HomeMy WebLinkAbout1220 CHESTNUT AVE; ; 77-235; PermitMODEL NO..
BUILDING PERMIT APPLICATI0N?
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permian
JOB ADDR ESS
LOT NO.
- LEGAL
1 OESCR.
OWNER
CON TRACTOR
4
5
. , 7 ASSESSOR'S
/ 1 / >-) 1 / / PARCEL NUMBER
> / /) <4 1 S-T • C- T^TT" 1 cS O $ dBLK TRACT BOOK PAGE PAR.
(I I5" ATTACHED SHEET)
MAIL ADDRESS t ZIP PHONE
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MAIL ADDRESS PHONE STATE LIC. NO. X C1TY-LIC. NO.
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MAIL ADDRESS PHONEX LICENSE NO.
MAIL ADDRESS PHONE . LICENSE NO.
COMPENSATION INS. CARRIER MAILADDRESS BRANCH
6 ^
USE OF BUI LOI N G
7
8 Class of work: Q
9 Describe work:
NO. BDRMS '"'' NO. BATHS
^NEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
/ / / ' \f /-) & * r~ *f & c j£» / /^* ^i /
10 Change of use from
Change of use to
11 Valuation of work: $/- &O
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY
DATE
SEPARATE PERMITS
ING, HEATING, VENT
THIS PERMIT BECOM
TION AUTHORIZED 1
CONSTRUCTION OR V
PERIOD OF 120 DA
, MENCED.
Fl HEREBY CERTIFY. APPLICATION AND K.".ALL PROVISIONS OF(.TYPE OF WORK WIL''H.EREIN OR NOT, TPRESUME TO GIVE /PROVISIONS OF ANYCONSTRUCTION OR
PLANS CHECKED BY APPROVED IJ/RIS^UANCE BY
NOTICE '
ARE REQUIRED FOR ELECTRICAL, PLUMB-
LATING OR AIR CONDITIONING.
ES NULL AND VOID IF WORK OR CONSTRUC-
S NOT COMMENCED WITHIN 120 DAYS, OR IF
VORK IS SUSPENDED OR ABANDONED FOR A
YS AT ANY TIME AFTER WORK IS COM-
THAT I HAVE READ AND EXAMINED THISNOW THE SAME TO BE TRUE AND CORRECT.
LAWS AND ORDINANCES GOVERNING THIS
- BE COMPLIED WITH WHETHER SPECIFIED
HE GRANTING OF A PERMIT DOES NOT
AUTHORITY TO VIOLATE OR CANCEL THE
OTHER STATE OR LOCAL LAW REGULATING
THE. PERFORMANCE OF CONSTRUCTION.
'*/L&Tn-JL!!AA S / - 3- <~/~7 7
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT [DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
/frOff
PLAN CHECK FEE $ / *f~
Type of Occupancy
Const. Group
2,or^°PERMIT FEE $ *-" ^~
MICRO FILM FEE
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
Fire Use Fire Sprinklers
Zone Zone Requ red DYes DNO
OFFSTREETNo. of
Dwelling Units Cove ed
Special Approvals Required
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.'
WATER DEPT.
PARKING SPACES:
Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
TOTAL FEES S
RECORD
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
!NT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
DATE REMARKS INSPECTOR . -
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
1-24-77 Fdn. Forms- Free standing awning-Pier holes Okay, okay to pour and
proceed": TTTTata . ~
1-28-77 Final- Correction in folder. T.Mata.
BUILDING.OEPARTMENT
BUILDING ADDRESS:
INTERDEPARTMENTAL INFORMATION SHEET
DATE:
PLANNING DEPARTMENT
LOT SI7F ~*_LOT WIDTH.
UNITS PROVIDED.
% OF COVERAGE.
.ALLOWED.
LLOWED.
PRKG. SPACES PROVIDED.
ok
.ZONE.
FRONT SFTRA^K l»viV SIDE YARD x-<r
BLDG. HEIGHT_
.REAR YARD /I
ALLOWED.
.REQ.
ENVIRONMENTAL PROTECTION RFOTS.
ADDITIONAL mMMENTS
LANDSCAPE PLAN
ENGINEERING DEPARTMENT
R.O.W
IMPROVEMENTS"i
DRIVEWAY LOCATIONS.
EASEMENTS
LEGAL DESCRIPTION.
ADDITIONAL COMMENTS.
.INDUSTRIAL WASTE.
_SEWER CONNECTION.
.GRADING PERMIT.
_DRAINAGE
ISSUE PERMIT..DATE..OCCUPANCY..DATE.
FIRE DEPARTMENT
SPRINKLING SYSTEM.
FIRE PROTECTION EQUIPMENT.
EXITS
.FIRE ALARMS.
FIRE HYDRANTS.
ADDITIONAL COMMENTS.
LOCATION.
ISSUE PERMIT..DATE..OCCUPANCY..DATE.
WATER DEPARTMENT
C M W D
ADDITIONAL COMMENTS.
.CARLSBAD..OLIVENHAIN..SAN MARCOS.
ISSUE PERMIT.
SENT TO PLANNING
RETURNED TO BLDG.
.DATE..OCCUPANCY..DATE.
SENT TO ENG. DEPT.
RETURNED TO BLDG. DEPT.
Company
*
1834 S. SANTA FE AVENUE
VISTA, CALIFORNIA 92083
[714] 758-1420
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