HomeMy WebLinkAbout2772 GALICIA WAY; ; 78-2548; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 " ~~ ")~ ,,.~
Applicantto complete numbered spaces only Phone 729-1181 Permit No 7 f
JOB ADDA 1'.~S ' &/t:!.t..:,8/JO
ASSESSOR'S
7/l, (TllL /l,/!f , PARCEL NUMBER
LOT NO. I BLK I TR:C; ea,,, £,u;,11
BvvK F'AGE I PAR.
L [OAL I 2, 7. ~·,, '-1 (QSEE ATTACHED :SHCCT) J O[SCR,
OWNtR w lh'hllllT..t.. MAIL ADORE:55 l/Jrt, l l l P PHOtf[
2 . ?2a:JJ ,,,;., I . !Ith/ I. '
CON TflAC TOA MAIL ADDRESS PHON [ STATE LIC, NO. CITY LIC. NO.
3
AflCHITtCT OR Dt51(;NC:R M41L AODA[SS PHON £ LICENSE NO.
4
ENGINEER ,....AIL ADDRESS PHONE LICENSE NO.
5
COMF'ENSATION 1"15. CARRIER MAIL AQORCSS 8AANCt-t
6
US[ o,: BUILDING
7 NO. BDRMS NO. BATHS
8 Class of work: 0 NEW CT ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: lO }( jy \.J (\..;.,( ,n
10 Change of use from
Change of use to
, 1 Valuation of work : $ f:I \ . ,~ oc.Q_ I (.!-I I .... ) -PLAN CH ECK FEE 5 PERMIT FEE S j.
SPECIAL CONDITIONS:
MICRO FILM FEE
Type of Occupancy
Const Group
s,ze of Bldg. No. of Max.
(Total) SQ. Ft. Stories 0cc. Load
Fore Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROV£1.l F0R1S5UANCE BY Zone zone Required 0Yes 0No
rtC:t N o. of OFFSTREET PARKING SPACES•
Dwelling units No. I 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 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 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.
51CNATUR[ o, CONTftACTO" Oft AUTHOftll(O AGl:NT (DAT[)
51C.NATUPlt 01' 0WN£ft 1, OWN[llt IUILDt"> IOATC)
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$ ___ ,_~~------
INSPECTOR
~~
; INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
.. ;.
BUILDING DEPARTMENT DATE : --1A"'l-fP:..PR.-l-H9~19w-.78e---
B U IL DING ADDRESS: ,;)._ 7 7 :2_ J:/~~ J ~__.~-=----~c__~=--'--~----c~,r~Y~·o~F~c-A-Rt-s-s--Ao
Building Department
PLANNING DEPARTMENT
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED ~-~~~eL-_____ PROVIDED~----------
~----Y~a.._0~/~o.__ _____ PROVIDED ~____;;;O~(Lc:,,._ ______ _ % COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
NA
-------
INTRUSIONS
0> 5 5"" 1 PROVIDED
SIDE SETBACK: REAR SETBACK:
7. .... , • (4, ~
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
oK To IssuE: ts N .\:\-DATE l{jv=tl 1~oK To 'FTNAL _______ DATE ___ _
ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE ~------IMPROVEMENTS~-------
SEWER CONNECTION ~-------DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS ~~-42.; DRAINAGE~----
LEGAL DESCRIPTION_L~o~f=-=-J~~~7.,__~~<-=a~!h==~~,<_;~~~~--:t:L_l_,_ Y ___________ _
FIRE DEPARTMENT
SPRir;KLING SYSTEM ___________ FIRE PROTECTION EQUIP·--------
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: ~----DATE~ ______ OK TO FINAL ______ DATE __ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _