HomeMy WebLinkAbout2624 EL CAMINO REAL; E; 79-689; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
R~Cf:.IVt.D
JAN 3 0 1979
City of CARLSBAD CALIFORNIA 92008 ' r/1317~:~~
Applicant to complete numbered spaces only. Phone 729-1181 1re:~ri 11 '}(fll. ,. • r ~
;~·~~i:,_ ~~lt\.le JZl!AL-C~~ e/,c ·6·)
ASSESSOR'S ,
CAti!.L.~0 e'A..L.t F=, PARCEL NUMBER
ltf T NO. jf l~~T w ~ BOOK PAGE I PAR. l ~~;~~-·fl..rtCN':1 C:-rµf? 4\6 I. 4$11cµ ~z.. ~ lPIIC]srr+IIWFDSHfETJ
.oc:.£..L A rr: '7A -:: ui~ LI~ . ..i ... ~g ,u r',trv --~ r Adi.£,PJAr?
OWNER M AIL ADDRESS ll p PHONE
2 Hv't~e ,~ve.~-.: ~ ~ f,.J~wf.op.t" C,JT)l. O,C.. C'/ 'J-l&id: £_-1 ,4) ., i"i ... <1 '1?; f
CONTRACTOl't MAIL ADDRESS ('"''"' YHONE STATE LIC. NO. CITY LIC. NO.
3 .ct:.)i.J-lt-J'? vevei-. t197~ ~~TC V~Y ~O 41"1 ":1 -.,.1 • ·~o 13 -" l-&M;,~ tu.U;•!J
ARCHI TCC T OR OESIC.N[R MAIL AOOA(SS PHONE LICENSE NO,
4 7. t!t • f'. A , 440 U f?A~ A\/""e.. ~, 2W"1> ( i iA) .:z.er1,o i ·3 1 C.•· J4-t..·1
ENGl"'IEER MAIL AOOi::tESS PHONE LICENSE NO.
5 e,u ."2..14::·rr 4 \#Ol-=l~ 'M ~~ .. FOv~-n-t J:..v'i:-C:, 2~C .. ?(1 }4 )·2.cp,t ... 1;,St',c ~ -z. e~'3'l c-
COMPENSATION INS. CARRIER MAIL AOO,.£.SS BIIANCl-l
6 CCt,..i112,AC..T"C~
use Of' 8:JILOINC
7 J?e1A\\.-~~\-f!~ NO. BCRlv1S NO ilU:lelS
8 Class of work: D NEW 0 ADDITION 6' ALTERATI ON 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : iM~A.L~ INT: PA~ITt CN> ) t-te~· El-eC-" CV~, Ts=J.. .. ~,v'~-C\.i11
t:11v::,, ~·ATI:J'.2., '?>~" ~. * w, H .. ~TvB ·· e, vi"? , wo. occ,z.., ~li>i:: 1:1-~T, 'PAl'JSL-
10 ~a11ge et ~se +rom
C~aRge et 1m to
11 Valuation of work: $ 1-\ i,e,e.c PLAN CHECK FEES !1~ 8"" I PERMIT FEE $ '3 2 #6
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
s,ze of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
/1 Fore Use Fore Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY fl""" zone Z one Required Oves DNo
No. of OFFSTREET PARKING SPACES·
Dwelling Units No. 'No. 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 I HAVE READ AND EXAMINED THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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
~ OF ANY OTHER S,ATE OR LOCAL LAW~LATONG I~~ PERFORMANCE OF CONST;~N.
' ~ ' . ,, -~-./_ ::Z// '9
--~1c:!'N..f'TURC0F-CONTRC_v(flll CJllJ Av-nu"l1t°b ').GENT I (DA~)•
SIGNATUIIC. OF OWNER (I ,. OWNEII 8UILDEII) (DA TC}
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$
BP
r
MODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB AOOA CSS ASSESSOR'S
1 -· t ::,.,_ e,..pt...1,...,::; ~ '-;;,r ~ Ci ) ~-":it:)P..V I Gp;.}-1 f=; PARCEL NUMBER
LEGAL I ~,OM~ C,$='~~ +ts, ',I.J"~'l!'-10,-J '32.,~IP "~·[[ ATTACHED SHHTI
BOOK PAGE I PAR,
1 D£sc•. f',~i.. ,4 ()F !?'t · -" t-,.·i~P ~(?. 4'e a jN C,.fT''(' OF ~ J..'.:,~AO
OWN[R MAIL AOORCSS ZIP PHONE
2 ..-. •J<;. r+ ~ .e;, ft-& v,::.t,~ ;2.J·O N~VvPO~T c:., . .rnz .. ~~. <t '2tDb0 ('114)751 <=J?jt
CON TRAC TOIi': ...-i:;-v1:-1-, MAIL AOOIIICSS PHONE (_, ~~-J STATE LIC. NO • CITY LIC, NO.
3 c..oi.-..,.1~".:1 ~tit~, 11'1~0 ~~~VAW..i:'(~ ~~-?130 ;;>· J. I~ !.;)l ~ l'P :4:.? ~
Af'ICHITC.CT OR OCSl<.NCR MAIL AOOA[S5 PHONE LICENSE NO.
4 /ur'A ~ VP~ ;a.vf:E. '=j 2.t~ ( 114)'2...'11 ·013} c.. .. 34'l.J
[NGIN CCR • MAIL ADDRESS PHONE LICENSE NO.
s e,VJ<.Kt=:Tf ~ WC\.JO& ~?,4 Fru~"th /4'\,/~ r:;2.,03 {1~)i~-p5~0 C,. tit ~ .i. e> '3 0
COMPENSATION INS. CARRI ER MAIL AOORCSS SRA.NCH
6 e,o~~~....,T~
USC Of' B.JILDING
7 rieceF~~~ ~~t::E::? ~EA\-E:~TA1E ~ 0. BORMS NO. BATHS
8 Class of work : D NEW 0 ADDITION rl! ALTERATION 0 REPAIR D MOVE D REMOVE
9 Describe work: ,..,:t?"fi~ 10 P,,..Of), CN0-e)( Ot.JT1,..:ET?, ,o APP·. Te'&-, ':;J,ve -OOT':;, >
i1'-rr: PARTtTtO '7 , 1(1/ p. pa,~~ '
10 Cllilnge !!T tm Trom
Cha11ge-otusno
3. 10
'f ' I ">f" 0 <.,
11 Valuation of work :$ .oo PLAN CH ECK FEE S PERMIT FEE S
MICRO FILM FEE
SPECIAL CONDITIONS: Type of Occupancy
Const Group
s,ze of Bldg. N o. of Max
(Total) SQ. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BV PLANS CHECKED BV APPROVED FOR ISSUANCE BV Z one Zone Required 0Yes D No
C No of OFFSTREET PARKING SPACES
Dwelling Units No. INo.
DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required R eceived Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATlitJG, V ENTILATING 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-OTHER (Specify) MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. 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 OTH/R STATE OR LOCAL LAW REG LATiciG CONSTRUCTION OR TH PERFORMANCE OF CONST CTI N .
I
I 6-' ( I ,.-;y~:.d / ;, ; .', ;----:'// ~79
sttNATUR[ o r CON~'1CTOllt o .. AUTHORIZED AGENT ~DAT'/
51GMATURC o, OWNEfl HF OWNU, I U1LD£fll) IDATC)
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 $ _~'Yj~·----------
INSPECTION RECORD
DATE
FOUNDATIONS:
REMARKS INSPECTOR
SET BACK
TRENCH .
REINFORCING J
FOUNDATION WALL &
WEATHER PROOFING f
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.