HomeMy WebLinkAbout1857 TULE CT; ; 77-7163; Permit... ,:
G PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm 1I No 77--7163
JO& AOOA CSS !'>1,-1 ~ o ,J) ASSESSOR 'S /g-~~ '"?Z,£.c f"'"w/,-PARCEL NUMBER .
LOT NO. I OLK I TSC'/J/bt',-H:>✓rlCS BvvK PAGE I PAR.
LCOAL I ? 72 3~Stt:. ATTACH CO SH[f.TI 1 DC5C~.
0WNCft MAIL A00ftC55 ZIP PMONC
2 /J'J/ L y' A/ N ~)>Ln✓-/<J"S'7 MC l"tvh, ,,---.......
C:'.?>lftACTOllt /ZvL~ MAIL AOOACSS Csrclv)JJl~;.¥1-~3~ 2ST?;S3 CITY LIC, HO,
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,UICHITCCT Oft DCSI GNCllt MAIL AOO .. CSS PHQN_ LICCN5£ NO.
4
CNGINCCf': MAIL A ODIIJ[SS PHONC LIC[N SC NO.
5
COMPENSATZO INS, CARRI ER MAI L AODIHSS
Cvt"&Y ),.)o . 8,.AHCH
6 211,t ~s ::;;...,~ s. c~.:r: 6'L'1').
use 0,. BUILDING
7 NO. BORMS NO. BATHS
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ...S:-4//A? /'v0L. -'1 _.JI Lt
10 Change of use from
Change of use to -t '.) c, Cj '::. 1,,..-Ot;> I i,:.")o Valuation of work: $
. ..,; I 11 ?, --. PLAN CHECK FEE s • PERMIT FEE S ., .
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
S,ze of Bldg, No. o f Max.
(Total) SQ. Ft Stories 0cc. Load
Ftre use Fire Sprinklers
APPLICATION ACCEPTED ev PLANS CHECKED ev , APPROVED roA ISSUANCE ev Zone Z one Required D Yes □No
b ' OFFSTREET PARKING SPACES· No. of
Dwelling Units No.
'
No. DATE DATE Covered Sq. Ft. Open
NOTICE 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 FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE REAO ANO EXAMINED THIS ENGINEERING DEPT. 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 WATER DEPT.
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE O R LOCAL LAW REGULATING
CONSTRUCTIO~ THE PERF ORMANCE OF CONSTRUCTION.
/ •r·:.. {W(,. -,,.c.O ~/1/77
SIGNATUfll[ OP' COHTAACTOII O" AUTHO"IZ.1:0 AGE.HT I IDAJl'E I
SIGHAT11l1U OP' OWN£" ,,. OWN[llt autLD[ilt) lDATE)
WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O. CASH PERMIT VALIDATION CK . M.O. CASH 0 -
TOTA L FEES $ ___ -.) ___ \'-----
INSPECTOR
ELEC-TRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB AODRESS
/?S7 -/c/L..i= li:vl:T /'/?AS~/J).
I LDT NO. LEGAL 1 DESCR. g> I BLK. I TRACT 723~ (QSEE ATTACHED SHEET)
2# Ly,v';1V
MAIL ADDRESS ZIP PHONE m ,11(/'))u N' /3S-7 MLC t<ovn:
3c~~;&s
MAIL ADDRESS 9~-3391 STATE LIC, !j.P• CITY LIC. ND.
.;//7 /✓,/1J~S/(Ytl' /J//E, L.:'S<4', :J..S-?9!.:)3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 8/a h.ss -:r,-s ,4('~1"✓ s. cs<:-. I.?~~ £5<?.
USE OF BUILDING
7
8 Clau of work: □NEW 0 ADDITION 0 Al TE RATION 0 REPAIR
9 Describe work: ..5%,,l'M ~{.
PERMIT FEES
No. Each Fn
SPECIAL CONDITIONS: SWIMMING POOL WIRING, 5 (& NO INCREASE IN SERVICE
J
I" NEW CONSTRUCTION, FOR EACH
-'"'LICATION ACCEPTEO IV Pl'./'N$ CHECKEO BY, IA AP,ROVEO FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
A -c ... ..,, -; ' DATE NEW SERVICE ON EXISTING BLOG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL ANO 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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE:!. GOVERNING THIS
T¥PE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES N OT 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 CONSTRUCTION.
-✓-./ ~ TEMP. SERVICE OVER 200 AMP.
L. ~/¥/77
PER 100
-~ A ..., r : ,,,
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT , (DA.,,E) \,. .
ISSUANCE FEE
TOTAL FEES I L CJ _.
"'mNATURF' OF' nw I~ OWNER 8 I nER DATE"
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M,O. CASH
INSPECTOR
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permi t No 77-7/ / JI
JOI AOOR ESS
OWNCIIII MAIL AODft[SS ZI p PHONE
2 hl~ L Yl"VAI /J'/ ,A/")./ //V /SS-7~c~//T
CON TfllAC TOfll • MAIL A.DDRCSS PHONC STATE LIC. NO. CITY LIC. NO,
3 ~,../ /!,,.,,,/ s
A..-CHITCC'T 01111 OC51GNCR MAIL AOORC55 P.ICCNSC NO.
4
(NGINCCIIII MAIL ADDA C5S PHON[ LICCNS[ NO,
5
COMPENSATION (NS. CARRIER MAIL AOOfHSS &IIIANCH
6 'K/// / r,C. ~ "7:, ~ /ler;. -.... .<:>~ 42,/~
USC OF 8Utt01NG ,
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
I DISHWASHER
APPLICATION ACCEPTED BY / JL}'5 CHEC~Eo;• A APPROvEo •oR ,ssuANCE ev. LAUNDRY TRAY
V 11, -(.., 1 CLOTHES WASHER -1'->V' A//,,..,v · 'M)' IIA..) o -"")..-,t-------+---------------l---,+---::-, I • 1 CATE / WATER HEATER /1.:;;,1
I/ NOTl1 , URINAL
THIS PERMIT BECOMES NULL ANO 0 10 IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMM CED WITHIN 120 DAYS.OR IF F L OOR-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 HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
~rtL~iiTJ~7o~~Do~Nc'A~f~~r:iREoT~fJc1;ulot~~~~l~t{~!s J WATER PIPING & TREATING EQUIP.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED I WASTE INTERCEPTOR HEREIN OR NO T, THE GRANTING OF A PERMIT DOES NOT
~~5t~~6N~0
0 ~':Jy~l{.~~9N;IXT~iiLi~~tEL~~ Rt~SC~Ti~~ J VACUUM BREAKERS
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK a. PIT
ROOF DRAINS
SIGNATURE 0,-CONTRACTOR 0111 AUTHOIIUZ.EO AGCNT / ,(OATtl
ISSUANCE FEE s 7 1S""l)
SIGNATURE 0,-0WNCIII 11,-OWNER 9UIL0Cft) fOA TC) TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
PLUMBING ELECTRICAL MISCELLANEOUS
Insulation ········ .. ··· .... D .................................. D ................................ 0 Plenum & Ducts ••••••• Do
Drywall ················· ... 0 Gas ·····t;t····· ..... CJ ..... 0 Po~I ing ·····•"·· 0 Porch •••••••••••••• .......... 0
Fdn. Forms .............. O Water H te ....... D ~-······ ....... D Patio ........................ O
S D Sewer .............. ~ ........ •·····7··· 0 Driveway ·················· teel ........................ frt D
She h. O Undergr . . ...... ndergr ~..... 0 Sign .................... •····· at mg ................ □
•lath .......................... □ Undergrnd. Water ... JO Ceil Heat •••••••••••• 0 Wall ·························· D
Fr D Rough 1 □ Rough ......... .. . . . . . . . . 0 Fence ................... • • •
F.amel ...................... □ Final .. ::::::::::::::::::::::□ Final ...................... 0 Grading···················· 0 1na ....................... .
B'-JILDING
Ready for Inspection --Mon., ~ Thurs., Fri.
~;,1 lost,aet;oos .. . .. ~\~1'\?.C::: .9:c.\~~····· %ii~<? \......
Requested by ....... ~ ....... ~ .. ~·······
Ph ber "\. J \ -:, ,;z... ,,f j ... .... Person Taking Report: CIA. ................................ . one num ..................... .l .................. •✓-.::.i. . . -{"'
Address ..
BUILDING PLUMBING ELECTRICAL MISCELLANEOUS
Insulation ................. O .................................. 0 ................................ 0
Drywall .................... O Gas .......................... 0 Pool Bonding ........ .
Fdn. Forms ..•••••.•••••• O Waterije¥3······ •••••••••
Steel ........................ O Sewer .... . ... ~. . ....... .
Sheathing ................ O Unde n I . ... i•~'iaillll!l .... ,
lath .......................... O Unde rnd a r .... . . . .... .
Frame ...................... O Rough .. . ............... O Rough .... .. ...... ...... O
Final ........................ O Final ........................ Final ...................... O
Plenum & Ducts ....... 0
Porch ........................ 0
Patio ........................ 0
Driveway .................. O
Sign .......................... 0
Wall .......................... O
Fence ...................... O
Grading .................... O
Ready for Inspection --
BUILDING PLUMBING EL ECTRICAL MISCELLA NEOUS
Insulation ................. O .................................. 0
Drywall .................... O Gas ............ ....... . .. .
Fdn. Forms .............. O Water Heat ... .
Steel ........................ O Sewer .. .
Plenf Ducts ....... O .. ................. □
P ·o .................... □
eway .................. O
Sheathing ................ O Undergrn .. .. Sign .......................... □
Lath .......................... O Undergr Wa .. . Wall .......................... □
Frame ...................... O Rough ....... ......... .. ...... □ Fence ...................... O
Final ........................ O Final ........................ . ...... O Grading .................... □
:::,:~,::::,::~: -~ Moo., foes., Wed\,\~~; • .... ~ .. C\A ............................................................................................. .
································, () ..... ., ............................ ~ ·.·····Ti·····n····· .. ··············· ... · ... · .. ·················-··········-·
Requested by ········,~-;··\··~·~·-y-·\.J..~ • ..,. D ~
Phone number •••••••• ~···',r.,\···'\·:::.4.!.} .. 7 .. <). .. ;······ Person Taking Report: ······~·························
INSPECTION
,1\ISPECTOR~--'c-:~-,:;._-r--'"""'--'~1'----""v=---
BUILDING
□ FOUNDATION
D REINFORCING STEEL
D MASONRY
□ GROUT -GUNITE
□ FLOOR AND CEILING FRAME
D SHEATHING
□ FRAME
□ EXTERIOR LATH
□ INSULATION
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
□ UNDERGROUND PLUMBING
D UNDERGROUND WATER
□ ROUGH PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
□ GAS TEST
□ WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDAY
□A.M.
D P.M.
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
D POOL BONDING
□ ELECTRIC SERVICE
□ CEILING HEAT
□ G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
□ PATIO
□ SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
~FERPIPI~
~NAL f,z:r)L/°
□TUESDAY ~~DNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
(~
-... REQUESTED BY __________________ PHONE NO·----i------+----
PERSON TAKING REPORT __ -¥....,-'------
/· INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
, BUILDING DEPARTMENT DATE: AUG 1 81977
BUILDING ADDRESS:
PLANNING DEPARTMENT
CITY OF CARLSBAD
Building Department
ZONE __________ LOT SIZE _________ LOT WIDTH _________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ___________ _
% COVERAGE ALLOWED _____________ PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: ____ DATE ____ OK TO FINA1 ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W._-_____ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION 'l-~---DRIVEWAY LOCATIONS -------------
GRADING PERMIT ____ ~_:::::::::_::-~E ASEMENTS ~ -DRAINAGE -----
LEGAL DESCRIPTION~~ 1 CJ-;-7 c-:x::f #/ _,_~.....__--+, ---'-----=--=--.;__--'----...__ _____________ _
ADDITIONAL COMMENTS-fi-Lr,<>.£-~-=--===--------------------------
OK TO ISSUE: f7Jl{_ DATE8rt7-77 PWI ____ OK TO FINAL. ____ DATE __ -'--_
FIRE DEPARTMENT
SPRiliKLING 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 ________ _