HomeMy WebLinkAbout2719 LA GOLONDRINA ST; ; 78-4583; Permit.. ..
MODEL NO, _________ _ .. .. ,J.. .. '
BUILD NG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1 181 Permit No
JOB AOOR [55 ASSESSOR'S
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PARCEL NUMBER
I
LOT NO. BLK I me; BOOK PAGE I PAR.
LC CAL I %Ci
Qscc ATT.6.CHtO SHC[Tj
1 ocsc•. I'; I
OWNER Shu //1 ,tJJA/
MAIL AOOLIICSS LIJ ~/,.All/,:.·~ Pt-4ONE
2 ;1.7 I I "' .Ji~-, ,
CON T .. AC TOA MAil. ,t.00AESS Pt-tONE STATE LIC. NO. CITY LIC. NO.
3
ARCHITECT OR OESIGNCl'l MAIL AOORCSS PHONE LICENSE NO.
4 -~ --:_
CNGINCCLII MAIL AOORC.55 PHON [ LICENSE NO.
5 I
COMPENSATION INS. CARRIER ci; MAIL AOOR[SS BRANCH
6 -use 0,. IVILOING .
7 ,) :>
NO. BORMS NO. BATHS ..
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ~ 11' <' ( , r vt-1<_ =76,7._. -1/J
'_,,,() ,,I ,
10 Change of use from ~
Change of use t o q/)/J 4 I-, J -,,_ -c...v _...,;:··~ I ~ 11 Valuation of work: $ .:, (;).1--PLAN CH ECK FEE S PERMIT FEE S
SPECIA L CONDITIONS· Type of
MICRO FILM FEE
Occupancy
Const Group
Size of Bldg. No. o f Max.
(Total) SQ. Ft. Stories 0cc. Load
Fore use Fire Sprinklers
APPLICATION ACCEPTED ev PLANS CHECKED ev APPROVE OF OR ISSUANCE ev zone Zone Required 0Yes 0No
( , /?rt 1,, 'I ) 1-41 No. of OFFSTREET PARKING SPACES·
L . , Owe111n9 Units No, !No.
DATE 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 ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO OROINANCES 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.
.r. ~ .,. ., S;ATU•~~;;;;;• :THO✓;~~~L, (DATE)
"!il,NAT-ullll.: OJ' OWN._. (1,-OWNEN 8UILDEIII fDATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O. CASH
'
INSPECTOR
INSPECTION RECORD
DATE REMARKS HC:' 1..~TOR FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
-
/2
~r-~
-
FINAL 311'bt---I ( -
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
------------------------------------------
I ... INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT ~A'11° Cui1€/L DATE: AUG 21978
--------''------'-
BUILDING ADDRESS: d-7 ! 9 ;;rt .11~(/">'\_~ CITY OE CARI SBAD
Building Department
PLANNING DEPARTMENT
I /' ,// ZONE ___ 'R..._._-..._ ____ LOT S IZE ________ LOT WIDTH._-'~""'-..:..'/' _____ _
UNITS ALLOWED UNl:TS PROVIDED o..<::._ _____ _.______ _ _ __;::::..:..-=--------
PARKING SPACES REQUIRED 7::::::: PROVIDED __ A_,__._~_,/ ____ _
% COVERAGE ALLOWED ------~t{o-=--'f/~o=-___ PROVIDED -~t;J-,'-4-1'-.,,_ _____ _
BUILDING HEIGHT ALLOWED 'Jf'' PROVIDED _________ _
FRONT SETBAC~-• SIDE SETBACij: REAR SETBACK:
ALLOWED ___ i,o ___ _
PROVIDED __ ~O ...... K~~-
INTRUSIONS -----
£.f /'J.,I'
at<
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
oK To IssuE~Er/#A, OK TO FINAL _______ .DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE -----______ IMPROVEMENTS ______ _
SEWER CONNECTION _______ DRIVEWAY LOCATIONS ___ ~--------
GRADING PERMIT _______ .EASEMENTsA/40 , ~ /b'v.,,:f~RAINAGE ____ _
LEGAL DESCRIPTION ?o-f IS Ci 71 -2-7 ,J..,ir (
ADDITIONAL COMMENTS _ __,_f.9•uTIL9E·__.c~◄CZ-!C~~,,,,.,:_ __________________ _
OK TO ISSUE:/P(tt
FIRE DEPARTMENT
DATE t/ ... /?Q I
PWI ____ OK TO FINAL? DATE ___ _
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. _______ _
., , , ,.,,
MOOEL NO. _________ _ I
BUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applic nt to complete numbered spaces only Phone 7 29-1181 Perm 1t No a
JOB .t.OOR ES$ ASSESSOR'S
;i.,./14 Ac-C-al o I\ 11 rl/\Jl'l -'St: /,;/;a 1/ PARCEL NUMBER
LOT NO. 8LK I TRAC T
BvvK PAGE I PAR.
1 ~~;~~--'/, .. f ..,.-:. 10sec ATTACHtO 5HCET)
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OWN LA MAIL A00fll£55 l IP PHONC
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CONTRACTOR MA.IL A00fll£S5 PHONE STATE LIC, NO, CITY LIC, NO,
3 Jw t1" {
All'ICHl1CCT OR: OESICN[A MAIL AODAC55 PHONE LICENSE NO.
4
ENG IN CUI MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS, CARRIER MAIL AOORCSS ll!UIIANCH
6
USC OF BUILOINC
7 l'J. ti o _,.,,. NO. BDRMS NO. BATHS
8 Class of work: [] NEW GlAOOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: rva ... J, { u VI .. /.u:;d
10 Change of use from
Change of use to
Valuation of work: $ ;) /Jr.; •-I J .) --1 ~
,-
11 -PLAN CHECK FEES PERMIT FEE $
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
APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone zone Required 0Yes □No .I / ~ I .-OFFSTREET PARKING SPACES: Jj -r 'f , ... No. of No. JNo.
DATE1'' 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. 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 AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND OROINANCES 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.
SIGNATUJU: 0" CONTJU,CTO,i OJI AUTHOJIIZ.lO AGE.NT (DAT[)
. ' _.. ,/ 'I,' I , ..., tf
'IIGHATIIIIC 0,-OWN[Jt: t, OWN[Jt: IUILD[Jt:) AOAT~)
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
7 ,J C
TOTAL FEES$ ______ _.,.,, __ _
INSPECTOR
REQUEST FOR INSPECTION TIME ·c____,./--'o_: :3--'-'l'---
~ _,
~~ , • ')1\ PERMIT NO. _______ OATE: INSPECTOR q -1 q-1 i
owNER_' ___ S~"~u __ l-_)Vl~~c;td'--_____________ _
AOOREss 'J1 t q ~ Slt!) lo-~:..d~.__~c=:-\-_. ___ _
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D 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
READY FOR INSPECTION: D MONDAY D TUESDAY
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
ti(
~
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
THURSDAY o FRIDAY
~ o \ ,· o r) .L .
SPECIAL INSTRUCTIONS _____ ,--'-"~'--"------0_\J_lf\_~--'--~--"-\~a<;"-,.,-_-~------"~--<S
REQUESTED BY_~O_,/_~~----------PHONE NO. <-(1 g -I;;,.._ "]t/
PERSON TAKING REPORT-----<!~r<fE-------
····------""-~--
.. INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
'
'"' ~')NJILDI~G DEPARTMENT • DATE:_~%--~i~1Qij7i8--
B U IL DING ADDRESS : ----'~""'·'---:J.l-+L-q1---"-JJ""',._,·_c.., OJ'-"·=--/l,,._._._.,. ... __,.A<.J. "=, .::....::J,< -~..__)__,· """,y_, _ __,_,,__......__ ~-· -1 O\c,__ 11h-!Lun ... c',/A~~~ 1:ITY OF CARLSBAD
5{ (ED Building Department
PLANNI~ARTMENT J' p. t'J 'l-
(t1' ______ LOT S IZE ________ LOT WIDTH ___ -, _____ _
UNITS ALLOWED ______ f _____ UNITS PROVIDED ____ ()~~k_~------
PARKING SPACES REQUIRED V' PROVIDED __ d_/::... _______ _
% COVERAGE ALLOWED ______ /{,u,.0_~....__ ____ PROVIDED --'-<1_,E_=--------
BUILDING HEIGHT ALLOWED J.r, PROVIDED __ o.:;..;_/t....--=-------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED b' (.{" /:2. ,,
PROVIDED (!) (<;... Q/L.-
INTRUSIONS -----
LANDSCAPE & IRRIGATION PLAN COMMENTS:
• ,1/A
ENVIRONMENTAL PROTECTION REQ:
ENGINEERING DEPARTMENT
R.o.w. _____ INDUSTRIAL WASTE ______ IMPROVEMENTS ______ _
SEWER CONNECTION DRIVEWAY LOCAT¥S
GRADING PERMIT --~----EASEMENTS /Jea, ~ ~/2 DRAINAGE ____ _
• LEGAL DESCRIPTION rliifl.S~ C. T ;13..2,9 T
..
,,. ADDITIONAL COMMENTS _____________________ , ____ _
OK TO ISSUE;f/,V DATE_-4?_-.,_/-_Juf,___PWI ____ OK TO FINAL nJ,/4 DATE ___ _
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. _______ _