.......Co=--..:\J_0)_.__ ___ _
D FRIDAY
REQUESTED BY _____ o"'-\_0;:;....,::.. ________ pHoNE NO. "75"?:,-";). 18qv
\ PERSON TAKING REPORT---cq,f"',R_.,__ ___ _
r
II
RECEIVED
7~-3-~Jf~ cJ
AUG 211978
BUILDING DEPARTMENT_ ;xf w· ATE•
11 ... 6-» ~~ 1 ~ °CITYOFCARLSBAD BUILDING ADORES s: _oL-;;..._"'~· ;;......_oo£.-,c...;;;;..___,,_,;,.....:.:""-;_;___:~::......;;::~=..;.-=-_;::LL:;;.,_..-;..;;..~=----emthfh.....-lllbt,,i--".....,, ..... BoUdfng Department
PLANNING DEPARTMENT
ZONE [2-J LOT SIZE ________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ___________ _
PARKING SPACES REQUIRED PROVIDED __________ _
% COVERAGE ALLOWED PROVIDED -----;--..------lb'-------------BU IL DING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: REAR SETBACK:
ALLOWED ______ _
PROVIDED -------
INTRUSIONS------'
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: 1!!lb DATE<t/,il/7$',oir TO FINAL_~_/ __ ,if ____ DATE __ _
ENGINEERING DEPARTMENT
R.o.w. _____ INDUSTRIAL WASTE IMPROVEMENTS -------------
SEWER CONNECTION _______ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT --------~>9E!?L~~ DRAINAGE
LEGAL DESC~IPTION~;;(:-_,.,e;...1,-'1;1--~~~i~:r-c.J~--"~'-=-a.......{,..~o=11""'4,.,IC~~~--==-~-~~------------
ADDITIONAL
OK TO ISSU DATE~ ;),( 7( · PWI ____ OK TO FINAL_IV-+-__,_ __ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM-~~~-~~~~-~• IRE PROTECTION EQUIP. ______ _
FIRE ALARMS ____ _jlJ~~~~~;;==-
FIRE HYDRANTS ______ ;,~n;'i:~l~~"i~..-~::l]
ADDITIONAL COMMENTS 1~
OK TO ISSUE: _________ DATE. _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
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