HomeMy WebLinkAbout2805 VIA DIEGO; ; 73-1423; PermitBUILDING PERMIT APPLICATION
. _,,, ~ ;1 1 ., 2 City of CARLSBAD, CALIFORNIA 92008 Permit No. -,-Q..; ~
Applicant to compleienumbered spaces only. Phone 7 29-1181 -,. C
JOB AODR £55
2105 Via Diano
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MAIL A0D,t£55 ll p PHOM£
MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS PHONE LICENSE NO,
4 Sidnev x. Druin 9100 Wil•hire nt•c:1. -
ENGINEER MAIL A.DOR £55 PHONE LICENSE NO.
5
MAIL AOOJIUSS 91'ANCH
6 -
USE or BUILDING
7 -....
8 Class of work: 9l'JEW □ ADDITION □ ALTERATION 0 REPAIR □MOVE □ REMOVE
9 Describe work:
10 Change of use from
Change of use to
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11 Valuation of work: $ PLAN CHECK FEE --I PERMIT FEE .I~ ;7 --
SPECIAL CONDITIONS: Type of Occupancy
Const. ,7 .. Group .r I Division -
Size of Bldg. No. of -y_ Max.
(Total) SQ. Ft. !Ir Stories ,I' 0cc. Load -
----------.--------------------t Fire <!' Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY zone ___,, zone I r ReQuired □Yes E¼o
1---N-o-. -o-f --=:::;_---+o=-=F-=F=-sT=R-=E-=E-=T:-".P::-A~R-Kl:-:N-::G:-'S~P::-A::-C::-E=s-, ------:i.~:.....-i
Dwelling Units / Covered , I Uncovered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING O R 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 GRANTIN G 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.
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51<.NATURIE or CONTftACTORJOfl AUTl-tO111:IZ£0 AGENT IDAT£J
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
M.O. CASH
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ct> 3
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INSPECTION RECORD
DATE REMARKS
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
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FINAL /-/1-1'1 ''C."/ -~,.~ii✓ ;J.t:>.GY€
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
8-J.li.-73 Fdn. Forms Pour O.K. E. Plude
10-29-73 Frame: O,K. LT. Mata
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INSPECTOR
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PLUMBING PERMIT APPLICATION
Permit No. 75-12,YC, City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
JOB ADON CSS
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1..tN0(.111 MAIL AODIIIESS IIIIIANCH ;'
6
use Of" BUILDING
7
8 Class of work: □NEW 0 AD DITION □ ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ I
I BATHTUB
LAVATORY (WASH BASIN)
SHOWER
J KITCHEN SINK & DISP.
/ DISHWASHER r
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APPLICATION ACCEPTED BV PLANS CHECKED BV APPROVED FOR ISSUANCE BV • LAUNDRY TRAY
{ A' \ o_ t--iJ.._+-_C_L_O_T_H_E_S_W_A_S_H_E_R ____________ -+--+-+-.,___---t 7v c/ , WATER HEATER ,,, ,,,
NOTICE
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 ANO 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.
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5IGNATUJIE. OF' CONTftACTOR OR AUTHOlltlZ.ED AGENT (DATE)
' URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
I GASSYSTEMS:NO.OUTLETS
' WATER PIPING & TREATING EQUIP.
r WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
I SEWER , CESSPOO L
SEPT IC TANK & PIT
PERMIT
(DAT£) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CA SH PERM IT VALIDATION CK . M .O.
INSPECTOR
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$
$
CA SH
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
7-3~-7.3 l /) ~././-~ ~-~ /..'-1-Yl.M* ,,
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
ELECTRICAL PERMIT APPLICATION
7_ ,,,_: City of CARLSBAD, CALIFORNIA 92008 Permit No. /
Applicant to complete numbered spaces only. Phone 729-1181
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CON7A<;TO" ,;~J-:/'-'-MllL ADDIIESS . ! 'f>H ON [ .... LICENSE NO, ., . /' />I I , :J 7 ' j . r .. -·.,. / -
A,_CHITl:CT 0111 DI.SIGNUI ~ ~t.~v , MAIL A00"ESS ~HOfrfE LICENSE. N07
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llNGINE:UI MAIL ADOflE.SS PHONI. LICCNSt. NO,
5
LU40Cfl MAIL AOOfttSS I llftANCH
6
use 0,. 9UILDING
7 / ..
8 Class of work: 8'w □ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED 8Y: PLANS CHECKEO BY APPROVEO FOR ISSUANCE BY· AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
/
LJ// /./ NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITC1, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER I
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 DAYS 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 ANO 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 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.
_/'-f-,-j TEMP. SERVICE OVER 200 AMP.
PER 100
SICINATUflC OP' CONT .. ACTOfll OR AUTHOflllZCD AGE.NT (DAUi
MINIMUM PERMIT FEE
., ua~ OP' OWNUII: Ill' OWNlll autLOIUI DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
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MECHANICAL PERMIT APPLICATION
. J ~/) City of CARLSBAD, CALIFORNIA 92008
~~;);~:~t £ comple-fe ,fu/,ite~lefspaces only. Phone 7 29-1181 _
JOI ADD" ESS
OWNE.111 MAIL ADOIIIC.55
CONT .. ACTOJlt MAIL ADO"ESS -
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MIJCHI TECT Ollt OtSIGNEJlt MAIL A0D .. E55 -
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CN c; IN ltt" MAIL ADDPlf.55
5
L lNDCII MAIL AOCIIICSS
6
US£ o, 8UILDING
7
8 Class of work: ~NEW □ ADDITION □ ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTEO BY PLANS CHECl(EO BY APPROVEO FOR ISSUANCE BY
l-/. j4 , . NOTICE /
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.
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SIGNATURE. OP' OWNE.111 (I,-OWNE.111 8UIL0E.") (OAT£)
QscE ATTACMlO SH~ET)
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""ON£ -lltlNSE NO.
LICtM'SE NO'.
PHONE LICENSE NO,
IIIIANCH
□ REPAIR
Type of Fuel: Oil □ Nat. Gas □ LPG. □
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.
1 Forced Air Systems-B.T.U. At'I .I\M M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heater$-B.T.U. M
Unit Heaters-B.T .U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
PERMIT
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
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Fee
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CASH