HomeMy WebLinkAbout2728 YORK RD; ; 77-7536; PermitMOC:€:L NO. _________ _
BUILDING PERMIT APPLICATION.,.. }
ii,
City of CARLSBAD, CALIFORNIA 92008
Applicant co complete numbered spaces only Phone 7 29-1181 Permit No )
JOB A.DOR CSS ASSESSOR'S ', 1-:. . PARCEL NUMBER -
LOT NO. I OLK I r .. cr II .(. BuuK PAGE I PAR.
LCCAL I (0sec ATTACHED 5HCET ) 1 ocsc•. I ,
OWN[llt
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MAIL A.00illll[SS f ... PMONC
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CONTfllACTO" MAIL ADOACSS PHONE STATE LIC, NO. CITY LIC. NO.
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AJltCH ITCCT OR OC51GNCR MAIL AOORCSS PHON C Ll([N5[ NO.
4
CNGI NCCR MAIL AOORCSS PHONE LIC[NSC NO.
5
COMPENSATION INS. CARRI ER MAIL A OORC5S 8illllANCH JJ 6
7
US[ OF 8VI.SNG,:::: f)
NO. BDRMS
"2 _, ~s z.
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE □R ~M~~jv'/1 ~/ II v
9 Describe work: / 'U~ C✓ " /)~ )\{ f \ . / ~
~ #
,/) / j
10 Change of use from 1v
.. -·
Change of use to t,,.,,.,.-&, I (};._.t~:o
-
11 Valuation of work:$ -~,
PLAN CHECK FEES -I PERMIT FEE s
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Size Of Bldg. /.'~,B~-s No . of Max.
(Total) SQ. Ft. Stories 0cc. L oad
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE ev Zone ... Zone Required 0Yes 0 No
No. of OFFSTREET PARKING SPACES,
Dwelling Units No. Sq. Ft. '17 3 l~~en CA.TE DATE Covered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. 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 AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, Tl'IE 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.
' I I . ' ~, I J
SIGNATU"C o, CONTIIIACTOllt 0111 AU THO .. ltCO AGCNT (DATt)
SIGNAT Ill[ 0' OWN[llt 1,-OWN[fl I UILOCJIJ OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS >S YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH c-
TOTAL FEES$ ________ _
INSPECTOR'
' •
PLUMB,NG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181
JOI ADO•➔• ) ' (< . ? ( .,) A { (L"I ---• ('
L. GAL I LOT •olr-3 I OLK I TUC~(_ r) i /Q t-.J ::l. 1 ouc•. (' r, .... ( , ' t•
( ...,."'.? .. A
OWN CA MAIL AOOft[SS ._, ZIP -~ PHONC
2 •• ---:all P-! .. N •-• I~•-.. 1•.-.:•ni-1'l1~"D ~h. B 0,T.l!U'.I'.~ • 4Tl-4ll7
C:ONTf\ACTOR MAIL A.001'1[55 PH ON [ STATE LIC, NO. CITY LIC, NO, 3 1.c.P.c .. IBC. lOlliO V. WASHJfll:l1'CII 743-6193 344-308 J.2889
AftCM I TCCT OR OCSIGNCR MA.IL AODfltE55 PHONE LICENSE NO.
4
[NGINCC.R MAIL AOOAC55 PHONC LIC[NS[ NO.
5
COMPENSATION INS, CARRIER MAIL AOOACSS BIU,NCH
6 fflft ,mm P.O. BJX80lt88 SO Dll.00
use or 8UILOING
7 SDIGl.8 F.AEU DWELLim
8 Class of work: i3 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: m:n«BIIC
PERMIT FEES
No. Type o f Fixture or Item Fee
SPECIAL CONDITIONS: ~ WAT ER CLOSE T (TOILET) $ J.w
l BATHT UB l .:,u
2 LAVATORY (WASH BASIN) ~ .w
l SHOWER ~ .50
1. K IT CHEN SIN K & DISP. ~ ,50
l. D ISHWASHER J .~
.APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE O FOR ISSUANCE BY . .. LAUNDRY TRAY
l CL OTH ES WASHER : ,50
DATE .1 WATER HEATER ~ -.50
NOTICE -U RINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-.. DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COM MENCED WITHIN 120 DAYS.OR IF -FLOOR-SIN K OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM--SLOP SINK
M ENCED. 1 GAS SYSTEMS: NO.OUTLETS :, ... :,v I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. -WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNI NG THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED ~ WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE -VA CUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION . -LAWN SPRINK L ER SYSTEM
.l. SEWER NUMBER CLEANOUTS "' . ,w
(t . j,J J }) -CESSPOOL
f // '\-'') -SEPTIC TANK & PIT ~ I l~i -:J d"Y\ ✓~( ~ 7 f ~ /, -ROOF DRAINS
SIGNAT~F' CONTIIIACTOIII OR AUTMOAIZr AGENT (DA TE)
ISSUANCE FEE $ ~ ,,u
51GNATU111C 0,. OWNER \,. OWNCA 8UILOCA) OAT[) TOTAL FEES $ ,.. ,uu
WHEN PROPERLY VALIOATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDAT ION CK. M.O. CA SH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008 ., • ~-t 1• • ✓ '-0
Phone 729-1181 Pe ·t No ~ .,< 1/d..J-rm,
JOB ADDRESS I ;, l.A \-\ 4---I ' .._ ... _.t< , I 0 •
LEGAL -:) I LOT NO,
1 DESCR. (p::, I BLK, I
TRACT
TE.!\1 PU,-.> HEtbt4T0 (QSEE ATTA~O SHE,T)
G 'f -I'
I # ,,uJ.t
OWNER MAIL ADDRESS ZIP PHONE 2 1,\l-fr} DevE-L-C.Pr►)e t.Jf ,vc.. 30#',4 ~ tvt-\ n~-, q lO'SO '-11l -4tt7 C. I i~
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC. NO, 3 , l \' +\.# t;-l ll.:.)~-;:_ -(;-.::, I•,/ ~~E -crrrro-<c t>"' r -T?;tt~
ARCl1lTE""C"r-oft fJ!J I lfH!,R--MAIL ADDRESS PHONE LICENSE NO, 4 Baker Electric-Inc. 2180 eyer• Ave. Bacoodido 745-2001 11424
ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH 6 o.,; ,=-1L£
USE OF BU ILDING
7 7iC Residence
8 Class of work: ISt'tilEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: b~l) llOugh & Rl■■l'fl Piniab iring
·-PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
SWIMMING POOL WIRING, I NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
•<!'PLICATION ACCEPTEO BV PLANS CHECKED BV APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
/DO . .) ; ;>.r, 00
D ATE NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE I NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WOR K 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 ANO 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 i'NG 200 AMP. / CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/ ,
GQ I TEMP. SERVICE OVER 200 AMP. / /,., l . .d PER 100
r'l Wit \/' . { --t.ll?f I\
SIGNATURE OF t1!NTRACTOR OR AUTHORIZED AGENT ([{ATE J I
ISSUANCE FEE ,) o, .
c1r..;u,6.TURE OF OWNER If" OWNER BUI DER IDATEI TOTAL FEES .).~ (X
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 APPLICATtON
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOI ADO" r:ss
2728 tork ~
I LOT NO.
L[GAL 1 DUCR. 63 ct 74-14
<DSE[ A.TTACH[O SHEET)
OWNCIII ZI P PHONE
2 KUI ?level ~ Inc •• ~ 4. Li. 'latuma.1 Cltv 92C v 477-1.117
CONTfl:ACTOIII M AIL AOOflttSS PHONE STATE L IC, NO.
3 ,~-;:r ,.r: c:_-:,rr• ,. ,_? 812 t.. Iub~ oca .. - --;~.,-"'2025 746-1333 1..:.:'l1-.
AIIICHIT[CT Ofll DCSIGN[fl: MAIL A00flt[55
4
~NGIN[CJIII MAI L AOOfl: CSS
5
L ENOCJII
6
USC 0" 8UILOI N G
7
B Class of work: B_NEW 0 ADDITION 0 ALTERATION
9 Describe work: SF1)
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 COMMENCE D 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 AND KNOW THE SAME TO BE TRUE AND CORRECT . ALL PROVISIONS OF LAWS AND ORDINAN CES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN O R NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PHONE LIC £NS£ NO.
PMONC LICCNSC 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.
t Forced Air Systems-B.T.U. !":"\M Ea.
Gravity Systems-B.T.U . M Ea.
Floor Furnaces-B.T.U. M
Wall Heaters.-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
..
515
CITY LIC. NO.
1133.,
Fee
$
4 00
C , -.:.' f ~ ,I(_ 't , 1 ,, r , ut:a..A...--
••G'~ .. .-Tu,u. o, CONT .. ACTO" O'' AUTHO .. l'i-to AGCNT 2 /;r lz~-~-1---------+---+-~ (DAT[) )
..... ISSUANCE FEE $
TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
I
I
I
I
BUILDI~
FOOTINGS
FOUNDATION
REINFORCED
MASONRY
GUNITE OR GROUT
SHEATHING
FRAME • ~s;h f'
INSULATION
EXTERIOR LATH
I NTERIOR LATH & DRYh1AL.
PLUMBING
~-E_W_E_'R_A_N_D_P_L..:..../_C_O ___ WATER
PLUMB I NG UNDERGROUND / 2 ..... ;2.-.77~
COPPER /2-0:7;>~
TOP OUT
TUB AND SHOWER
GAS TEST
ELEC'l'RICAL
UNDERGROUND
HEAT
MECHANICAL
DUCT & PLEM , REF. PIP I NG
VENTILATING SYSTEMS
l NSULATlON CERTlFlCATlON
This is to certify that insu lation hes been in stalled in c on formance
with the current energy regulations, California Administrative Code,
Title 25, St~te of California, in the building located at:
SlTE ADDRE SS York Road , Carlsbad , Ca lif.
EXTERIOR WALLS
Manufacturer
Owens-Corning and
Johns-Mansville Thickness/Type '3½" Friction R-Value 11
CEILJNGS
Batts:
Owens-Corning and
.M a nufacturer Johns -Mansville Thickness/Type 611 Kr aft ___;:c..._--=.;=-::..:..::.....:..----R-Value 19
B)o '"'n : .Manufacturer Rock Wool 'J'h.i ckness/Type 6,:" Rock Wool R-Va)ue 19
wt./Ba g __ 2_6..c.._~P_o_u_n_d_s~ Sg. Ft. Covered 26 Square Fee t R-Value 19
FLOORS
.Manufacturer ------------Thi c kn ess/Typ e ----,------R-Va]ue ---
GENERAL CONTRACTOR LI CENSE 11 --------
BY TITLE DATE
I NC . LICENS E 11 22 1 517 C-2
BY Vice Pres i"d en t DATE