HomeMy WebLinkAbout2603 COLIBRI LN; ; 79-77; PermitMODEL NO
Applicant to complete numbered spaces only
BUILDING PERMIT APPLIC
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
.
I/|P/71 Tl
Permit NO 7^-77
JOB ADDS Ec S 1 .
2.6^3 CoUfehl Cfli/ie.
•_ C T N 0 BLK TRACT -
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ASSESSOR S
^ARCEL NUMBER
BOOK PAGE PAR
OWNER i /""i MAIL ADDRESS ZIP PHONE / -•«. x""-— * X* /
CONTRACTOR ' MAIL ADDRESS PHONE STATE LIC NO CITY LIC NO
4
ENGINEER MAIL ADDRESS PHONE LICENSE
5 ,
COMPENSATION INS CARRIER /^7 // MAIL AODRLSS BRANCH
/ U S^E OF BJFLDING
NO BDRMS
NO
NO
NO RATHS
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work <^UV^ ^^H&cl"? T o' X I®-*
A — ?/£
10 Change of use from
Change of use to
11 Valuation of work $ / "~7_~) Jp- <:>~J^_
SPECIAL CONDITIONS
/I ,
APPLICATIONACCEPT&fTrtY PLANS CHECKS D BY APPROVED F cfe * Ssfl A N C E BY
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMB
ING HEATING VENTILATING OR Al R 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
1 HEREBY CERTIFY THAT 1 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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
*^mj£4.* * •"•* y*^^,fc^LX » v *JsQfj *t~^ Tit ^^^ * /^ s&r
SIGNATURE OF OWNER (IF OWNER BUILDER) ^ f (DATPE)
PLAN CHECK 1 EE $ // PERMIT FE
Type of Occupancy
Const Group
Size of Bldg No of
(Total) Sq Ft Stories
Fire Use
Zone^ Zone
7J~7 OFFSTREET PARKING
Dwelling Unit Covered SP F*
Special Approvals Required Rece
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
/ C- e?&-- /o —
MICRO FILM FEE
Max
Occ Load
Fire Sprinklers
Required GYBS DNO
SPACES
NoOpen
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 $.
INSPECTION RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE REMARKS INSPECTOR
USE SPACE BELOW FOR MOTES FOLLOW UP ETC
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS
DATE
JAN 111979
CITY OF C^LSBAD
L1 .atment.
PLANNING DEPARTMENT
ZONE
UNITS ALLOWED
_LOT SIZE_
f UNITS PROVIDED
LOT WIDTH
I
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED
PROVIDED
SIDE SETBACK
7'
biz
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS
_PROVIDED_
_PROVIDED
PROVIDED
REAR SETBACK
ENVIRONMENTAL PROTECTION REQ
DISTRICT FFFS DISTRICT AMOUNT
ADDITIONAL COMMENTS
OK TO ISSUE OK TO FINAL DATE
ENGINEERING DEPARTMENT
ROW INDUSTRIAL WAC.TE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAV LOCATI
EASEMENTS
LEGAL DESCRIPTION
DRAINAGE
ADDITIONAL COMMENTS
/? /'
OK TO ISSUE DATE PWI OK TO FINAL DATE
FIRE DEPARTMENT
SP'IMCLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
_FIRE PROTECTION EQJIP
EXITS
LOCATION
OK TO ISSUE DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
REQUEST FOR^ INSPECTION
INSPECTOR _J , **-.'• <-* ^- ' PERMIT NO.
t
OWNER
TIME
.DATE
C ^_J? ^=A
^ffZ"* ""--^
iu,. BUILDING )
CH FOUNDATION
dl REINFORCING STEEL
O MASONRY
CH GROUT GUNITE
CD FLOOR AND CEILING FRAME
CD SHEATHING
CH FRAME
CD EXTERIOR LATH
L] INSULATION
C] INTERIOR LATH OR DRYWALL
,151,, FINAL
ELECTRICAL
CH TEMPORARY SERVICE
EH ELECTRIC UNDERGROUND
CD ROUGH ELECTRIC
ED POOL BONDING J/
[Zl ELECTRIC SERVICE I I n
CH CEILING HEAT 1 $1 fl'
n G F i 'r ' a
CH SMOKE DETECTOR /JM
CH FINAL
PLUMBING
CH UNDERGROUND PLUMBING
CH UNDERGROUND WATER
n ROUGH PLUMBING
CH TOP OUT PLUMBING
[Zl SEWER AND PL/CO
CH TUB OR SHOWER PAN
[J GAS TEST
n WATER HEATER
Q FINAL
MISCELLANEOUS
ED PLENUM AND DUCTS
n COMBUSTION AIR
n PATIO
n SIGN
CH GRADING
CH DRIVEWAY
CH CONDITIONED AIR SYSTEMS
HH REFER PIPING
0 FINAL
SPECIAL INSTRUCTIONS.
READY FOR INSPECTION D MONDAY D TUESDAY ^WEDNESDAY/ D THURSDAY D FRIDAY
DAM
DPM ./ ^ _ ZT^N
')6
,/#
REQUESTED BY.
PERSON TAKING REPORT
REQUEST FOR INSPECTION TIME
OWNER
BUILDING
CU FOUNDATION
CU REINFORCING STEEL W
CU MASONRY sffr
CU GROUT GUNITE / /
CU FLOOR AND CEILING FRAME '
CU SHEATHING
CU FRAME
CU EXTERIOR LATH
CU INSULATION
CU INTERIOR LATH OR DRYWALL
CU FINAL
'
V
in)(J£s
ELECTRICAL
CU TEMPORARY SERVICE
// CU ELECTRIC UNDERGROUND
CU ROUGH ELECTRIC y
CU POOL BONDING 0/(~
CU ELECTRIC SERVICE • L£
CU CEILING HEAT fl / f\
CU G Fl / ^7-JJ
CU SMOKE DETECTOR ^
CU FINAL
PLUMBING
CD UNDERGROUND PLUMBING
O UNDERGROUND WATER
CU ROUGH PLUMBING
CD TOP OUT PLUMBING
CU SEWER AND PL/CO
CU TUB OR SHOWER PAN
CD GAS TEST
EH WATER HEATER
0 FINAL
READY FOR INSPECTION ^fe^MONDAY
/DAM
MISCELLANEOUS
CU PLENUM AND DUCTS
C] COMBUSTION AIR
CU PATIO
CD SIGN
CU GRADING
CU DRIVEWAY
CU CONDITIONED AIR SYSTEMS
CU REFER PIPING
dl FINAL
a TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
' DPM
SPECIAL INSTRUCTIONS.
REQUESTED BY_.PHONE NO
PERSON TAKING REPORT
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 7291181
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
laws of California
If, after making this certificate, I become subject to the workers' compensation pro
visions of the California Labor Code, I will forthwith comply with Section 3700 of the
Labor Code
I understand that if I fail to comply with the workers' compensation laws, this permit
shall be deemed revoked
I further certify that if I should contract or subcontract with any person, including any
firm or company, to do all or part 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
SIGNED \J£Z*^-&-* ^~<-o /XS'
«A O / /W <E W<PRINT NAME AND TITLE
JOB ADDRESS <£ ^ <3^3 d. Q / / /) r / X
DATED / /// /*7<?