HomeMy WebLinkAbout2122 SUBIDA TER; ; 79-718; PermitMODEL NO, __________ _
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00011112 2114/79
7.50 BP
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BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only.
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LOT NO.
l.CGAL 1 otsc•.
OWN[llt
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4
AAC,MIT[CT OA OCSIGNC.A t , L, l. f\ r-'}o, J
ENGINEER ,
5
CO~ENSATION INS, CARRIER
6 ~,~ -C~.>"t-.J
use or BUILDING
7 I
Phone 729-1181
TA ACT
MAIL ADDRESS ZIP
J-. I a... do. CS: 'II l,. J ,· d c;
PHONE
MAIL AOOAE.55 , PHONE
NO. BORMS
Permit No.
<Oscc ATTACHCO SHCE.TJ
ASSESSOR'S
PARCEL NUMB ER
BOOK PAGE I PAR,
,)..t)-'it;r// STATEC~7~ ~/ ;;; L/. 7 t.7/
LICENSE NO,
LICENSE NO.
NO. BATHS
8 Class of work : □ NEW 0 ADDITION 0 ALTERATION 0 REPAIR □ MOVE □ REMOVE
9 Describe work: .
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CH ECK FEE $
f-CS:.._P_E_C:.._I_A....cL:.._C"-"-0-N--'D-I_T_IO-'--N-S_: -------------------1 Type of
Const.
1--------------------------------1 Size of Bldg. (Total) SQ. Ft.
NOJ'CE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTI LATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED.
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
I
<.., ..)-o I 0--PERMIT FEE $
,-,·-~ 1, --
Occupancy
Group
N o. of
Stories
use
Zone
MICRO F ILM FEE
Max.
0cc. Load
Fire Sprinklers
Required 0Yes 0No
OFFSTREET PARKING SPACES:
No. Covered
Required
Sq. Ft.
Received
INo. Open
Not Required
~tp'f..~lft1cf J~~bYKJ~~\~ttiJE All~E ~~~[:~~~ 1f J~ R 1~~~ 1--EN_G_I N_EE_R_I_N_G_D_EP_T_·--------+--------+---------1
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED 1--------+--------+--------+---------t
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHE!~_ff;E O LOCAL LAW REGULATING
CD;;;;~ON~ T/1:, ~OR ANCE OF c;~:%1;N.
Sl'"CflfATURC 0,. coNTAACTOIIJ OR AU THOllllltD AGENT T I0AT1 1
SIGNATUIIU o, OWNER 1,-OWNCIII: 8UILDtllt) DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
'---, 2>fl-
TOTAL FEES$ ____ / ____ _
REQU EST FOR
IN~PECT~R~
INSPECTION --. . TIME=-72:--.,,t----~ PERMIT NO. _______ DATE #?
OWNER ---/7;_ ---/----7
ADDRESS ~a?~ ~ ~ >/ -~----------------,
D FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
D FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
D POOL BONDING
/ 0 ELECTRIC SERVICE
/; CEILING HEAT
G.F.1.
SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY D THURSDAY
D A.M.
O P.M.
SPECIAL INSTRUCTIONS ___________________________ _
I REOUEf ED ,B/~----MV--------PHONE NO. _;l~f' /tJ.,, tfo~ PERSON TAKING REPORT /~•
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
CITY OF CARLSBAD /?/ c __ 7 Building Department
-"' __ •,--=---=---=--.=::-.=::-.=::-~~~~-=-=J-=-=-===~s==-=-7~-=-=--=--=--=--=--=--=---=---=---=--=--=--=--=--=----==
PLANNING DEPARTMENT
ZONE __________ LOT SIZE _________ LOT WIDTH _________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED -------------
BU IL DING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
REAR SETBACK:
OK TO ISSUE: 4 • DATE ¥/477', OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE __ -_____ IMPROVEMENTS _______ _
SEWER CONNECTION -----====----DRIVEWAY LOCATION S ____________ _
GRADING PERMIT _______ EASEMENTS ___ ~/V-~~ ____ DRAINAGE ____ _
LEGAL DESCRIPTION __ -=~~r.:___7~.S'--_7.!..___~"--=o~T:..___L_l~S--'---------------
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: R,c-/ly DATE ::J--1 '-1-71 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 ________ _