HomeMy WebLinkAbout2775 OCEAN ST; ; 78-2995; PermitMODEL NO. _________ _
~ BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB AODR (55 ASSESSOR'S
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OWN(tl MAIL AODJICSS l IP
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PHONE
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CONTJltACTOR
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MAIL AO0Jlt[SS PMONE. STATE LIC, NO. CITY LIC, NO.
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ARCHITC.CT OR OE.Sl(;t,,,1[.,-MAIL A00RCS5 PHONE LIC[.N5[ NO.
4 ~' 'I.
CN GINC.E.Jlt MAIL AOORC.SS Pl"IONC LICENSE NO,
5
COMPENSATION INS. CARRIER LA MAIL AO~SS 8'4:ANCI-I
6 .
use 0,. I VILDING I
7 -;,-/.,, T·L NO. BDRMS NO. BATHS .
8 Class of work: □ NEW □ ADDITION D'ALTER ATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: ( ( "i ' ~ 1 -,.w,,-1t ,vC • Li i),1'-'I ( ,.,,\ \ Vtd\<'-t fH 1 ll\< ,twf
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10 Change of use from
Change of use to
11 Valuation of work: $ 2<'0'0 f\rr Jf; //'I ~1 -::,,,ti(-, ~
PLAN CH ECK FEE $ PERMIT FEE $
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
APPLICATION A.CCEPTEO BY PLANS CHECKED BY ~;}i7AIIICE av Zone Zone Reouired 0Yes 0No
No. of OFFSTREET PARKING SPACES,
Owelllng 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 OEPT.
THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE OEPT.
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 REAO ANO EXAMINED THIS ENGINEERING DEPT APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WH ETHER 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 L OCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SI GNATUJl:E._ o, CON Tll,AC TOIII f " AU THOlll\Z.~0 AGC:,,.T (OAT[l --t ' _, I-
I C, ' l +s C • ' I , l '
~IGNATUJIIC o,r OWNtfl 11, ow~t• BUILOCIII) DAT[)
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~_('...c.)-"-__ _
INSPECTOR
INSPECTION RECORD 1 •
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
'
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL i~
~
USE SPACE BEL OW FOR NOTES, FOLLOW-UP, ETC.
-Y· r--7?
--------------------------
------------------------
.,.
INTERDEPARTMENTAL INFORMATION SHEET ,
BUILDING DEPARTMENT DATE:RECEIVED
BUILDING ADDRESS:
MAY 111978
"' ~ ~ Bu dng ~ meAt
PLANNING DEPARTMENT c.?I' ~~ ~ ~~ z,!.-.::z_
iONE --:2-3 LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED UNITS PROVIDED --------------------------
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED ___ _.,....._-+----+-
INTRUSIONS
LANDSCAPE &
-----------------------
SIDE SETBACK: REAR SETBACK:
ENVIRONMENTAL PROT CT ON REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE, ft;; DATE ij1r}i!oK TO FINAL _______ DATE. ____ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL IMPROVEMENTS ---------------------
~SEWER CONNECTION LOCATIONS ____________ _
GRADING PERMIT ~....-.TS _________ DRAINAGE ____ _
LEGAL DESCRIPTION __ --J'-+-+---+--+--+----------------------
ADDITIONAL COMMENTS -+-----------------------
____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARM S EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE -----------------------
WATE R DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _