HomeMy WebLinkAbout2728 CHESTNUT AVE; ; 79-4503; PermitMODEL NO.
Applicant to complete numbered spaces only.
BUILDING PERMIT APPLIC
City of CARLSBAD, CALIFORNIA 9200
Phone 729-1181
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'\Wf-W'7/79
JOB ADDRESS -» • / - '•
£?C /#(Q (~/l<£&r7?U'S ffej^
' LOT NO . " • -. - • BLK
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•--" • - . . ' .-.-.-••.-•• ASSESSOR'S ' .
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TRACT . • '• • - • . - . • . .Vy :BOOK .PAGE PAR. •-
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OWN ER , " J . . •' '-, MA 1 L ADDfc ESS ' . Z-l P. •' '- . ^^"T"PHON E ' ""N • , "-Xy
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CONTRACTOR , /. , ' , ' MAIL ADDRESS ' - . "^ PHONE 'V STATE L'C- N^- '' " CITY LIC. NO.
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ENGINEER ' .. ""MAIL ADDRESS ' PHONE ,' •'.^LI'CENSENO.-.
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• • • " -' - : • - ' • . -.••'.•'•.-
-COMPENSATION INS. CARRI ER - ' MAIL ADDRESS, - . ' . : ' . . .. • ' BRANCH '_••,.
6 : . V" : .-'-.,'• , .•••"-•..- - " • .-:.
USE OF f^UA.01 N G .* - ., ' •
8 Class of work: D NEW ADDITION,
f _ • . -
'. ' NO. BDRMS ' - ' .•-,'.- NO. RATHS
D ALTERATION - D REPAIR D MOVE - ,D REMOVE
9 Describework: ': - ^ ^^ ^^^ £^f & . ^ .
."'.•' •'"•'- •'• /'.. ^4^ ^: ^^ •' ^ /^ •
10 Change of use from . ' . -. '.--•• /• fljQ. -
Change of use to '•-.'.".-'• ' ''•.'•-
1T Valuation of work: $ j^&fS -t?f ' '
SPECIAL CONDITIONS: . . - . .
% ' _ . . , • . .
s~>, ft
APff{.IG*(TIOfc ACCEPTED BY PLANS CHECKED BY . :' »
,S<S ^£/'w./y . /.^
DATE 0 I • ./ . \ S °
NOTICE
SEPARATE PERMITS ARE REQUIRED. FOR ELE
ING. HEATING, VENTILATING OR AIR CONDITIC
THIS PERMIT BECOMES NULL AND VOID-IF WO
• TION AUTHORIZED IS NOT COMMENCED WITH
CONSTRUCTlpWrsQB WORK IS SUSPENDED OR- A
PERIOD (0F C|20 JPAYS AT ANY TIME AFTE
MENCEDS '-
I HEREBY CERTIFY THAT I HAVE READ AN[
APPLICATION AND KNOW THE SAME TO BE TR
ALL PROVISIONS OF LAWS AND ORDINANCES
.TYPE OF WORK WILL BE COMPLIED WITH WH
HEREIN OR NOT, THE GRANTING OF A Pt
PRESUME TO GIVE AUTHORITY. TO VIOLATE
PROVISIONS OF ANY OTHER STATE OR LOCAL
CONSTRUCTION OR THE PERFORMANCE OF
SIGNA-rl/WE OF CONTRA£ TOR OR AU THOR 1 Z EO 'AG EN T
*SI GNATURJETOF OWNER -(IF OWNER BUILDER)
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TU2iUXt'
1VTE •- ^^^
ECTRICAL, PLUMB-
3NING.
RK OR-CjaNSTRUC-
IN^^DAfS?OR IF
BANUONbd FOR A
R WORK IS COM-
D EXAMINED THIS
UE AND CORRECT.
GOVERNING THIS
ETHER SPECIFIED
ERMIT DOES NOT
OR CANCEL THE
LAW REGULATING
CONSTRUCTION.
(DATE)
(DATE) '- f - '
.PLAN CHECK FEE s'*^'^ — " - PERMIT PEB/^I . ' ' '
. ' . MI.CRO FILM 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 Qyes DNO
OFFSTREET PARKING SPACES:No. of ,
Dwelling Units ' - p°" . s Sq Ft Open
Special Approvals Required Received Not Required
PLANNING DEPT. . '•'
HEALTH DEPT. . .
FIRE DEPT. '...'.
'SOIL REPORT ' . ' "••••'•.
OTHER (Specify)
ENGINEERING DEPT. ......
WATER DEPT: .- .....
'*• 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 $
RECORD
USE SPACE BELOW FOR NOTES, FOLLOW-UP, E\C.
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE:
AU6141979
CITY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
f
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
_PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK:
AC-
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK;
JL* f
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEES: DISTRICT:AMOUNT:
ADDITIONAL COMMENTS:
J
OK TO ISSUE:OK TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE
SEWER CONNECTION AJA DRIVEWAY LOCATIONS
GRADING PERMIT
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
IMPROVEMENTS
OK TO ISSUE:DATE PWI OK TO FINAL DATE
FIRE DEPARTMENT
" SPRINKLING SYSTEM
V \ 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
7*577