HomeMy WebLinkAbout2610 LUCIERNAGA ST; ; 78-4768; Permit.....
MODEL NO. _________ _
BUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008 t• ...
Applicant to complete numbered spaces only Phone 7 29-1181 Perm 11 No
JOB AOOR r.ss ASSESSOR'S
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LOT NO, I 8lK I TU;T BOOK PAGE I PAR,
L[ CAL I /ts -, rosr/1 <O SEI. ATT4CMEO SH([T) 1 OCSCR, -/Vlc~f>OW~
OWNC~ MAIL A.001'[55 l IP P'"'ON E
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CON TIIU,C TOIi MAIL A00R[SS PHONE STATE LIC, NO, CITY LIC, NO,
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ARCHITtCT OR O~IGNCR MAIL AOOR[SS PHONE L1CtN5E NO,
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CNGl"fC.C.R MAIL AOORE.55 PHONE LICEN5£ NO.
5
COMPENSATION INS, CARRIER MAIL AODIIIE5.S 81'ANCH
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US( OF BUILDING
7 NO. B0RMS . NO. BATHS
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: fl\Tlo I)[ C/< e <11 ''" (O'Vt-~
.
10 Change of use from
Change of use to
,.I I
id-r •. ' ~ j I PERMIT FEE s 11 Valuation of work : $ . ., , M~• {.._~ J -l lj J .< r JI ~~ .. ~ PLAN CHECK FEE s
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
S,ze of Bldg. No. of Max
(Total) Sq. Ft Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CMECKED BY APPROVED fOA ISSUANCE BY Zone Zone Required OYes □No
Ll,Y f, I r/-1( I~· v .. ,, ,~ No. of OFFSTREET PARKING SPACES·
Dwelling Units No. 'No. DATE DATE Covered Sq, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
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 HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 S'T ATE OR LOCAL LAW REGULATING
CONSTR\.,JCTION OR TH? PERFORMANCE OF CONSTRUCTION.
; __ ., / . . r '--,...,.. ( ,A),· .. • J r ~
SIGNATUR[ o, CONT.-:ACTOllt Olllt AUTHOft1Il0 A.Ct.Nu tl""Ttl
S ICNAT•Jllt[ 0" OWH[R l'F OWNCIII •ulLOtllt) !OAT£)
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$ ___ .; ______ _
INSPECTOR
i
0 ..
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL ... C/-/J-~v olc ~r
USE SPACE BELOW FOR NOTES, FOLLOW·UP, ETC.
• REQUEST FOR INSPECTION TIME_· ___ 7 LL-v,_ 7~\
INSPE,CTOR' ~~ ________ DATE: 9":~/:,2.-7?
OWNER------,---------,,,,--::_=..::_....:::i,..-,"""''-'--"--------------
D REINFORCING STEEL
D MASONRY
D GROUT -GUN I TE
D FLOOR AND CEILING FRAME
0 SHEATHING
D FRAME
D EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
D MONDAY fuESDAY )\WEDNESDAY D THURSDAY D FRIDAY
~;;_· t?~-2)
READY FOR INSPECTION:
SPECIAL INSTRUCTIONS _________ ~/ __ tfo _______________ _
REQUESTED BY' _ ___Jc::::::_~~::::::1~ ___________ PHONE NO. ____ ..cii<q.--
PERSON TAKING REPORT ____ __,~--
-]) u f I~ ( le t-
I NTE RDE PAR TMEN TAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS: c2(e/0 ~<1---:Jd!>~
If;-/;() Y 6 e c,L
PLANNING DEPARTMENT
RECEIVED
DA TE '----1-A.fYU-¼.lG-ll-'1¾-+!19+17~8-
CITY OF CARLSBAD
Building Department
ZONE ___ ]?_,__-_:i-___ LOT s I ZE ________ LOT WI DTH_-1-z-"'w'--; __ F_r._. __
UNITS ALLOWED y UNITS PROVIDED ------~-----------------
PARKING SPACES REQUIRED PROVIDED -----------
% COVERAGE ALLOWED ______ _,,$,c,,.o_ol_~c_ ___ PROVIDED __ 6_~ _______ _
BUILDING HEIGHT ALLOWED 31' PROVIDED O ,t_
FRONT SETBACK:
ALLOWED JO(
PROVIDED 0/:;:. --~----
INTRUSIONS
SIDE SETBACK:
,. f (
0/:;
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
!S.&7
ok:..
ENVIRONMENTAL PROTECTION REQ: E)(~,,,.,07 1'£..e f I?, OY,Oil'rl G)
ADDITIONAL COMMENTS:===-----------------------~dJ&b If OK TO ISSUE: ~~TEi/il/1f; TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE ------_______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT _______ EASEMENTS~fM=~~M-~ ______ DRAINAGE ____ _
LEGAL DESCRIPTION 1&r cZ ~b-¼_a,drw,,,, #-J
ADDITIONAL COMMENTS_f.L~i~~u~L->C...,,.,,o~,H..u,c, ________________ . ____ _
DATE 3 (d PWI ____ OK TO FINAL_,_,__',,/,._ __ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _