HomeMy WebLinkAbout2004 SALIENTE WAY; ; 79-1195; PermitMODEL NO. __________ _ 4 / 17179476B 00014768 4/17/79 ,a.so BP 25.0□ TL
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 7, q ► r--'
Applicant to complete numbered spaces only Phone 729-1181 Permit No / -// 2_..:;
JOI! AOOA [SS ASSESSOR'S
2.t)O ¢_ s~ i ~;e,rt-E. 11.J /r '-1 ~~I ,:;.h,4.C( fPA 7loD ~ PARCEL NUMBER
LOT Nb, I BL K I TRAIT? S' -7 lnoN Af<.Gh 5?:~i /TTACH£0 SHCCTI
BOOK P AGE I PAR.
LCCAL I '-13 1 OCSCR.
2 OF~ .e. J,4,,y ( .(' k' ;..J. Bivo~;; AOORC2.o()4/. S./4~·,v1 .eZIP
PHONE "'/'J~ -/ 'JZ.. .. 4/
Wm-, (1~r_ 66rld I (D~ q LO~~
CONTRACTOR , MAIL AOOAESS PNONE ' STATE LIC, NO. / CITY L IC. NO.
3 ow~
ARCHITECT OR O[SIGN[R MAIL ADDRESS PMON [ LICENSE NO.
4
[NG IN£[ R MAIL ADDRESS PMON[ LICENSE. NO.
5
6COMPENSATION IN:;..;-;E;J cJ"'\., ~ ;"'AIL Aoo•tss BAANCl-4
USE o, &VILOINC
7 PA-+, D (J ;,)1.)-t ~ NO. BDRMS NO. BATHS
8 Class of work: 0 NEW }( ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
-
9 Describe work: 94-t,·o {l)O\JeR. a~dJ
I
10 Change of use from
Change of use to
Valuation of work: $ (;30 ~-~ 7~ 11 -PLAN CHECK FEES 3 ERMIT FEE S ~
SPECIAL CONDITIONS: MICRO FILM FEE Type Of Occupancy
Const. Group
Size of Bldg. No. of Ma~.
(Total) Sq. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required □Yes O No
A.~ <f-17-/'I' ttfw· of
OFFSTREET PARKING SPACES
DATE t,/-/1-1 q • 0 .~ welling Units No. I No. /-~ VATE Covered Sq. Ft. Open
(j' NOTICY Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-HEALTH DEPT.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE 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 ANO KNOW THE SAME TO BE TRUE ANO 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/7_ Sl:=z-rz.CTrD• o• AU~
(OAT[)
/?~ ~?' ~ p _ _,/,,, -
5 1GNATU"[ 0,-OW tr OWN£" 9U IL0£.A) 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$
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL P/rvt/44 b·
fw_ I 'I
USE SPACE BELOW FOR NOTES FOLL UP, ETC.
\
•
I
INTERDEPARTMENTAL INFORMATION SHEET
"
t' BUILDING DEPARTMENT
BUILDING ADDRESS:
DATJ.l Et Eil D 'v-{""a APR17 f979
ZONE LOT SIZE LOT WIDTH ----------------------------
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED __________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
IRONMENTAL PROTECTION REQ:
9CHt)OL FEES: DISTRICT: AMOUNT:
V
ADDITIONAL COMMENTS:
OK TO ISSUE:~,,.,,., DATE '<{ll (i1 OK TO FINAL _______ DATE ___ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION DRIVEWAY LO CAJSIONS
GRADING PERMIT ---~---EASEMENTS~~~ DRAINAGE ____ _
LEGAL DESCRIPTION_=f?l.----1.. ~~-"-'-'--------------------------
ADDITIONAL COM
FIRE DEPARTMENT
SPBI~KLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FI RE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _