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Home My WebLink About1003 DAISY AVE; ; 79-4293; PermitMODEL NO Applicant to complete numbered spaces only BUILDING PERMIT APPLIC City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 9/Q5/79S5D6"SI/D5/79 n. Permit No JOB ADDRESS ^^ LOT NO BLK TRACT -. •, !DES"R /%% 71-?>Cl($PU OWNER MA!L ADDRESS CONTRACTOR MAIL ADDRESS 3 4 ENGINEER MAIL ADDRESS 5 COMPENSATION INS CARRIER MAIL ADDRESS £ USE OF BUILDING f * 7 8 Class of work D NEW D ADDITION D ALTERATION 9 Describe work ^ ^. •> 10 Change of use from Change of use to 11 Valuation of work $ ^ 2^§?O t 0 O SPECIAL CONDITIONS < J *\ / APPLICATION ACCEPTED BV PLANS CHECKED BY APPRSrvE Uf f »¥4iukli| B*f />XVPr PMM NOTICE ^ SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMB ING HEATING VENTILATING OR Al R 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 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SICNAJjJRE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) 'T'r&rTMfoA/ * ^-"T^J?^}/ flsf Jf-Za -~7^Sf *<f rr/££A9^ ,^r ^ ^&fi£^s£&&^^e ^ ^ f f SIGNATURE OF Q^XER (IF O WJ^fiMBU 1 L D E R ) (DATE) ^ .A ASSESSOR S /3/yz^ C- r? / £. tfOQ P^/C^L— N^2^-* // BOOK | PAGE PAR ^/flkdA MILL) #45-3 ZIP PHONE ^^^~ -^^ PHONE STATE LIC NO PTl li |J_, fJ" f— PHONE LICENSING PHONE LICENSENO BRANCH NO BDRMS NO BATHS D REPAIR DMOVE D REMOVE r7o c, ,^c- ^ r/o Co i/c&} I i^1 PLAN CHECK FEE $ / r~ ^ PERMIT FEE $ ff\ f ^^^ M! CRO FILM FEEType of Occupancy Const Group Size of Bldg No of Max (Total) Sq Ft Stones Occ Load Ftre Use Fire Sprinklers Zone Zone Required LJYes CDNo OFFSTREET PARKING SPACESNo of Dwelling Units Covered i,Sq Ft dSen Special Approj/jjjs, {S^~ RequijajfJ^^ Received Not Required FIRE DEPT SOIL REPORT OTHER (Specify) ENGINEERING DEPT WATER DEPT 7 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK CASH PERMIT VALIDATION CK M O CASH TOTAL FEES $ 4M3 INSPECTION RECORD FOUNDATIONS SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT LATHING OR DRYWALL EXT LATHING MASONRY \ FINAL DATE !*$1 REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW UP ETC BUflLDING DEPARTMENT INTERDEPARTMENTAL INFORMATION SHEET BUILDING ADDRESS DATE PLANNING DEPARTMENT 70NE CITY OF CARLSBAD Building Department LOT SIZE LOT WIDTH UNITS ALLOWED UNITS/'PROVIDED PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK. ALLOWED PROVIDED INTRUSIONS LANDSCAPE & IRRIGATION PLAN COM PROVIDED_ PROVIDED PROVIDED REAR SETBACK ENVIRONMENTAL PROTECTION REQ . .SCHOOL FEES;AMOUNT: ADDITIONAL COMMENTS OK TO ISSUE DATE 'OK TO FINAL DATE ENGINEERING DEPARTMENT ROW INDUSTRIAL WAC.TE IMPROVEMENTS SEWER CONNECTION GRADING PERMIT _ DRIVEWAY LOCATIONS EASEMENTS/^>£DRAINAGE LEGAL DESCRIPTION ADDITIONAL COMMENTS OK TO ISSUE jO^^ DATE 1?/j/ /) °l PWI OK TO FINAL_DATE FIRE DEPARTMENT SPRINKLING SYSTEM FIRE ALARMS FIRE HYDRANTS ADDITIONAL COMMENTS FIRE PROTECTION EQJIP EXITS LOCATION OK TO ISSUE DATE OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE - Wi, CITY OF CARLSBAD BUILDING DEPARTMENT (714) 729 1181 CERTIFICATION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California If, after making this certificate 1 become subject to the workers' compensation pro visions of the California Labor Code, I will forthwith comply with Section 3700 of the Labor Code I understand that if I fail to comply with the workers' compensation laws, this permit shall be deemed revoked I further certify that if I should contract or subcontract with any person, including any firm or company, to do all or part of the work for which this permit is issued, I shall assure compliance by that contractor or subcontractor with Section 3800 of the California Labor Code SIGNED PRINT NAME AND TITLE JOB ADDRESS DATED F'3/~ 7?