HomeMy WebLinkAbout2634 GALICIA WAY; ; 77-147; Permit.MODEL NO. __ B-UILDING PERMIT APPLICATION A r7~-4
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 9200811,i n-r
Phone 729-1181 Permit No 77 ~l?/7 so.so
JOB ADDA £55
c;:AL.IC /A
ASSESSOR'S ~634 W4Y PARCEL NUMBER
L01" NO. I ·L• A 'Gsr.<1 BuuK PAGE I PAR.
LCGAL I '5.s s;-: tl-v1r I ([]St:t ATTACHED St1[E.Tj 1 D£5CA.
2 ow?e,4C,I/ ,4/UA ,,?o/~//✓Kr J;;L ;;;;;3/ ,,~¼ ~rA 'ivz. PHONE -3/'sC S'7~ ~ D CON TRAC TOR o2i/s1 A1?irZ, Ci.rn ,.d v.r Pl-CONE STATE LIC. NO. ('°CITY LIC. NO.
3 Wu fo'fc..L)wt:?~/? fS6S74f ;9_g;b7 /~o
ARCHITCCT OA OC.51GN£11, MAIL AOORCSS PHONE LICE.NS[ NO.
4 # C S;::u. .. µ1 ,-1 S a F. C#;d/';H'4~ cl,t',,,(J ,,,u,.r t:s:1£07.r K
5 ·~~-Jr-rr£.ec: MAIL ADDRESS PHONE LICENSE NO.
_,, cr~~I ,,,,.. _ --;,~/~
COMPENSATION INS. CARRIER MAil. AOOlt(SS , BRANCH
6
use Of' 8.JILDINC:.
NO. BATHS :z. {_ 7 S';AJ(J,"LIE 6,1,,,, .)~)/ £Lr NO. BORMS :s
8 Class of work: ~OOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: S> A/ 13-£ ,/f;A-;r/~Y ~S" .2. rn,,11r,7 ~;?.~ .JI!> -
n..-1. ' .. V .J -. ~ /\ .
10 Change of use from 0
Change of use to
11 Valuation of work: $ 4CJ. n2 ·• PLAN CHECK FEE$ 9'3~ I PERMIT FEE $ /gt-?«J
SPEC IA L CONDITIONS: MICRO FILM FEE
Type of ~ ·Ii/ Occupancy z--T Const. -Group ---
S,ze of Bid~/ No. of "2.. Max.
(Total) Sq. Stories 0cc. Load -
/J Fire ~ ~~0{,,1 Ftre Sprinklers er;:;:,-APPLICATION ACCEPTED av PLANS CHECKED BY :·:JP'"""' Zone Required DYes
OFFSTREET PARKING SPACES No. o f I Sq. Ft.'/-~~ l~~en Dwelling U nits No. ~ OATE Covered
N O TICE ..,. 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 ANO VOID IF WORK OR CONSTRUC·
T ION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL AEPOAT 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 ANO KNOW THE SAME TO BE TRUE ANO 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 PEAMIT DOES NOT
eRESUME TO GOVE AUTHOR,~LATE OR CANCEL THC z OF ANY OTHER STAT R OCAL W REGULATING ION OR THE PERF NCE O CONSTRUCTION.
~--//4,//-~ . -/,,.t. -/-~
,.IGNATuAE 0,-C:ONTfllACTOJl~fll AUTHOftlZE~T (DA TE)
Sl(HU.TU!lt£ o, OWNEfll llf' OWNUI IUILOEIII) OATCI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CASH
~
TOTAL FEES$~~-~------
MODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 • .._
IJ,pplicanttocompletenumberedspacesonly Phone 729-1181 Perm it No
JOO •:1·i31 ASSESSOR'S tr J f( PARCEL NUMBER
LO'T NO, I •L• Ir.ACT Bvv" PAGE I PAR,
LEGAL I ,J I <Oscc ATTACHED SHC£.TI 1 DE.SCA. I ,, -
OWN CA MAIL ADORES$ ZIP PMON[
2 I , , . I/ f ,,~ ,. , (
CONTRACTOR MAIL AOORCSS PMONE STATE LIC, NO. CITY LIC. NO.
3 ' I ' ,,, -£ (.., ,-,;f dv:. 7..,...f" " . .
ARCHITECT OR O CSICNCR MAIL AODR[SS PHON [ L'ICCNSC "'10.
4 . / tJ. .. ,. ( -, .,,., . J ' ~ I I.
[NC INC.CR MAIL AOOR[SS PHONE LICENSE NO.
5 ..._) t-.r\> I , ' COMPENSATION INS. CARRI ER MAIL AOORCSS MU,NCM j 6
use OF BUILDING -~~ 1 7 ,,_.
;,. y _, , NO, BORMS -
8 Class of work : •NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMO~ n/r q ~ Ir I"\ r, -.v (~ p,\ c:;.;-
-11D 9 Describe work: I ' / I" -, ..., ) t 'V ~ ...
I Ir .;::: ,j I/ ,....,\.., • j✓,
'I I'-' 10 Change of use from ( 0
Change of use to
11 Valuation of work:$ L; I' 1 . . :; :}? I ~ ,
PLAN CH ECK FEE S PERMIT FEE S I
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const f ,;(( Group -,
S,ze of Bldg/;<t;O / No. of "':2 Max.
(Total) Sq. Stories 0cc. Load
Fire Use ) • Fire Sprinklers APPLICATION ACCEPTED ev PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone ~ Zone Required DYes •No
No. Of f OFFSTREET PARKING SPACES,
'1 Dwelling Units No. Sq. Ft. Lf .5d..l ~~en DATE DATE Covered
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 W ITH WH ETHER 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 REGUL ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
, -SIGNATUIU o,-CONTlltACTOJII Ofll AUTHOJUZCD ACtNT (OAT[ I
SIGNATUlltC o, OWNEIII 1r OWNE,t IIUILO[flll ) (DATE)
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 $ __ V'(_V ____ _
INSPECTOR
INSPECTION RECORD .
DATE REMARKS
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOWUP, ETC
1-18-77 Copper Ground-Correction enclosed . B. Nelson .
3-3-77 Fdn. Forms: 0.K. B. Nelson
3-7-77 Pour O.K. B. Nelson
-------------
--· -. dNSPECTOR ,
'
3-26-77 Sheat-hinq -Okay B. Nelso=n~.'---"-3_-=2 9-77 Sheathing:___Q_ . .K.._ B. Nelso
4-8-77 Frame: O.K, B. Nelson Mech. duct O.K. no permit ----------------
5-2-77 Drywall and exterior lath: O.K. B. Nelson ----------
PLUMBING PERMIT APPLICATION ••• lZ.CO
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only -Permit No 7 7-~ "f/_
JOB A001111 £55
·'i-A L J .f , \ IA y
LOT NO. 1 •L• I T•ACT -
LtGAL I 3 .~$]A v,. . 'f"' ,p J 1 ouc•. j ·,, I -OWN£" MAIL ADDfltCSS ZIP PMONE
2 ~Nt.>b--// ~-o!VS /.
CONT"ACTOA MA I l. ADDA £55 PHONE 5 . .Jt:--LICENSE NO, STATE CITY
3 .,f e ,IIPMN JN.i S,u<; , I -~ CAIi£ &NIA 'I t -:;Jtjf _7.,/1 ~ ,, . -.
ARCHITECT OR OESIGNCR MA.IL ADDRESS PHONE LICENSE. NO,
4
tNGINECIIII MAIL ADOIIIIC5$ PHONE LIC£NSt NO.
5
COMPENSATION (NS, CARRIER MAIL ADDRESS
#3r1-&s-.-:-/7
BRANCH
6 A/ . ---~k z,~ L J.~/, 4.4.ENI --.Jr3-3 /S -~-.I
use 0" l!IUILOING
7
8 Class of work: t2l NEW • ADDITION • ALTERATION 0 REPAIR
'l Describe work: fi ,~A4 l~/AI ~ ...
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL COND ITIONS: • WATER CLOSET (TOILET) -s,¥ G-:J
J BA THTUB I
7 LAVATORY (WASH BASIN ) q
I SHOWER I
I KITCHEN SINK & OISP. ,
DISHWASHER i
APPLICATION ACCEPTED lfV PLANS CHECKEO BY APPROVED FO~ ISSUANCE BY LAUNDRY TRAY
, I CLOTHES WASHER
//_" DATE I WATER HEATER ~ J I I
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN
CONSTRUCTION DR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. / GAS SYSTEMS: NO.OUTLETS ~ I 11-() I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE: TRUE ANO CORRECT, WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
/ SEWER ,,.,,
~ JI Jf(,~ ,2-J,!;--71
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATU"[ OF' C0NTflACT0III 0111 Aun(0flllZED AGE.NT IOATtl
PERMIT $ j .J I
'51CNATUIII£ o, 0WNt,ii 1, OWNEIII 9U IL Ol lll IOATlt} TOTAL FEE $.f~ r.>v
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
2-25-77 Under. p l bg. and under water : O.K . B . Nelson
4-8-77 Gas and Rough: O.K. B. Nelson
4-29-77 Tub and shower: Not ready. B. Nelson
5-2 -7 7 Tub : 0 . K . , Ed
5-25-77 Sewer: soil line: O.K. B. Nelson
.,
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Pe m it No r
L~~ 77-·.
J OB AOOllt tSS -< ,,., /
·-·,
LOT HO. ,, ., . I I LK I T"~CT ~T-<I _s;-(/4· 1/<0str. ATTACHt:0 SHI.CT) LEGAL I 1 DUC"•
OWNC" ,4 --I MAIL ADD,.E;SS ¼C..S-r. 11P PHONt
2 ,;,, __;t'#' _, .. /7.-l/ ,. -.,
COHTlltACTO,_ -MAIL ADDfltSS PHONE LIC£NSt NO, STATE C ITY
3 YTTd -~
I , -
A,tCHITECT O" DESIGN£,-
<:'.
MAIL ADD,.tSS CAi!.,a?QZ PHONE LICENSE NO.
4 -,,sQ £--/ I
lNGIN£t,t MAIL AOC .. ESS PHONE LICENS!. NO,
5
.,.. -(!) /Z,dA.JC7;
COMPENSATION INS CARRIER MAIL ADDflESS IIIIANCH
6
USE o, I U1LDING
7 FA~,,. y
8 Class of work: 'fl NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: I F-,',t?PcA' .(I. )I ,/?&WF.C. _p~Li!
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
~ .2 J
NEW CONSTRUCTION, FOR EAC H
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
OA✓ NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INr.REASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND OROINANC~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INCLUD· I~ PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE I .,,.
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. :;;, CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
~A ~ TEMP. SERVICE OVER 200 AMP.
PER 100
, . · .. .·'
81.NATU"E Ot' CONTNA.CTOfl o• AUTHO"IZ.CO AGENT v--IDATl)
PERMIT FEE 7 !.-
np o.,, .. , .. 'IP' OWNUI aulLOl"' DA.TC
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS
U!JE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
4-8-77 Rough Elec . O.K. B. Nelson
:&KX:HKXX
INSPECTOR
0
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No .
-0 rf: ••
,77-/ I /7
.JOI ADO" ltSS
) , al d t:aY
LOT HO. I OLK I TUCT
LEGAL I tOstt ATTACHt.D sHttT) 1 DE&C~.
OWN £,. MAIL ADO,.E.SS . ~I. PMONE:
2 "'=trtmtian Co. '4!i'. '!.
. .,., ___
C:o.T.li.at.~ :.' , ..• 493-969.:i ·-, 1 l. ,.. ,. ! •
CONTIIIACTO" MAIL ADDJIICSS PHONt. LICCNSf: NO. STATE CITY
3 I l ' . ,,-.:· t'.1.C 1826 r-2.1"1101 i 'ic~. • . _.,""'--.ti -ea. I~ . -161, ~--;; ;;; ,, u.., -
A"CHITECT 0111 OtSIGNUI MAIL AD0flE5S PHONE LICENS[ NO,
4
ENGINt.£" MAIL ADOJlESS PHONt LICENSE NO,
5
COMPENSATION INS CARRl!;R MAIL ADD,.ESS IIIIANCH
6 .: # I_,. __ ..... • USI. 0,. IUILDIN C.
7 ..n elf, a l 'T --., .. -tt
8 Class of work: ~ NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : lPf.nr, ,nf' nf"? 'r.""'."Jloll"""\~
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
~ nn
NEW CONSTRUCTION, FOR EACH
Al'PllCATION ACCEPTED 8>' PlANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER 25
/_:? :/ ... ".1"1\ -'fr"l
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INr.REASE
NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYi:. AT ANY TIME AFTER WORK IS COIi.\ REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE!> GOVERNING THIS TYPE ·OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION .
.,?!;"~?:-!!. ✓.t.+.:::~.'~! TEMP. SERVICE OVER 200 AMP.
PER 100
u PERMIT FEE
., w.r t'J,. OWNlr::11 T1, OWNlt.A au It.OE.lit DATl ,,,, ,n,\
-. C
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
INSPECTOR
~· ... ~ --·--.
MECHANICAL PERMIT APPLICATION ·
City of CARLSBAD, CALIFORNIA 92008 31:;y Phone 729-1181 1-Applicant to complete numbered spaces only. / -Permit No. -
JOB ADD,. [55
-· <.J-A c.,(,,;t,v , f_A. ,., ... ,., . .l'I '""-I 1\ I 0 LOT NO, I 8LK ,........I TUCT .. -L [GAL I , .3' -V'N /T I tOscc ATTACHED SHEET) l 0uc~. ~ ~
OWN£.llll MAIL Aoo,u.;9,s 21. PHONE
2 ;// ~/EA ..<J ///.C/-. -#%~ ,..
CONTfU,CTOllt MAIL ADD,.£5S PHONE ST ATE l IC, NO, CITY LIC, NO,
3 p/c.L)l'J-"/d/// #?6'?_ ~
) , / ,
A,.CHITECT 0,. OE51GN£11 MAIL AOONESS PHONE /.? ... LICENSE NO,
4 _ ;,c~/ ·-?So , r ~'-"' /,-..e-C 6v~ _
[NGIN£[,. MAIL AOOJl[S$ PHONE LIC[NSt NO,
5 J __...._ '/~ £1~ MAIL AOOIU:.$5
I} k fl ,J✓ ~ BON~M/J.~ 6
~ \
USE o,-BUILDING /I -I 7 ..,./ ~ A ~//v
B Class of work : 0NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: .s; /IC. £. F 7 ,.J,4,/ / C, / /JQ Q' .v
Type of Fuel. Oil D Nat. Gas D LPG. D
PERMIT FEES
SPECIAL CONDITIONS. No. Type of Equipment Fee
Air Cond. Units H.P. Ea $
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired AC. Units Tonnage Ea.
I Forced Air Systems 8.T.U. IOOl MEa. s [.€£)
APPLICATION ACCEPTEO BY PLANS CHECKED ev APPROVED FOR ISSUANCE BY r Gravity Systems-8.T.U M Ea.
I '(J .d), lt,· I Floor Furnaces-8.T.U. M rt, Wall Hesters.-8.T.U. M
NOTICE Unit He&ters-8.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF I Clothes Dryers -< C'l.l CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-I Ventilation Fan at. ( LJ
MENCED. i Range Hood __, { [') I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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.
~/ ~✓// 7t
SIONATUllllE 0,. CONTllllACTOfl Oft AUTHOlllllZ.ED AGltNT '1' (DATtl
ISSUANCE FEE s
TOTAL FEES s ' SIGNATUIIIE OP' OWNUI (IP' OWN1t,i aulLDlllt CA.Tl)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INTERDEPARTMENTAL INFORMATION SHEET
I I
BUILDING DEPARTMENT ~
~G"3:"~ ~~I Bu I L1> 1 NG ADD R Ess: _ ___.~~--..:....,,.. __ •~==--~~-=--===--=~=..,:_z_-~--<J-=-----,,.t---<-----o ...... r.>..Lc ...... 1_-----4-;19µ..1y..s __
l CITY OF CARLSBAP BtJlldh ,g Oepartmen
PLANNING DEPARTMENT I
LOT SIZE ___________ __,__OT WI DTH,_---,--_______ ZON E_...,.t _ __.,, ___ _
UNITS PROVIDED _____ .,...LLOWED _____ PRKG. SPACES P~REQ. __ _
. 0 F COVERAGE ALLOWED _____ B LD~. HEIGHT ~WED ____ _
RONT SETBACK. __ ___,~=--SIDE YARD . ~~REAR YARD _____ ILNATNRU~S10 S '¥
c ,~VI RONM ENT AL P ROTE CTI ON R EO'TS•----1~~.t:;..--,L-JJ-'------~ --~--..,
ENGINEERING DEPARTMENT
R.O.W._~E--=-...,,_)G"""'"/.__.,,,,,S.:.o...T._,~'--'A/,._,~0::"'---------1 ND USTR I AL WASTE ___ ___.4'"'-=-,~-.J7J,,.....-~,---~-,----
I MPROVEMENTS c"' X::/ 5 T /& G:: SEWER CONN ECTI ON _ _.L~--C=~-1r•:.....g~~.,..a.-;.~..,...__._---='''----
L., -4 .»!:t DRIVEWAY LOCA Tl ONS, ___ O"""'-"~...,.._ ____________ G RAD I NG PERM I T _ _____,~'-"'--,,~-:ff_""'--__
EASEMENTS ____ =M'--'Q!l<....L.&~E..c-____________ DRAINAGE_---='5>:....</4::~------
• LE'GAL D ESC RI PTI ON,_---,::;h....1...=.0-Lr-----'8""-=3:::,,.<"'---=c=----'.'---'C=1'--""SL.....lo<.()-'.'-'#~.,,c...L _____________ _ 7 •
C.,@AJG-£-$; PRIOR ro tJCCVPAAICY.
ISSUE PERMIT ~ DATE /..2?~C2GoccUPANCY_.~,..__ ____ DATE ____ _
FIRE DEPARTMENT
SPRINKLING SYSTEM _____________________________ _
FIRE PROTECTION EOUIPMENT ____________ FIRE ALARMS ________ _
EXITS ______________________________ -'------
FIRE HYDRANTS ___________ _ LOCATION, _____________ _
ADDITIONAL COMMENTS ____________________________ _
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE. ____ _
WATER DEPARTMENT
~MW D ________ CARLSBAD ____ OLIVENHAIN, _____ SAN MARCOS ___ _
"'DDITIONAL COMMENTS ____________________________ _
____:!ll!CiE,l;i,;..._ ___ OCCUPANCY ______ DATE ____ _
SENT SENT TO ENG. DEPT. -------
RETURNED TO BLDG. DEPT. ____ _