HomeMy WebLinkAbout2801 VIA CLAREZ; ; 77-1478; PermitMODEL NO. ~5 ....... 0.._A.,.R,.,_ ____ _
BUILDING PERMIT APPLICATION .
City of CARLSBAD, CALIFORNIA 92008 ~73 ~J/.3
Applicant to complete numbered spaces only Phone 7 29-1181 ri~mU,NP ~,'~77.00
JOB ADDA ESS
'AOl Vi;:i
LOT NO.
77 J TOACT1 2-::n
OWN CR MAIL AODACSS
(0sec ATTACHED SH[[TI
ll P
ASSESSOR"S
PARCEL NUMBER
BOOK PAGE I PAR,
2 'T'h ,::, H ;l"fhl ;:,n n Comnanv. 31 05 Avenida de An i t a , 9 2 008 7 29-7108
3
4
5
AACMITCCT OR OCSIGNEA
'1\1.---
CNGINC[li\
COMPENSATION INS. CARRIER
MAIi.. AOOAESS
MAil AOORC95 •
MAIL AOOlltESS
PHONE STATE LIC, NO, CITY LIC. NO.
/ PHONE LICENSE NO,
BfU,NCH
6 :nr,-,;:,l T n c:::11 -r;:,nr,::, ~,::,-rui r ,::,c::: 172q1 Tr v i ne Bl v d. Tustin. CA . ,
7 NO. BORMS
/ __,,. V-
NO. BATH;;:_/ /
8 Class of work: tJ NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ 77 19.S~ PLAN CHECK FEE S -
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I O_N_S_: -----'--------------t Type of
Const. lZ-/11
APPLICATION ACCEPTEO BY PLANS CHECKED BY
DATE
NOTICE
.
II
II J
APPROV/4/SSUANCE BY
DATY---\
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING. HEATING, VENTILAT ING OR AIR CONDITIONING.
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 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.
/')
Size of B ldg. /i''J (Total) Sq. Ft. 0
Fire 3 Zone
No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
Fl RE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
I
~
7"'t /.:Z,51 _f
(../ -PERMIT FEE S
MICRO F1LM FEE
Occupancy /-~ . _ <
Group V I~
No. of 2. Ma~.
Stories 0cc. Load
Use f?c!-Fire Sorinklers
Z one Required 0 Yes
OFFSTREET PARKING SPACES:
No. -. <-;C/i,No. Covered ...e-fSo. Ft. / 7 /1 Open
-
~
Required Received Not Required
(OAT[)
~-~~-,,-------~
OWNEII IUIL0t1'1 WN ,
WHEN PROPERLY VALIOATED (IN THIS SPACE) THIS IS YOUR PERMIT
P!i.ru:!-~icK VALIDAT"'i ~
I ~--~
CK. M.O. CASH PERMIT VALIDATION CK.
~7~ /, :st
TOTAL FEES $ __ -'l;:iilli-~ , ___ _
M.O. CASH
-....
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No
JOB ADO,_ [$5 tJ,b-.fi1v J_I
c/31)/ ru,,," 2. ..... _., ~-5"cJ
LOT NO. I ILK
I T~AC T LC GAL I 1 DtsC~.
OWN [" MAIL AODIIJCSS ZI P el PHONt
2 ; lt1 "ht,,, .,ud t~ ...://~-;-/-) J,o he HIU1/a.. , l '1 rl_1J:nd
CON TIU,~1 0 111
~,611,;....,o,v
MAIL AD0tll!CS$ Pt40NC STATE LIC, NO, CITY LIC, NO, -,,._-2~ ,, I · /-I Jr NE 3 .J( 1~,1.-.vvi l!,v :,/2. ✓, l 1u~ ._y('_)J_:c' :2 //..:;;t: 7
Alll:(Hl'Y'CCT 0111 OCSIGNtlll MAIL A00"[SS PMON [ LIC [NS[ NO.
4
(NCIN[[lll MAIL ADOACSS PHONE LICENSE NO.
5
COMPENSATION (NS, CARRIER MAIL ADOfll:C SS a•ANC~
6
use o, 9 UILOING
7 ~ r 11,'-vCi
8 Class of work: 6 NEW 0 ADDITION □ ALTERATION 0 REPAIR
9 Describe work :
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: 3 WATER CLOSET (TOILET) $ .,.
I BATHTUB _,)
~ LAVATORY (WASH BASIN) . ,,_,
l SHOWER
I KITCHEN SINK & OISP.
I D ISHWASHER
APPLICATION ACCEPTED ev PLANS CHECKED 8Y APPROVE O FOR ISSUANCE BY LAUNDRY TRAY
I CL OTHES WASHER , ~,
DATE I 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 ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM, SLOP SINK -MENCED . / GAS SYST EMS: NO. OUTLETS _"'\ I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS !
APPLICATION AND KNOW THE SAME TO 91: TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF L AWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR H EREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTH ER STATE O R LOCAL LAW REGULA TING CONSTRUCTIO N OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS •
CESSPOOL
SEPTIC TANK&. PIT
ROOF DRAINS
51GNATUl'll OP' CONT .. ACTOl'I 01'1 AUTHOl'IIZED AGE.NT (OAT[I
ISSUANCE FEE $ , __,'
$IC.NA.TU"'£ OP' OWNtlllt II,-OWNEl'I !IUILOC.111!) (OATC) TOTAL FEES $ ' 1 .. -
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O. CASH PERMIT VALIDATION CK. M,0 , CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI ADDlll t:SS
28:>1 Via. Clara um
LOT NO. I ILK I T lllACT tOst:E ATTACHCO aH~ET) Ll:GAL I 1 D&SC~. 77 T.P. "l'nm.-' -----.. -um.t 1n
OWNUII MAIL ADDlllt.SS ZIP PHONE
2 ?.DJ fH _,._, ___. ~ ·11 o s Jr-M1rl.,.,... M atrl •-" • ..,., l'J:I'
CONT"ACTOlll MAIL ADOIIICSS PHON [. LICENSt NO,
3 Foahn ·, -m -' 1,. """'-• 1'nr!. P/f:n6 ~-D,L ~-7671,. 1'7t; .. , ..
AJICHITECT Olll DESIGN(III MAIL AOOllltSS PHONE LICUUC NO,
4
I.NGINE£lll ""'4AIL ADDIIIESS PHONE. LICCNSt: NO,
5
COMPENSATION INS. CARRIER MAIL AOOlllESS llll'IANCH
6
USI OP' I UILOING
7 ~ .. _,_ ......... , .. ~,,.,_.
' lJNEW 8 Class of work: 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No.
SPECIAL CONDITIONS: -ISSUANCE OF EACH PERMIT
1
NEW CONSTRUCTION, FOR EACH
APl'LICATION ACCEPTEO BY. PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
100
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INC:REASE NOTICE 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 ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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.
~/~ ;/2,/n TEMP. SERVICE OVER 200 AMP.
PER 100
/ /" 11 ,,_,,
atONATUIIIE 0,. CONTflAt.fo,. OJl,AUTHOfllZEO AGENT
,/ PERMIT FEE . .. 0,. OWNEII IP' OWNllll au1LDE" DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
-
STATE
Each
.is
ttft ,. . ,,,
I
21
CITY
, 1ru ..
Fee
2. 00
~. CX)
Z/ 100
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
MECHANICAL PERMIT APPLICATION u
City of CARLSBAD, CALIFORNIA 92008 ~ ~ •• " ~-
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
LCGAL I LOT NO?, ,, 1 DUC~. / tO scc ATTACHED .SHCCTI
MAIL AOOIIIESS
:310 5 1-J v "'•', ;/" V e i--), ,, /(
PHONE
CONT .. ACTOllt PHOM E STATE LIC. NO,
3 11.loll A,~ a,,J, l,o,,,.,~
AIICHITCCT Ollt OC51GNCII MAI L AOOIIIC55 LICENSE NO,
4
[NGINtttlll MAIL .-.ootlllt.S5 PHONE. LICEN.SC NO,
5
L!NO[llt MAIL AOOfl[S$ IUIANCH
6
USC 0,. BUILDING •
1 ,?r5,cl,., ,/,1 /
8 Class of work: 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
Type of Fuel: Oil D Nat. Gas D LPG. 0
PERMIT FEES
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BV PLANS CHECKED BV 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 ANO 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.
SIGHATUIIIE 0,-CONTfllACTOfl 0111 AVTHOfllZ.E.0 AGENT (OAT£)
•1 TUflll' o,-OWNUI 1,-OWNUII au ILO~fl DAT(.)
No.
I
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.
Forced Air Systems-B.T.U. &~M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heateri-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 (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY LIC, NO.
Fee
$
$ ?, ()d
CASH
C BUILDING
fOOTINGS
·FOUNDATION
REINFORCED STEEL
MASONRY
G{JNITE OR
SHEATHING
INSULATION
EXTERIOR LP.TH
INTERIOR LATH & DRYWALL ------------
PLT~MBING
SEWET.\. AND PL/CO WATER ___,----""-----------
p:r.uUMBING UNDERGROUND
COPPER ~
TOP OUT ~ C-1
TUB AND SHOWER rpfr4-t fR
GAS TEST q;g ~
ELECTRICAL
UNDERGROU½.
• ROUGH
• CEILING HEAT
BONDING
MECHANICAL
DUCT & PiEM, REF . PIPIN~
HEAT--AIR
VENTILATING SYSTEMS