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Home My WebLink About2619 COLIBRI LN; ; 78-5638; PermitMODEL NO. BUIL PERMIT APPLI&TIW Applicant to complete numbered spaces only City of CARLSBAD, CALIFORNIA 92008 ^. ^ < • Phone 729-1181 p.™,, Nn /<?--*Permit No «t«9ft It ?r" JOB ADDRESS / LOT NO . LEGAL • I DESCR I SLf OWNER y-j • j ' j CONTRACTOR 4 ENGINEER 5 COMPENSATION INS CARRIER USE OF BUILDING * — ASSESSOR'S JL PARCEL NUMBER F* ILK TRACT BOOK PAGE PAR MAIL ADDRESS . ZIP PHONE MAIL ADDRESS PHONE STATE LIC NO CITY LIC NO A . i MAIL ADDRESS PHONE ' . LICENCE NO MAIL ADDRESS PHONE LICENSE NO MAIL ADDRESS BRANCH NO BDRMS NO BATHS 8 Class of work &NEW [^ADDITION D ALTERATION D REPAIR D MOVE D REMOVE 9 Describe work P^T> J* ft .. ^ t^ \ *• fi*J* IF ^^^fj Jt 10 Chait|e of use from ; ** i Change of use to » i r 11 Valuation of work $* ' jjjff"*" f^ *-j '/ ( ' ~ SPECIAL CONDITIONS APPLICATION ACCEPTED BY PLANS CHECKED 7 " DATE BY . APPROVED FOR ISSUANCE BY ./ DATE NOTICE SEPARATE PERMITS ARE REQUII ING HEATING VENTILATING OR i THIS PERMIT BECOMES NULL AN( TION AUTHORIZED IS NOT COMM CONSTRUCTION OR WORK IS SUSF PERIOD OF 120 DAYS AT ANY MENCED 1 HEREBY CERTIFY THAT 1 HAV APPLICATION AND KNOW THE SA ALL PROVISIONS OF iXwS AND ( TYPE OF WORK WILL BE COMPLIHEREIN OR NOT. THE GRANTIf PRESUME TO GIVE AUTHORITY PROVISIONS OF ANY OTHER STAT CONSTRUCTION OR THE PERFO 1ED FOR ELECTRICAL, PLUMB MR CONDITIONING ) VOID IF WORK OR CONSTRUC ENCED WITHIN 120 DAYS.OR IF 'ENDED OR ABANDONED FOR A TIME AFTER WORK IS COM E READ AND EXAMINED THIS ME TO BE TRUE AND CORRECT ORDINANCES GOVERNING THIS ED WITH WHETHER SPECIFIED MG OF A PERMIT DOES NOT TO VIOLATE OR CANCEL THE E OR LOCAL LAW REGULATING RMANCE OF CONSTRUCTION SICNATUf«9r CONTRACTOR OR AUTHORIZED ASENT . (DATE) % V Z&jfeiteJt jf fa. SIGNATURE OP OWNER (IP OWNER tiriLOE' Mt^J* & ^<"/rX ) JF (DATE) PLAN CHECK FEE S / — i - ri? - PERMIT FEE $ /"^) "~ MICRO FILM FEE V Type of Occupancy Const Group Size of Bldg No of Max 1 (Total) Sq Ft Stories Occ Load Fire Use Fire Sprinklers Zone Zone Required QYes QfMo tfio f OFFSTREET Dwellma. Units go^ Special Approvals Required PLANNING DEPT HEALTH DEPT FIRE DEPT SOIL REPORT OTHER (Specify) ENGINEERING DEPT WATER DEPT PACKING SPACES I |No SjiffFt [Open j°? Received Not Required i \ t/ f ft i WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I' >LAN CHECK VALIDATION MO CASH PERMIT VALIDATION CK M O CASI TOTAL FEES $. INSPECTOR INSPECTION RECORD FOUNDATIONS SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT LATHING OR DRYWALL EXT LATHING MASONRY FINAL DATE REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW UP, ETC RECEIVEDINTERDEPARTMENTAL INFORMATION SHEET OCT251978BUILDING DEPARTMENT DATE: BUILDING ADDRESS: C^ if I 7 Cj^)-(J / & fa. j /I _ CITY QF CARL$BAD Building Department 736 7/£/h=J- 73 - PLANNING DEPARTMENT //^f/ b •?- •£,/ b •?- I) • L^7 ONE ^ LOT SIZE LOT WIDTH UNITS ALLOWED I UNITS PROVIDED / PARKING SPACES REQUIRED PROVIDED % COVERAGE ALLOWED ^/O^L* PROVIDED BUILDING HEIGHT ALLOWED XT*' PROVIDED FRONT SETBACK: . SIDE SETBACK: REAR SETBACK: s ALLOWED ^ PROVIDED INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: x L 7/^/78OK TO ISSUE: ^^&^f E /<7^/78GK TO FINAL _ DATE ENGINEERING DEPARTMENT R.O.W. INDUSTRIAL WASTE IMPROVEMENTS SEWER CONNECTION DRIVEWAY LOCATIONSCATIO GRADING PERMIT EASEMENTS//^, /fj6 {JwgJ&t-^ DRAINAGE LEGAL DESCRIPTION " '• 1J L ADDITIONAL COMMENTSn, ' TO ISSUE,/^6 DATE/6/^r/7^ PWI OK TO FINAL FIRE DEPARTMENT SPPINKLING 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_ 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 m 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^ection 3800 of the California Labor Code SIGNED / PRINT NAME AND TITLE JOB ADDRESS DATED