HomeMy WebLinkAbout1005 CARLSBAD VILLAGE DR; B; 76-2996; PermitMODEL NO
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PnORe 729-1181 Permit No
JOB ADDRESS - , «3oc-3Jwn j
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ASSESSOR S
MAIL ADORE55
f MIG JOiF E S SiL^J.
CONTRACTOR STATE LIC NO CITY L1C NO
I
ENGINEER
LlCENSENO
AIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER WAIL ADDRESS
USE OF B JILDI NG
NO RORMS NO BATHS
8 Class of work D NEW ADDITION D ALTERATION D REPAIR D MOVE DREMOVE
9 Describe work /)/}/)//"jr f •jf — rf" 1___1_
10 Change of use from
Change of use to
11 Valuation of work $- ,rt
-, &&PLAN CHECK FEE PERMIT FEE S
SPECIAL CONDITIONS Type of
Const
Occuparicy
Group
MICRO FILM FEE
Size of Bldg
(Total) Sq Ft
No of
Stories
Max
Occ Load
APPLICATION ACCEPTED RV PLANS CHECKED SV APPRISE/) FOR ISSUANCE BV
(JL
Fire
Zone
Use
Zone
Fire Sprinklers
Required Plve DNfhi,* ' '*>*
No of
Dwelling units
OFFSTREET PARKING SPACES
Covered SqFt Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING, HEATING VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK ISSUSPENDED 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 PfiRSORMANCE OF—DONSTRUCTION
Special Approvals
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
Required Received Not Required
SIONA'TUBE OF CONTRACTOR OR AUTHORIZED AGENT
SISNATUHE Of OWNER [IF OWNER BUILDER]
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
TOTAL FEES $.
INSPECTOR
* •PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit
JOB ADOR ESS f
LOT HO
, LE6AL
] DESCR
OWNER
CONTRACTOR/
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ARCHITECT OR DESIGNER
4
ENGINEER
5
i^j^T^ 7
B.L.K
W/C fr/A*
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COMPENSATION fNS CARRIER
6
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THA.CT
MAIL ADDRESS rf'O t IIP PHONE
MAIL ADDRESS PHONE STATE LIC NO CITY LIC NO
WAIL ADDRE-iS ' PHONE LICENSE NO
MAIL ADDRESS PHONE LICENSE NO
MAIL ADDRESS BRANCH
USE OF BUI L 01 H £
7
8 Class of work D NEW ^ADDITION D ALTERATION D REPAIR
3 Describe work
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PL* ^S CHECKED BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF V
TION AUTHORIZED IS NOT COMMENCED Wl
CONSTRUCTION OR WORK ISSUSPENDED Ofl
PERIOD OF 120 DAYS AT ANY TIME AF
MENCED
I HEREBY CERTIFY THAT I HAVE READ ft
APPLICATION AND KNOW THE SAME TO BE
ALL PROVISIONS OF LAWS AND OROINANC
TYPE OF WORK WILL BE COMPLIED WITH
HEREIN OR NOT THE GRANTING OF A
PRESUME TO GIVE AUTHORITY TO VIOLAPROVISIONS OF ANY OTHER STATE OR LOC£
CONSTRUCTION OR THE PERFORMANCE
*™^^^" s*sf^ ^ /s/s , ss£/ s& \r^/ji&^lUZtf'r^ %**
SIClTTTUflE OF CONTRACTOR OR AUTHORIZED KVttt T
SIGNATURE OF OWNER IF OWMER BU ILDERt
APPRQȣD FORj(GSU*NCE BY
YORK OR CONSTRUC
rHIN 120 DAYS, OR IF
ABANDONED FOR A
TER WORK IS COM
NO EXAMINED THIS
fRUE AND CORRECTES GOVERNING THIS
WHETHER SPECIFIED
PERMIT DOES NOT
TE OR CANCEL THE
L LAW REGULATING
OF CONSTRUCTION
>** — 5— -^
(DATE)
(DATE)
PERMIT FEES
No
/
/
/
/
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK ft PIT
ROOF DRAINS
ISSUANCE FEE S
TOTAL FEES $
Fee
$ /
/
s.
/
7
h V
^~£
5 «>
S*'
*2?J
^WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
Applicant to oomph
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ~ ~
Phone 729-1181 Permit No
LEGAL
IDESCR
ATTACHED SHEET)
MAIL ADDRESS
MAIL ADDRESS STATE L1C NO CITY LIC NO
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO
ENGINEER MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER MAIL ADDRESS
8 Cl8«o(work C3 NEW J^ADDITION D ALTERATION D REPAIR
9 Describe work
PERMIT FEES
SPECIAL CONDITIONS SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No Each Fee
APPLICATION ACCEPTED 6V PLANS CHECKED 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 CORRECTALL 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
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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
TEMP SERVICE OVER 200 AMP
PER 100
(DATE)ISSUANCE FEE
TOTAL FEESSIGNATURE OF OWNER JIT OWNER SUILDERL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR