HomeMy WebLinkAbout1009 FOXGLOVE VW; ; 76-5503; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 .,
A /' pp ,can t to o pl te umbered spaces only Cm e n Phone 729-1181 Permit No
JOl!I ADDA £S5 ASSESSOR'S /009 / ( F (_ · j.At.:..uJ-PARCEL NUMBER •
LOT NO. Im I TRACT T ;,-39 BOOK PAGE I PAR.
l.[GAl. I 2),b t0SEE A T T,,lCHEO SHEET) 1 DESCR,
OWN(A MAIL AOORtSS ll P PHONE
2 I .. 1D !hCIF.IC 0 DD• I -'t ' ·~..,!=-=..-t . I 9>1 go ... ; ... •• . ' f ......... ':
CONTRAC TOR MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC. NO.
3 ·1 . I '
AflllCHIT[CT OR OCSIGNCR MAil. AOORCSS PHONE LICENSE NO.
4 1 ffiOUP1 1010 arth ... 92111 -_, Sl.6
ENGIN[CR MAIL .A.0Dq[5S PHON[ LICENSE ,..0,
5
COMPENSATION INS. CARRIER MAIL A OOfllt[SS BRANCt-t
6 • • • -fi • _:;S
use OF BUI LDING
1 m,y 'n'!ml'.T.TliG NO. BDRMS . or NO. BATHS ,.
8 Class of work: bfNEW D ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : .-0T1 ·nl.1,'. ~nn1ici.v ,,,.., 1.1.T11n 1 :-.:;,~·'HP-<"·'<> h,-,,-,Anll t.~? 0
\\ \ \)Y ~ v(-v :1 \)
~
10 Change of use from \r ~' , ,\u
Change of use to J '-6
'ft. 7 v'/') I PERMIT FEE $
,/ / ..... 11 Va luation of work : $ / / -PLAN CH ECK FEE s -
SPECIAL CONDITIONS: MICRO FILM FEE T ype of ,_ Occupancy 1 . -_..._, -Con~!. Group
S,ze of Bldg. 612 No. of l. Max. -(Total) Sq. Ft. Stories 0cc. L oad
Fire 3 Use -Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BV APPROVED FOR ISSUANCE av z one Zone Required 0Yes TI No
No. of l OFFSTREET PARKIN~ SPACES,
No ~ !No. -DATE DATE Dwelling Units Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING OEPT.
ING, HEATI NG, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
T ION 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 ANO 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 l.)0ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT! ON.
/
5 1GNATU "C 01" CON TRACTOii. ON AUTHORl:tEO AGENT (DATE I
-_:IGNA"f..lllC 0,-OWNCR tr OWNER 8U ILO[R) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ _ _.;:c/::.._ _ _:._/_I ___ -
INSPECTOR
MECHANICAL PERMIT APPLICATION
. City of CARLSBAD, CALIFORNIA 92008 , .. ., : ,,,2-.. qs ~
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No ?/'
Joe AOOfll ESS
; ",1V<'fi.l-t: 1 V-<.
'!.OT NO. .J I &LK
I UACT /J \Oscc ATTACHED SHttTJ LCGAL I ;,,/, 1 Dcsc". l'-1 / ; /1. L( V -· ·-0WN£.IJI / /tk_ MAil. A0DRtS% ZIP PHONE
2 I.~/ ,'1 • (, Ir I . /. ( I " CONT .. ACTOIIII MAIL ADOAESS v PHON [ STATE LIC. NO. CITY LIC. NO.
3 . J (11/ (, l l -I ,. ~1/ f I --,
APICHI T£CT Ofll DESI CNtflt MAIL ADDRESS C PHONE LIC[N5[ NO.
4
CNGINtEIJI MAIL AOD11t£SS PHONE LICtN.SE NO,
5
LENDlllll MAIL A00"(SS B"ANCH
6
USE 0" BUILDING
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ... ( -... J j
" t
j, I . -
(
Type of Fuel: Oil D Nat. Gas 0 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 A .C. Units-Tonnage Ea.
Forced Air Systems B.T.U. r 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 Heaters. B.T .U. M
NOTICE Unit He&ters-B.T.U . M
THIS PERMIT BECOMES NULL AND 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 ,20 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS Air Handling Unit-C.F.M.
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 ~ .\ I U(. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I I I I, I r J Iv
SIGNATlJJIE o, CONTIIACT09' ON AUTHO"&Z~O AGENT (D4TCI
ISSUANCE FEE s .::)
AIJ'!.M.&TUfll[ OP' OWNER u, OWNUI •u1Loc•> (DATE! TOTAL FEES s j (,; I.
WHEN PROftERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
PLUMBING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ' ::]~sf~ }2· v~., Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No.
JOB AOOllt ESS
loo 'I F :J ' " t." "' r
LOT NO. I BLK I TUCT /J /;P, ff ',, LEGAL l 'I ~t //, 1 ocsc•. vA,f._,( 't' .-·-'
OWN[ .. MAIL AODIIIE!iS ~I· PHONE
2 ,11//c. If I / J ,..-1· '
CON TIIU,C TO,_ /',;, ;;kv MAIL ADOPlCS5 PHON t. STATE LIC. NO. CITY LIC. NO.
3 . ~ 7J ' , / -. I • , t -
AIIICHIT£CT 0 .. OCSICN[A
4 I MAIL ADDACS.S PHON C L I CENSE NO,
CNGINE[llt MAIL. ADO .. ES 5 PMOHE LICENSE NO.
5
COMPENSATION (NS. CARRIER MAIL AOOPl:£55 BIIU,NCH
6 ~ ~-,
US[ OF BUit.DiNG di'J, II 7 r
8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: uyt I ;'nJ1., JJL ~..., J/,11,~
~ /
PERMIT FEES
No. Type of Fixture or I tern Fee
-.. $ SPECIAL CONDITIONS· .. WATER CLOSET (TOILET)
I BATHTUB '
j LAVATORY (WASH BASIN)
' I SHOWER ' ...
I KITCHEN SINK & OISP I ..
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED ev APPROIIEO •OR 1SSUANC[ BY LAUNDRY TRAY
l CLOTHES WASHER I 0
DATE I WATER HEATER I '
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR INKING FOUNTAIN
T-ION AUTHORIZED IS NOT COMMENCED WITHIN 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· I SLOJ"!;INK ,/)A,< I .
MENCED. I GAS SYSTEMS.NO.OUTLETS I.rt , l ~ I HEREBY CERTIFY THAT I HAVE REAO ANO EXAMINED THI S APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING&. TREATING !:,QUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THI S TYPE OF WORK WILL BE COMPLIED W ITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS A!,
I CESSPOOL /11 ·/ SEPTIC TANK & PIT
ROOF DRAINS
SIGNATUfU. 0,-CONTPtACTOII' OM Jt11HOPtlZCD AGE.NT (DATE)
ISSUANCE FEE $
51GNAT11 ,-t 0,. OWN£Pt II" OWN[" eutLDC.A) (OAT£) TOTAL FEES $ ,._ .J
WHEN PROPERLY VALIDATED (IN THIS SPACE) TH<S IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
' ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. -°!~~1
JOB AODRESS
~~liftffA -LOT HO. I BLK, I TRACT <OSEE ATTACHED SHEET) LEGAL I 1 DESCR, ~ -~
OWNER MAIL AODRESS ZIP PHONE
2 --~:id fae!fie C~·--""'
...,. __
-~-..,
CONTRACTOR MAIL ADORESS PHONE
1~-
STATE LIC, NO, CITY LIC, NO.
3 ~ • Ave. EBc
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENG IHEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRI ER MAIL ADDRESS BRANCli
6
USE Of BU ILDING
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: --J11n1 ~!ng -.-. -
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
0( NEW CONSTRUCTION, FOR EACH 100 .25 25
A"LICAT ION ACCEPTE O 8 Y PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
DATE 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 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 V IOLATE 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
A-
SIGNATURE Of CONTRACTOR OR AUTliORIZED AGENT (DATE)
ISSUANCE FEE 2 I:
.,._,, r,(11 TOTAL FEES SIGNATURE Of OWNER llf OWNER BUILDER) DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
LOT 2 5:(9:':: _ · 9 f/ NI.J/Jt~ · · , .
. . ~LOd 7 · .. · /Z;_CJXj-LC7V-f.
BUILDING . . .
. · FOOTINGS _,,J(JI). . I /t t/, 1
FOUND7\'l'ION ( /,
REINFORCED STEEL -----·------------·
Ml\SONRY
GUNI 'rE OR
SHEi\'rHING
FR.7\.ME
INSULi\'l'IOU
EXTER IOR LATH
INTERIOR LATH &
PLUMBING
SEWER AND PL/CO
PLUMBING UNDERGROUND ,./ 41 ~ -11(1-~ ~
. COPPER
•roP OU'l' s ;0 I 7 i___lP_
'rUB l\ND SHOiVER, 'iJ; ti J_ f (l
GAS 'rES'l' s/W r @ 7
ELECTRICAL
UNDERGROUND
ROUGH
t·, CEILING IIEAT
DON DING
MECT-JANICl\L
DUCT & PLEM, REF. P1PING
JIEAT--l\IR
VENTILATI NG SYSTEMS
}'INl\L: -&4. ~