HomeMy WebLinkAbout2738 La Costa Ave; ; 79-4850; Permit• MODEL ijO. _____ ,....... ___ _
BUILDING PERMIT APPLICATIGN1
~
1 1. ,. I 11
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB AOOR ESS ASSESSOR'S
o<7 /58 Xct ~,.,, t P ARCEL NUMBER •
LOT NO, I OLK !TRAM fr ~ BOOK PAGE I PAR.
L[GAL I J:, ..r. tOsct A.TTACHt'.O 5HCE.Tt 1 DtSCA, ::; 7 I
OWN[A ~~ MAIL ADDRESS ti. PHONC
2 ""' CONTRACTOR 'JJ,,~ MAIL ADDRESS P!-lONE .} ,, I ST ATE LIC. NO, CITY L IC. NO.
3 ) ... BtLJ--.., ') --· J -
AlltCHITECT OR DESIGNER t: MAIL A00111[55 PHONE LICC.NSE NO.
4
ENGINEER MAIL A00 .. £55 PHONE LICE,.,5£ NO.
5
COMPENSATION INS, CARRIER MAit,. ADDRESS I 8,-ANC'"I
6 ~ 4'"-.. . .-+i ·.
ust Of' BUILDIN C
7 NO. BDRMS )No. BATHS
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE D REMOV ~ f
9 Describe work : /Cu.. (AJ~ .2 VO m ,17
ti, ..A) ,l'
10 Change of use from \i./t , l J{' ... ,._ ~ ,_
Change of use to /' r#rt;r-· -.J ~-~
11 Valuation of work: $ PLAN CHEC::EE S ·tr ,;"-/
PERMIT FEE S
SPECIA L CONDITIONS: I MICRO FILM FEE Type of Occupancy
Const. Group
Sile of Bldg. No. of Max.
(Total) SQ. Ft. Stories 0cc. Load
C
Fire use Fire Sprinklers
APPLICATION .. CCEPTED ev PLANS CHECKED ev APPROVED FOR ISSUANCE ev Zone Zone ReQuired 0Yes □No
No. of OFFSTREET PARKING SPACES: ,o \) Dwe111ng Units No. 'No. DATE DATE Covered SQ. Ft. Open
N O T ICE 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 AND EXAMINED THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WI LL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT.
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,
'i ~ /, ,i
SIGNATUllll o,. CONTIIIACTOllt 01'1 AUTMOIIIIZ.:tf.~ ID.ATC)
, .\
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SI GNAT fllr 0" OWN£11t ,,-O\1/NClt 8UIL0CN OAT()
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
,/':Y TOTAL FEES$ ________ _
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING .. . .
INT. LATHING OR DRYWALL '
EXT. LATHING
MASONRY
-
J
FINAL /¼1h? ~ / /
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
•
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
' BUILDING ADDRESS:
PLANNING DEPARTMENT
ZONE _________ LOT SIZE _________ LOT WIDTH. ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED __________ _
% COVERAGE ALLOWED _____________ PROVIDED---------'-----
BUILDING HEIGHT ALLOWED PROVIDED __________ _
RONT SETBACK: SIDE SETBACK: REAR SETBACK:
l AtLOWED ~ . , "'\1' ROV I DE D _ __._.!9<--1=(;:::..._ __
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: f)/b DATE lo(U/11 OK TO FINAL ______ .DATE ___ _
ENGINEERING DEPARTMENT
R • 0 • W • @IS7J,v,. INDUSTRIAL WASTE __,./tc:,:;.,(Sl.,;,,,,,.. ____ IMPROVEMENTS _ _.c;h':::....:."1-<------
__ ,v.<..:...;~c,_ ____ DRIVEWAY LOCATIONS __ _:..,,,,,c....c..4'-=-------,,:, -'"-,£" -:-~l-7" •• ,JO -~""""""4~---·EASEMENTSn-,ir-....-4? ~ ·.;, . DRAINAGE ,U¢_.
PA.•"" ..,..,,.11 ,._ •;,~..,-,e co LEGAL DESCRIPTION ,<,oz: 33/Z L c s~c 4,e;~ ..... ~:,._ -=:..:.. -''-ii~~ .
ADDITIONAL COMMENTS N:-E~ 4cz:rE~ r:,1.pT /'.J.d'n/ ~A'bnc: 4!:tf:Z/if!~
l t!T n:: I TH KJ ✓ttt-'C!!c-!L-,.,,, ~-'-~}
SEWER CONNECTION
GRADING PERMIT
OK TO ISSUE:ijW: DATE~-/7-79 PWI ____ OK TO FINAL ____ DATE ___ _
li;IRE DEPARTMENT
SPRIIIKLING SYSTEM _______ _.,..-d-_...-+-TION EQUIP. _______ _
F'!RE ALARMS EXITS!.--ll:.._ ____________ _
FIRE HYDRANTS __________ LOCATIO,J\P~._.-----------------
ADDITIONAL COMMENTS ___________ I_,_ y'--___ _...:. ____________ _
OK TO ISSUE: _____ DATE. _______ OK TO FINAL. ______ DATE ____ _
.
:WATER DEPARTMENT
,REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
/1.S7/