HomeMy WebLinkAbout2623 Galicia Way; ; 78-5754; Permit~~ I I -J--7 '6
'MODEL NO. _________ _
BUILD[NG PERMIT APPLICATION , • p-
City of CARLSBAD, CALIFORNIA 92008 '7 ),-
Applicantto comp1ete numbered spaces on1v Phone 729-1181 Permit No
JOB A00" E~ S . ASSESSOR'S
~· L; OJt. A_ PARCEL NUMBER -~ .--
L~T }°&, _ 1 to-~ -~ .L. I '"•CT BOOK PAGE I PAR,
LEGAL I t05t£ ATTACHC.0 SHCC.TJ 1 0£$CR,
ow"'c." . 1J~ uh.1c MAIL AD0,.[55 ll p PHONE
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CON TIU,C TOflll J/,_,h.,,. ,,.,_L ~oo•~•J~ .J ~ PHONE STATE LIC. NO. CITY LIC. NO.
3 1' & l!l .. 8' ~ u. '-·-I I • , j-1/_. '/.,;;,/ J . --.
ARCHITECT OR OC.SIGN[R 0 MAIL AOOAESS PHONE LIC[NS[ NO.
4
CNGINE[flll MAIL AOO~C.55 PHONE LICCNSE NO,
5
COMPENSATION INS. CARRIER MAIL A001'C.5S BRANCM
6
USl 0 ,-8.JILDINC
7 NO. B0RMS NO. BATHS
8 Class of work: 0 NEW ~ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : o,.;: o ...... \A.. '->c,1...vu r _r,;-, '~~ -f t
10 Change of use from
Change of use to -✓-
9J~t) 19
Valuation of work: $ ///:V~ ~ I PERMIT FEE $
-, ,,,,,..., ,
11 PLAN CHECK FEE s ...::,,
SPECIAL CONDITIONS: MICRO FILM FEE
T ype of Occupancy
Const Group
s,ze of Bldg. No of Max.
(Total) Sq. Ft Stories 0cc. Load
Fire use Fire Sprtnklers
APPLICATION ACC/0 ev PLANS CMECl<EO ev APPROVED FOR ISSUANCE BY Zone Zone Required Oves 0No _-,y
J~
OFFSTREET PARKING SPACES,
DA!E_/ J /I ~ I, I I I. -, -No. of
Dwelling U nits No. JNo. DATE 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 DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT l HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO ORDIN;ANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIE;O WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING f]F A PERMIT DOES NOT PRESUMt TO GIVE AUTj-iORITY TO IOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
~ -tn'-r -.. I
51~NA1'Jfl£ __ 0,-CONTfU,CTO" 0" AUTHOIIIIZE.0 AGE.NT () (OAT[)
AICNATUJlt[ o, OWN[" ,,-OWNtfl IIUILDE"I \ li:>ATCI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -~
22 -.. TOTAL FEES$ ;;::: ________
I
I • INSPECTOR
INSPECTION RECORD -
DATE REMARKS 1NSPECT<l·
FOUNDATIONS:
-
----
CON -
FAA
~
INT. ..,___
EXT -
MA~ --
-
,---
FIN
~
USE:
SET BACK
TRENCH
RFlt-,i::nRr•NG
REQUEST FO~NSPECTION
I ~ PERMIT NO. INSPECTOR
L1~ OWNER
.,)~~.3 »~ ADDRESS •
c_ BUILDING \
0 FOU:\o~ft -,~
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
TIME: /Jfr--
DATE: / 2 -J-0,,, / p
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC ~
D POOL BONDING /II], ID
0 ELECTRIC SERVICE /Jtl ff~
0 CEILING HEAT 7/11 /JC
0 G.F.I.
0 SMOKE
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
•MONDAY •TUESDAY •WEDNESDAY W"f-HURSDAY
D A.M. p '"'-READY FOR INSPECTION: D FRIDAY
• P.M. ) /'] jJ..__ .
SPECIAL INSTRUCTIONS _______ -+, --cz.x __ -"---....J...7_0_........ __________ _
PERSON TAKING REPORT ___ .........., ___ _
-
.
-
p~ 7!-S;s-'f
INTERDEPARTMENTAL INFORMATION SHEET
·•
BUILDING DEPARTMENT
BUILDING ADDRESS:
I.• -ANNING DEPARTMENT .,.
RECEIVED
DATE : __ i·_l O_V_l_1_9_78 __
CITY OF CARLSBAD
Building Department
"ZONE _ __,_/e.c::::....,,1-/ ______ LOT SI ZE _________ LOT WIDTH. ________ _
· UNITS ALLOWED ___ ~'--------UNITS PROVIDED ___ /'-----------
PARKING SPACES REQUIRED PROVIDED -----------
% COVERAGE ALLOWED PROVIDED -------------
BU IL DING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: I
ALLOWED _ _____._.d~O<-----
PROVIDED O (C-
INTRUSIONS
SIDE SETBACK:
¥(3~"'---/,/--
(1) I<-
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL ~ROTECTION REQ:
ADDITIONAL COMMENTS:
REAR SETBACK: &6//. /
{)IC
OK TO ISSUE:~ DATE 11/2}1~ OK TO FINA1 ______ DATE ___ _ 7 /
ENGINEERING DEPARTMENT
R.O.W . ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS :z&i{J ~Alu/£
0
LEGAL DESCRIPTION~tZ~;,&u~==-=----------7T ______________ _
DRAINAGE ____ _
,ADDITIONAL COMMENTS __________________________ _
OK TO IS SUE: ~•DATE ;tf ;;;/]J' PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRI~KLING SYSTEM ___________ FIRE PROTECTION EQUIP . _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCAT I ON _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _