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1003 DAISY AVE; ; 76-2614; Permit
MODEL BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008* , ^ Applicant to complete numbered spaces only PhOIIG 729-11O1 Hermit No '? JOB ADDBF.ES ^OT NO - LE GAL 1 DESCR "> ^% ASSESSOR S ), > ,. ' , j- f ft V PARCEL NUMBER— , '"^ ' V. -i--C^r *' *• < Vl , im •-•- BLK ff TRACT 188 73-39 BOOK PAGE PAR OWNER MAIL ADDRESS ZIP PHONE 2 SmSMSD PACIFIC OP Sm DIEGO, 7679 Giaircsmt Jfesa, Saa Clego 92111 2?9-20h2 CON TRAC TOR 3 nftr*r» MAIL ADDRESS PHONE STATE LIC NO CITY L1C NO 4 8ER8IB GHDUP, 1010 Earth tbda St., Saota Ana 92711 S35-OSl6 ENGINEER 5 MAIL ADDRESS PHONE LICENSE NO COMPENSATION INS CARRIER MAIL ADDRESS BRANCH ** C»F»S» SEBVICB CQHP©S&5X{H» &QS J^liiSLES USE Or BJILDINC 7 SI3GLE EfiES&£ 2/rfELLIHG NO BDRMS 3 Or U NO BATHS 2 8 Class of work LlPNEW D ADDITION' D ALTERATION D REPAIR D MOVE D REMOVE J 9 Describe work SI3GLS ESJ'HItZ DT^Su£iX3G SI32I AS?2fiCHM? G&H&SE A f\<A^ /Oi /j^ ^"VA II IX/ / i W\\\ ^ ^0 10 Change of use from ^ir _\/ I f* Change of use to 11 Valuation of work $ 3^ ^l /„/ ^ ^ri/Oi 1 V^/ (. ^^ •*-.'/(, / " SPECIAL CONDITIONS APPLICATION ACCEPTED BY DATE SEPARATE PERMITS ING HEATING VENT THIS PERMIT BECOM TION AUTHORIZED 1 CONSTRUCTION OR V PERIOD OF 120 DA MENCED 1 HEREBY CERTIFYAPPLICATION AND KALL PROVISIONS OFTYPE OF WORK WIL HEREIN OR NOT, TPRESUME TO GIVE /PROVISIONS OF ANYCONSTRUCTION OR SIGNATURE OF OWNER (IF PLANS CHECKED BY.- APPROVED FOR ISSUANCE BY DATE NOTICE ARE REQUIRED FOR ELECTRICAL, PLUMB LATING OR AIR CONDITIONING ES NULL AND VOID IF WORK OR CONSTRUC S NOT COMMENCED WITHIN 120 DAYS OR IF VORK IS SUSPENDED OR ABANDONED FOR A YS AT ANY TIME AFTER WORK IS COM THAT 1 HAVE READ AND EXAMINED THIS NOW THE SAME TO BE TRUE AND CORRECT LAWS AND ORDINANCES GOVERNING THIS _ BE COMPLIED WITH WHETHER SPECIFIED HE GRANTING OF A PERMIT DOES NOT AUTHORITY TO VIOLATE OR CANCEL THE OTHER STATE OR LOCAL LAW REGULATING THE PERFORMANCE OF CONSTRUCTION * , / i tv- f 'y . / ..' ./ •' *' /' / OWNER BUILDER) (DATE) / r>- - ' •" V v '- -PLAN CHECK FEE $ / jf -""" PERMIT FEE $ '' / / MICRO FILM FEEType of Tf_fT Occupancy _ _ Const V*SM Group A*"*? "•• Size of Bldg <a*}«*ii No of n Max (Total) Sq Ft 231y Stones 1 Occ Load *•*•• Fire _ Use Fire Sprinklers Zone 3 Zone B"! Required Qyes ®flo OFFSTREET PARKING SPACESNo of , - Dwelling units 1 Covered 2 Sq Ft *»1 Open — Special Approvals Required Received Not Required PLANNING DEPT HEALTH DEPT FIRE DEPT SOIL REPORT OTHER (Specify) ENGINEERING DEPT WATER DEPT WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH T OTAL FEES £ /' ' ' INSPECTOR MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applican t to complete numbered spaces only PhOn©729-1l8l Permit No "" "' i'*, „ J • f ? JOB AODR ESS.. LEGAL IOESCR 1Vu O cv"/ &ZL. T"4> 'CON TRAC TOR MAIL ADDRESS -/STATE LIC NO CITY LIC NO //' Jj*S ARCHITECT OR DESIGNER MAI L ADDRESS LIC ENSE NO ADDR ESS LICENSE NO MAIL ADDRESS USE OF BUI LD1 N G 8 Class of work Q NEW D ADDITION D ALTERATION D REPAIR 9 Describe work /. :-f ( /\ , ^.../,i.-f._ r O Type of Fuel Oil LI Nat Gas D LPG D PERMIT FEES SPECIAL CONDITIONS No Type of Equipment Fee Air Cond Units—H P Ea Refrigeration Units—H P Ea Boilers-H P Ea Gas Fired AC Units-Tonnage Ea Forced Air Systems-B T U \ C%-V ' , M Ea APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B T U M Ea Floor Furnaces—B T U M Wall Heater&-B T U M 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 APERIOD 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 CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE 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 REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION Unit Heaters-B T U M Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit-C F M Incinerator SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ISSUANCE FEE SIGNATURE OF OWNER Or OWNER BUILDER)(DATE).TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH INSPECTOR ' •>• •* PLUMBING PERMIT APPLICATION '= City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 Permit No yj -f £ JOB £ DDR ESS x£HI if MAI L ADDRESS CONTRACTOR MAIL ADDRESS STATE LIC NO CITY LIC NO }®S/f - MAIL ADDRESS LICENSE NO l L ADDRESS L ICENSE NO COMPENSATION fNS CARRIER 6 £(>tt*n vlAIL ADDRESS USe OF BUILDING 8 Class of work LH NEW D ADDITION D ALTERATION D REPAIR 9 Describe work PERMIT FEES No Type of Fixture or Item Fee SPECIAL CONDITIONS WATER CLOSET (TOILET)S J, <9U BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER APPLICATION ACCEPTED 8V PLANS CHECKE D BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY CLOTHES WASHER WATER HEATER 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 APERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA7 ION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION URINAL DRINKING FOUNTAIN FLOOR—SINK OR DRAIN STOP'S IN K GAS SYSTEMS NO OUTLETS WATER PIPING & TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM . SEWER NUMBER CLEANOUTS. CESSPOOL SEPTIC TANK & PIT ROOF DRAINS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ISSUANCE FEE S'CNAJTJJRE OF OWNER (I F OWNER BUILD_E_HI TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH INSPECTOR ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008, Applicant to complete numbered spaces only PhORG 729-1181 Permit No ,,; f;~ JOB ADDRESS 1003 LEOAL IDESCR mi SEE ATTACHED SHEET) _- _ _ ~. ^lAIL ADDRESS_Pacific «P S@a Diego T^Q *<SH*f ^ CONTRACTOR __ -3 &CLK©s? Slesfc^ie, ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO MAIL ADDRESS LICENSE NO COMPENSATION INS CARRIER MAIL ADDRESS USE OF BUILDING 8 Classofwork EfNEW D ADDITION D ALTERATION D REPAIR 9 Describe work PERMIT FEES SPECIAL CONDITIONS SWIMMING POOL WIRING, NO INCREASE IN SERVICE APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER 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 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 SPECIFIEDHEREIN 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 REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION NEW SERVICE ON EXISTING BLDG FOR EA AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA AMPERE OF INCREASE TEMP SERVICE UP TO AND INCLUD- ING 200 AMP TEMP SERVICE OVER 200 AMP PER 100 S1ENATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)ISSUANCE FEE SIGNATURE OF OWNER (IF OWNER BUILDER)TOTAL FEES No 100 Each Fee oo WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH INSPECTOR GUNTTE OR GROUT SJIEA.THTNG FRAME INSULATION £xJL]2Iil0!:L ^™. INTERIOR LATH & DRYWAE1 PLUMSIHG SEWFR ARID PL/CO W»»n-L#7-_ TUB AND SHOWER ELECTRICAL UNDERGROUND ROUGH CEILING HEAT BONDING MECHANICAL DUCT & PL HEAT—AIR VENTILATING SYSTEMS