HomeMy WebLinkAbout2817 VIA PAJARO; ; 77-2308; PermitMODEL NO. ___ 5_0 _____ _
BUILDING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ' -
~6. Applicant to complete numbered spaces only. Phone 729-1181 ~nt1t-Nll7 -· ·--75 JOB AOOFI CSS ASSESSOR'S
2817 Via Pa~j a r o PARCEL NUMBER
LOT NO, I 9LK ITAACT BooK PAGE I PAR. LEGAL I tOscc ATTACHED SHttr1 1 ocsc•. 1 52 72-21
OWNC.R MAIL •ooRESS ZIP PMON[ 2The Hiqhl and Company, 3105 Avenida de Anita, 9200 8 729-7108
CON TRAC TOR M•.IL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO. 3same as Aboe
.tdtCHITCCT OR OESIC.NCR MAIL .4.00ACSS PHON [ LtCE.NSC NO.
4N~liX Sidney M. Drasin
CNGINCE.R MAIL AOOAESS PHONE LICENS E. NO . 5Non e
COMPENSATION INS. CARRIER MAIL AQO,.CSS 8111.A.NCH 6Arcal Insu rance Servic es . 17291 Irvine Bl vd. Tust in. CA . 9 2680 use OF 8 VIL01NC.
7Resident ial NO. BDRMS 3 NO. BATHS 2½
8 Class of work: CX NEW 0 ADDITION 0 ALTERATI ON 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : 1
r r ~ra, ~c.£ / vv? 1 /\/ 10 Change of use from
I :1/
LA Change of use to
11 Valuation of work: $ 37,5/;J.. 00 75 6..9. I PERMIT FEE s 15{ c;m -PLAN CHECK FEE s
SPECIA L CONDITIONS: , M ICRO FILM FEE
TypeofTr, I\J Occupancy /-J ~ Const. -· Group .
s,ze or Bldg. }'-./9' ,k, No. of ~ MaK. -(Total) Sq. Ft. Stories 0cc. Load
Fire 3 use Pc... Fire Sprinklers APPLICATION ACCEPTE O BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required O Yes El'No'"
No. of OFFSTREET PARKING SPACES:
DATE DATE Dwelling Units I ~~~ered :::l Sq. Ft. "{;Cf J l~~en
NOT ICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT.
ING, HEATING. VENTILATING OR AIR CONDITIONING. HEAL T H 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 AT ANY TIME AFTER WORK IS COM· MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ A N D EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ~ LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. L BE COMPLIED WITH WHETHER SPECIFIED
THE GRANTING OF A PERMIT DOES NOT AUTHORITY TO VIOLATE OR CANCEL THE OTHER STATE OR LOCAL LAW REGULATING THEi PERFORMANCE OF CONSTRUCTION.
I'-..
J'UiJCO~
Olllt AUTH0lllt12C0 ACCNT (OAT£)
~ ~,,, .. Co, OWN£" IIP'/OWN£"9 BUILOCJII) IOATCJ \ __,.,/ } WHEN PROPERLY VALIDATED (IN T HIS SPACE) THIS IS YOUR PERMIT
PLAN \..~K VALl~N CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOT AL FEES $ _ ___;:;;J:c....:::...-=~:;_;:_/p.:,::;__
7_s_
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
d Phone 729 1181 p Ni 7.f-.?~3/. Applicant to complete numbere spaces on y. -erm1t 0. ~--~-,,. . ! ' .
JOB ADD" £$5
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LOT NO, I OL K I m cT LC(;AL I I :) 1 ouc•.
OWNCft / )
MAIL A00,.[55 .-,"' ZIP
7/l,<,f,,:t,
PHONE .,
2i1 I✓ /71;
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t'°ONTftACJT --MAIL A00RCS5 PHOM t STATE LIC. NO. CITY LIC, NO.
J /. / • /// /, Y I I
/Lil ... j_ ,l/ J l ) _/ ~--17 L(.f~(Jd I .3 )/t,. .,...;. r , I It
\i\.llCMITCCT 0 111 0[51GNC" , MAIL AOO,.C55 PHON E LICCNSE NO,
4
[NGIN EE" MAIL AOOJll[55 PHONC LICEN SE NO,
5
COM/)PENSATION (NS. CARRIER MAIL .a.00111css 8fUNCH
6 .l.... +-rr-( "'l k '1 I J )
use o·F BUILDING V
7 ' /Jl,JL A / f I t,./' ,_ -
8 Class of work: ~-0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
N o. Ty pe of F ixture or Item Fee
SPECIAL CONDITIONS : '3 WATER CLOSET (TOILET) S / i
-I BAT H TUB ~,. l ..
) LAVATORY (WASH BASIN) I
j SHOWER ,-., (_
I KITCHEN SINK & OISP. r , (),-. .,:
I DISHWASHER -{.;( .
APPLICATION ACCEPTED BY PLANS CHECKED ev APPROVED FOR ISSUANCE BY LAUNDRY TRAY
I CLOTHES WASHER ,-, t.:-()
DATE I WATER HEATER -~ I.I
NOTICE U RINAL
THIS PERMIT BECOMES NULL AND VOID I F WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED W I THIN 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
M ENCED. ' GAS SYSTEMS: NO.OUTLETS ) ) ')l I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS ..;;,,
APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. WATER PIPING & TREATING EQUIP. A LL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPT OR HEREIN OR NOT, TH E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISI ONS OF ANY OTHER STA TE OR LOCAL LAW REGULATING CON STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS .... ll o/ .
CESSPOOL C. 'l ft ·U ({ ~l '
-'1, \ /2 SEPTIC TANK C. PIT
' / ROOF DRAINS
stGNAl'uci?co,.ACTO ff ,Jj'T'JO~zco A<ICNT ...,. (DATE.)
ISSUANCE FEE $ :1 .. (.,,f
SIGNATUIIJ[ o, OWNEft (I,. OWN[lt 8UILDt") {DATE} TOTAL FEES $ ~v .I'
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT '
PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK. M .O. CA SH
INSPECTOR
...
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB "DDRESS I I VI,\ ~,\ 1' I :\ ,\ \ I
' LOT NO.
iL. I BLK. I TR'l\~ J C IQ SEE "TT"CHED SHEET) LEGAL I I 1 DESCR. I l I ·, I_)
OWr,R I MAI L ADDRESS I A ZIP PHONE
2 • ' I/ fll ,lJJf) 1.. 0. v"f O !,, ltvu ,, 1' c \' ...,,,4 ., ,, (. r,
CONTR ... CTOR ri -I( MJIL "Dl RES~
( l /, 'J,
PHONE sr7 ~IC. NO! 7;, LIC/ NO. 3 I I ·I-{ Lu ( 'k ,c t ., I u<. ,. I I L. I .J I I I f I(
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRI ER M"IL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work:· ~EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : N, 1) C< f I ( I ( ·'\ \, ( f • I ~-I l ( f
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
,.,.,.LICATION ACCEPTEO av PLANS CHECKED BV APPROVEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER I /.v '
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE 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
REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME Ai;TER 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 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.
PER 100
SIGNATURE OF CONTRACTOR V AUTHORIZED AGENT (DATE)
ISSUANCE FEE ~·
c;.1r..NATURE OF OWNER IF OWNER BUILDER IDAT•T TOTAL FEES / ,1 I
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 APPLICATION ~
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI ADO" CSS
I l..OT NO.
LEGAL 1 DUC~. 1S2
MAIL AODl'l:E_,5
2 Tbe RlP.hlanda Co. 310S i..~ DD tnltc
COM TlltAC TOfll MAIL A00fltC55
AlltCHITCCT 0 ,t DESIGN[" MAIL ADOl'l:ESS
4
lNGIN[t,t MAIL ADOllltESS
5
LI.N Dl" MAIL AOD"[SS
6
USE g,-BUILDING
7 -· f ,t_..,. t ' ,
8 Class of work: 13.NEW 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 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 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 H EREIN 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 I.AW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
J. -7/28/77
SIGNATU"l o, CONTfltACTOIII O" AUTHOIIIIZ.1:0 AG[NT (DAT£)
•11:1.1.a.yu,tr O~ OWHCi,11 I~ OWHCi,11 au ILDCfll
10sec ATTACH[O SHEET)
ZIP
PHONE STATE LIC. NO.
PHONE LICENSE NO.
PMONE LICENSE NO.
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.
l Forced Air Systems-B.T .U. 8() M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U . M
Wall Heatert-B.T.U. M
Unit He1,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,
11J3
Fee
$
4 00
s 3 00
s 1 00
CASH
LOT /<J-,z..
-;;wz -k,,· ~
BUILDING
FOOTINGS
FOUNDATION
REINFORCED
MASONRY
GUNITE OR
SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH &
PLUMBING
SEWER AND PL/CO WATER ----
PLUMBING UNDERGROUND t,p/1,,f f:/2
COPPER
TOP OUT
TUB AND SHOWER
GAS TEST
ELECTRICAL
UNDERGROU¼
ROUGH
• CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF.
HEAT--Ail: • .
VENTILATING SYSTEMS