HomeMy WebLinkAbout2711 JACARANDA AVE; ; 78-248; PermitMODE1... NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 7 ~ -d 'f-j1
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No -
JO& ADDA E55 ASSESSOR'S r) I ') . t PARCEL NUMBER I,. "" ,...... I I -LOT NO. I 9lK I TSACT // I. BOOK PAGE I PAR. LEGAL I ,.{; (J. tQstc AT~';:1-1,lf"D S"4[[T) 1 ocsc•. ~-,
OWNER MAIL A0OR[55 l t!P I f/1.,_J. PHONC
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CON TR AC TO" MAil ADDRESS PMON[ STATE LIC. NO. CITY LIC, NO.
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ARCHITCCT OR Ot51CNCJI MAIL AOO"ESS PHONE l.lC[NSE NO.
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CNGINECIII MAIL AOORC.$5 PMON[ LICC~SE NO.
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COMPENSATION I N'S. CARRIER MAIL A.OORCSS BRANCH
6
use Of" &Vil.DING
1 NO. BDRMS NO, BATHS
8 Class of work : □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: (J A---f\D Co ..J e-(2_ l~ )<d..~ ..... d (r <./ I -~//
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10 Change of use from
Change of use to
7q ~I..£. ' I r· 11 Valuation of work : $ L/ --PLAN CHECK FEES PERMIT FEE S
SPECIAL CONDITIONS· MICRO FILM FEE Type of Occupancy
Const Group
Size of Bldg. No. of Max
/J (Total) SQ. Ft Stories 0cc Load
/A Fire use Fore Spr1nklers
APPLICATION ACCEPTED BY PLANS CHECKED ev APPROIJEO roR ISSUANCE BY Zone Zone Required 0Yes □No
~o@ N o. of OFFSTREET PARKING SPACES
Dwelling Units No, !No. DATE 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 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 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 G IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIONATUIIU; OP' CONTfh\CTOJI 0111 AUTHOIIIIZ.£0 AGENT (OATt)
!'I.IGNATUJI£ 01' OWN[JI I,. OWNl:JI I UILOtJI) IOA TC)
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
INSPECTION ·RECORD
DATE REMARKS lr.ll>r'ECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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RECEIVED
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT . DATE:
'J 7/ -/J Cl"'"'TV~O...,f-.C"1At1"1RrHLS~Btil-Al'\-D-
;.§ u IL DING ADD RE s s : --~--'---'-"/---= ... __.__(_,_19:~c~. /b~£..,2 /9-n~...,cfc:..L,1'/-l,-'-=-------"B=u""lld""ln:.,og,_D::;..ec,cp..:..art_m_e_n_t_ ...
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PLANNING DEPARTMENT
ZONE P-C-LOT SIZE LOT WIDTH --~-'---~-------------·---------
PROVIDED -------------
PARKING SPACES REQUIRED _ _,c___:_~,_a~==--PROVIDED __________ _
% COVERAGE ALLOWED ____ _."'-===-'C-------PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATLON PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: ~~...,.~~"""-'n...-<-c;;;.c::D~......,~------------
ADDITIONAL COMMENTS:
OK TO ISSUE: ~ DATEU¢ioK TO FINAL ________ .DATE ____ _
ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION DRIVEWAY LOCATIONS
GRADING PERMIT -------E-A-SEMENTS ¼=-.s /AJD~-~~--R-A_I_N_A_G_E ____ _
LEGAL DES cRIPTioN_...L .... o'-"","~3--'-;;,._o _ __,..C .... T_.___,_7"""3"----'/~f-#_¥,__ _________ _
ADDITIONAL COMMENTS -----------------------------
DATE /-'2£-7~WI ____ OK TO FINAL--'-"""" DATE ----
;· ,---------------------------------------
FIRE DEPARTMENT
SPRI!iKLING 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 _______ _
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