HomeMy WebLinkAbout1165 TAMARACK AVE; ; 75-788; PermitG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB ADDA ESS
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ASSESSOR'S
PARCEL NUMBER
L £ OAL I 1 OE~CA.
LOT N6. 1 •LK I TRACT <OscE ATTACMED SHCE.TI
BoOK PAGE I
OWNCft PHONE
CONTRACTOR MAIL ADDRESS LICENSE NO. STATE
3 f I
ARCHITECT OR OC.51GNER MAIL AOOR CS.5 PHONE LICENSE NO,
4
ENGINE[l'il MA.IL ADDR ESS PHONE LICENSE NO,
5
COMPENSATION INS. CARRIER MAIL AOOlltESS 81'1:ANCH
6
use 0,. BUILDING r -? 7 s. ,._ t r ,..~ -.-1 , L v (.= ,l)\: ~,.
~OOITION
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8 Class of work: 0 NEW 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 0 escribe work: ..r1 -J1 f 11-" G 11 l v t"':.,.nflll _ , -;( ;JI ,F f -
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE$ 1, J,,.,e I PERMIT FEE $
PAR.
CITY
I
72ulJ
MICRO FILM FEE
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: ___________________ Type of
Const.
1-------------------------------1 Size of Bldg. (Total) Sq. Ft.
fo-.,.,.--:--~-=-==-.,.,.----r---,---,,.--,-------,----------1 Fire
Occupancy
Group
No. of
Stories
use
Zone
Max.
0cc. Load
Fire Sprlnl<lers
Required O Yes O No APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR 1,SSUANCE ~y Zone l----------~------------''------------1 OFFSTREET PARKING SPACES:
DATE j ' .. OATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTH ORIZED IS NOT COMMENCED WITHIN120DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD O F 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 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.
SIGNATURE. 0,. CONTRACTOii.. OR AUTHO,ii1ztO AGENT
,_No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEALT H DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
No. Covered
Required
Sq. Ft.
Received
I No, Open
Not Required
, -1--------4--------1--------+--------I
SIGNATURE n,. OWN£ .. llr OWNER BUILDER) (OAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
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.
6-25-75 Q.K. to pour footings and sJa
8 19-75 Frame: Q.K. R. Osburn
INTERDEPARTMENTAL INFO_RMATION SHEET / 1// /.., L"'
DATE: ~ r J::;
BUILDING DEPARTMENT / -~ ~
,BUILDING ADD RESS: ___ __,_4--1-/:...-~'2-6_,,£...----..+-/4-"'<--~.;__.l.!......:../1i__,_,1/l<......L.-L£.::-~L-1-__,,_(!=-,,~..o:...------r ~ (
• ... <
PLANNING DEPARTMENT
LOT SIZE. ___________ _,_OT WIDTH, _________ ZONE. ______ _
UNITS PROVIDED, _____ ..,...LLOWED· _____ PRKG. SPACES PROVIDED ____ REQ. __ _
% OF COVERAGE. ____ ALLOWED _____ BLDG. HEIGHT _____ ALLOWED ____ _
FRONT SETBACK ____ SIDE YARD· _____ REAR YARD _____ INTRUSIONS ___ _
ENVIRON MENTAL PROTECTION REO'Tce,d~~NDSCAPE PLAN ______ _
ADDITIONAL COMMENTS, ____________________________ _
ISSUE PERMIT _______ DATE. ______ OCCUPANCY ______ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. _______________ INDUSTRIAL WASTE. _____________ _
IMPROVEMENTS ___________ SEWER CONNECTION ____________ _
DRIVEWAY LOCATIONS. ________________ GRADING PERMIT ______ _
EASEMENTS ____________________ DRAINAGE ________ _
LEGAL DESCRIPTION, _____________________________ _
.. ADDITIONAL COMMENTS, ____________________________ _
______ OCCUPANCY ______ DATE ____ _
FIRE DEPARTMENT
SPRINKLING SYSTEM _____________________________ _
FIRE PROTECTION EOUIPMENT ____________ FIRE ALARMS, ________ _
EXITS __________________________________ _
FIRE HYDRANTS ___________ _ LOCATION _____________ _
ADDITIONAL COMMENTS ____________________________ _
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE ____ _
1WATER DEPARTMENT
C M W D ________ CARLSBAD. ____ OLIVENHAIN ____ SAN MARCOS ___ _
• ADDITIONAL COMMENTS ____________________________ _
ISSUE PERMIT _______ DATE. ______ OCCUPANCY ______ DATE ____ 7
SENT TO PLANNING SENT TO ENG. DEPT. ______ _
RETURNED TO BLDG. RETURNED TO BLDG. DEPT.