HomeMy WebLinkAbout2728 CHESTNUT AVE; ; 79-2627; PermitMODEL NO.
BUILD PERMIT APPLICSTION
Gityof CARLSBAD CALIFORN.A
Applicant to complete numbered'spaces only. ' KnOIIB I Zy-Perm it. Mh
<3lZ^ Ck^rK^ Aoc
. - L o T N o . - • , [ B L K
, LEGAL -— -7 . , ,'
I DESCR. / '
« - , -'I'"''
OWNER '. ( . ; y*^ ' "
\^ X \ ^*N^ ^^CL-Ai^i V P^A Y* V* £
CON TRAC TOR . '
4 A/CASE
ENGINEER. ^ . f, /- = -
' COMPENSATION 1 N S". CARRIER
USE OF BUILDING ".- ^ - ' •
7 ^ V 7 £- >-/.' f C
8 Class of work: D NEW' 4EIADDITION
9 Describe work: 9 ./) 2/ /
•••v W4-U ••%*4-.*,
.'/•}'•• •-' l' ' I ' • ' ' ASSESSOR'S /
TRACT -BOOK PAGE PAR.
MAIL ADDRESS ' • ' ' * :ZIP ' ' PHO*^^.^"^/^ : ^*V
MAIL ADDRESS ' . ' ' -". PHON.E. . • •. STAtXjLIC. NO. Cl'T^J\C. NO.
. ' J
J. MAIL ADDRESS '. ' r • PHONE ' . - - L | C.E N S E N 0 . .
MAILADDRESS-. . •. PHONE -.,i '" .-.^.-LICENSENO.
MAIL ADDRESS \ » l^il I /Vl^i-/*"^ • " '-'..'' BRANCH "
JE> •. X/M^^ /2 i C .1 C V\ ' - /? •
Ll^iJl*v^Tlv f ?JO "7 • Di/>/ta pi cw ««.y O^wV MbO ~*£'^\jiffQ?) ,^&72,l
j •" -.- :; .-"••"• /v>-;.'-\ •• .•."•'.'' i;---.v ' z.'1/-*
Y&'<*-S& NO. BDRMS--''1' .'-.,;• .. ' ' NO. BATHS - .' Z.1'
: D ALTERATION - ;D REPAIR . . D MOVE .: .: D REMOVE
P"1/ '/ » /5 y / L/ / O t/ -*» '
wn ' : ••:".• - '-iiV';! ^ ;, ; :
10 Change of use from . ij-^A^ . - • r .' ' •' - • -'"••'.' ' . A
Change of use to . -. • " . : . • ~ ''•' ' — ^
11 Valuation of work: $ *7/*jr*. *~ ~" '
SPECIAL CONDITIONS: '
-.•'-.• :-r, '-.'• '*. '.''.
APPL^QfTjftN ACCEPTED BY PLANS CHECKED BY
DATE f 1* f 1
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR E
ING, HEATING, VENTILATING OR AIR CONDI
THIS PERMIT BECOMES NULL AND-VOID IF V
TION AUTHORIZED IS NOT COMMENCED Wll
CONSTRUCTION OR WORK IS SUSPENDED OR
PERIOD OF 120 DAYS AT ANY TIME AFMENCED. '
1 HEREBY CERTIFY THAT 1 HAVE READ AAPPLICATION AND KNOW THE SAME TO BE 1ALL PROVISIONS OF LAWS AND ORDINANCTYPE OF WORK WILL BE COMPLIED WITH VHEREIN OR NOT, THE GRANTING OF APRESUME TO GIVE AUTHORITY TO VIOLA-PROVISIONS OF ANY OTHER STATE OR LOCACONSTRUCTION OR THE PERFORMANCE
SICNA/rjiE OF CQNTR^^TOR OR AUTHORIZED AGENT
SI GNATURjraF (KvNER (IF OWNER Bl>7CDERr ^
/I J
APPROV^r/^fi ISSUANCE BY
LECTRICAL, PLUMB-
n'ONING.
t/ORK OR CONSTRUC-
FHIN 120 DAYS/OR IF
ABANDONED FOR A
TER WORK IS COM-
ND EXAMINED THIS
'RUE AND CORRECT.
ES GOVERNING THIS
VHETHER SPECIFIED
PERMIT DOES NOT
FE OR CANCEL THE
L LAW REGULATING
OF CONSTRUCTION.
(DATE) ',. • '
^//-9f
(D*T£)
PLAN CHECK FEE $ &L -^ — —PERMIT FEE $ <-> xr-^"
I MICROFILM FEE -Type of - . ' . Occupancy . -
Const. ,. : , . Group
Size of Bldg. ; No. of , Max.
(Total) Sq. Ft. - Stories . . ' • * Occ. Load
Fire '• Use •' Fire Sprinklers
Zone ' ' Zone ' - -Required QYBS DNO
*,.••• OFFSTREETNo. of
Dwellins Units . ' ^ered /
Special Approvals Required
PLANNING'DEPT.
HEALTH DEPT.
FIRE- DEPT.
SOIL REPORT
.OTHER (Specify) '
ENGINEERING DEPT.
WATER DEPT. . . : •
'•'.-"
* ' • • • -'
PARKING SPACES:
INo.Sq. Ft. (Open
Received Not Required
'•{••'
• .'•••.
'-
J/S WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
VALIDATION CASH .; PERMIT VALIDATION CK.M.O., CASH
TOTAL FEES $.
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
Y OF CARLSBAD
PLANNING DEPARTMENT
ZONE C_—/ LOT SIZE
UNITS ALLOWED /
LOT WIDTH_
UNITS PROVIDED /
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED V
PROVIDED
_PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK:REAR SETBACK
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEES: DISTRICT
ADDITIONAL COMMENTS:
OK TO ISSUE:DATE OK TO FINAL DATE
-=»-
ENGINEERING DEPARTMENT /y
R. 0 . W .INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
//A-EASEMENTS DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSVE:r$£=_ DATE ?'/%• 7f 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