HomeMy WebLinkAbout2721 La Gran Via; ; 79-4468; PermitMO;lEL NO.~---------
BUILDING PERMIT APPLICAT~~~93~~1 3, 79
68,QI)
68,Q!)
City of CARLSBAD, CALIFORNIA 92008 ,c,
l)pplicanttocompletenumberedspacesonly Phone 729-1181 Permit NoU~f::_4'ff'
Joe ADDRESS . ASSESSOR'S
k9.1)/ ,Lr, f}r/l(l) (/2 '-' G,r Is hod ~ 9o C)() r PARCEL NUMBER
LOT NO. I '" I'~{<..~
B001<. PAGE I PAR.
LE CiAL I I ~C<
d 2-SEE ATTACHED SHEET) 1 OESCR,
OWNER MAIL ADDRESS '" PHONE
2~(( 1/'/-'. fh 1 i', (",u5,L111a,--.rJ ,;;; 7 d I L/4 (;!. r2J2,0 ll, ,, 9,,;, {){)S, 7.: ),?-:,: / c'),r_,
CON tRAC To MAIL ADDRESS PHONE ,,,//,~:AT:r;•(, s--:;;, ~C3u,~ 3
ARCHITECT OR OE.SIGNER MAIL ADDRESS PHONE ·v LIC~NO.
4
ENGINEER M ... IL ADDRESS Pl-IONE I..ICE"ISt NO.
5
COMPENSATION \NS, CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7 NO. BDRMS NO. BATHS
8 Class of work: □NEW 9' ADD,!!ION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
~
9 Describe work: /-:flt~~~ i4x~v -i11J,sf-Jd r0{)fY1
re,, ct/1~· -➔7. ,t./'/f' :-:-
I , .P, !J . LAIJ✓~-_,., .... _.._
;'[) . .
10 Change of use from .I r-,,r \~,?~ k{/ f/½,~1 V ,,, ~
\ ' ·v __,. jl,D • ~/ Change of use to /' -J
11 Valuation of work: $ I0.~37~ PLAN CHECK FEE$' =tB-7 I PERMIT FEE $
a,.,.
SPECIAL CONDrTIONS, -~ MICRO FILM FEE Type of Occupancy
Const Group .
5i,e of Bldgy4?~,; No. of Max. ---,
(Total) SQ. F . Stories 0cc. Load
' / I • Fire USO Fire Sprinklers
A AC;~\E~ED y PLANS CHECKED BY ~ ,OS ISSUANCE a, Zone Zone Required Dves ,:Q,... I< ' ""----No. of OFFSTREET PARKING SPACES:
,.,,.,, l""',lwelling Units No. f No. D T Covered Sq, Ft. Open
' \ NOTICE Special Approvals Required Received Not Required
SE :.O.AATE 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,OA IF Fl RE 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 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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE
j;·ISIONS OF ANY CWi:ER STATE OR LOCAL LAW REGULATING . . L ..,, .,,_.
~ TRUCTION OR HE PERFORMANCE OF CONSTRUCTION. /U • ,I,) A, u--/:" m <~ J;/3 / /7 9 -, ~ ~ -~ ')(,,'r -~ ., .
SIGNATURE or CONTFIACTO" 0" AUTHORllEO AGEr.T I / (OAHl
,.-----~---· --••• s
/~IGNATUl'IE o, owr.EFI IF owr.E" 8UILOE") (OA TE)
WHEN PROPERLY VALIDATED (IN THfS SPACE) THfS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $_.,&,=-~--------
SP
H~
INSPECTION RECORD --DATE REMARKS 'lOR . --~ -FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY -
--·-----. -----
------
FINAL _.11.f,III _ -
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
--------
--------------------------------------
,--...
!_!fLDING DEPARTMENT
BUILDING ADDRESS:
k DATE:
.:?7e?,1 r0._/ &
RECEIVED
CITY OF CARLSBAD
Buil~ing QeeaFtmeBt
,-., PLANNING DEPARTMENT
t . ZONE ____ -'~--_1_l1.., _cc___LOT SI ZE _________ LOT WIDTH. ________ _
•
.. ...
UNITS ALLOWED ______ -1-____ UNITS PROVIDE,_ ___________ _
PARKING SPACES RtQUIRED i/ PROVIDED ____ £~~<"'-------
% COVERAGE ALLOWED --------+->"-,£~---'--PROVIDED ---~-rr=-------
BUILDING HEIGHT ALLOWED PROVIDED __________ _
ALLOWED
PROVIDED
FRONT SETBACK: ')Og;;/ SIDE SET,l3ACK:
j'5
INTRUSIONS
REAR SETB),CK:
l:S
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTI2~Q:
SCHOOL FEES: /Iv{. ll+S~RICT:
I
. I
ADDITIONAL COMMENTS:
AMOlJNT:.
-------------------------
OK·TO ISSUE: fl/4 .. DATE tt21_0K TO FINAL---'-_______ DATE, ____ _
"1!il t vt:J ENGINEERING DEPARTMENT "T"'f" 10 -/~03.P.---
R,O.W. y./J INDUSTRIAL WASTE A/-/+: IMPROVEMENTs._._/.1,,......fk_. ___ _
SEWER ·CONNECTION M-A DRIVEWAY LOCATIONS. ___ ·~&'---"'~~"---------
GRADING PERMIT . N~ EASEMENTS N.-A:-. . DRAINAGE µ&
LEGAL .DESCRIPTION ~ t ), @r ~
ADDITIONAL COMMENTS .
OK TO DA TE, _ __,qr....
1
_,L1/_·LZ~~--'--PWI_. ____ OK TO FI NAL. ____ 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 ________ _