Loading...
HomeMy WebLinkAbout1360 Forest Ave; ; 77-7056; PermitMODEL NO. _________ _ > · BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Apprcant to complete numbered spaces only Phone 129-1181 Permit No I JOB AODP £5S ASSESSOR'S f _ .(,() ,~J;... PARCEL NUMBER I.OT NO. rLK I TRACT BOOK PAGE I P AR, LCCAL I (Qscc ATTACHED SH([TI 1 DtSCA, OWN(llt MAIL ADDRESS r~ llP PHOt~ E 2 I ,. ,; /\1 n TS u.. b ct.,, C. ._ /.~60 CON TRAC TOR MAIL AOOR(SS PHONE STATE LIC. NO. CITY L IC. NO. 3 ' .. "-ARCHITECT OR O CS1G.N£" MAIL ADDRESS PHONE LICENSE NO, 4 [NGIN CCR MAIL ADDRESS PHONE L ICENSE NO, 5 Co.,..1PENSATION INS, CARRIER ~,_/ MAH. AOOIICSS 8 1'lANCH ) 6 ,, I' , -I -' -- U5£ Of' 8UILOINC 7 NO. BDRMS NO. BATHS 8 Class of work: CJ-NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: re: ,e, .•.. £.!tr--. .vcJ l u<; 13 X/6 A J,o Cove,,,.. , 10 Change of use from Change of use to 11 Valuation of work: $ t:,.:;;?'/"'2 PLAN CH ECK FEE S ? :, 1 PERMIT FEE S 7~ MICRO FILM FEE SPECIAL CONDITIONS: Type of Occupancy Const Group s ,ze of Bldg No. Of Max. (Total) Sq. Ft. Stories 0cc Load F,re use F,re Sprinklers APPLtCA TION ACCEPTED SJ PLANS CHECKED BY APPROVED F:;lss,ev Zone Zone Requited 0Yes 0No ~I No. Of OFFSTREET PARKING SPACES Dwelling Units No. 'No. DATE DATE t/ -Covered So. Ft. Open . Special Approvals Required Received Not Required NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. T HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION A UTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS A T ANY TIME AFTER WORK IS COM· MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. T YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, TH E GRANTING OF A PERMIT DOES N OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ti 5 1GNATU"f o, G()NT,IACT0" 0" AUTH0flll1t0 AGENT (OAT~) ',.,.[ h A / ( ~I I'-~ S1GNA.Tt1f11E OP' OWN[JII flP' OWIIIEIII IUILDtflJ IOAT £) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH IJ TOTAL FEES $ __ /---''£-=-_...., __ ~ __ _ INSPECTOR INSPECTION RECORD /'} 1 -'O DATE REMARKS INSPECTOR'' FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL /~-/¥.:1; c:9,/( T.~ I USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: RECEIVED DATE : ---AUH-lGf-!-+-1 +..O ·---,9-7--7 - CITY OF CARLSBAD Bulrdln2 Department PLANNING DEPARTMENT ZONE R-l LOT s I z E ___ 6 ...... 2 ..... Z~D'---__ L OT w ID TH __ 'l4_z/...;._' ----- UNITS ALLOWED UNITS PROVIDED ------+---------l----------- ---~ff-------- % COVERAGE ALLOWED PROVIDED rfll_ PARKING SPACES REQUIRED PROVIDED ~ l BU IL DING HEIGHT AL L_O_W_E_D-------1,,t!L-----p RO VI DE D e;) i FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ' • I ~LLOWED M:JffD~~\16:~[5 PROVIDED ------- 2Dm1-r" 7..P~'~i~ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL OK TO ISSU ENGINEERING DEPARTMENT R.O.W. .....___ INDUSTRIAL WASTE ------"'---IMPROVEMEN'l',.S--~ --------------- SEWER CONNECTION DRIVEWAY LOCATIONS --- GRADING PERMIT ---EASEMENTSAJ,Ptte ,J.lle3:l.~RAINAGE ____ _ LEGAL DESCRIPTION Eb&,-Co-f: /) Ced(#V i(;I/ Ac:tct /Y1:.0. lr"6 -e>5"Z-l4 ADDITIONAL COMMENTS-1.Jl/cc.=...i04AA..~~~tf:------------------------ OK TO ISSUE: FAJL DATE fl-/0-77 PWI OK TO FINAL DATE ---- -------- FIRE DEPARTMENT SPRiliKLING SYSTEM FIRE PROTECTION EQUIP. ------------------- FIRE ALARMS EX I TS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE __ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _