HomeMy WebLinkAbout2704 LA GOLONDRINA ST; ; 78-3490; PermitMODEL NO. _________ _ ,.
BUILD NG PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumbercdspacesonly Phone 729-1181 Permit No -JOB A.ODA CSS ASSESSOR'S
' J ~ L. & o t. o "' i\ s r. PARCEL NUMBER
LOT NO, I SLK ITHCT BvvK PAGE I PAR,
LCGAL I ~R c.. ,-<=i
(0$[.(. ATTACHED SHC.ET) 1 DE5CA, 7 I -v
OWNER j MAIL AOOR[SS 2 Ip PHONC
2 ) ~ •I 0". ( rll ,, I I ;\ l.o•o•• C, ;,)OO'l'.
CON TRAC TO" MAIL AOORE5S PHONE STATE LIC, NO. CITY LIC, NO,
3 .. (.
AIICHITCCT Oill OCSICNCR MAIL ADDR ESS PHONE LIC[N5C NO.
4
CNGIN([R M,6.IL AODFICSS Pl"IONC LlC E.N.5£ NO.
5
COMPENSATION INS. CARRIER MAIL AOOlltCSS f d l•C fit 8 illANCH
6 .. n..., . .n . , ~; .. I .. , ... 1·-.· ... --· .. --.,,..,, co,1c:.1--fl
USE or IUILDING r ..
7 NO. BORMS NO. BATHS
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work : 11~£ ,._, '.A~ .,r~/ t'
y i7) /~ ~ / ~ -, .
10 Change of use from
Change of use to
e<--I ,,. '-"' 11 Valuation of work : $ /~//(/' -.> ~/ -PLAN CHECK FEES PERMIT FEE $ _,.,,
SPECIA L CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
Soze o f Bldg. No. of Ma>< -(Total) SQ Ft. Stories 0cc. Load
Fire Use Fire Sprinklers
APPLICA TOON ACCEPTED BV PLANS CHECKED ev APPROVED fOA ISSUANCE ev Zone Zone Reouired 0Yes 0 No _,,/ •~ ,,_ -IK No. of OFFSTREET PARKING SPACES
DATE~ No. 'No. DATE .. Dwe11,n9 Unots Covered Sq, Ft. Open
NOTICE Special A pprovals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMS• PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH 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 AND EXAMINED THIS ENGINEERING DEPT APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT
AL.L PROVISIONS OF LAWS ANO 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.
I\, -,i D,•m'(• o• AUTHO•ouo AGENT IDATE)
..:. <-t-I~
SICNATIJJl[ o, ow,Uflt•lll" OWN[fll IUILDl:ft) (DAT£)
WHEN PROPER LY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
...) -0
TOTAL FEES $ ---:,'11"'/-~.c.----... ...,...,-
INSPECTOR
INSPECTION RECORD
DATE REMARKS
FOUNDATIONS:
, , , ECT IR
-cm -
FAJ -
INT -
EXl -
MA: --
---
FIN, .___
USES.
SET BACK
TRENCH
REINFORCING
REQUEST FOR INSPECTION TIME: rfis/2(j INSPEC,TC>R
q.
,/ pf PERMIT NO. DATE: 7
OWNER
ADDRESS J](Jt/ 3t£ to-l'tmrb~
BUILDING
0 FOUNDATION
D REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
FRAME
TERIOR LATH OR DRYWALL
INAL
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
READY FOR INSPECTION: D MONDAY
□A.M.
O P.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
()k~ 1. ,p.,, I
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
D WEDNESDAY D THURSDAY D FRIDAY
REQUESTED BY __________________ PHONE NO. _______ _
PERSON TAKING REPORT __ 1f' _____ _
.