HomeMy WebLinkAbout1011 TULIP WAY; ; 79-4830; PermitMODEL NO. _________ _ I 0/ 151795 15 a 20•
BUILDING PERMIT APPLICATION
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No lf -~tYdo
JOB ADDA ESS ASSESSOR'S
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LEGAL I tOscc ATTACHED SHCtTI 1 ocscA,
OWN CR MAIL AO~SS lt. PHONE
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CONTPIACTOIII MAI L ADDRESS ~Af' /°;Ve~ _,e .e.::.?. N t ..,,. ; H • ;l ;, ~ -STATE LIC, NO, CITY LIC, NO,
3 ;, 969
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AIIICMIT[CT OR OC5t,C,N[Pt MAIL •001111:css PHONE LICENSE NO. P-14-4
, 'Y
CNCINECJI MA.IL AOOACSS PHONE LICENSE NO.
5
COMPENSATION INS, CARRIER MAIL AOOIICS5 &R•N CH
?-~::;.~ .l.. ::,-,s-o !::.~.~-S-D , t,.:_. wro..-t -
OF IUILOING
7 NO. BDRMS NO. BATHS
8 Class of work: □NEW 0 ADD ITION 0 ALTERATIO N 0 REPAIR □MOVE 0 REMOVE
9 Describe work: S P"'9 1 VS T/'IJl/r,l'ia,,.,/
10 Change of use from
Change of use to JI I 1rV
( I I ;:).-v 11 Valuation of work: $ PLAN CHECK FEE s PERMIT FEE S
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Size of Bldg. N o. of Ma".
(Total) SQ. Ft. Stories 0cc. Load
Fore use Fire Sprinklers
:::J;y -~\'~ PLANS CHECKED BY APP~ ISSUANCE av Zone Zone ReQuired 0 Yes 0 No
No. of OFFSTREET PARKING SPACES:
OATE ,J_,J ,/4J~f' Dwelling Units No.
'
No.
Covered Sq. Ft. Open
NOTICE / I Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FI RE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FO R A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
~-· ~ ./}? ---/. OU-.~ /'J? o/.
lc:::,'GNATUIII[ o, TRA(TOJII Olll AUTHOIIIIZ.CO AC.(NT (DATE.I
~IGNATU JII[ 0" OWN[A II'" OWN[ .. I UIL0["J (OAT[)
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$ ~ ---------
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
,,.,
FINAL !/?!, 1~
I I USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
. USE BALL POINT PEN AND PRESS FIRMLY
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No ' .,,,,
J0S ADDRESS ,, ,
LOT NO. I QLK. I TRACT lOSEE ATTACHED SHEET) L EGAL I 1 DESCR .
OWNER MAIL ADDRESS z, p PHONE
2 1'1 ,,~ , ,,, --
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY L IC.. NO.
3 J J ,.., -. I '
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARR tER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ,I ✓• 1 1; ~ .
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWI MMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION. FOR EACH
4PPLICATION 4CCEPTEO av PLANS CHECKEO av APPROIIEO FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER
i I \t\ D ATE , NEW SERVICE ON EXISTING BLDG.
NOTICE
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE. SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
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 REMODEL, ALTERATION. NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCE!. GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD-PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CON STRUCTI ON.
TEMP. SERVICE OVER 200 AMP.
PER 100
r ,.
SIGNATURE OF CONTRACTOR CR AUTHORIZED AGENT (DATE) ISSUANCE FEE I
TOTAL FEES
.SIGNATURE OF OWNER IF OWNER BUI LDER (DATE)
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
BL DG OEPT ( WHITE) APPL I CANT (PINK) TEMP. FILE (GOLO) INSP ECTOR ( MANILLA HARD COPY)
I / I' 11
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm It No
JOI ADDIIII [tS
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LOT NO. I ■L• , T.ACT
L<GAL I 1 Duc•.
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2 _,re✓c. c;, ,,,; & n , n J</ c:. •Is.· h 6 .u/ (' ~. '7 .-,,,c,,=, •✓ .J -,v ~
CON T,u,c TO ft MAIL ADD~'?S F. , J'HOH7/y _,/I-STATE LIC. NO, CITY LIC, NO,
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,UICHfT[CT Ofll OC5IGN[ft MAIL AOO,t[SS PHONE LICtNSt NO.
4
CNGIN[CR MAIL A ODlll:(SS PMONt LtCtNSt N O.
5
COMPENSATION fNS. CARRIER tr.,,IAIL AOOJll[SS ltllAHCM
6
use o, BUILOlNG
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: $ ;'/I i,~ ;r,., / ~" ✓, 1,v
PERMIT FEES
No. Type of F ixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & D ISP.
DISHWASHER
APPL I Ci~·~ ~~YiE ~~ PLANS CHECKEO BY APP~OIIE 0 •9/1. ISSUANCE BY LAUNDRY T RAY
'i/fll lf
CLOTHES WASHER
DATE WATER HEATER ].
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· D R INKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHI N 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GAS SYSTEMS. NO.OUTLETS .. ;I I H EREBY CERTIFY THAT I HAVE RE AD AND EXAMINED THIS APPLICAT ION AND K N OW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. -A L L PROVISIONS O F LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR N OT, THE G RANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION . LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
/4 ./ /,//,,, ~-SEPTIC TANK .. PIT
... ~ c1cr. ,.,1, 19.,,~ ROOF DRAINS
.J"CNATU~ CONT"ACTOtlt ON AUTMOlltllED AGENT 1DATE)
I SSUANCE FEE $ ;,r
\IIIGNAT llt OP' OWN[" I P' OWNCII IIUII..OCJIII) OAT Ct TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH/'/ J-r} r
{~
INSPECTOR
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~~'$1-h ~ INTERDEPARTMENTAL INFORMATION
BUILDING DEPARTMENT
SHEET
C
BUILDING ADDRESS:
L,~1 Y Uf-CARLSBAD
PLANNING DEPARTMENT
ZONE LOT SIZE . LOT WIDTH ----------------------------
UNITS ALLOWED UNITS PROVIDED --------------------------
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED P ROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION
ADDITIONAL
.AMOUNT:
OK TO ISSUE : ________ DATE. ____ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION DRIVEWAYJY:,CATIONS
GRADING PERMIT _______ EASEMENTS VLW.L. DRAINAGE ____ _
LEGAL DESCRIPTION _____________________________ _
ADD1TIONAL COMMENTS -----------------------
OK TO ISSUEtf/1/Z.__ DATE /t)-37J PWI ____ OK TO FINAL __ '-_. __ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM FIRE PROTECTION EQUIP . --------
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS ___________ LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE ----------------------
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _