HomeMy WebLinkAbout2704 LA DUELA LN; ; 77-9856; Permit,.....,~ -... ..
MODEL NO • .
. BUILD NG PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008 ., IE -~~ ~•a.a i • r,:
-7 t:;"~~
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB AOOR (S! Ln 0,. 920(.; ASSESSOR"S
~1(.j~ Dtl I. t,.,v (..,'1" J.. .l 0/.(j) I
, PARCEL NUMBER
I LOT NO. I BLK J TAACT1/.3 -/8 BOOK PAGE I PAR.
1 ~~;~~-/9~ 3 <Osc.1. ATTACHED SHCC.T1
OWHtll': MAIL ADD"ESS ,_'j PJONE
2 _I, t ,;ERT ]). /HtJhP.:t/\1' ( SAHE-A.s jj f.3/:;.-~'; a I
CON TfltAC TO,. MAIL A00flt£55 PHON E STATE LIC, NO. CITY LIC, NO.
3 uwAIE/C
A A CHIT[CT OR OtSIGNCflt MAIL AOOR£S5 PHON [ LICE.NS[ NO.
4 .t)#lt}A/Ele
ENGIN[[flt MAIL ADDRESS PHONE LICENSE NO.
5 -,_
' , t ' ' 'I.
COMPENSATION INS, CARRI ER MAIL AOOl't[SS (v/4,vER)Y.J 8fltANCM
6 lv ,l:Hph y1 E
,
USE OF BUILDING -,
7 , I I= ~ 14/l Y /.? r .sJ,iJEif F NO. BDRMS 4 __j NO. BATHS
8 Class of work: 0 NEW D~OOITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work : CoAl.s -r1i u c r /¥ X 23/ 719710 <!..£JV£.
' 10 Change of use from .
Change of use to
11 Valuation of work: $ ,I~-,o,d /e,c,g--"u ,;-~ '-'~ I II o o
-, -,__ PLAN CHECK FEE$ PERMIT FEE $
SPECIAL CONDITIONS. Z-A MICRO FILM FEE
Type of Occupancy
Const ,_. Group
Sile of Bldg -3~ No. of Max. ,.
-·--(Total) Sq. Ft. , Stories 0cc. Load
' A Fire use Fire Sprinklers
APPLICA T10N ACCEPT[ 0 BY PLANS CHECl(E OBY APPROVE OF.OR ,s'suANCE BY Zone zone Required DYes □No
DA~
No, of OFFSTREET PARKING SPACES
Dwelling Units No. !No.
DATE Covered Sq. Ft. Open
NOTI CE 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 ANO 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 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.
-
/
S\GNATUfU, o, CONTfllACTOllt 0,. AUTHOftlZCD AGE.NT (DATE)
) ! f ,t ... ..,_
{.) ,,~~ .,,.__.
CIGNAT11fll£ 01'" OWNEJl ti,-0WN£11t 8UILOE11t) DAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALI DATION CK. M.O CASH PE RMIT VALIDATION CK . M.O. CA SH ,
I(; ..::..--
TOTAL FEES$
INSPECTOR
RE°:~EST F0f ~S'2C~ION TIME:
INSPECTOR ~~ V'" PERMIT NO. ______ _ /· .2.9'-2
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
D INTERIOR LATH OR DRYWALL
D 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
D GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDAY
~.M.
D TUESDAY
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING if
D ELECTRIC SERVICE ;f';-i(
D CEILING HEAT /,';t-1)£~
O G.F.1. A:LJ
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
EDNESDAY D THURSDAY D FRIDAY
O P.M. A~
SPECIAL INSTRUCTIONS------~-=o~~~z~~--,,..g.,_' __ ~"'71'"-~-' ........ --,,,..,.,..~------
REQUESTED BY __________________ PHONE NO. __ -7'~.....,..,,,___/7 __ _ /_ (/a __
PERSON TAKING REPORT __ -=,,.;...._ ___ _
• ..
'
•
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\BUILDING
BUILDING
• INTERDEPARTMENTAL INFORMATION SHEET
DEPARTMENT
ADDRESS= J 7Df o(l L10-
PLANNING DEPARTMENT
RECEIVED
DATE :_--111,NQH-1','I-' ~2-A8-4l19ff.i+J.--
CITY OF CARLSBAD BuHdln1 Department:
ZONE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED __________ _
% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVID~D. __________ _
FRONT SETBACK:
ALLOWED ______ _
SIDE ~TBACK: Ur ' REAR SETBACK: a.. PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS· .
OK TO ISSUE :&..-1 DATil/;¢1oK TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION DRIVEWAY LOCATIN.
GRADING PERMIT DRAINAGE EASEMENTS #'2 ~o., ,de;
LEGAL DESCRIPTIONCoT: l'14. ' or Z"3-:IB ,,{)!!.,3
ADDITIONAL COMMENTS
OK TO ISSUE: flVC...~ DATE /l'.:-~~-'72 PWI OK TO FINAL J//A DATE
·1
FIRE DEPARTMENT
SPRINKLING SYSTEM FlRE 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 ________ _