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Home My WebLink About2728 NAPLES CT; ; 81-121; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION ~l hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 _Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demoHsh, or repair any structure, prior to Its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($~ ~as owner of the property, or my employees with wages as their sole compensation, wilt do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. If, however, the building or improve- ment Is sold within one year of completion, the owner-builder will have the.burden of proving that he did not build or improve for the purpose of sale). :11, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (:;iec. 7044, Business and Professions Code: The Contractor's license_Law dpes not ap- ply to an owner of ·property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt unde( Sec. B. & P.C. for this reaso,n_ ____________ _ Date ,3--.:;JJ--{ J Owner ~ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, o~ a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ____________ _ COMPANY ___________ _ '.JCopy is filed with the city. ·:JCertified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars ($100) or less). I certify tl)at in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker$' Compensation Laws of California. NOTICE TO APPLICANT: 11, after making this Cer- tificate of Exemption, you should become subject to the WC".rkers· Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTr.tUCTION LENDING AGENCY I hereby aflirm that there is a construction len- ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 _,NO. JOB ADDRESS ~ APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER . fu.t::-r.z ,...JZ '"M' CO,<SAC,O"..-STATS c,ce,s, e //fa/ MAOU,O AOO,ess , , .~ o ~ ~ ~ ~✓~ ><C"'-',-,,.tcc,oo,,~r:,a~,A:i:cTT<O"Re'ss--t-----------_j _____________ _ :_ii.) i lb: o~;---1 a 1 s, '.,. • -1 LO BLOCK STATE LICENSE ;f /,:· i / . ~, DESCRIPTION OF WORK ; cE: ~:2.y°& -122_/4-.A DESIGNER'S PHONE l41~tf-'1"?~ CENSUS TRACT G/AND use: ZONING ,,, I RCS. UNITS / PARKING SPACE I I ""MBeR o, sToms Not Valid Unless M6chin, CIJrtifitld BLOG SQ. FT. BLOG use: occ. GP I STANDARD PLAN II I '~'.._i>1 1 n,e C0'5T I occ. COAD I UTY. PLUMBING PERMIT AMT. UTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~!GLE DUCT • w >-<( 0 ~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VA J,.....y f},1 o,'-1 IL 1/{lt') WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I (S/.I ,c_, ::i pu J. / .::, j U-'C._, .3 '?'-' SIGN PERMIT I TOTAL PLUMBING CONTRACTOR TOTAL MECHANICAL CONTRACTOR PLAN CHECK I ALL INCLUSIVE PERMIT 9> t5 .= u w a. V) I I . I ~ UTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT /BKR 1 PH .25 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 OAYSI I & S vt,,e_ TOTAL ELECTRICAL CONTRACTOR AMT. UTY. f3_Q,i MOBILE HOME PERMIT AMT. TOTAL PLUMBING ELECTRICAL AWNING MECHANICAL PORCH MOBILE HOME SET-UP SOLAR RAMADA. CABANA FENCE OVER 6' ~--f k..DNfo rYlVTl_QJ'J_ TOTAL MOBILE HOME MICO-FILM TOTAL FEES PAYABLE ~ I ! HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT !S ISSUED;TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CAR LS BAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE "AN OSHA PERMIT IS REQUIRED FOR EXCAVATION~0 °0 L t-~,=::_ 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT 1'lci,\LU I >r,n.c ~ ~ J. .. N_.._., OF THE GRANTING OF THIS PERMIT. APPLICANT'S ff GNAT URE' OWNE~ AGENT D CONTRACT□RO IAP~~evg BY PHONE o.Y II'~ J I I I I I I I I . I I I I . I J. J. I I .3 ,. 1-1 . 2 l I I I I I I , I I I I . I I I I ;~,:~ , iJtll¾iJ1. ✓ □AtE .J..J~-n !5~ r· SITE ..,,,/-l>I ADDRESS: OWNER: PERMIT NO: FIELD IN,SPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR - FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR ' - SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUC?CO -·. FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK ' • FENCE PREPLASTER SHOWN • FRAME • PAN I ... # i FINAL INSP BY BLDG DEPT ,I 1 /J i/ . . OTHER DEPT'S REQ COMPLETED r n 1 I !'(1 ELEC METER-PERM-TEMP I -, GAS METER-PERM-TEMP -- I - LCERT OF OCCUPANCY ISSUED LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION O I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5.Business and Professions Code), Any city or county which reciuires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant tor such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ~-as owner of the property, or my_employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such Improvements are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the pur.!!.~slf~ sale). ,~ '=.I, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ••ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec----~ B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof jSec. 3800. Labor Code). POLICY NO·---------~---COMPANY ____________ _ □Copy is filed with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec!Jon need not be completed if the per- mit is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Catifornla. NOTICE TO APPLICANT: If, alter making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSlRUCTION LENDING AGENCY I hereby aff_irm that there is a con_struction l~n- CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 ,o. Joe ADDRESS ;;:1i;T4 ~•;P;L~Cf IN I ,;:i,7,;;i,~ I I I I I ,Ni A-1 P, L1 l:'15 1 I I I I I I I I I I ow,,, r;T'AC:~L (""' U..l;'IL r'N OWNER'S PHONE PRIME CONTRACTOR A ._ -A-/ff f-t . lt Fe1 fl) '7 z_q _ I Ct, Lf. b ~/I~ OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 2_72$ A lo./' LQ.S C-t LOT BLOCK lSUBOIVlSION I ASSESSOR'S PARCEL NO, DESIGNER ' I I I I I ' I ' I I DE'.etPTIO~' WORK 0 .~r ,· r,,., UJOY~ -fur-C-r,0--DESIGNER'S ADDRESS • CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER STATE LICENSE /6/ CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE idQ;~ /hi Gj::;:J /.,. I RES. UNITS I PARKING SPACE I NUMBER or STORIES [J/,;icV,~ Ma{l;1ff~ti6,p I• .. BLDG SQ. rT. BLOG USE occ. GP I STANDARD PLAN 11 IPLAN!D# 1 TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ,,.-) /)., u0 / -,63. /' EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS , ; WATER SOFTNER -RELOCATION OF EA FURNACE/HEATER .......,BUILOHfo PERMIT' I I I I . T ·7 .,,., A, 1 n ~ "LJ Ll . , .,,, ~ I tJ ~6/f p <.,) SIGN PERMIT I I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I . I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I . I QTY. , QTY. MOBILE HOME PERMIT ELECTRICAL I 1"'/.drl.l / NEW CONST EA AMP/SWT/BKR _...,-.v/ AWNING MECHANICAL I (. I 1 PH .25 3 PH PORCH MOBILE HOME I I . I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I I I . I 1PH .25 3 PH RAMADA, CABANA I I I . I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I . I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM ! I I . I OVER 200 AMPS I I I . I TEMP OCCUPANCY (30 DAYSI I ' I • I ~(1 ... AJ,/J. o:)... <.! 0 I ' I . I TOTAL ELECTRICAL --TOTAL FEES PAYABLE I 1/J. tt;J-CONTRACTOR 7 ".. I I I ·AN OSHA >ERM,T ,s Rrnu,REO FOR EXCAVAT•ONS OVER J c,li_,~ ~ ' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CA AL SBAO AGAINST ALL LIAB!LITI ES, JUDGMENTS. COSTS AND . // /, EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. ~Nz~Sl~:,E~ OWNER~ CONTRACTOR□ IAPPROVE°/IJll'I o/>;1f DATE AGENT D BY PHONE O . ~ /1 ,. ~:,.- r; I ~ > ~ "' ~ 0.. V> £: LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in lull force and ef- fect. OWNER-BUILDER DECLARATION 01 hereby affirm that I am exempt from the Con- tractor's license Law for the following reason (Sec. 7031.S_Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's license Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). c· t, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of· fared for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). ::::1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business 2.nd Professions Code: The Contractor's license Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License law). I am exempt under Sec. ____ -B. & P.C. for this reason ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ____________ _ COMPANY ____________ _ □Copy is filed with the city. □Certified copy is hereby furnished. ~ CERTIFICATE OF EXEMPTION FROM ORKERS' COMPENSATION INSURANCE ls section need not be completed ii the per- mit is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers· Compensation laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Cqmpensp-~n n provisions of the Labor COde, }!Pu must Jo#itt;i comply with such emed revoked. I hereby affirm that there is a construction len- ding agency for the performance of the work for CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. NO. JOB AOORESS .:.....1/1:::Jri, 1.,{J.4t.t"//1f:.S1 l(]Tr I I I I I I I I I I I owlf'tR J OWNER'S PHONE ltL ~ r A .,a:;:::: 1/J 6wNER'S MAILING ADDRESS <_..,., _,.-, Lk 4:C-,-1.~ I I I I AV. STlOATE OF APPLICATION , . I I BUS. L lCENSE 2.3,·tLt~ PRIME CONTRACTOR ~ STATE LICE. ,se :--,. ,,-,,. ('") I · 'Cl j ) ,,,,....,..__ I ..-N'-/4-'I..~ , ::;1., q -:l..$::'. i:: l CONTRACTOR'S ADDRESS r~_:// /t-1 L:.:2. ASSESSOR'S PARCEL NO. oescerrno, 0 , wo" . ~ . I sun """' (\'{·~ (~ /~1•~ =/' ;..,.,_.ik:;d 12,,,-vG. co, BLOCK SUBDIVISION DESIGNER'S ADORES$ DESIGNER'S PHONE PERMIT NUMBER /S-? C/....;. <,1~ "--rr CENSUS TRACT GP LAND USE \ 1-h . .:,,A~ -.--:>A...1E: +~, ,'t-f,cvf; ZONING I RES. UN!TS I f'ARK!NG SPACE I NUMBER OF STORIES iJ/'.:i/cii• .,., □:·Li02!ll "-.:i/:_-;:/r:, Not V1/id Unless Machine c.rtifiad • BLDG SQ, FT. BLDG USE QTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER / EACH WATER HEATER AND/DR VENT / EACH GAS SYSTEM 1 TD 4 OUTLETS EACH GAS SYSTEM 5 OR MORE / EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER I ::::, S (.,(_ t- TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DA VS) I .S ~lLf' TOTAL ELECTRICAL CONTRACTOR occ. GP I STANDARD PLAN# IPLANIO# I TYPE CONST I occ. LOAD I AMT. ,, ., 0.'"' ::).CC --~ AMT. 2 Do QTY. -.,,., MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN Sl~!GLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER ( _s;: '-.{ I ( TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AWNING PORCH AMT. It 1._4l-.Lt. A-Tl<'.) 1\/ BUILDING PERMIT n.uu11 SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT II TOTAL PLUMBING AMT. ELECTRICAL MECHANICAL MOBILE HOME SET-UP RAMADA, CABANA SOLAR m.oTioN I : <....,TR.O l'lG FENCE OVER 6' TOTAL MOBILE HOME MICO-FILM TOTAL FEES PAYABLE "AN OSHA PERMIT IS REQUIRED FOR EXCA~~ 0 0 5'-0".,0EEP AND DEMOLI~ OR CONSTR~TION OF STAUCT ES '.VE7"S ,N HE9':- q-, h.,,,, L. + "-e., G ~ J I J J J ~ I I I J I I I . I I I -I J~ I 1" -I J I I I I I I I . I I I , I I I , I I I , I I I , I J I -I J I -I I fl. fJ. , , I ~: ,. ~ ~ > 5 ;:: u = a. "' ~ ·111-- I- ! HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE !FA PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITV OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLl~T"S SIGNATURE" / / OWNER □ AGENT D CONTAACT0~1APPROVED BY BY PHONE 0 J(?l4'(!!Jt)1 .. ~ //J _a___.,. INTERDE~-;TAL INFORMATION SHEET • BUILDING DEPARTMENT BUILDING ADDRESS: d ),;J-f ~ ,ftbU /(p]-3;:J--Oc/ PLANNING DEPARTMENT MAR 2 7 1981 CITY OF CAF _ ... Al> Bulldlng Oep.: r "::znt ZONE LOT SIZE LOT WIDTH ------------------------------ UNITS ALLOWED UNITS PROVIDED -------------------------- PROVIDED PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED ---------------------- _____________ PROVIDED PROVIDED ----------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED -------- PROVIDED _______ _ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION OK TO ISSUE: ________ DATE ____ _ ENGINEERING DEPARTMENT R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION ~,OV J DRIVEWAY LOCATIONS ____________ _ GRADING PERMIT EASEMENTS~ LEGAL DESCRIPTI-ON-~~~-'--7-/-',f--(!_ T 7 lf-lt/ r > DRAINAGE ____ _ ____ OK TO FINAL ____ DATE FIRE DEPARTMENT SPRI~KLING SYSTEM ____________ FIRE PROTECTION EQUIP. _____ ~--- FIRE ALARMS EXITS _____________ _ T.'ITTIT:I TT'\TT'\TI A li.TITIC" T Ar> A 'T'Tf'\M