HomeMy WebLinkAbout2634 GALICIA WAY; ; 78-5112; PermitM00EL NO. _________ _
BUILD NG PERMIT APPLICATION
1' 9'-os--1~
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 ~J Permit No
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ARCHITECT OR DC51GNCR MAIL AOOR£55 PHONE LIC E.NSC NO,
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CNGINCCR MAIL AOO'tCSS PHONE LICENSE NO.
5
COMPENSATION INS. CARRI ER MAIL AOORCSS BRANCH
6
use o,-8 VILOING
1 NO. BORMS NO. BATHS
8 Class of work: •NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: //be} ,¼rv/ F,,/tJC).£1 ,t;;.f:..C ,-'IT e;r...,~ ('JI:"/~./.(£
10 Change of use from
Change of use to -. i
11 Valuation of work: $ ';fl/1--PLAN CH ECK FEE $ J I PERMIT FEE $ I
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
Size of Bldg, No. of Max.
(Total) SQ. Ft. Stories 0cc. Load
I Ftre use Fire Sprinklers
APPLICA TIQN ACCEPTED BY ,J' t,.,
PLANS C.~ECKEO 8Y APPROVED FOR ISSUANCE BY Zone Zone Required •Yes ONo . OFFSTREET PARKING SPACES, -I ,, J-,. l1 No. o f -1-' -No. JNo, CATE t..; DATE Dwelltng Units Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR Al R CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE OEPT
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 ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVIS IONS 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,
/ ~ -,
SIGHATUJII[ o, CONT,-ACTO" Oflll AUTrtOfll1t0 ACCNT (DATE)
SIGNATUIU; o, OWN!:JII I,. OWN£" IUILOEllfll IOAT C)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O . CASH
I .I ..----TOTAL FEES$ ________ _
INSPECTOR
FOUNDATIONS:
SET BACK
TRENCI
REINFC
FOUND
WEATH
CONCRETES
FRAMING
INT. LATHIN
EXT. LATHll'I
MASONRY
FINAL
USE SPACE BE
INSPECTION RECORD
DATE
REQUEST INSPECTION
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
NTERIOR LATH OR DRYWALL
FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
0 GAS TEST
D WATER HEATER
D FINAL
REMARKS INSPECTOR
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY VwEDNESDAY D THURSDAY D FRIDAY
DP.M. _ , (v-DA.M. / b
SPECIAL INSTRUCTIONS _____________ -+--.--,..-~~=--"-"---t---'...,-.........-=-------
REQUESTED BY ___ ~ _____ -___________ PHONE NO. ____ __,,_ __
PERSON TAKING REP0RT ____ __,_ __ _
r
,.. INTERDEPARTMENTAL INFORMATION SHEET
.:ILDING DEPARTMENT
~UILDING ADDRESS:
DATERECEIVED
SE? 5 1978
PLANNING DEPARTMENT
co ) 7'? / ZONE __ ---'~'-----'-----LOT SIZE _________ LOT WIDTH ___ .L.,_~ ______ _
UNITS ALLOWED ______ /:__ _____ UNITS PROVIDED ___ / _________ _
PARKING SPACES REQUIRED ,,__ PROVIDED ~ -----------
% COVERAGE ALLOWED 1/o-7~ PROVIDED _C_k_~--------
BUILDING HEIGHT ALLOWED __ _,,J..~:C..__' ______ PROVIDED __ 0_'S,,_=--------
FRONT SETBACK: SIDE SETBACK:
-J.3 ,
REAR SETBACK:
ALLOWED ~6' /Y6'
PROVIDED ____ o_~-=---
INTRUSIONS _____ _
LANDSCAPE & IRRIGATION PLAN COMMENTS: /JA -=--_;_ ______________ _
ENVIRONMENTAL PROTECTION REQ: e)(E~(->7 'f&2 _liz O 5'( Df'a (o..)
ENGINEERING DEPARTMENT
R.O.W . ______ INDUSTRIAL WASTE IMPROVEMENTS ---------------
SEWER CONNECTION DRIVEWAY LOCATIONS ------------
GRADING PERMIT _______ EASEMENTS JJ~W!. /tl'f..-o.," f-DRAINAGE -----
LEGAL DESCRIPTION /.,..f fl J I,,. C, .So11f~ ,JJ {
ADDITIONAL COMMENTS ----------------------
OK TO ISSUE:<t)a1' DATE C, /s1z s PWI ___ OK TO FINAL Rik I I
DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ----------------
FIRE HYDRANTS LOCATION ------------------
ADD IT ION AL COMMENTS
OK TO ISS.UE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _