HomeMy WebLinkAbout2708 LA GOLONDRINA ST; ; 78-3856; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION -,: '
City of CARLSBAD, CALIFORNIA 92008
Applicant tocompletenumberedspacesonly Phone 729-1181 Permit No
JOB ADDA E55 ,1s&t;o ASSESSOR'S
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LCCAL I r tOstc ATTACHED SHC£.TJ
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OWNUI h ~fl-A.0()1'[55 21• ..... -.__ -PH0t4C .L/.◄
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CONTRACTOIII MAIL AOOACSS PHONC STATE LIC. NO. CITY LIC. NO.
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AOCMITECT 00 0£5;;;:;;,,~ MAIL •oDR[SS PHONC LIC[NSC NO.
[NC.IN££" ( I -1.C:::--MAIL AOOACSS PHONC LICC.,.5£ NO.
5 -
COMPENSATION INS, CARRIER MAIL AOO,t(SS 8111ANCl-t
6
US[ OF IUILDING
7 NO. BORMS NO. BATHS
8 Class of work : □NEW CS ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ., vAlfTA. J c T 4 ;;,_r...,t~IJ /y/jE /-'.,fl Tiu Co///-;,~ ,;1-/ ,~A.(' tJ.r #u tl✓~ ' t:.J . ,-Ii'/
10 Change of use from
Change of use to ---< ~
~ 7~V -q ,.. I J 11 Valuation of work: $ .... -PLAN CH ECK FEE $ PERMIT FEE S
SPECIAL CONDITIONS:
~ ~ MICRO FILM FEE
Type ol Occupancy
Const -1. Group
Size of Bldg, No. of -bdz✓ Max
~· (Total) Sq Ft Stories 0cc. Load
" I ,-• Fire use Fire Sprinklers
APPLICATION ACCEPTJO ev pt"YitKEO BY
r APPROVED FOR ISSUANCE BY Zone -Zone Required 0Yes 0No
j/V 1~ io ' '1 Ill Iv ,'J; No of OFFSTREET PARKING SPACES
No. JNo.
OAT DATE G)wellong Units Covered Sq. Ft. Open
NOTICE I Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING OEPT.
ING. HEATING, VENTILATING OR AIR CON-OITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHI~ 120 DAYS,OR IF FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED F{JR 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 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 S"TATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE, OF CONSTRUCTION.
' ri.r
SICNATU"[ or CONT"ACTOfll 0111 AUTHOflllZCD AC.£.NT !OAT[) .
~IGNATUfllE 0,. OWNEII' IY OWN[III autLOEIII) DAT[ r,
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
REQUEST TIME·
INS'PECTO
~INSPECTION
j ~ PERMIT NO. _______ DATE:
OWNER ___________ -4-_.sc.c::_::,):_:__ ___ _.,,__----:::----------::.------,,---
D FOU
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
NTERIOR LATH OR DRYWALL
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
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND p
D ROUGH ELECTRIC ,k...1 \,
D POOL BONDING -~~
D ELECTRIC SERVICE f ~
D CEILING HEAT ~~y D G.F.1. h ,-z 7
D SMOKE DETECTO
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS:,::;;:--
□ 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 D FRIDAY
DP.M. ,/ 1~. DA.M. lo
SPECIAL INSTRUCTIONS _______ _,1_,_~-'----~~-------------
REQUESTED BY ~ PHONE NO·-----1----
PE~KING REPORT----/----
0
0 o D a
/ .. .,-·
/ ', BUILDING 'DEPARTMENT
-INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING ADDRESS: o<J08
DATE: __ --.,1JcuU.1'4.N-1""4~19:u7.Q...8
Jj a} <JY\ ,C A 1 ~ <L CITY OF CARLSBAD
Buitdio2 Department tAf10
PLANNING DEPARTMENT
ZONE_-fl<_C...--______ LOT S IZE. ________ LOT WIDTH __ ,=-...c7_1 ____ _
UNITS ALLOWED ____ _c_ ______ UNITS PROVIDED ___________ _
PARKING SPACES REQUIRED PROVIDED __________ _
% COVERAGE ALLOWED ____________ PROVIDED _________ _
BUILDING HEIGHT ALLOWED PROVIDED _________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ~c> / 1 /'I
PROVIDED __ ~o~.~1<...~--O.k. Q.K.
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: _e==.KE.~;4tc:,<..;O_t.__~ec...o..1:.Llt..===-,,~[_,_l~'f~-~0~1<'.'-'-"'ofi"-=o~&i....:..~.)r---
ADDITIONAL COMM NTS:
_______ DATE. ____ _
ENGINEERING DEPARTMENT
R.o.w. _____ INDUSTRIAL WASTE ______ IMPROVEMENTS ______ _
SEWER CONNECTION _______ DRIVEWAY LOCATIONS_~----------
GRADING PERMIT _______ EASEMENTS t/1.,'.,u, ~L DRAINAGE, ____ _
LEGAL DESCRIPTION ~ .:rt er Z3-P,'l
ADDITIONAL COMMENTS _________________________ _
FIRE DEPARTMENT
SPRINKLING 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 _______ _