HomeMy WebLinkAbout1011 DAISY AVE; ; 78-5597; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB ADDRESS
-LEGAL
1DESCR ATTACHED SHEET)
MAIL ADDRES
CONTRACTOR
o*-* 000/1 e
MAIL ADDRESS STATE L1C NO CITY LIC NO
ARCHITECT OR DESIGNER6 MAIL ADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
COMPENSATION INS CARR'ER..fl * - ~*"MAIL ADDRESS
USE OF BUILDING
8 Class of work D NEW "ADDITION D ALTERATION D REPAIR
9 Describe work lZ~/7 57
PERMIT FEES
SPECIAL CONDITIONS SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FpR 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 THISAPPLICATION 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 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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)ISSUANCE FEE
SIGNATURE OF OWNER (IF OWNER BUILDER)
TOTAL FEES
No Each Fee
j z
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
r~
DATE ITEM
INSPECTION REPORTS
REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP. ETC
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
4J|
JOB ADOR E$S
** **" * ''LOT NO
i LEGAL JJ&t
iDESCR /5?*5
OWNER ^
CONTRAC TOR
ARCHITECT OR^OE Srf^C N E R
ENG INEER
5
' X '!*T
?Sj*fr,<rk A
*Sfc* ~7#*.
.-
COMPENSATION fNS CARRIER
?£&? TRACT
MAIL ADDRESS ZIP PHONE
MAIL ADDRESS PHONE STATE LIC NO CITY LIC 'NO
MAIL ADDRESS " PHONE - LICENSE NO
MAIL ADDRESS PHONE LICENSE NO
MAIL ADDRESS BRANCH
USE OF BU 1 1 Dl NG
8 Class of work D NEW ^*A°ODITION D ALTERATION D REPAIR
9 Describe work -<r ' £/^ *3~-/J "Z-yT^f S/f^Z^
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY
h ?3'7/,i7
PLANSCHECKEDBY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF V
TION AUTHORIZED IS NOT COMMENCED WrCONSTRUCTION OR WORK IS SUSPENDED OF
PERIOD OF 120 DAYS AT ANY TIME AF
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ PAPPLICATION AND KNOW THE SAME TO BE •ALL PROVISIONS OF LAWS AND ORDINANCTYPE OF WORK WILL BE COMPLIED WITH \HEREIN OR NOT THE GRANTING OF APRESUME TO GIVE AUTHORITY TO VIOLA
PROVISIONS OF ANY OTHER STATE OR LOCP
CONSTRUCTION OR THE PERFORMANCE
SIGNATURE O-F CONTRACTOR OR AUTHORIZED AGENT
SIGNATURE OF OWNER (IF OWN ER BU ILDER)
APPROVED 5t>« 'SSUANCE BY
^ , /
DATE / .X/ **</// /T
S
WRK OR CONSTRUC
FHIN 120 DAYS OR IFABANDONED FOR A
TER WORK IS COM
ND EXAMINED THIS
FRUE AND CORRECT
ES GOVERNING THIS
WHETHER SPECIFIEDPERMIT DOES NOTTE OR CANCEL THEL LAW REGULATING
OF CONSTRUCTION
s&3rf'&&ts?
(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 Cl FAMOUS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
Sffo f/WTf
ISSUANCE FEE $
TOTAL FEES $
Fee
$
5
,^L
.2.
"-S
a
'c>
15
«: D
• < :>
(O
i D
' "D
!/V
t"X?
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
^
BUILDING ADDRESS: /O //
RECEIVED
DATE: OCT 19 197R
CiTY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
70NE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
PROVIDED_
PROVIDED
PROVIDED
SIDE SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ•
W //fADDITIONAL COMMENTS:/y ^7
OK TO DATE K TO FTNAL /J /ft DATE
ENGINEERING DEPARTMENT
R.O W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
LEGAL DESCRIPTION
DRIVEWAY LOCATIONS
EASEMENTS^Hu
^-T 1 3 '
DRAINAGE
ADDITIONAL COMMENTS_
OK TO DATE PWI OK TO FINAL /)/fl DATE
FIRE DEPARTMENT
SPPINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP
EXITS
LOCATION
OK TO ISSUE:DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE