HomeMy WebLinkAbout1004 Foxglove Vw; ; 76-5517; Permit5/0C-MODEL NO, __________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant tocompletenumberedspacesonly Phone 729-1181 Permit No
~00 AD?ao l/ ASSESSOR'S
I t.l ( ( .,L ,/. (./ . .._, PARCEL NUMBER
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LOT NO, I OLK I mc r evvK PAGE I PAR.
LE , .. c I 251 7J-: <OSEE ATTACHED SH(ETI l DESCA,
OWN(A MAIL .tt.OOR£..5S l IP PHONE "' ' --~~:!.C .,. -1"'" ~----
-4 9 ~ 7' -~ 2 ... . . . . • ~ ... ,,~ .l
CON TRAC TOA MAIL ADDRESS PHONE ST ATJ Lit. NO. CITY LI~, N~
3 • • • '..> 1 J ' I
A~CH I TEC T OFI D tS I GN ER ""'1AlL ADDRESS PHONE L ICENSE NO,
4 I • 10l.O ol'\t l· • t:'I' _ _._ 92TU .l' ~6 ' ••
ENGIN((fll MAIL ADDRESS PHON~ LIC[NSE NO,
5
COMPENSATION INS. CARRIER MAIL •ooAtSS 81U,NCH
6 't' . . "( ·.c.a~ I••·· • . 1·. . • • -•
USC or '"'ILOING
·'l : . ~ m.,r DYT5'.t. • •·• .. oz ,.
7 (" .. ., NO. BORMS .. NO. BATHS
8 Class of work: ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: GLt.; t~V ~,.-,, .. • '-iit; • ·~•~•"' ,,..,.., ,a., ,.,\tl, c
10 Change of use from
Change of use to
, -I PERMIT FEE $
I, 11 Valuation of work: $ · 1 ( I t .I .> ..,) ' PLAN CH ECK FEE $
SPECIAL CONDITIONS: , MICRO FILM FEE T ype Of -Occupancy I-J -Const Group
Size of Bldg. 231 No. o t l Max.
(Total) Sq. Ft. Stories 0cc. Load -
Fire 3 use -1 Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required 0Yes ONo
No. of OFFSTREET PARKING SPACES, -. "' l JNo . Dwelling Units No. . -DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL , PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID I F WORK OR CONSTRUC-HEALTH DEPT.
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 TRU E AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT ODES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE O R CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTIO N OR THE PERFORMANCE OF CONSTRUCTION.
I
51CNATUR[ 0,. CONT .. ACTO" 0 " AUTHOftlZ.£0 AGENT (DATE)
SI GNATUIIIE o, OWN[" (1,-OWNEA BUILOEflt) (DAT()
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK. M.O. CASH
r
TOTAL FEES $ __ /_/_r __ -_-__
INSPECTOR
MECHANICAL PERMIT APPLICATION a
City of CARLSBAD, CALIFORNIA 92008 1 ~L
Applicant to complete numbered spaces only. Phone 729 1181 -Permit No. '
JOI ADO" [SS
j .. :rf.Vt!'""1f...1 }/.,( C.f A \
LOT NO. V JILK I/ACT
/I b, /2,.t. ii (~EC ATTACHED SHEET) L.tt.AL. I 1 DtSC~. ~SI t' ~ {..j: ....
OWN£ ..
d/21,/1 hr MAIL AOOAE-SS ZIP PHON[
2 ,r..
Fl/)C?t 9{ . ._
' I
CONTIIIACTOIII MAIL ADDRESS '-' PHONE STATE LIC. NO, CITY LIC. NO.
3 9 t/0 </ {'t. 6. -1, ·:J/j) ' .. J
~ r
A"CHITECT O" O[SIGNtlt MAIL A.DO .. [S5 (./ PHONE LICENSE NO.
4
EHGJNE[JIII MAIL. AOO .. £S5 PHONE LICENSE NO,
5
LEHOllll MAIL. AODflllESS IUIUNCH
6
USE o, &UILOIN~
7
8 Class of work: 0NEW 0 AOOITION 0 ALTERATION 0 REPAIR
9 Describe work: ' /] r;? ( ( 5///A ~ /f. ,,
"'
{
Type of Fuel. Oil D Nat. Gas D LPG. 0
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 A.C. Units-Tonnage Ea.
Forced Air Systems-B.T.U. M Ea. r
APPLICATION ACCEPTEO 8Y PLANS CHECKEO BY APPROVEO FOR ISSUANCE 8Y Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heater~ B.T.U. M
NOTICE Unit He&ters-B.T.U. M
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC· Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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 , j
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,
' ~ \ I I r ') i) ~ j .
SIGNATUJU: 0" CONT"ACTO" 01111: AUTHOllll:IZ.tO AG[NT (DATtl
ISSUANCE FEE s t' '
.. T 1111:• 01' OWHUI 1, OWH[lit •ulLDl:fl OAT[ TOTAL FEES s J; 'I,, 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
.. ' . ---.-.•
PLUMBING PERMIT APPLICATl®N1 :-,-:-:526~Ut~ k q,:
City of CARLSBAD, CALIFORNIA 92008 ~ ~;, I I l'.1
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No I,-f {ti ft! /
Joa AOOR (5$
L(UL I 1 C£5C~.
LOT NO,
.SI
OWN£" M AtL AOO'll[SS
2 ~A (If., l J/ .) I 1
CON Ti..A C TO,-MA1L ADOfll[.SS
3
A(IIICM IT[CT OR DC.SIGNER f MAIL AOOJtE~S
4
[NG INC.ER MAIL AOOflll[SS
5
COMPENSATION (NS. CARRIER M AIL ADDRESS
6 ~ Vtt
US[ OF BUILDI NG
/);,/'// 7
8 Class of work: 0 NEW 0 ADDITION 0 Al TERATION
9 Describe work : f I f I £)Uy It V I II.I' '
I /
SPECIAL CONDITIONS.
APPLICATION ACCEPTED ev PLANS 0-tEC .. ED ev APPROVED FOR ISSUANCE ev
DATE
NOTICE
THIS PERMIT BECOMES NU LL AND VOID IF WORK OR CONSTRUC
TION AUTH ORIZED IS NOT COMMENCED WI THIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY T H AT I HAVE READ A NO EXAMINED THIS A PPLICATION ANO KNOW THE SAME TO BE TRUE A N D 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 AUT HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH E PERFORMANCE OF CONSTRUCTION.
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5 1GNATUR[ or CONTltACTOlif OR AUTMOAI Z [D A(i (NT (DA T E)
SIGNATU,.£ OP' OWNE,-IIP' OWN[,t l!,UILDtlt) (OAT[)
ZIP PHONt
PHOM [ STATE LIC. NO. ;y
PHONE I..IC[NSE NO,
L ICEN SE NO,
tU,AHCH
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BAT HTUB
LAVATORY (WASH BASIN)
SHOWER
,I KITCHEN SINK & OISP
DISHWASHER
LAUN DRY TRAY
I CLOTHES WASHER
WATER HE ATER
URINAL
DRINK ING FOUNTAIN
FLOOR-SINK OR DRAIN
I S Ldl'"SINK '
I GAS SYSTEMS, NO.OUT LETS
WATER P IPING & T REATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK &. PIT
ROOF DRAINS
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
$ ~ ..,
, I
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I .,
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I (J
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• Q.:;
$ ..
CASl'i
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ELECTRICAL PERMIT APPLICATION .. n..,l i. I i}
Applicant to complete numbered spaces only FcltftJ City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No
JOB ADDRESS lP ,.,,...'::!.
LOT NO, I BLK. I TRACT <OsH ATTACHED SHEET) LEGAL I 1 . 1 DESCR, .~,:~
... -r
OWNER MAIL ADDRESS ZIP PHONE . 2 ---1t ,. -.... 't 'I. ~-\AU!YVJ
CONTRACTOR MAIL ADDRESS PHONE STATE i,.IC. NO, CITY LIC, NO.
3 le., -~ ~-2001 • •
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE Of" BUILDING
7
8 Class of work: ONEW 0 AOOITION 0 ALTERATION 0 REPAIR
9 Describe work: R011f'h IM~1•l'I 1r1nr; --
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
A,rLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, 100 -~. .25 o, FUSE OR BREAKER
CATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
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 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 ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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.
I PER 100
,I/ '
SIGNATURE Of" CONTRACTOR OR AUTHORIZED AGENT (OATE) ISSUANCE FEE I)
TOTAL FEES SIGNATURE of OWNER I> OWNER BUILDER IDATEI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
l • ..
•' •·,
\."•
LOT £5/
/<JO 7 • /:OY.~<J7.H_
BUILDING .
FOOTINGS
FOUNDZ\TIO
REINFORCED STEEL
Ml\SONRY
GUNI'rE OR GROUT
SHEl\_'r I_II_NG_~~~-;.-5'-_-z~·7-y_·_(j)_, --
FRAME 5,, / G; 1r LJu0
EXTERIOR LA'I'H
I NTERIOR LA'i'H &
PLUMBING
SEWER l\ND PL/CO
PLUM BING UNDERGROUN~u/72 tfl_.._. __ .
. COPPER
TOP ou·r S 1/J 1 ti ~ .. ---
TUB AND S!!OIVER Cl /7f;; ~ 7.
GAS ·rEST $ I J 7f '1.. ·
ELECTRICAL
UNDERGROUND
ROUGH
CEILING HEAT
DON DING
MECBANIC,\L
DUCT & PLEM, REF. PiPING
HEAT--l\IR
VENTILATING SYSTEMS . .
~'INI\L: ..,~ ~-.