HomeMy WebLinkAbout2631 COLIBRI LN; ; 79-240; PermitMODEL NO
BUILDING PERMIT APPLIC
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PROPS 729-11o1 Permit No
'/PS/79
U^n AD D FL E 5 S >•* f\ I /
L 0 T N 0 i BLK TRACT
1 DESCR IT I
OWNER i * ^\ MAIL ADDRESS
CONTRACTOR MAIL ADDRESS
4
5
COMPENSATION 1 *S CARRIER / MAIL ADDRESS
USEOFBJILDING /
7 /
8 Class of work QNMEW D ADDITION D ALTERATION
9 Describe work \£tJ&L& C^X\A^"""""7 *"•? 1$
10 Change of use from
Change of use to i.
11 Valuation of work S^^^gy^f^Tb /? (ff
SPECIAL CONDITIONS
/7
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE D/FOOr'l^JANCE BY
DATE <t£fl*?f —if j
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMB
ING HEATING VENTILATING OR Al R CONDITIONING
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
MENCED
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 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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)/} r .f\ f\
r ( //(0*s£* — A/VVL^fe SIc— < \JS (4£^6K-*7 ~— * jv fUt5«tXl
SIGNATURE OF OWNER ("l F OWNER BUILDER) ' (DATE)
ASSESSOR S
PARCEL NUMBER
BOOK P AG E PAR
ZIP >-^ PHONE
PHONE STATE LIC NO CITY LIC NO
PHONE LICE N SEND
PHONE LICENSE HO
BRANCH
NO BDRMS NO BATHS
n REPAIR DMOVE n REMOVE
*t & H) idn (D t&Wb
5'^D i~j\ #Q
^ " PERMIT FEE $ / (J " "
MICRO FILM FEE
Type of Occupancy
Const Group
Size of Bldg No of Max
(Total) Sq Ft Stones Occ Load
Fire Use Fire Sprinklers
Zone Zone Required [ ]YCS 1 !NO
OFFSTREET PARKING SPACESNo of
Dwelling Units covered Sq Ft Open
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEP'I
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO
TOTAL FEES 5.
CASH
(TO
FOUNDATIONS
SET BACK
TRENCH
JR§]NFOJRCING
FOUNDATION WALL 8
WEATHER PROOFING
CONCRETE SLAB
INSPECTION RECORD
DATS REMARKS iWSPECTOR
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
—h
USE SPACE BELOW FOR NOTES, FOLLOW UP ETC
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS
RECEIVED
DATE
Cj,IY; OF CARLSBAD
Building Depaiiment
PLANNING DEPARTMENT
70NE
UNITS ALLOWED
£^7
_LOT SIZE
I UNITS PROVIDED
LOT WIDTH 77
PARKING SPACES REQUIRED
\ % COVERAGE ALLOWED
PROVIDED
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED XL 4 ^
PROVIDED
_PROVIDED _0
PROVIDED
SIDE SETBACK
'
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS
REAR SETBACK
ENVIRONMENTAL PROTECTION REQ
ADDITIONAL COMMENTS
OK TO ISSUE DATE OK TO FINAL DATE
ENGINEERING DEPARTMENT
ROW INDUSTRIAL WAC.TE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS
LEGAL DESCRIPTION
DRAINAGE
ADDITIONAL COMMENTS
OK TO ISSUE DATE /-/f-7^ PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
_FIRE PROTECTION EQJIP
EXITS
LOCATION
OK TO ISSUE DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729 1181
CERTIFICATION
I certify that in the performance of the work for which this permit is issued I shall not
employ any person m any manner so as to become subject to the workers' compensation
laws of California
If, after making this certificate, I become subject to the workers' compensation pro
visions of the California Labor Code, I will forthwith comply with Section 3700 of the
Labor Code
I understand that if I fail to comply with the workers' compensation laws, this permit
shall be deemed revoked
I further certify that if I should contract or subcontract with any person, including any
firm or company, to do all or part of the work for which this permit is issued, I shall assure
compliance by that contractor or subcontractor with Section 3800 of the California Labor
SIGNED
PRINT NAME AND TITLE £ ^- U/V<£.»1 £,Y — -
JOB ADDRESS &2£o? /
DATED