HomeMy WebLinkAbout2750 LA COSTA AVE; ; 78-5442; PermitMCOEL NO. _________ _ ~ i' 11 l.
• BUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
J08 ADDA £!-5 ASSESSOR'S
·' 75'' L...A C . /4 .• PARCEL NUMBER r,,,;._, . ..
LOT NO. I tL•,, -l TRACT eo...," PAGE I PAR,
LEGAL I 3 Y'? I (l]SH •TTACH[O SHEtTI 1 otscA.
OWN(lt MAIL ADDAC55 ZIP ,,_ J ... ,. PHONE
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CON TAAC TOfll MAIL A00AE5S PHONE STATE LIC, HO, CITY LIC. NO.
3 ,.
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AACHIT[CT OA OCSIGNCA MAIL AOOACSS PHONE LIC[NSE NO.
4 -
[NGINCEA MAIL AOOACSS PHONC LICENSE NO,
5 ... ,
COMPENSATION INS. CARRIER <:£,· MAIL AOOAESS 8AANCM
6 _,/ . -~
USl 0,-BUILOIMG / 7 . ' . NO. BORMS NO. BATHS
8 Class of work: □NEW 0 AD0ITI~ 1 tttATI0N ~ □MOVE 0 REMOVE
. (_, ~ 9 Describe work: I ~ . -/J c;c..A~ • --~✓/' J,.. ...-4-.,,-j< ~~ /_ & v;t...&__y _/ ,/4,, -~ L -
I I /
10 Change of use from
Change of use to ---<._...? I PERMIT FEE $ 2)-~ 11 Valuation of work: $ -PLAN CHECK FEE 5
SPECIAL CONDITIONS MICRO FILM FEE
Type of Occupancy
Const Group
Size of Bldg No. Of Max.
(Total) Sq, Ft Stories 0cc. Load
Fire use Fire Sprinklers
APPLICA flON ACCEP,t,O ev PLANS CHE,18Y APPROVED FOR ISSUANCE BV zone zone Required 0Yes □No
//) , /0-' No. Of OFFSTREET PARKING SPACES
DATE /_/ 'i/ Dwelling Units No. !No. DATE 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 HERESY 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 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION .
' ., . n
51GNATu .. , o, CONT9'AC:TOIII Ofl AUTHOIIIIZio ,tGtNV' (DAT[)
' /. ./ -___.,,., -
51GNATUIIIC 0~ OWNCfl c,,."t"wN[fll BVILO[llll) DA.TEI
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 $ ___ J ______ _
INSPECTOR
c.~TMENTAL INFORMATION SHEET RECEIVED
. "' BUILDING •DEPARTMENT
BUILDING ADDRESS:
DATE: QCI 1 o 1978
d J5Q a:~ ~ CITY OF GARLS8AD
,b--r
PLANNING DEPARTMENT •
~l ~ Building Department ~~ __:_ t!c-s:
ZONE ~/
t '
(10 I LOT S IZE. ________ LOT WIDTH ___ II _____ _
UNITS ALLOWED ______ ( _____ UNITS PROVIDED
I -~----------
PARKING SPACES REQUIRED ✓ PROVIDED_Q~&~--------
% covERAGE ALLOWED 'fo'J,, PROVIDED ----'t>'-'K ________ _
BUILDING HEIGHT ALLOWED lf1 PROVIDED ~0~1::., ________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ').,:> I f ~
PROVIDED ·.&Jc:-.
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ADDITIONAL COMMENTS: __,, ~ k/....::.,.--, ~-t -----
• . DATE /.0[/ 1 OK TO FINAL _______ DATE. ____ _
ENGINEERING DEPARTMENT
' R.O.W. _____ INDUSTRIAL WASTE ______ IMPROVEMENTS ______ _
SEWER CONNECTION _______ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS~ ~111+1-f: DRAINAGE ____ _
LEGAL DESCRIPTION~d~AJ.~'H'h.~"-"''6-&-:""==="-----------------------
ADDITIONAL COMMENTS __________________________ _
OK TO ISSUE:~ DATE JO!ro/7{ • T l
PWI ____ OK TO FINAL A) )fr DATE ___ _
FIRE DEPARTMENT •
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIRE ALARMS EXITS. ______________ _
FIRE HYDRANTS LOCATION ________________ _
ADDITIONAL COMMENTS ___________________________ _
9K TO ISSUE: _____ DATE. _______ OK TO FINAL. ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _