HomeMy WebLinkAbout2719 CHESTNUT AVE; ; 79-1337; PermitMODEL N0._
BUILDING PERMIT APPLICATION,;^,
City of CARLSBAD, CALIFORNIA 9200tfol?:5BS LOi'50. BP.
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Applicant to complete numbered spaces only.Phone 729-1181
ARCHITECT OR DES.IGNER MAI L ADDRESS LICENSE NO.
MAI L ADDRESS L 1C ENS E N O.
COMPENSATION INS. CARRIER "MAIL ADDRESS
USE OF BUILDING
NO. BDRMS_NO. BATHS,
8 Class of work:HljEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work:01*COtfWSTG BUM. UJQUL
10 Change of use from
Change of use to Hi*
11 Valuation of work: $PLAN CHECK FEE $PERMIT FEE S
SPECIAL CONDITIONS:Type of
Const.
Occupancy
Group
MICRO FILM FEE
Size of Bldg. *
(Total) Sq. Ft.
No. of
Stones
Max.
Occ. Load
APPLICA/ION ACCEPTED BY. PLANS CHECKED BY
Fire
APPROVED FOR ISSUANCE BY
Use
Zone
Fire Sprinklers
Required Qves
o. of
Dwelling Units
QFFSTREET PARKING SPACES:
No.
Covered Sq. Ft.
|No.
Open
NOTICE ^
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB,
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYSiOR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT, ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
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.
SI GNATURBOpP CONTRACTOR ORJkU THOR I ZED AGENT
Special Approvals Required Received
PLANNING.DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
/ "(DA T E )
Not Required
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 $.
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
SPACE BELOW FOR NOTES/FOLLOW-UP, ETC.
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
DAI
/?</<.,
APR S 01979
IT f AC pAu; gRAryT *aif \jr\i \L.OfjnU
PLANNING DEPARTMENT
ZONE
..-cJ tJi. artment
LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
_PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEES: DISTRICT:/^AMOU,Nj:
ADDITIONAL COMMETS:
OK TO ISSUE:DATE 4^-3^-7f OK TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
LEGAL DESCRIPTION
ADDITIONAL COMMETS
OK TO ISSUE:
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
. /Z-0
PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
_FIRE PROTECTION EQUIP
EXITS
LOCATION
OK TO ISSUE:DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE