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Home My WebLink About2620 EL CAMINO REAL; ; 78-5884; PermitMODEL ,to. BUILDING PERMIT APPLIC TION City of CARLSBAD, CALIFORNIA 92008 Applicantto complete numbered spaces only Phone 7 29-1181 Permi t No JOB ADDA ESS Re~1 ASSESSOR'S ;)_~l)O{:JL~,MO .,/, PARCEL NUMBER I LOT NO I ILK I TO ACT BOOK PAGE I PAR, L[CAL tOscc ATTAC11£0 SH£CTI l 0£5CA, 20iZ066a C?d~ MAIL AOOA[SS 21 p PHONE ' I I ,< CON TlltAC TO .. MAIL AOOACSS PHON [ STATE LIC. NO, CITY L IC, NO. 3 AACHIT[CT OA OCSICNCl't MAIL ADDRESS PHON C LICCNSC. NO. 4 ENG IN CEA MAI L AOOACSS PHO NC LICENSE NO. 5 ' I I COMPENSATION INS. CARRIER ! MAIL AOOACSS <. , ..... 7 BIIIANCH 6 C .., I• use OF BUILDING I 7 NO. BDRMS 0 NO. BATHS 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: 7 M.::f1 Tl~ s vltvl/ ~ w,i1-t~~ wh'f I f;l}fMM lO Change of use from "> rtF L~ ,~ !)(..,. r ')(I I 4 . • . . ..- . ..,.. Change of use to &. 7 Ptr ~,IT'tr. N »> ,. t 1 Valuation of work : $ J q/() l PERMIT FEE S / 4 Cl PLAN CHECK FEE s SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy I Const Group Size of Bldg No. of Max ' (Total) Sq. Ft Stories 0cc Load . / Fire use Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BY APPAOVEO FOR ISSUANCE BY zone Zone Required 0Yes 0No DAJ II/) ti 1(2~'----) OFFSTREET PARKING SPACES No. of !No. Dwelling Units No. 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 OEPT. ·' )', THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-;,...._ TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF Fl RE DEPT CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT X 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 7'. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. X ALL PROVISIONS OF LAWS ANO 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 STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 51GNATU"E or CONT .. ACTO" O" AUTHOftlZ.CD AGENT (DATE) /, : ..... 51GNATU"E 0,. OWN[A (If' OWN[" IUILDE") tOAT[} WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH ... CITY OF CARLSBAD BUILDING DEPARTMENT (714) 729-1181 GERTI FICATION 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 subco ra with any person, including any firm or company, to do all or part of the work f.or w ich t is permit is issued, I shall assure compliance by that contractor or subcontractor wit Sec ·o 380 t , '°'er 1ia Labor Code. SIGNED: ~L. --- PRINT NAME AND TITLE: -~~'---,,£!<:....;;;;__;_--<-:>.~~/LL,) .. {j;(M'J,1-.,,/ JOB ADDRESS: Ke,,4/ DATED :~~~~~~~~- ~,~ INTERDEPARTMENTAL INFORMA TION SHEET RECEIVED ~ t1JVv' al ~ aA + 1 \ I nV-J BUILDING DEPARTMENT BUILDING 11,. DATE' NO\/ 111979 ~J c:i: ~~:'t° UNITS ALLOWED UNITS PROVI DED --------------------~~------ PARKING SPACES REQUIRED PROVIDED --------~----~- % COVERAGE ALLOWED PROVIDED ----------~--BU IL DING HEIGHT ALLOWED PROVIDED FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS SIDE SETBACK: I LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROT~CTION REQ : REAR SETBACK: 'l ADDITIONAL CO - IMPROVEMENTS ------------- INTERDEPARTMENTAL INFORMATION SHEET RECEIVED i-r .i i BUI LDING DEPARTMENT r~ov 14 1978 .,' ;" B.~IL.DING ADDRESS: 4&2() u &v~o ~ (J~ l11 /,/ DATE: KLJ CITY OF CARLSBAD Building Department ' J SPRI~KLING SYSTEM --------------------FIRE PROTECTION EQ UIP. FIRE ALARHS -------------------------------EXITS FIRE HYD RANTS -----------------------------~ ----------------LOCATION ADDITIONAL COMMENTS -----------------~--------------~ ') PK TO ISSUE :Q.u>~UDATE ( f-\'i-J&: . OK TO FINAL __________ DATE --- l WATER DEPARTMENT RE QUIREM ENT S OF APPROPRIATE DISTRICTS MET ------------_DATE ----------------<)