HomeMy WebLinkAbout2502 SOMBROSA PL; ; 77-451; PermitI
MODEL NO,-----"'-----'----
' BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADOR ESS ASSESSOR'S 2502 e. ·• AC£ PARCEL NUMBER
LOT NO, I OLK I TRAC~18 BOOK PAGE I P AR.
LECAL I (05£[ A.TTACH£0 SH((TI l ocscA. 16 Ultn-2
0 WN£A MAIL A0OR[S5 2 IP PMONC
2 "'·-~ u. EfGEl:1'!1.:..:.~ ,Afcl Wirt
CON TRAC TOIi! MAIL ADORCSS PHON C STATE LIC, NO, CITY LIC, NO,
3 flO.iii -CMPt£R
AIIICHITECT OA CESIC.NCA MAIL AOOACSS PHONE LIC CNSC NO.
4 ~,!.
CNG INCCA MAIL AOOR[SS PMON C L ICENSE NO.
5
COMPENSATION INS, CARRI ER MAIL AOOlll:[55 BRAN CH
6 '$
USE Of' BUILDING
7 PATeO NO. BORMS NO. BATHS
8 Class of work: □NEW [}.ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: COttSTRUCT covrn OVER PATIO g_A_R 1!2e ➔~ ~ ~ -I .. , ·/4 Y'2 0
10 Change of use from
Change of use to
. /40 0 ,v I -11 Valuation of work: $ ~00 PLAN CHECK FEE$ 7-PERMIT FEE S /~
SPECIAL CONDITIONS: Type of Occupancy MICRO FILM FEE
Const. G roup
Size of Bldg. :t.t;?-0 No. of Max.
(Total! SQ. F Stories 0cc. Load '
Fire Use Fire Sprinklers
APPLICA flON ACCEPTED BY PLANS CHECKED BY ... :M""" .. Zone Zone ReQuired O Yes □No
OFFST REET PARKING SPACES: No. of I No. Dwelling Units No. DATE D ATE 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 T H DEPT. THIS PERMIT BECOMES NULL AND VOID IF WO RK 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. 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 AND 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 VIOL ATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Sl~NAlUR[ 0,-CONTRA~TOt' OR AUTHOJIIZtD AGENT (DAT£)
I ,,._
\ f , .. _,, l l -I I
SI GNAT 1'[ o, OWNER (I , OWNUI BUILDC"t) (DAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
TOTAL FEES$ ________ _
INSPECTION RECORD
DATE
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL -,,_4_77 O.K.
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
2-7-77 Footings: O.K. B. Ne lson
,,
REMARKS INSPECTOR
.:·, ... , ....
Lloyd
INTERDEPARTMENTAL INFORMATION SHEET . , DATE: / /.)7/77
BUILDING DEPARTMENT /JJ 1
BU I LDI NG ADDRESS: ___ ___,.,_2~5'---....i..r2~d>~....,...~=-=--~....:....:....:-=---V....:...~.::...-=.:'_J/A_,/=--=-----1'fZt......<::1....:...'---------
PLANNING DEPARTMENT
LOT SIZE ___________ __,__OT WIDTH _________ ZONE. ______ _
UNITS PROVIDED _____ __, ES PROVIDED ____ REQ. __ _
% OF COVERAGE. ___ _ _____ ALLOWED ____ _
FRONT SETBACK ___ _ -----I NTR USI ONS ____ _
ENVIRONMENTAL PROTECTION
ADDITIONAL COMMENTS, __ ____:::=:::::::::::. _______________________ _
ISSUE PERMIT _ _,.!f~-.,....---DATE t/t?/71 OCCUPANCY _____ DATE ___ _
ENGINEERING DEPARTMENT
R.O.W. _______________ INDUSTRIAL WASTE _____________ _
IMPROVEMENTS ___________ SEWER CONNECTION, ____________ _
DRIVEWAY LOCATIONS ________________ GRADING PERMIT ______ _
EASEMENTS ____________________ DRAINAGE ________ _
LEGAL DESCRIPTION, _____________________________ _
ADDITIONAL COMMENTS. ____________________________ _
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE ____ _
FIRE DEPARTMENT
SPRINKLING SYSTEM _____________________________ _
FIR E PROTECTION EQUIPMENT ____________ FIRE ALARMS ________ _
EXITS __________________________________ _
FIRE HYDRANTS ___________ _ LOCAT ION _____________ _
ADDITIONAL COMMENTS ____________________________ _
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE ____ _
WATER DEPARTMENT
CM W D ________ CARLSBAD ____ OLIVENHAIN _____ SAN MARCOS ___ _
ADDITIONAL COMMENTS ____________________________ _
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE ____ _
SENT TO PLANNING SENT TO ENG. DEPT. ______ _
RETURNED TO BLDG. RETURNED TO BLDG. DEPT.