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
( ,
•
-··--·------------------------
--------------------------------------
-------------------------------
-. ---·--···----···---
----------------------------------
.. ---------------------------~ -----------
--------··-·'""""•·---···----------------------
------· ----------------
-·---··-----·------------···---
. --------------------------------~-------
·-------------------------------------------
-------------------------------------------
. -------------------------