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HomeMy WebLinkAbout2651 La Gran Via; ; 77-4543; PermitMODEl NO. _________ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Perm ii No " ' Joe ADDA £55 ./ ASSESSOR "S ~ l. LJ ; ~-·. .,__, / ~ l//-A _.. PARCEL NUMBER LOI NO. I L< I TA"CT BvvK PAGE I PAR. L [GAL I . o/',t..--,;, -I-/ tOsct: ATTACHEO SHCCTJ 1 0£SC •• , .:::;;,J """'~ OWN[A MAIL AOD"CSS ... PHON[ 2 ~.S-n "'~ , ... :;:-r. .. ,\/.,....... k" f CON TN ACTOR MAil. ADDNCSS PHONE STATE LIC. NO. CITY LIC. NO. 3 ARCHITECT OR DtSIGNCR MAIL AOOACSS PHON C LICCNSC NO. 4 [NGINECA MAlL AOOACSS PHON[ LICCN St NO. 5 COMPENSATION INS. CARRIER MAIL AOOfl:£55 BIU,NCH 6 7usc o, ~~ +br Sol cu:-bl e,rq L/ -NO. BORMS NO. BATHS ~ 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: ) e:A: ~i? ./0 o/ ~ /:../4, -I'.,:, ~~ ,1 /br0~ 10 Change of use from Change of use to 11 Valuation of work: $ ~Jv()-f.. PLAN CHECK FEE$ ( :,~I I .S r ~ PERMIT FEE $ - SPECIAL CONDITIONS: MICRO FIL.M FEE Type of Occupancy Const Group s,ze of Bldg No. Of Max (Total) Sq Ft Stories 0cc. Load Ftre Use Fire Sprinklers APPLtCATtON I\CCEd av PLANS CHECKED av APPROVED F3UANCE IIV Zone zone ReQuired □Yes 0No /_./. . DA-0, • • V. No. of OFFSTREET PARKING SPACES: Dwe11tng Units No. I No. OATE Covered Sq. Ft. Open NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMa PLANNING DEPT. ING, HEATING. VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL ANO 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 OEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER OEPT. 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. SIGNATU"~ OP' CONTflACTO" Ofl AUTHOlltll!.0 AC.t.NT (DAT[) ,Y _;, ,., ,:,.,,, -_,/ ~/,CJ/-, 7 SlGNAT Ill: h~ ow,.ic" 1,-OWNCllt IIUILOCfl DA Tl) 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 $ _.,./_.,_~ __ ...,_-___ _ INSPECTOR INSPECTION RECORD 77-t/s-tf3 DATE REMARKS r--IN,'PECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY ~-, L/~ 7( ~ o. y ~/4n~ FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. PLUMBING PERMIT APPLICATION 1 t, IU • City of CARLSBAD, CALIFORNIA 92008 Apphcant to complete numbered spaces only Phone 729-1181 Permit No JOB ADDIII CSS ~ UJAJ L l C I !-A (:;I. f " . , ' LOT NO. I •c• I TOCT LEGAL I 1 DUC~. OWN~Pt mes. /l.£,S1. ~ MAIL A0011 CSS ti. :/ta (k PHONE 2 /. t , ',, c;-1 t.;16 , .:. . I ' .. , .a , CON TfUr,C'TOfl &1--1> +e_o. '-1--1'"1-"r'",· ~ r'l=A.1~1!! ~--PMONt STATE u;, ,Nol Cl,TY LIC. HO. 3 ~ ..s:, '113 ,· ,,. ,:l,&O I . - r/ A"(MITECT 0" DCSIGNCII MAIL A00llt[5S PHONt LICtNSC NO. 4 lNGINC:IUt MAIL AODfU.SS PHONC LICCN.SC NO, 5 - COMPENSATION rNS. CARRIER MAIL AOOIIICSS IRANCH 6 use g,-BUILDING 7 8 Class of work: □'NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: ..::JoL 17 t:-f..100L /.J£A11Alq .6~7elfl PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER •PPUCA 7-CE? PLANS CHECKED ev APP~Ollf O •O~ ISSUANCE BY LAUNDRY TRAY CLOTHES WASHER / ,.J. CATE WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK MENCED. GASSYSTEMS NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO '3t Tl'IUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP. 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 NUMBER CLEANOUTS 1VL /J ~I I CESSPOOL Jlt/ --SEPTIC TANK & PIT L -;I t ~r---f ~, ROOF DRAINS 1.S•GHATU~l O• CONT.AC TO~ 0~ AUl")OOIHD AGlHT (DATCJ / f .· __ .,, I" .J ISSUANCE FEE $ / J~ TOTAL FEES s SICNATt1Jtr 0" OWNlfl 1r owNc" aun .. or:• DATC, ') ...,., WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M ,O. CASH INSPECTOR • INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: ::2,11,,-.;i s::o -3 ~ PLANNING DEPARTMENT F iikJ.er DATEJIECEIVED JJIN 1 D 19'77 Cl I Y OF CARLSBAD 8Ylldli:ig Department ZONE _________ LOT S IZE _________ LOT WIDTH ________ _ «;!JNITS ALLO--M~~----------UNITS PROVIDED ____________ _ .. • PARKING SPACES REQUIRED PROVIDED . ----------- % COVERAGE ALLOWED PROVIDED BU IL DING HEIGHT ALLOWED __________ PROVIDED FRONT SETBACK: ALLOWED ---..,.q:!J+-- PROVIDED ---t-,,-.,._=-- ----------- I NT RUSI ON S LANDSCAPE & IRRI,?ATION PLAN COMM.ENT!: ________________ _ ENVIRONMENTAL PROTECTION REQ: OK TE. ____ OK TO FINAL ________ DATE. ____ _ ENGINEERING DEPARTMENT R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION GRADING PERMIT ________ DRIVEWAY LOCATIONS ___________ _ ______ EASEMENTS_~-=..:'h=~e _______ DRAINAGE ____ _ LEGAL D~CRIPTION-'----------------------------- ADDITIONAL COMMENTS ___________ ~----------------- FIRE DEPARTMENT SPRINKLING SYSTEI FIRE PROTECTION EQUIP. FIRE ALARMS EXITS FIRE HYDRANTS J,.OCATION ADDITIONAL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE ' WATER DEPARTMENT ' REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE ( , • -··--·------------------------ -------------------------------------- ------------------------------- -. ---·--···----···--- ---------------------------------- .. ---------------------------~ ----------- --------··-·'""""•·---···---------------------- ------· ---------------- -·---··-----·------------···--- . --------------------------------~------- ·------------------------------------------- ------------------------------------------- . -------------------------