HomeMy WebLinkAbout2804 VIA CLAREZ; ; 77-1467; PermitM ODEL NO. _5.._Q ........ B ... B...._ ____ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008,,.R 1W~45<, ~-.J-'"~ioo-
Appticant to comp1ete numbered spaces on1v Phone 729-1181 Permit No 17~1!6_7 ..-JOB A.DOR ESS ASSE SSOR'S
2804 Via Cla r e z PARC EL NUMBER .
LOT NO.
r L • ITOACT BuuK PAGE I P AR. L [GAL I (0sec ATTACHED SH([TI 1 ocsc•. 86 72-21
OWNC.R MAIL AOOR CS S ZIP PHONE
2 The Hi ghla nd Company, 3105 Avenida d e Anita , 92008 729-7108
CON TRAC TO" MA IL ADDRESS PHONE STATE LIC, NO, CITY L IC, NO. 3 Sa me a s Above
A A CMITCC T OR DESIGNER ¥A l L AOORCSS
./)O~ ~ ~ --;:ON[
LI CENSE NO,
4 ~enl!' <;'nJt.-/)A I ~ .. 1-._.;-,..._ , -CNGINECR I MAIL AOORCSS / PMON C LICENSE N O,
5 None
COMP ENSAT ION IN S. C ARRIER MAIL AQOIII ESS &R•NCH
6 Areal Insurance Service s , 17291 I r v ine Bl vd , Tu s t in, CA . . u se OF' 8UILOINC
'::; V-7 Resi dentia l NO. BORMS NO. BAT HS 2..... 7
8 Class of work: l::3cNEW 0 ADDITION 0 ALTERATI ON 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
--•~/ r, ,
CJ]?~ V y~ 1 _.,t7
10 Change of use from \V
Change of use to ½ tf-121
11 Valuation of work: $ 2 ) )CJ c; PLAN CHECK FEES -d~1 PERMIT FEE S 7 5 -f.2-
SPECIAL CONDITIONS:
,
MICRO FILM FEE Type of JZ--/1/ Occupancy /-✓ .::),.5 Const. Group /
Size of Bldg. 119 No. of 2--Max. --/I J (Total) SQ. Ft. (j Stories 0cc. Load
(/j F,re ~ Use /1. Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKE OBY APftPA0VE F R ISSUANCE BY Zone Zone Required OYes ~o -
N o. of OFFSTREET PARKING SPA CES, D D welling Units I No, _> Sq. Ft. y )' / !~gen DATE D E Covered -NOTICE Speci al Approvals Required Received No t Required
SEPARATE PERMITS ARE REQUIRED FO R ELECTRICAL, PLUMB-PLAN NING DEPT,
ING, HEATING. VENTILATING OR AIR CONDITIO NING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VO ID IF WO RK OR CONSTRU C-. T IO N AUTHORIZED IS NOT COMMENCED W I THIN 120 DAYS,OR IF F l RE DEPT .
CONSTRU CTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPO RT PE R IOD OF 120 DAYS AT A NY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY T HAT I HAVE R EA D AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME T O BE T RUE AND CORRECT . ALL PROV ISIONS OF L AWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE O F WORK WIL L BE COMPLIED WITH WHETHER SPEC IFIED H EREIN O R NOT , THE G RANT ING O F A PERMIT DOES NOT PRESUME T O G IVE AUTHORITY TO V IOLATE OR CANCEL THE
PRO VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT ING CONSTRUCTION OR THE PERFORMANCE O F CONSTRUCTION.
/, /
~ c~o• O.,rit AlJTl-tO"lltD AGENT (OAT[ I
"--/5<-T $1 GNA...,."•t 0,-WN[JII (IF ._, lt,l[II 8U ILO[llt) -OAT .
// .// " WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PE RMIT
PLAlGCHEtK VALID~fl CK. M.O . CASH PERM IT VALIDATION CK. M .O. CASH
'--I 77@-~~ -TOTAL FEES $
BUILDING PERMIT APPLICATION
' City of CARLSBAD, CALIFORNIA 92008
Permit No. .,, -,..;..> ~LX. Applicant to complete numberelf spaces only. Phone 7 29-1181
JOB A.DOR [55
/l ----,._, __
OWNEfl
2 r--.."""'•l"l-i...111n ,ni_,..,..._
CONTlltACTO"
3 r..-rw, i:_,.Jo.,, :'ltbrtr..
A"CHIT£CT Ofl: 0£51C.N£.fil ~
5
LCNDEA
USE 0,. 9UILD1NG
7
8 Class of work: iJ NEW
9 Describe work:
10 Change of use from
Change of use to
I
TRACT
"1?-'.)'I 1ft
MAIL ADDRESS
y...,,.._ 61 t.•\ ad. ea4 """"'
MAit. ADDJIIESS
Tn~-,.1S:.1\ lt',(,a••~.-.-
>
' ,I,,,.
0 ADDITION
.
MAIL AOORE.5S
MAIL ADDRESS
0 ALTERATION
-
.-
-
-
0 REPAIR
,r
/. ' ( /1-,
.; \
QsEt ATTACHED SHEET)
ZIP PM ONE
8JU.NCH
..
□MOVE 0 REMOVE
l b
I
..
l ~
l J •
'-0 a,
11 Valuation of work: $ -,..., tar: nn PLAN CHECK FEE -•.,c;..--""-~,r-•I PERMIT FEE I '-I -:; ~ 3--. ~ SPECIAL CONDITIONS: Type of J
co,,st. 17:'-il Occupancy /
Group ...,-' Division -,
1-------------------------~----1 Size of Bldg. No. of (Total) Sq. Ft. }(:j,t.~~ t,Storles
Max.
0cc. Load -, , ,-1-------------------------------I Fire use Fire Sprinklers __f
-0
co
3 -~
::z
?
I\
~
~
'j
APPLICATION ACCEPTED BV PLANS CHECKEO BY APPROV~ f~ ISSUANCE BY zone '-=? Zone Dr -Required □Yes LA-,,o I .._-----.... ~-+o=-=F=F=-sT=R-=E::i_ir'=--T~P=-A~R~K~l::-.N'::G:-IS~P=-A=-c=-E=s-, --==..:-=-~,~=-i
No. of ,I
Dwelling Units / Covered ,, 1 / / . ..J /I Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 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
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.
r ' / (
s1.crNA1TURE OP' CONTflU,CTo,· Oft AtJ"THOflllZED ..,c;,,.__,,,.. ID<fTEJ
!!IIGNATUfllC OP' OWHE!II IP' OWNUI IUILDEPO DAT E)
Special Approvals Required -...,,
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT .
OTHER (Specify)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
Received Not Required
M.O. CASH
DATE
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.
9-2D-73 Footings: O.K. T. Mata
INSPECTION RECORD
REMARKS INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 p m it No / :i'-
1
>1 7 /
.. ,
er ao!!
JO a ADOIII [S.9
:?a:llJ. Ra ClareS ... -·
LOT NO, Im I TfltACT <□sec ATTACHED SHt:CT) 1 ~~:~~-86 --• -"""'♦. 1 ~
OWNltf': MAIL AOOPICSS %IP PMONC
2 'I'm U( ,.h,n-' r.n_ "'.:41n'i lirmrl~ .-. •~.a.-~ C
CONTfltACTOIII MAIL ADDPIESS PHONE LtCCNSC NO. STATE CITY
3 ---•• --'"'---'t"" r.n~. Tnt!.. ' '1676 -.....t---..-DA :ut-76PJ6 .. ::; ;;:.=.:.,:: 11~,
AftCHITt.CT Ofll DESIGNUI ~AIL A00fltCSS PHOM( LICENSE NO,
4
ltNGIN[C" ~AIL AODfltESS PHONE. LICtNSE NO,
5
COMPENSATION INS CARRIER MAIL ADOIUSS 1111.ANCH
6
USE OP' aUILDING
7 ~--, ... Ao._,_ ...s..-,,4---
8 Class of work: fiC)NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: Rnv A, •• .a.~ ... <\., --,..,
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
1 2. ~
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED 8 Y: PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
100 • 2s 25 • --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 REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYl> AT ANY TIME AFTER WORK IS COM
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 AND 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 ANO 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.
#/,,~
~t--~7
TEMP. SERVICE OVER 200 AMP.
PER 100
, ( :,'
SIONATUlllll O" CONT .. ACTOR o-,, AUTHo,uzao AGENT , (Dl<r)
PERMIT FEE "Zj. jJ
• ~u .. ..-11•1: OP' OWNltfl IP' OWNIUII ■U ILOltA OAT£
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
MECHANICAL PERMIT APPLICA"F10N ~·-615* • ~~~L.o -~ City of CARLSBAD, CALIFORNIA 92008 ·,
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No 7 7-.20 ~ 7
Joe ADDPI ESS
LEGAL I LOT NO, 1 one~. 5 (. I TRACT
jc; ,-, f /,-II I rJ()tl
10 sec ATTACHED SHEET)
MAIL AOOIIICSS
31t>S tJv,-;1, rl1
CON TIIIIAC TOllt
3 Ac.l11 tl I),,. a .. .J.l,u,,,,,,
AfltCHI TCCT 0111 0£51GNCIIII MAIL AQQ ,it[SS
4
lNGIN[tlll MAIL AOOft.ESS
5
L tNOEllt MAIL AOOIIICSS
6
US[ o, &UILDING
1 ?,,,,,, ,.1 .. J,,: I
8 Class of work: 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED ev PLANS CHECKED BY APPROVED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
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-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO 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 THE PERFORMANCE OF CONSTRUCTION.
SIGNATUllll:I o,-CONTfllACTO" 0" AUTHO,.IZ.ltD AGCNT (DAT[)
Sl"'.,.._TUflllt OP' OWNUI IIP' OWNEIIII: ■UILDEIJIIJ DA.TC
ZIP
ve ,(), 111" 111,., /s t,, ,I
STATE LIC, NO,
PHONE LICENSE NO.
PHONE. LICENSE NO,
IUIANCH
0 REPAIR
Type of Fuel: Oil D Nat. Gas D LPG. D
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 Forced Air Systems-B.T.U. &£J 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 ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY LIC. NO.
//~.33
Fee
$
s ~ ()0
S ? <>O
CASH
BUILDING
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR
SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH &
PLUMBING
SEWER AND PL/CO
PLUMBING UNDERGROUND
COPPER
TOP OUT
WATER
G 11
TUB AND SHOWER'),$ ~
GAS TEST G-/y ... 77 fa}
ELECTRICAL
UNDERGRO%
• ROUGH 7-l 'J
• CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM , REF. PIP
HEAT--Aii: • .
VENTILATING SYSTEMS
FINA~ L 2-G,??