HomeMy WebLinkAbout2621 CAZADERO DR; ; 78-5867; PermitMODEL NO
Applicant to complete numbered spaces only
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
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Permit No
JOB ADDRESS, ^B / rf'""'
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LOT NO BLK. TRACT
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OWN.CR V "" /* MAIL ADDRESS
CONTRACTOR , > J f MAIL ADDRESS,^ ,
ARCHITECT OR DESIGNER MAIL ADDRESS
4
ENGINEER MAIL ADDRESS
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COMPENSATIONIINS .CARRIER t MAIL ADDRESS
USE OF BJILOIN G /
1 *
8 Class of work ONEW D ADDITION Q ALTERATION
9 Describe work / s$-/ / £) """' /ff^Kf^f/ Q
10 Change of use from
Change of use to Aw**^^^'^
11 Valuation of work $ ^^^"^ f -. Q ~'j f ~\}' * / S*" g If ' If T v
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKED BV ,& APPROVED FOR fSSUONCE BY*
*•*«•'-* '• '"" ff / / /* J^ if T '* J "" */*Vi;J !/j* ' * *" *-.DATE ^ /f DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING HEATING VENTILATING OR AIR CONDITIONING
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF
CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A
MENCED
1 HEREBY CERTIFY THAT 1 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
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SIGNATURE OF CONTRACTOR OH AUTHORIZED AGENT [DATE)
H ' ' '
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
A X , s""\t •""•• ^ O- ASSESSOR s
v/J>X^d>-//J) L**/ St?4& & & ' PARCEL DUMBER
BOOK P AG E P AR
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*{)£&? <3* 3T- "^O -/ / "^ S /S^?T^
PHONE STATE LIC NO CITY LIC NO
PHONE LICENSE MO
PHONE LICENSE NO
BRANCH
NO RDRMS NO RATHS
D REPAIR D MOVE O REMOVE
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PLAN CHECK FEE s *"•' " *-* PERMIT FEE s V?' *.- '/
MICRO FILM FEE
Type of Occupancy
Consl Group
Size of Bldg No of Max
{Total} Sq Ft Stones Occ Load
Fire Use Fire Sprinklers
Zone Zone Regu red [Jves ONO
OFFSTREET PARKING SPACESNo Of
Dwelling Units Covered Sq Ft Open
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specily)
ENGINEERING DEPT
WATER DEPT
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
INTERDEPARTMENTAL INFORMATION SHEET
RECEIVED
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE :
d. I C "Z OCT 301978
CITY OF CARLSBAD
PLANNING DEPARTMENT
70NE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
BARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
_PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK:
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1L
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK
t*'
ENVIRONMENTAL PROTECTION REQ :- *> /. Q^O ( &
ADDITIONAL COMMENTS:
S^
OK TO ISSUE:E /O DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
,SEWER CONNECTION
GRADING PERMIT
DRIVEWAV LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION /^-f ^17 1C
ADDITIONAL COMMENTS
OK TO ISSUE:'DATE PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING 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
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