HomeMy WebLinkAbout2805 Jacaranda Ave; ; 79-1370; Permit16• J P
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City of CARLSBAD, CALIFORNIA 92008 ... ~-J,. "t1
Applicanrtocompletenumberedspacesonly Phone 729-1181 Permit No ;• ;;5• ,0 A, I eU~• -CA. ~ ASSESSOR'S
P ARCEL NUMBER
LC(Y>,0 re• ITHCT tO stt ATTACMto SHCCTt
SOOK--P•~E.I. .R.AR,
LECAL I L/-:uJ 1 O[SCR, --·-. ~
i°w••·~K -M AIL AOD .. [55 ZIP PM ONE .. . --~-vJri
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CONTRACTOR V MAIL A00111£5S Pt40N£ STATE LIC. NO, CITY LIC. NO,
3
AIIIICMI TCCT OA O[SIGN[N MAIL .4.00AC.55 PHONC LICENSE NO.
4
ENGINl.[R MAIL •oo,_css PMONE LICLN5 t NO,
5
COMPENSATION INS, CARRIER MAIL AD0"£5S 9,_ANCH
6
U$£. 0 1" BUILDING
7 NO. BDRMS NO. BATHS
8 Class of work: 0 NEW □ ADDITION □ ALTERATION □ REPAIR □ MOVE 0 REMOVE
9 Describe work: f?cddJ ~
10 Change of use from ~
Change of use to ~<fV 7
7 /'/) :r _5'.:!S' I
=41'
11 Valuation of work: $ PLAN CHECK FEE$ PERMIT FEE $ /:.,__.,
MICRO FILM FEE
SPECIAL CONDITIONS: Type of Occupancy /."90 .;\' Const Group
s,ze of Bldg. No. of Max .
(Total! SQ. Ft Stories 0cc. Load
Fire u,e Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED 8V ~D FOR ISSUANCE BY Zone Zone Required □Yes □No
..,,:;o-1/ OFFSTREET PARKING SPACES
DATE½,
No. of JNo. Dwe111n9 un,ts No.
DATE n _I~ 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. HEAL TH 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 EXAMINEO 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, T HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STA TE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMAl'/CE OF CONSTRUCTION. . .
I
I• :-;" I ,,
51GNATU,.I: or CONTPtACTOflll Q,t AUTMOPtlZtO AGENT (O~T£)
SIGNATii,tt 0,. OWNEIII t1r OWNEIII BUll.OlPtl (OAT£}
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
~0 TOTAL FEES$ ________ _
INSPECTOR
INSPECTION RECORD 79--/370
DATE
FOUNDATIONS:
REMARKS INSPECTOR
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
/
FINAL ~ r~'J},q (/4
I I I
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
INTERDEPARTMENTAL INFORMATION SHEET
DEPARTMENT
RE CEili
DATE: • J}
Bll'ILDING ADDRESS:
e:r:73-1
PLANNING DEPARTMENT
ZONE _________ LOT S IZE, _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED -----------
% COVERAGE ALLOWED PROVIDED -------------
BU IL DING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS: ________________ _
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEES: DISTRICT: AMOUNT:
ADDITIONAL COMMENTS:/ltd dfAJill l«a /.-<
'-t-~, 'P«-, ow;; + ~d ~J1j_,_
I f D1 ,, 100 -i<f Io 1 '½f1 «a~
' OK TO ISSUE: ____ DATE. ____ OK TO FINAL ________ DATE. ____ _
ENGINEERING DEPARTMENT ol y I} m 0 as ~
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT ______ EASEMENTS. _________ DRAINAGE ____ _
LEGAL DESCRIPTION ____________________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: __ _ DATE. ______ PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION. _________________ _
ADDITIONAL COMMENTS ____________________________ _
\
Of TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE_DISTRICTS MET ________ DATE, ________ _