HomeMy WebLinkAbout1024 DAISY AVE; ; 79-2648; PermitBUILDING PERMIT APPLICATION^ i»i^ »sn
City of CARLSBAD, CALIFORNIA 92008 ' /" &
Aoplicant to complete numbered soaces onlv PhORG 729-1181 Permit Mn / / T&
JOB ADDR ESS
L O T N O • B L K TRACT
LEGAL ^^ <r*VS2> *•— » *> *
1 DESCR \2_JO~V JT S **""
O'ANER MAIL ADDRESS ZIP
CONTRACTOR ^ MAIL ADDRESS PHONE
4
ENG-NEER MAILAO DRESS PHONE
5
COMPENSATION INS CARRIER MAIL ADO1ESS
USE OF BUILDING
5^f~~ f) NO BDRMS
ASSESSOR S
PARCEL NUMBER
BOOK P P AGE PAR
PHONE
STATE LIC NO CITY LIC NO
LICENSE NO
LICENSE NO
BRANCH
NO BATHS
8 Class of work D NEW ^ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work fc P+*Tt,i
10 Change of use from /^
Change of use to
11 Valuation of work $ •*•? ^3 X .A
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKE D BY APPlffivEtyf On ISSUANCE BY
/-/
DATE ^!t^
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 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
I HEREBY CERTIFY THAT 1 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
-BBfSUME TQ GIVE AUTHORITY TO VIOLATE OR CANCEL THE
1PROVJSIO>8 Og ANY OTHER STA« OR LOCAL LAW REGULATING
CONST^B*rcTl^f| OR TH^i^pCTFO})MANCE OF CONSTRUCT! O^
PLAN CHECK FEE $ f 4
Type of Occupa
Const Group
Size of Bldg No of
( Total) Sq Ft Stories
Fire Use
Zone Zone
OFFSTNo of
.Dwell, ng Units JcSvered
Special Approvals Require
PLANNING DtPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
ft
•^ 3PERMIT FEE S *~
MICRO FILM FEEicy
Max
Occ Load
Fire Sprinklers
Required Qves DNO
REET PARKING SPACES
No
Sq Ft Opun
d Received Not Required
BP
Tl-
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
- 00JL~)TOTAL FEES S * T^ ^
INSPECTION RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATS
^Lhiff
REMARKS INSPECTOR
I
^y
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:WIMK 16 iy/y
PLANNING DEPARTMENT
70NE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
rt
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED
PROVIDED
PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK:REAR SETBACK:
fil
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTE&TLON REQ: h
All / \ ~" ""
SCHOOL FEE; f\r^~ DISTRICT.AMOUNT
ADDITIONAL COMMENTS:
OK TO ISSUE:)%« TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
LEGAL DESCRIPTION
EASEMENTS
dr73-3<7^3
DRAINAGE
ADDITIONAL COMMENTS
OK TO ISSUE:
FIRE DEPARTMENT
SPPINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
_FIRE PROTECTION EQUIP.
EXITS
LOCATION
OK TO ISSUE DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE