HomeMy WebLinkAbout2010 SUBIDA TER; ; 79-932; PermitMODEL NO. __________ _
BUllDING PERMIT APPLIC TIG,N,1s2%s 13.sa
City of CARLSBAD, CALIFORNIA 9200WJDl 2%5 3/15179 13.~0
Phone 729-1181 Permit No 7 :?-~3 0 Applicant to complete numbered spaces only
JO& AOOA ESS ASSESSOR'S
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PARCEL NUMBER _;) r, 1,\ 7A .
LOT NO. I OLK I TRACT 7 ;;--7
BOOK PAGE I PAR.
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OWN[R MAIL AOOACSS ZIP PMONC
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CONT AACTOA MAIL AOOA ESS PMON E STATE LIC, NO. CITY LIC, NO.
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A III CHITCCT OA O£.SIGNCR MAIL AOOACSS PHONE LICENSE NO.
4
CNGINECJ\ MAIL ADDRES S PHONE LICENSE NO.
5
COMPENSATION INS. CARRI ER MAIL AQOACSS B AA.NCH
6 .STttTG-c.,,~ I> r;v~ PU f.J ,-..,.
USE 0,. BUILDING
1 NO. BORMS NO. BAT HS
8 Class of work: 0 NEW 0 ADDITION 0 ALTER ATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: I--/-X. .J. 0 f->ffn 0 Cc, u E,, R.
,:;;,2.SD ¢
10 Change of use from
Change of use to
11 Valuation of work: $ R'44o~ PLAN CHECK FEE s,4..~ I PERMIT FEE $ Cf~
SPECIAL COND ITION S:
. MICRO FILM FEE Type of Occupancy
Const. Group
S,ze of Bldg, No, of Max.
A (Total) Sq. Ft . Stories 0cc. Load
/IA Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY id::R ISSUANCE BY Zone Zone Required DYes □No
DATE /5~ 3 -/t.-7J?r~ No. of OFFSTREET PARKING SPA CES:
'1 -Dwelling Units No. I No. OATc.. --Covered Sq. Ft. Open ,, . NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQU I RED FOR ELECTRICAL, PLUMB-PLANNING DEPT,
ING, HEATING, V ENTILATING O R AIR CONDI T IONING. 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 O R WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTH ER (Specif y)
I HEREBY CERT IFY T H AT I HAVE READ ANO 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, T HE GRANTING OF A PERMIT DOES NOT PRESUME TO G IVE AUTHORITY TO V IOLATE OR CANCEL THE
PROVISIONS OF ANY OTH ER Sl'ATE OR LOCAL LAW REGULATING
CON STRU./.ON ~ P70RMANCE OF CONST RUCTION.
/4._ A -J ~"\ -~ -1 to -79
7TUA< or CONT•Ar• O• AUTMO•IZ<O AGENT (DA.TEI
SIGNATURE n,-OWNER If' OWN[,i I UILO[,i) OAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. C ASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$/ 3 ~
8'
T
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 ~
'( /
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
INTERDEPARTMENTAL INFORMATION SHEET Received • BUILDING DEPARTMENT DATE : ---------
BUILDING ADDRESS: MAR 161979
~=~~=====-=-v~===~:::'.::=l-=:::'.e7=r S':'.:::=--:z.,=================G=IT=Y=O=F=C=A=R=LS=B=A=D
PLANNING DEPARTMENT
ZONE _________ LOT SIZE _________ LOT WIDTH_,7u5--'-~Q~'-' ____ _
UNITS ALLOWED UNITS PROVIDED --------------------------
PARKING SPACES REQUIRED PROVIDED ------------
'~%COVERAGE ALLOWED _____________ PROVIDED __________ _
JI> BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEE: DISTRICT:
ADDITIONAL COMMENTS:
AMOUNT:
REAR SETBACK:
\5 '-O"
OK TO ISSUE: -'a;/~ __ DATE~\W19 OK TO FINA1 _______ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE ------_______ IMPROVEMENTS _______ _
SEWER CONNECTION DRIVEWAY LOCATIONS_,._ __________ _
GRADING PERMIT _______ EASEMENTS ~;x.o (i..,w DRAINAGE ____ _
LEGAL DESCRIPTION~~=.c........,,c..=~-------------------------
ADDITIONAL COMMENTS ____________________________ _
DATE 3 11p /zr PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING 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 ________ _