HomeMy WebLinkAbout2609 COLIBRI LN; ; 78-6221; PermitMODEL NO ftBUILDNG PERMIT APPLICTIONft
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PrlORS 729"1181 Permit Nn
JOB ADDR ESS
LOT NO BL K TRACT
DESCR 73; 7.3 -<2
OWNER MAIL ADDRESS
2 &£?"&£ tVT > Mft^«pv VAfjUte 2-
CONTRACTOR MAIL ADDRESS
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ENGINEER MAIL ADDRESS
5
COMPENSATION INS CARRIER - MAIL ADDRESS
6 / •
USE OF BJILDING
7
8 Class of work Q NEW &&DDITION D ALTERATION
l^Qf-'F G£{ K. i
9 Describe work ?,>Vuo c<.>VcrK. /-SJJv) &>SCV
exists -,uft*
10 Change of use from
Change of use to
/ XtS*** j^ y f*"*^-^
11 Valuation of work $ /O &>I^r
SPECIAL CONDITIONS
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/ /J
APPLICATION ACCEPTED BY , PLANS CHECKE D BY APPROVE DF£R,ilSSUANCE BY
//,;•- (/&
DATE ' ... -''/" DATe"""*
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING HEATING VENTILATING OR Al R CONDITIONING
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
MENCED
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
^M^ \fy* *t'tfT J) &$*£(&* / ^ ""^""'7$
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
ASSESSOR S
j: ^ PARCEL NUMBER
BOOK PAGE PAR
2 i P PHON E
PHONE STATE LIC NO CITY L1C NO
PHONE LICENSE NO
PHONE LICENSE NO
7
/ f *J , J/ BRA.NCH / ^j^ ,
ff fl J -. vw'* * " • Jy*-'''' 'i ,~ f '" '~'
NO RDRMS NO BATHS
D REPAIR DMOVE D REMOVE
<^."^o BG Bu»uT oveiv. ts4v,^i
PLAN CHECK FEE S ~& PERMIT FEE $ /"/
MICRO Fl LM FEE
Type of •"&" f-S Occupancy --> ,<
Const «J£- *" Group ,- J"w
Size of Etldg *)£}A No of Max
(Total) Sq Ft ^"*7^" Stories Occ Load
Fire Use Fire Sprinklers
Zone Zone Required Qves DNO
OFFSTREET PARKING SPACES
N° °* IN
Dwelling Units Covered Sq Ft (Open
Special Approvals Required Received Not Required
PLANNING DEPT "*"^
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT **""
WATER DEPT
x
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
TOTAL FEES fi
INSPECTOR
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 NOTES, FOLLOW UP, ETC
REQUEST FOR INSPECTION
INSPECTOR
OWNER
TIME Jor in)
DATE l-lc-'l'f
BUILDING
ED FOUNDATION
ED REINFORCING STEEL
ED MASONRY
CH GROUT-GUNITE
D FLOOR AND CEILING/F^AME
CD SHEATHING
ED FRAME
ED EXTERIOR LATH
ED INSULATION
ED INTERIOR LATH OR DRYVM
PLUMBING
ED UNDERGROUND PLUMBING
CH UNDERGROUND WATER
ED ROUGH PLUMBING
ED TOP OUT PLUMBING
ED SEWER AND PL/CO
ED TUB OR SHOWER PAN
ED GAS TEST
ED WiA-T&R-HEATER
FINAL
ELECTRICAL
ED TEMPORARY SERVICE
~~/CD ELECTRIC UNDERGROUND/
/ ED ROUGH ELECTRIC ^/
' ED POOL BONDING
ED ELECTRIC SERVICE
ED CEILING HEAT
ED G Fl
DETECTOR
FINAL
MISCELLANEOUS
ED PLENUM AND DUCTS
ED COMBUSTION AIR
ED PATIO
ED SIGN
ED GRADING
ED DRIVEWAY
ED CONDITIONED AIR SYSTEMS
READY FOR INSPECTION DMONDAY
*—
,M
DPM
D TUESDAY DWEDNESDA
SPECIAL INSTRUCTIONS.
-THURSDAY D FRIDAY
REQUESTED BY_.PHONE NO
PERSON TAKING REPORT.
REQUEST FOR INSPECTION
INSPECTOR-PERMIT NO.
TIME
.DATE /&L &
BUILDING
CD FOUNDATION
CD REINFORCING STEEL
CD MASONRY
CD GROUT-GUNITE
CD FLOOR AND CEILING FRAME
CD SHEATHING
CD FRAME
CD EXTERIOR LATH
CD INSULATION
CD INTERIOR LATH OR DRYWALL
CD FINAL
ELECTRICAL
CD TEMPORARY SERVICE
CD ELECTRIC UNDERGROUND
CD ROUGH ELECTRIC
CD POOL BONDING
CD ELECTRIC SERVICE
CD CEILING HEAT
CD G F I
CD SMOKE DETECTOR
CD FINAL
/
PLUMBING
CD UNDERGROUND PLUMBING
CD UNDERGROUND WATER
CD ROUGH PLUMBING
CD TOP OUT PLUMBING
CD SEWER AND PL/CO
CD TUB OR SHOWER PAN
CD GAS TEST
CD WATER HEATER
CD FINAL
READY FOR INSPECTION DMONDAY
DAM
DPM
D TUESDAY
SPECIAL INSTRUCTIONS.
MISCELLANEOUS
CD PLENUM AND DUCTS
CD COMBUSTION AIR
CD PATIO
CD SIGN
CD GRADING
CD DRIVEWAY
CD CONDITIONED AIR SYSTEMS
CD REFER PIPING
D FINAL
WEDNESDAY D THURSDAY D FRIDAY
REQUESTED BY..PHONE NO
PERSON TAKING REPORT.
TERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:C? <?|
DATE:RECLJV
3
DEC 2 C 1871
CITY OF CARLSBAD
Building ? .->artment
PLANNING DEPARTMENT
ZONE r'C- LOT SIZE LOT WIDTH
UNITS ALLOWED (UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK.
_PROVIDED
PROVIDED
PROVIDED
SIDE SETBACK:
ALLOWED
PROVIDED
an,'
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
• ENVIRONMENTAL PROTECTION REQ :
SCHOOL DISTRICT FEES tcfrV/DI STRI CT
}f9 Q/ ofrfti]
AMOUNT.
ADDITIONAL COMMENTS
OK TO ISSUE:i 11 OK TO FINAL DATE
ENGINEERING DEPARTMENT
R . 0 . W .INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS /j/Oft e "
LEGAL DESCRIPTION
DRAINAGE
ADDITIONAL COMMENTS
OK TO ISSUE:DATE )2->'8 PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPPINKLING 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 the California Labor
Code
SIGNED
PRINT NAME AND TITLE Uft'g.Vk T.
JOB ADDRESS ^-6<?<7 £=&£ Co L
DATED