HomeMy WebLinkAbout1207 CARLSBAD VILLAGE DR; ; 77-7117; PermitMODEL NO
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only .PnOne 729-1181 Permit No
JOB ADD BESS
120? mm AWSH* ®*33L»'te&t GaUfoarala
ASSESSOR S
PARCEL NUMBER
BarUon ot US ATTACHED SHEET)
MAIL ADDRESS
275
CONTRACTOR MAIL ADDRESS STATE LIC NO CITY L1C NO
16556
ARCHITECT OR DESIGNER MAIL ADDRESS Mlt A LICENSE WO
Carl
ENGINEER MAIL ADDRESS LICENSE NO
COMPENSATION'INS CARRIER
Xm*0a« P.O.Box 1395
USE OF BvH LDI N G
NO BDRMS NO HATHS
8 Class ot work D NEW D ADDITION 0 ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work
10 Change of use from S.T/.° *v *
Change of use to
11 Valuation of work $ 2.,PLAN CHECK FEE S PERMIT FEE $
SPECIAL CONDITIONS Type o(
Const
Occupancy
Group
MICRO FILM FEE
Sue of Btdg
(Total) Sq Ft
No of
Stories
Max
Occ Load
APPLICATION ACCEPTED BY PLANS CHECKED By APPROVED F.OR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
' Requited Qyes
No ol
Dwelling Units
OFFSTREET PARKING SPACES
No
Covered
„Sq Ft
No
Open
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 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
COJMSTeWCT.LON — OR-^THE PERF_ORMANCE OF CONSTRUCTION
-^ \ ' *l\f Tf^^__ i aT"**" ^*<"***'"*"•""i*™*1*" """" — **' ^^ ^J
SIGNfeURE OF CONTRACTOR OB AUTHORIZED AGENT (DATEI
Special Approvals
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
SIGNATURE OF OWNER (IF OWNER BUILDE")
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
TOTAI FFFS S
INSPECTOR
o
FOUNDATIONS
SET BACK
~
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE REMARKS
-
INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
I INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE :RECEIVED
>0-? <zSU^AUG1 11977
\M I IN' 4^ -*v Department7*^r?^ ^JTV»
PLANNING DEPARTMENT
70NE
UNITS ALLOWED
LOT WIDTH
UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED X1
PROVIDED
_PROVIDED_
_PROVIDED
PROVIDED l/Uv^
SIDE SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMERT&:
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE . R IMPROVEMENTS
SEWER CONNECTION /}?%/£, /?&(£L , DRIVEWAY LOCATIONS,
GRADING PERMIT £/_/4 EASEMENTS
LEGAL DESCRIPTION
DRAINAGE
ADDITIONAL COMMENTS
OK TO ISSUE:OK TO FINAL DATE
Q/J
FIRE DEPARTMENT
FIRE ALARMS
FIRE HYDRANTS
FIRE PROTECTION EQUIP.
EXITS
LOCATION
ADDITIONAL COMMENTS
OK TO ISSUE:DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE
-^ftaft* i;vl^ftAi