HomeMy WebLinkAbout2621 COLIBRI LN; ; 79-4844; PermitJ. /1. i7
TL
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PhODG 729-1181 Permit No X/~ ' i
JOB ADDR ESS
2621 COLIBRI LANF
LEGAL
DESCR
MAI L ADDRESS
SAL 04LLUCCI 2621 Collbri Lane Carlsbad 92008 438-5150
CON TRAC TOR MAIL ADDRESS
BBS'S FMmgK 3HIVICE 2501 State St., Carlsbad 729*2055
STATE LIC NO CITY L1C NO
245707 15922
ARCHITECT OR DESIGNER MAI L ADDRESS LICENSE NO
LICENSE NO
COMPENSATION fNS CARRIER MAIL ADDRESS
CASUALTY CO.. P. 0. BOX 81211. SJUJ BII&O, CA> 92138
USE OF BUILDING
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work LOP of Wator Softener
PERMIT FEES
No Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED fOR 'SSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IFCONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED
I HEREBY CERTIFY THAT I HAVE REAR AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
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
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS.
CESSPOOL
SEPTIC TANK «. PIT
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
ROOF DRAINSwater s<tf tet»r
ISSUANCE FEE
SIGNATURE OF OWNER (IF OWNER BUILDER)TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
7?•
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILD.IN.G ADDRESS:
PLANNING DEPARTMENT
70NE
UNITS ALLOWED
CST' OF CARLSBAD
_ _ ici Do artment
_LOT SIZE
_\
LOT WIDTH
UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED .as
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED
PROVIDED
_PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK:REAR SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEE: «W0V\!V\ DISTRICT:AMOUNT
ADDITIONAL COMMENTS:
: \LAyOK TO ISSUE Q. D A T E 0^ TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE
DRIVEWAY LOCATIONS
FIRE DEPARTMENT
SEWER CONNECTION
GRADING PERMIT
LEGAL DESCRIPTION
ADDITIONAL COMMENTSn
SPPINKLING SYSTEM•,
FIRE ALARMS
FIRE HYDRANTS
RE PROTECTION EQUIP.
XITS
.dCATMo,!^
ADDITIONAL COMMENTS
OK TO ISSUE:DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE