HomeMy WebLinkAbout2746 Galicia Way; ; 79-1737; PermitMODEL NO. I I I"/ I •~ I •
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No ./ f 737
Joa ADDA ESS ASSESSOR'S
,., "'.\,.&-,I... L,)ly' PARCEL NUMBER
l.OT NO. -I 9LK I mer 130-0K PAGE I PAR.
LCGAL I ---~C4 (nSCC ATTo\CHtO SH[t.Tt 1 DCSCA. 2 -OWN£" MAIL A0Dlltt5.S ,, p PHONt
2 7 "'llY • " • ~ I
3 CON mt TO"Jx.s ·~ l,t o) j ,..,-le.ct MAlL .a.OORCSS PHONE STATE LIC. NO, -tlTY LIC, NO. . -7 JSJ ~ ~-__ ,,,_;. -
ARCHITECT Oft 0C51GNCI\, MAIL A0OfU55 PHOM& • 1
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[NG INCCR MAIL AOORCSS PHON E LICC,..5E NO. E 5 .. J, -
COMPENS,t TION INS. CARRI ER MA IL •or;;.:;_·~tf_( • &fU.NCH
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use Of' I VILOING •
7 NO. BDRMS NO. BATHS
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ----15 x~::t , )(:;,j /b .Ut;J.O
I ,
10 Change of use from / \.',.
Change of use to /I.✓
11 Valuation of work: $ 11z;, PLAN CHECK FEES lJ~, PERMIT FEE 8 ,,p~ --.,
SPECIAL CONDITIONS, MICRO FILM FEE
Type Of Occupancy ,75 )( Const Group
Jf s,ze of Bldg No. of Max.
\j (Total) Sq. Ft Stories 0cc. Load
,,, ~ jj Fire use Fire Sprinklers :::] t:~ A;C;•,~
PLANS CHECKED BY APPROVED FOIi ISSUANC.t 'BY Zone Zone Required 0Yes 0No 'fv_i., f'lO. Of OFFSTREET PARKING SPACES
DATE:· . .r Dwell,ng un,ts No. I No. Covered Sq. Ft. Open
NOTICE ' --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 ANO 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
PROV ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION. CONSTRUCTION OR THE PERFORMANCE OF
_ .. L,L, ~
SIGNATURE o, CONT1'ACTO" Ofll AUTH0,.12.CD AGE.NT (DAT[)
SIGN ... TUlllt[ 01' OWNCR ti, 0WN£111 I U ILDtfll) IQATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH --
p
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/1 TOTAL FEES$ ________ _
INSPECTOR
0
INSPECTION RECORD 11--17 3 7
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
f
FINAL .~a? ; ~/
( I ,.
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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INTERDEPARTMENTAL INFORMATION SHEET
DATERECEIV ~D BUILDING DEPARTMENT
BUILDING ADDRESS: &#/;r1/da/-4V I JUN
{ :Jepartm_ .. .:
PLANNING DEPARTMENT r/._Ji_ 6 ~-11
ZONE e / LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ______ _, ____ UNITS PROVIDED ____ \----------
PARKING SPACES REQUIRED PROVIDED ____ dc=---¥-------
% COVERAGE ALLOWED PROVIDED -----------------+-+-'-------
BU IL DING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED---~------
PROVIDED -------J~---
INTRUSIONS
SIDE SETBACK :
' V
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENT AL PROTECTION REQ:
.5C-# ~~EE :
ENGINEERING DEPARTMENT 77',.2. tT'V
-----------
REAR SETBACK :
R.O .W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWaY LO CiT ONS
GRADING PERMIT EASEMENTS~~ DRAINAGE ____ _
LEGAL DESCRIPTION_l.,U~~~·=-.iLJC::.~--------__:_---------------
ADDITIONAL
FIRE DEPARTMENT
SPRili KLING SYSTEM ___________ FIRE PROTECTION EQUIP . _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION. _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _
WATER DEPARTMENT
REQU I REMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
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