HomeMy WebLinkAbout2653 Galicia Way; ; 79-1657; PermitMODEL NO. __________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 6/07 ''3/ r _.!..
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. -/6..5 7
JOB AOOR CSS 9<)~ ASSESSOR'S
d'.?S3 PARCEL NUMBER
LOT NO. I •L• ITOAC~~~ BOOK PAGE I PAR,
1 ~~;~;, 9 ;;i <OS([ A.TTACHEO S14Ct.T)
-
2 ow~~ {}/ !b +-.,J•~:;::•:• ~/J.ti~) VJ'1-·7d JJ3
CON TA A.C TOA ~AIL .t.OOAES½-PMON[ STATE LIC. NO. CITY LIC. NO.
3 --A RCMI TCCT OR OE.SIGN[A MAIL AOOR CSS PHON [ LICC:NSE NO.
4 -
ENG IN CE R MAIL AOOq [SS PHONE LICE"-15( NO.
5 ..-
COMPENSATION \NS, CARRIER M AIL AQOA:£55 BA.A.NCH
6 (t',r/UA,l..,t,v
use or BV!LOINC
7 _f F/J NO. BORMS NO. BATHS
8 Class of work: i;;}-f(EW )(ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: r,._.a ~--1~. _. /) ~t:L-6-A-,,.~
lT F -
./~ ---r ~
~/fo~ /'B
,.
6 •Y ~ /' ' I nJ)'
I I I
10 Change of use from
Change of use to -
11 Valuation of work: $ 1/~l PLAN CHECK FEE$~ ~ PERMIT FEE S
s-~
SPECIA L CONDITIONS MICRO FILM FEE
Type of Occupancy
Const Group
s,,e Of Bldg / y -g No of Max.
(Total) Sq Ft Stories 0cc. Load
Fire use F"e Spnnklers
i ~7?1] PLANS CHE CKE OBY APPROVED FOR ISSUANCE BY Zone Zone Required •Yes 0 No
N o. of OFFSTREET PARKING SPACES
Dwelling un,ts No. !No. DATE Covered Sq. Ft. Open
.,,. " NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUI RED FOR ELECTRICAL. PLUMB-PLANNING DEPT.
ING. HEATING, VENTILATING OR A IR CONDITIONING. HEALTH DEPT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TtON 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 ANO ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
OR OF A PERMIT DOES NOT HEREIN NOT, THE GRANTING 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.
SIGNATURE or CONT,.ACTOllll o" AUTHO"IZCO AGENT (DATE.)
.:.-,~a/~,, ~,. /1.b A/?/7 9
Sl(;NATUllllC OF OWH[II IF' OWHE-,•UILO(ln 7 Tourc) ,
V WHEN PROPERLY VALIOATFO (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDAT ION CK. M.0. CASH PERMIT VALIDATION CK . M.O.
TOTAL FEES $
CA SH
73-
REOUESTtf.R INSPECTION
INSPECTOR • PERMIT NO.
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
2f-/t.S-7 >
TIME:----,.------
DATE: _t.,_5<_)--_,Y/2~7~·~9 __
I I
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
D ELECTRIC SERVICE
I\ t\ 0 CEILING HEAT ·v \ • G.F.1.
D SMOKE DETECTOR
FINAL
MISCELLANEOUS
0 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: •MONDAY •TUESDAY •WEDNESDAY •THURSDAY
--~-~----~---------PHONE NO•---,,--,,-----
PERSON T AKING REPORT_...,....._'-'------
INTERDEPARTMENTAL INFORMATION SHEET
'Z-J Cc,-I ~ t; -7-9
BUILDING DEPARTMENT DffECEIV h D
BUILDING ADDRESS:
/db-JUN 41979
,..,.. CARLSEl'D
.... 1.... :1 Depa rtm .,
PLANNING
UNITS ALLOWED ------------l-
LOT WIDTH
\ \ UNITS PROVIDED
I PROVIDED ®2: PROVIDED
PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED -------------
BU IL DING HEIGHT ALLOWED ----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -\).
PROVIDED ____ ~:c.+.F~=--
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION
~C#, ~EE,'
ADDITIONAL COMMENTS:
OK TO ISSUE: ~ DATE ~✓5 ;,q OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS ---------------
SEWER CONNECTION DRIVE~WY OCAT~S
GRADING PERMIT --~~---J!::TS~====:AINAGE. ____ _
LEGAL DESCRIPTION :-t:f 9J rxi._~-~
ADDITIONAL -~'"""=1µ61..(,L_M=~~-'-----------------------
1 FIRE DEPARTMENT
~ SPRI~KLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _