HomeMy WebLinkAbout2708 LA GOLONDRINA ST; ; 78-233; PermitMODEL NO. _________ _ C.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB AOOIII £! 5 ASSESSOR'S
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LOT NO I ILK
I TRACT ,~,UP.i~i7-C? BUOK PAGE I PAR,
L<CAL I s-~ (nS[t ATTACHED SHC[TJ 1 OESCA.
OWN[llt MAil. AOOACSS ll P PHONE
2 .J.!~. FR.r•1,,1 iJ, I ""4/. , /.J:.1,-, A:Eo CR,.v/, ~' JfJ~t)/,· U• _) /~/ _,,I --) / , , /:. • .... ,. I It .(
CON TflU,C TOR _Oc;J/=" MAIL AOORC.SS PHON( STATE LIC. NO. CITY LIC. NO.
3
AIIICMI TCCl OR O[SICNCR MAIL AOOAt55 PHON C LICCN5-t. NO.
4 ··F-
[NGIN([" MAIL AOORESS PHO NC LICENSE NO.
5 -cir
COMPENSATION INS, CARRIER MAIi.. AOOAC.SS 8fU,NCH
6 -/2 ~ ,l~.,,/"\J
use o, &Jlt.OING
7 NO. BDRMS NO. BATHS
8 Class of work: □NEW ~ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: C. o 4.STieOff RRA/1 ,r.,,,P-4,1r YA~o tdrT/1 .R4J7 Jt,-; '/i-od
i<R1lll/'0RCl?"P ~ ~#E ~00"1 4PP/7io.il tifT A/IT~:,? l>/IT;-;.
10 Change of use from --
Change of use to
I --11 Valuation of work: $ ~ . __.
PLAN CHECK FEE$ PERMIT FEE S .J
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const Group
Size of Bldg No. Of Max.
(Total) Sq. Ft Stories 0cc. Load
Fire use Fire Sprinklers
APPLICA TIQN ACCEPTE O av PLANS CHECKED ev APPRQ,VED FOR ISSUANCE BY Zone Zone Required 0Yes □No ~~/, • (/ NO. ·of -· OFFSTREET PARKING SPACES
/-~ 1,
DAtE No. 'No. DATE Dwelling Units Covered Sq, Ft. Open
NOTICE 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 AUTHORIZEO 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. ALL 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 PE.fl FOjtM ANCE OF CONST~UCTJON.
r ' , {,
s1CNATu,n. or coNTlllACTOfl 011 Aij,rtM011t12co IGt:NT (DAT ti
( , 'Jr ( ,, ,
SIGN.ATUIIC o, OWH£fl IY OWNC"llt af•ILOE"J IDATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.0, CASH PERMIT VALIDATION CK. M.O CASH
TOTAL FEES$ ___ --' _____ _
INSPECTOR
INSPECTION RECORD ·.
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
RI
F(
w
CONCR
FRAMII
INT. U
EXT. L,
MASON
FINAL
USE SPA
REQUEST FOR INSPECTION TIME: ______ _
INSPECTOR, _ _,,~='---'-'-------PERMIT NO. 7tft-d 3J .,.
OWNER _____________________ ,....__....,a!.~!.....,---.,!.~~~~'....::...-
BUILDING
FOUNDATION 'l'fluf-f
D REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D I NSU LA TION
0 INTER IOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION:
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
ROUGH ELECTRIC L
D POOLtrt"!~WG a F-
D ELECTRIC SERVICE 3lt1f
0 CEILING HEAT f I
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D FRIDAY
REQUESTED BY __________________ PHONE NO. ___ 4_,_,r?""----/~',:'-
PERSON TAKING REPORT---+(:---=-----'------
INTERDEPARTMENTAL INFORMATION SHEET
., RECEIVED BUILDING DEPARTMENT DATE: ________ _
BUILDING ADDRESS: ..?7LJt[ 4 ,f~ .!AN 2 4 1978
~ -4'2 <2 I ;z f2=:4-Q-b
PLANNING DEPARTMENT
ZONE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED __________ _
% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED
tRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
-----------
REAR SETBACK:
OK TO ISSUE: ---~DATE ____ OK TO FINAL ________ .DATE ____ _
ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT _______ .EASEMENTs>"e,6,P ... t!o.Pkli DRAINAGE ____ _
LEGAL DESCRIPTION ~r' >t!;z cy-" 7-S-/8 A/11/
ADDITIONAL COMMENTS ____________________________ _
, OK TO ISSUE:&Z:: DATE (=ti:f-]6 PWI ____ OK TO FINAL,4?1. DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS--------------'----------------
OK TO ISSUE: _____ DATE _______ OK +O FINAL. ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE, ________ _