HomeMy WebLinkAbout2623 CAZADERO DR; ; 78-5123; PermitMODEL NO ft
Applicant to complete numbered spaces only
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No
2 .3 ASSESSOR SPARCEL NUMBER
(O
t BOOK P AG E *R AR_.
MAIL ADDRESS (£
NTRACTOR/•4IL ADDRESS STATE LIC NO '„ - CITY LIC NO
ARCHITECT OH DESIGNER M4IL ADDRESS LICENSE NO
ENGINEER fliL ADDRESS LICENSE NO
COMPENSATION INS CARRIER e .
*
AIL ADDHESS
USE O F B J 1 L Dl W G
NO BDRMS NO BATHS
8 Claw of work D NEW D ADDITION DALTERATION DREPAIR D MOVE D REMOVE .
9 Describe work
_
^ X
10 Change of use from
Change of use to
11 Valuation of work $PLAN CHECK FEE $PERMIT FEE S
SPECIAL CONDITIONS Type of
Const
Occupancy
Group
MICRO FILM FEE
Size of Bldg
(Total) Sq Ft
No of
Stories
Max
Occ Load
Fire Sprinklers
Required DNO
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING HEATING VENTILATING OR Al R CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, iTHE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
SIGNATURE OF CONTRACTOR OH AUTHORIZED AGENT , (DATE! J
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
SIGNATURE OF OWNEB (IF OWNER BUILDER)/WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO ^ CASH PERMIT VALIDATION CK M O CASH
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
•
?-Ji-->J-
REMARKS
-
0 /</.
INSPECTOR
„ V
V
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
INTERDEPARTMENTAL INFORMATION SHEET RECEJVED
* BUILDING DEPARTMENT
I BUILDING ADDRESS:
DATE:61978
CITY 01- CARLSBAD
Building Department
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
PROVIDED_
^PROVIDED
PROVIDED
/c
SIDE SETBACK:REAR SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS: A/A
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:w
OK TO ISSUE ;
? ^
DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
LEGAL DESCRIPTION
EASEMENTS,
.r X/7 / .C. A'
DRAINAGE
ADDITIONAL COMMENTS
(\V-OK TO ISSUE:OK TO FINAL DATE
FIRE DEPARTMENT
5PPINKLING 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