HomeMy WebLinkAbout2812 VIA CLAREZ; ; 77-1463; PermitMODEL NO. __ 5..,0 .... A ....... R.,.__ ____ _
BUILDING PERMIT APPLICATION ,uo
City of CARLSBAD, CALIFORNIA 92008'AR 1 e~zi?t-j•u~-ta&
Applicant to complete numbered spaces only Phone 729-1181 Permit No Z2-/ Yb3
JO& ADDA ESS ASSESSOR"S
PARCEL NUMBER
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LOT NO. I OLK I T••t~2-2]
BvOK PAGE I PAR,
1 ~!!:~. tOscc A T TACHED SHCCT)
an
OWN CA MAIL ADOACSS ZIP PHONE
2 rnl-.o Uinhl;:,nrl ('r,mn~nv 11 OS Aveni<'l;:i de Anit-;:i 92008 729-7108
CONTRACTOR J --MAIL ADORCSS PHONE STATE LIC. NO. CITY LIC. NO.
3 c~=~ ;:, c:: n.hnui=>
AACHITCCT OR OC51GNCR MAIL ADDRESS . PHON ( LICCN:// 4
"'-----~ ~ A)_.....l-X A---CNGINC(R V MAIL Aooqcss PHONE V L IC [NS[ NO, -
5
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COMPENSATION I NS. C ARRIER MAIL AOOIICSS BRANCH
6 Areal Insurance Services 17291 Irvine Blvd, Tustin, CA. ,
ust OF 8VILOING -~ BATHS1)/v 1 Residential NO. BORMS NO.
8 Class of work: 9f NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
~
9 Describe work : JJr~ -.1 V9JP1~y ~,7
/
'
V I I
10 Change of use from
Change of use to 1/2.-h~
11 Valuation of work: $ ;;_'7 )Cj c;'~ PLAN CHECK FEES /;2 5 jlii -0 -PERMIT FEE$ 75 :f5!.
SPECIAL CONDITIONS: ,
u -Jt MICRO FILM FEE Type of Voccupancy 1--.T ... ,,. .-:J_.:5 Const. Group
S,ze of Bldg. /<tttJ N o. of 2 Ma><. -(Total) SQ. Ft. Stories 0cc. Load
II J Fire ) use /e-Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY
:P7 ANCE BY Z one Zone Required D Yes ~
/ OFFSTREET PARKING SPACES: C) No. of
Dwelling Units No 2_-c,A'~c,,,roo. DATE Co~ered 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. HEAL TH OEPT. 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 A T ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORREC T . ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. T H E GRANTING OF A PERMIT DOES NOT PRESUME TO G IVE AUTHORITY TO V IOLATE OR CANCEL T HE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/) -SIGNA..IJ.1.11.1 ~~•10 • A~TH001lt0 AHNT !DATE)
( z-,~-77
51GNA""'_,.C 0,-n~N £..r I [JI: au ILDCJIJ -OA t ) I
// /1 ,, :--.. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT pl1~ CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH 77e£ \t : ~
TOTAL FEES $
•. . ) ,
tfi0,r'~ BUILDING PERMIT APPLICATION
Permit No. ,,, , _ ~ :. City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181
JOB ADDA E55 0 '-
l812 ~ia Qaye• I-~ 0 NJ a,
~ "" ai:.► LOT NO. I ILK I TftAC72.21 l~ .o
LEGAL I (05EC ATTACHED SHEET) )lo g l DESCft. 090 Ulllt l-B
OWNEfll MAIL AODfllESS ZIP PHONE t sE
2 .1..& .n.ill•Sal:L Dlqo. IIM:. 6150 .Mlaelotl Gorge Rd . 92120 281-6007 ..
CONTfllACTOft: MAIL ADDfllESS PHONE LICENSE NO. ts ~ 3 la-a •ao. Ille. 6150 l.dualoa Gora• ci. 1S97 ... 1 ... I AfllCHITCCT OPI DESIGNER MAIL AOOfllESS PHONE LICENSE NO. .; 4 ~1dG.ey raa • 9100 ilablte illv • everly fflll• J7S-"64 C-1798 II
ENG IN CCR MAIL ADDRESS PHONE LICENSE NO.
5 !::'
LEN DEA MAIL ADOIIIESS BRANCH .~ 6 exforcl la.anclal ra cu,
use 0,. BUILDING
7 elllag , r ... -1/4 Bath el OSO-A
8 Class of work: ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: I> 0.oor, Stucco uterlor, Shake roof
10 Change of use from
Change of use to . .
11 Valuation of work: $ 1.1. 195.
_, I /o/7~ ~-
PLAN CHECK FEE I PERMIT FEE
SPECIAL CONDITIONS: Typeof JZ: N Occupancy .L /..~ -Const. -Group Division
r
Size of Bldg . .//-'.;j No. Of ex' Max. -(Total) Sq. Ft. '/'lb Stories 0cc. Load
Fire 3 Use re. Fire Sprinklers
~o APPLICATION ACCEPTED SY PLANS CHECKED BY APPROVE? FOR ISSUANCE BY zone Zo ne Required □Yes
c;.~ No. o f / OFFSTREET PARKING SPACES:
Dwelling Units Covered .,( J 1/ / /I Uncovered C)
NOTICE Special Approvals Required -Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· ZONING
ING, HEATING, VENTILATING OR A IR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS ANO 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
CONSTRUCTION OR 1:HE PERFORMANCE OF CONSTRUCTION. ~ 'I //':!:,. I ... J
s1ENATU1'£ o, CONT1t~C'To1t o,. AUTMORIZ£D AGENT (DATE)
'
SI GNAT RE 01" OWN£,_ IP' 0WNE1' BUILDER) {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
:z 0
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
USE SPACE BELOW FOR NOTES, FOLLOW-UP, 'ETC.
9-'XJ-73 Footings: O.K. T. Mata
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Perm it No
JOB ADOIII ES5 1~ .JtJ ✓)-/') 1,,.~/,;:J £Jiu l'L/, ~2.....
LOT NO, I I LK I T""' T 1 ~~:~;.
owj/4<.,,/lt /0/J// ct· ~ -j//J_#)_.
MAIL A0011tCS5 ll P PHONC
2 , /t..,,. b ~ . (_ .,./ .//tl1 It< '( / I , ~-
3
CONT"r""C" ~ , l l~ ADDftCSS PHONt STATE LIC. NO. CITY LIC. NO.
, 'lJ / ~h \c.-u v J ,.,J 1 .I.I.(' -_.r\ //j) ...J//J/4'-.,, ,, ~_) 1/. ~~ 7 I,-I ,'(, ,
AlltCHITtCT Ollt OC5 1C.NCJII MAIL AOO,t[55 r PHONE L IC[NSt NO.
4
[NGIN[EIII MAIL AOOIH.55 PHONE LICENSE NO.
s
COMPENSATION 1NS, CARRIER MAIL ADO"ESS 911JANCH
6
7 USE Oi5;:lj~ 1/ :x
8 Class of work: o-Jw 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: -: WATER CLOSET (TOILET) $
• ' I BATHTUB ,;, .. LAVATORY (WASH BASIN) ,
J SHOWER
I KITCHEN SINK & OISP. I
I DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECo<E D BY APPROVED FOR ISSUANCE. 8'r' LAUNDRY TRAY
I CLOT HES WASHER
DATE J WATER HEATER ~(
NOTICE . URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF-FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDO NED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK __.,
MENCED. .I GASSYST EMS:NO.OUTLETS -J
I HEREBY CERT I FY THAT I HAVE READ AND EXAMINED T HIS • ' APPLICATIO N AND KNOW THE SA M E TO Bf T RUE AND CORRECT. WATER PIPING&. TREAT ING EQUIP. ALL PRO VISIONS OF LAWS ANO O RDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED W ITH WHETH ER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT , THE GRANTING O F A PERMIT DOES N OT
PRESUME T O G IVE AUTHORITY TO V IOLATE O R CANCEL THE VACUUM BREAKERS PROVISION S OF ANY OTHER STATE OR LOCAL LAW REGULAT ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
' SEWER NUMBER CLEANOUTS ,
CESSPOOL
SEPTIC TANK a. PIT
ROOF DRAINS
SI GNATUflt 0" CONTIIIACTOIII OR AU THORIZED AGCNT (OATCJ
ISSUANCE FEE $ ~
SI C.NATUlltC 0,-OWHtfl {I,-OWNCIII 8UILOC,tJ IOATC) TOTAL FEES $ I t
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 .. i .l.i.. 1zJ ..
Applicant to complete numbered spaces only Phone 729-1181 Permit No /~ /I{,,/ .:: .
Joa ADD" E.55
2812tia Cl.ares
LOT HO, I ILK I T":.,9,
<OstE ATTACHED aMtCT) LEGAL I 1 cue". Q:l • -rrnu, ,n
OWNU' MAIL ADDIU,SS %1. PHONE
2 Tb9 tN ... l-,,.,.,..1 Co. '1.1nli: 11,mni"""' M •-.a♦.n ~ avr
CONT,-ACTO" MA IL ADD,.£55 PHONE LICCNSt NO, STATE CITY
3 .,..__,..._ 'Zlectric r.n ... ~-'Iii?~ -Rfl_ 'Z'/"1-7~76 1'7c.q,,a; 11rJ. •·............___v
A,tCHITECT 0111: OtSIGNl,_ MAIL. AOOJll[SS PHONt LIC[NSC NO,
4
[H GIH CC,-MAIL AODJll£SS PHONt. LICENSE NO,
5
COMPENSATION INS. CARR IER MAIL Aoo,uss lllll:ANCH
6
us~ OP' BUILDINCi
7 ~ftff,_ f"ft~ 1 .. , ~,, .. _
8 Class of work: .IJ NEW 0 ADDITION 0 ALTERATION 0 REPAIR
l 9 Describe work: J;e,, .-1-.J.-.Jl-..... _ _._
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
1 2., X)
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
100 • 2s 25 • 0
DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INr.REASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAY::. 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 AND 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 CONSTRUCTION.
/4. _:/ h7
TEMP. SERVICE OVER 200 AMP.
PER 100
I , /4,,~
SIGNATUIIE or CONTIIACTO"J·"UTHOIIIUD AGENT / IDA)ICI
PERMIT FEE
• c.to1.&T1t■r o, OWNER IP' OWNUt ■VILOIE") DATE $27. X,
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
MECHANIC~L PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ... ;,:,. .. .. ;-l; :t st.. ~ • 1.t I
Applicant to complete numbered spaces only Phone 7 29-1181
JOI AOOfll [$5 Permit No "77 -20t,,3
L CGAL I LOT ::·
loucN. /0 I TN ACT
-;,; ,,/ ,u , _,j <Osct ATTACHED SHttTI
MAt L AOOIIIESS
31 oS 1-)1,,,,,1 ,)r. D,-
PHONC
~1/skJ ?:Ji 11cK
AfllCHITCCT 0 .. DC.SIC.NE .. MAIL ADDRESS
4
CNGINE.t llt MAIL AOD,.CSS
5
LlNOUI MAIL AOO,t[SS
6
USC o, BUILDING
7 c:./c I . , /, ·.• J _. I
8 Class of work: 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO 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
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIG"4ATUIIIE OF' CONT,-ACTOIII 0111 AUTHOfltlZ.EO AGENT (DAT£)
DATE
PHONE STATE LIC. NO.
PHONE LICENSE NO,
PHONE LICENSE NO,
8lllANCM
0 REPAIR
Type of Fuel: Oil D Nat. Gas O LPG. 0
PERMIT FEES
No. Type of Equipment
Air Cond. Units-H.P. Ea.
Refrigeration Units-H .P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
'i/t Forced Air Systems-B.T.U. ~I.) M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heater~-B.T.U. M
Unit He&ters-B.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED UN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O.
INSPECTOR
CITY LIC. NO.
Fee
$
s
s
CASH
LOT
BUILDING
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR
SHEATHING C° -lo
_FIW_ME __ -#'-'--=-----!..•?-l~
INSULATION
P~V'rERIOR LATH & DRYWALL
PLUMBING
SEWER AND ::>L/CO
·PLUMBING UNDERGROUND
COPPER
-TOP OUT
TUB AND SHOWER
GAS TEST
ELECTRICAL
UNDERGROUND
ROUGH -;J--&
.CEILING HEAT
BONDING
MECHANICAL
WATER
2 -t't
---
-(
DUCT & PLEM, REF. PIPING~ 7~,1
HK.T--AIR •
VENTILATING SYSTEMS
FINAL:~ / 2-C-7l'