HomeMy WebLinkAbout1009 FOXGLOVE VW; ; 79-4710; PermitMODEL NO. _________ _
BUILD NG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 :Jin,,, 1 ' 1 o ,00 BP
Applicant to complete numbered spaces only. Phone 729-1181 Permit No29-l/7JO
JOB AOOR ESS
4
MAIL AOOR£5S
5
COMPENSATIOf'i INS. CARRIER MAIL A00"£5S
6
7 5 NO. B0RMS
ASSESSOR"S
PARCEL NUMBER
BOK PAGE
LICENSE NO.
&JU.NCH
NO. BATHS
PAR.
8 Class of work: Js,1NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: A 3cro
10 Change of use from
Change of use to
11 Valuation of work: $
~S~P_E_C_I_A~L_C_O_N_D_I_T_IO_N_S_·------------------+~Typeot
Const.
1-------------------------------->d s,ze of Bldg. Total) Sq. Ft.
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 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 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.
!IIGNAT IIJE O" OWN[ .. I,. OWN[Jil 8UILO[IIJ) DATE)
No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGIN EERING DEPT.
WATER DEPT.
use
Zone
F ILM FEE
Max.
0cc. Load
Fire Sprinklers
Required DYes 0No
OFFSTREET PARKING SPACES·
No. Covered
Required
Sq. Ft.
Received
No. Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS~
I /0 _.__,
TOTAL FEES $ __ Y_c _____ _
MODEL NO. J
City of CARLSBAD, CALIFORNIA 92008 I II 1 ... , ~ •
Applicant to complete numbered spaces only
JOO AOOR [55
Joo CJ •. / 1(~
L[CAL I 1 0£5CR.
LOT NO.
OWN(R
2 I ,
Phone 729-1181
1· I j I TRACT
MAIL ADDAESS ll P
Permit No
tOsc.c ATTACHto SHCETI
PHONE
ASSESSOR'S
PARCEL NUMBER
eooK PAGE I PAR,
CON TA AC TO A MA IL ADDA [55 PHON [ ............. STATE LIC. NO. CITY LIC. NO,
3 I i t,, I 'I JJ -,-II -..-..r
A RCHITECT OR 0£S1GNCf' MAIL ADDRESS PHONE L IC[NSC NO.
4
ENGINE:£ .. MAIL AOOR[SS PHONE LICENSE NO,
5 -\
COMPENSATION INS. CARRI ER MAIL AOOA[SS &IU,NCH
6
USE or BVILOIN(;
7 NO. BDRMS NO. BATHS
8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
' I
10 Change of use from
Change of use to J}J./\-
1 .I .t:
PLAN CH ECK FEE S 11 Valuation of work: $ ·;
~S_P_E_C_I_A_L_C_O~N_D_IT~IO_N_S~:~~~~~~~~~~~~~~~~~~~Type of
Const.
f-------------------------------1 s,ze of Bldg (Total) SQ Ft.
APPLICATION ACCEPTED ev PLANS CHECKED ev
No. of
DATE I I DATE / Dwelling Units
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 IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED.
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
-_,
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 PERFORMANCE OF CONSTRUCTION.
ENGINEERING DEPT
WATER DEPT.
/ / /'
SIGNATUlllt. 0,. CONTllU,CTO,t Oflt AUTttOllttlCD AG£NT (DA TC)
SIC.NAT llt[ 0,. OWN[III ,,. OWN[lll aulLOlt9') f0A.TCJ
I
of ) }
Occupancy
Group
No Of
Stories
1 I
I PERMIT FEE $ •
/
MICRO FILM FEE
Max.
0cc. Load
Use Fore Sprinklers
Zone ReQulred DYes 0No
OFFSTREET PARKING SPACES:
No. Covered
Required
Sq. Ft.
Received
!No. Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$ ________ _
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
--·----
FINAL ~ II/£_ :_/~ --
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
-------------------------
PLUMBING PERMIT APPLI CATION
City of CARLSBAD, CALIFORNIA 92008 n n J "1 J
A b d Phone 729 1181 pp 1cant to comp ete num ere spaces on y. -Permit No. ,I
JOB ADD .. r,s
fo)t, ( (\~) L C la11D ,._ -l.OT NO, , ... I T" ACT LEGAL I Lt rJJ) "u.:: 1 OtSC". / • I Cf _; .
OWN£" MAIL Aoo,u:.ss ~,. PHONE
2 ')
(-I'\(\,\ .\:.. , C _, l I .' ( I,. \.~L I\(.( l
CONTIIIACTOft I MAIL ADOlltE.55 PHON t STATE l.lC. NO. CITY l.lC. NO.
3 )
( I 'J ,ciul~ • 'f ,1 \ l ~ 11 ,, '. . ... I
AIIICHITCC'T O" OCSICNE.fll MAIL AOOR[SS PHON E LICtNSE. NO.
4
ENG INCEA ~ MAIL AOOR£S5 PHONE LICE.NS[ NO,
5 , ,, ' COMPENSATION INS. CARRIER MAI L ADDRESS l"ANC~
6 ..
USE o, BUit.DiNG
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTE RATION 0 RE PAIR
9 Describe work: ·" ,, fl <. l ..-1 I I{~ V • I o>
~
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET) s
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCH EN SINK & OISP
·' DISHWASH ER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOl'l ISSUANCE BY LAUNDRY TRAY
, J ,, I DATE
CLOTHES WASHER 1..1!~ /,'7 WATER HEATER
N OTICE URINAL
THIS PERMIT BECOMES NULL AND VOID I F WORK OR CONSTRUC DRINKING FOUNTAIN
TION 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· SLOP SI N K
MENCED. GAS SYSTEMS: NO.OU TLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO SE TRUE ANO CORRECT. WATER PIPING & TREATING EQU IP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
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 V IOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWE R NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
I ,, ROOF DRAI N S
51GNATUlt~ o, C¢)NTflACTOft OR AUTHO .. IZCO AGENT IDATCJ
ISSUANCE FEE $
SIGNATUJIU'. o, OWNE,-IIP' 0WNEA 8UILOEP) (OAT£) TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK . M.O.
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ' )/?;, 'I r71 bJ1'-Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. , JOB ADDRESS
I I "{ / \ ~ ~.., nJ L ~bA I)
LOT NO. 18LK, I TRA:T (QSEE ATTACHED SHEET) LEGAL l 1 DES CR. 1· 4 ......... i) lkr , -OWNER MAIL ADDRESS r ZIP PHONE
2 1-r L L \.JI\ I\) n) (,I, UJ l .
CONTRACTOR I MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 (},r/<... , ,.rt .t\ I ,J . f -.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENG !NEER MAIL ADDRESS PHONE LICENSE NO,
5 ll
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 . '
USE OF BUILDING
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ¥J ll t f .. )vvl ~I ' t•P. ((J (j
' ' .
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE s-tt"'
I
NEW CONSTRUCTION, FOR EACH
Al'f'LICATION Acce,no BY PLANS CHECKED eY APPROVED FOR ISSUANCE BY-AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
/1)--J DATE /.J/J. /1 NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
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 WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
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 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.
PER 100
't
SIGNATURE OF CONTRACTOR.OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE
TOTAL FEES
SIGNATL RE n nWNER I> OWNER BUILDER lDATEI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
IN4-DJ:C'"TOR
--JI FOR INSPECTION TIME:. ____ _ INSPECTOR PERMIT NO. _______ DATE, ~
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION:
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
'0-:J-,, I-A t, 0 PLENUM AND DUCTS -Pbm/P
0 COMBUSTION AIR !-/:j'j_
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D TUESDAY D WEDNESDAY O THURSDAY D FRIDAY
PECIAL INSTRUCTIONS~--------------------------
lUESTED BY ~ ~ PHONE Ncfj/; 5/.)..f
PERSON TAKING REPORT~
REQUEST FOR INSPECTION
INSPECTOR r~ PERMIT NO.
TIME: ______ _
DATE:
OWNER---------------------------------
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
D A.M.
O P.M.
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
jZ( ROUGH ELECTRIC h
r ~ POOL BONDING ~
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
D GRADING
0 DRIVEWAY
1!1J
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS---------------------------
REQUESTED BY ~ ~c .,. PHONE NO. :;..)/-Rt?',/
PERSON TAKING REPORT /~ l
TIME:, ______ _ REQUEST FOR INSPECTION
·~NSPEC.TOR ~~ "PERMIT NO. 7 tj, i-7 lo DATE/v Iv?! 9 7 '1 J
BUILDING
0 FOUNDATION
~ REINFORCING STEEL
D MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER 'A ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: DMONDAY
DA.M.
DP.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
~ POOL BONDING
,/ Cl ELECTRIC SERVICE
0 CEILING HEAT
OG.F.I.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
'""::) """'"' DTHURSDAY D FRIDAY
SPECIAL INSTRUCTIONS-------------------------~
REQUESTED BY~ PHONE NO.~? -(,?f/,1
PERSON TAKING REPORT ~
-.
·,
,
•
.,,~----.,,._-, __ ,-~---
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE: RECEIVED
BUILDING ADDRESS:
PLANNING DEPARTMENT
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED -----------
% COVERAGE ALLOWED _____________ PROVIDED-----------
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED ______ _
INTRUSIONS .
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ADDITIONAL
OK·TO ISSUE:
ENGINEERING DEPARTMENT 3'/o E
R.O.W. ll/A INDUSTRIAL
SEWER CONNECTION DRIVEWAl'\LOCATIONS ·
GRADING PERMIT _______ EASEMENTS J,J& ~<)._ -DRAINAGE ____ _
LEGAL DESCRIPTION--,----------~-----------------
ADDiTIONAL COMMENTS--------------'------------------
OK :ro issuEa>LDAT;JiL9-J'}7}wI_· ___ oK TO FINAL_;__ __ DATE ___ _
FIRE DEPARTMENT
SPRI!iKLING SYSTEM ___________ FIRE PROTECTION EQUIP·--------
FIRE ALARMS EXITS·----~---'----~-'--------
FI RE HYDRANTS LOCATION--------~---------
ADDITIONAL COMMENTS------'----------,----------------
OK TO ISSUE: _____ DATE. _______ OK TO FINAL. ______ DATE ___ _
WATER DEPARTMENT
t REQUIREMENTS OF"'APPROPRIATE DISTRICTS MET ________ DATE ________ _