HomeMy WebLinkAbout2122 SUBIDA TER; ; 79-1970; Permit~ODEL Nq. _________ _ • oo3(~lao9s;9P2179
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 1q-1,q 1?)
Applicalrttocompletenumberedspacesonly Phone 729-1181 Permil No I'
JOB AOOR [55 ASSESSOR'S
"2. L7? -Su""?-.tDD Tef!ep.c 'G PARCEL NUMBER
LOT NO, I ••• I TR7J--7 BOvK PAGE I ....... I /j-. tQscc ATTACHED SHEtTI 1 OtSCA.
OWN CA MAIL A 00111!£S$ ?Ip PHONE.
2 c.uY Ct>--;e" z.., 7~? -S. u8,\ DI~ ree/l.1'1Ct" e:/--V: -q I 6-
PAR.
CONTIU,I TOR MAIL ADDRESS PMON C STATE LIC, NO, Cir;;•;\_ 3 So. r~. /_ L> )1_j ()<;(,.6. f \.'=' 77!?-✓., /ln,Sl'/~n Z <;?1 9 c;, o q ~ ..... 3o61~.:t
AA(HIT(CT OR 0 £SICNCA MAIC AOOAESS (A/>~4€(.;J PHONE LICC.NSC NO. '
4
ENCINE[R MAIL AOORCSS PHON C LICENSE NO.
5
6 COMPEN~NS; AftRI EJ -(ot MAIL AOOftCSS BAANCH ,.., ~
US£ OF' &UILOINGi ' ~ 7 'Pee.. NO. BDRMS NO. BATHS -
8 Class of work: 0 NEW )8:AOOITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: 'P.o.,tc> C:.,vc--.C....
///') Ill
" , u-µ-I 10 Change of use from
Change of use to
11 Valuation of work: $ ~o PLAN CH ECK FEE S -;;._, ~o 1 PERMIT FEE S ~ 0 ('.)
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
-I'\ Fire Use Fire Sprinklers i~'-;"'"'" .. PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required DYes □No
,j_TE 7-11-197/ OFFSTREET PARKING SPACES: '1/ ,;✓J7 In No. or I No. Dwelling units No. Covered Sq. Ft. Open
t I NOTICI!' Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH 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 EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT.
"'""" ?OT, TH' GRANnNG o, A """" ooes NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING
C07,RUCT ON OR HW.fu OF CONSTRUCTION.
J ,,,.._ -"k.... ,,, ..--7-L-71. -'£ ~..,,, ...............
51u,t(TURE o,-\.."t71"r'f'""CTOR Olll AUTHOflllZ.EO AG[o/° (OATtJ -
$1GNATV,-;£ 01" OWNER (I,-OWl'iER 8UILD£,t) IDAT()
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M,O. CASH
0
1 ~0 TOTAL FEES$ __ • ______ _
'
REQUEST@t= ~INSPECTION TIME:-----,.------
DATE: --,,la---~--~~~-t/_ INSPECTOR -~ PERMIT NO. 7?-/97() •
OWNER ________ --=-------------------------
ADDRESs___.c:2~/__.2,c;....;...:;._,,Z,,___,..,,..~~a::;..._-----'-~ --=-----'~-----'-....;;._:_=--=::-,;;..---------
BUILDING ELECTRICAL
D FOUNDATION
[~] REINFORCING STEEL O TEMPORARY SERVICE
0 MASONRY O ELECTRIC UNDERGROUND
C GROUT -GUNITE D ROUGH ELECTRIC
0 FLOOR AND CEILING FRAME D POOL BONDING
0 SHEATHING O ELECTRIC SERVICE
LI FRAME D CEILING HEAT
D EXTERIOR LATH O G.F.1.
D INSULATION (fE SMOKE DETECTOR
FINAL
FINAL I (~+--+-----------'
PLUMBING
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
D A.M.
0 P.M.
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
HURSDAY D FRIDAY
J~' 4 j~L~ -~ //~ ~ SPECIAL INSTRUCTIONS--~-.¥------~-----..c~""""'=.."---z;....,,.-s~;<..._-........<::~--'------~
REQUESTED BY ________________ PHONE No.NI-?/~
PERSON TAKING REPORT ,,dB:
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT
c2./d;2 ~4v BUILDING ADDRESS:
DATE: ________ _
J UL 2 1979
CITY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
ZONE _________ LOT SIZE _________ LOT WIDTH _________ _
UNITS ALLOWED ____________ UNI S PROVIDED ____________ _
PROVIDED PARKING SPACES REQUIRED ----------------------
-----------'/---PROVIDED % COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
--------1------PROVIDED
-------
INTRUSIONS
' T ANDS CAPE
l
ENVIRONMENTAL PROTECTION REQ:
School Fees: District:
ADDITIONAL COMMENTS:
OK TO ISSUE:
ENGINEERING DEPARTME
REAR SETBACK:
Amount:
R.O.W. _ ___._tv~A'-"----_ ___..c,'-=,._ ___ IMPROVEMENTS-Lp.J~A-=-------
SEWER CONNECTION _4tJ.=--<-jJ..,._ ____ DRIVEWAY LOCATIONS_~AJ..A'--<-'-----------
GRADING PERMIT ii.A EASEMENTS µA DRAINAGE~//_A~---
LEGAL DESCRIPTION _____________________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: ~Jw DATE 7-,?-7<f PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING 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 ________ _