HomeMy WebLinkAbout2608 COLIBRI LN; ; 79-2608; PermitMODEL NO c 7/SQ/7399/48 fc8sQO BP
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Applicant to complete numbered spaces only
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No
JOBADDR E S
-J-
/
ASSESSOR SPARCEL NUMBER
« LEGAL
IDESCR
(!_ {SEE ATTACHED SHEET)
/ V
MAIL ADDRESS
CONTRACTOR
Q U
MAIL ADDRESS STATE LIC NO CITY LIC NO
ARCHITECT OR DESIGNER WAILADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER _
USE OF BoJL DING
•«> HDRMS NO BATHS
8 Class of work D NEW ^ADDITION ^ALTERATION D REPAIR D MOVE D REMOVE
9 Descnbework LU^lL S* P'O rf/Gfi) . F&Qtjf'+&jS
10 Change of use from
Change of use to
11 Valuation of work $'/x.PLAN CHECK FEE S l(g O PERMIT FEE S
SPECIAL CONDITIONS
Size of Bldg
(Total) Sq Ft
No of
Stones
MICRO FILM FEE
Max
Occ Load
APPLICATION ACCEPTED BY PLANS CHECKED BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required Gves DNO
No of
Dwell, ng Umts
OFFSTREET PARKING SPACES
I NoSq Ft Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL 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
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
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
siCNVftrffE <yr OWRTR (IF OWNER BuiLDgaTI fJ. l°ATE'
Required Received Not Required
EN PRO/ffBLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION ^ CK M0 CASH PERMIT VALIDATION CK M O CASH
TOTAL FEES $.
iiMSPECTfOiM RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE REMARKS
"
SWSPECTOR
1
USE SPACE BELOW FOR NOTES FOLLOW UP, ETC
-O
INTERDEPARTMENTAL INFORMATION SHEE
BUILDING DEPARTMENT DATE
BUILDING ADDRESS
PLANNING DEPARTMENT
70NE LOT SIZE
UNITS ALLOWED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED
PROVIDED
INTRUSIONS
PROVIDED,
PROVIDED
PROVIDED
SIDE SETBACK REAR SETBACK
LANDSCAPE & IRRIGATION PLAN COMMENTS
ENVIRONMENTAL PROTECTION REQ
SCHOOL FEES DISTRICT AMOUNT.
ADDITIONAL COMMENTS
OK TO ISSUE YXjfO DATE /"/V HI OK TO FINAL DATE
ENGINEERING DEPARTMENT
ROW INDUSTRIAL WAC-TE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS ( yj/^ &M.
LEGAL DESCRIPTION Or 7 3-^9^
DRAINAGE
FIRE DEPARTMENT
SP^IMCLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP
EXITS
LOCATION
OK TO ISSUE DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
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
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 tba-GaJ.iforma Labor
Code
SIGNED
PRINT NAME AND TITLE
JOB ADDRESS
DATED