HomeMy WebLinkAbout1011 Foxglove Vw; ; 76-5599; PermitMODEL -NO.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ..
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
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ZIP PHON[
ASSESSOR'S
PARCEL NUMBER
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PAR.
CONTRA.( TOR MAIL AOOIIIESS PMON [ STATE L IC. NO. CITY LIC, NO.
3
ARCHIT[CT OR OE.SIGNCR MAIL ADOR[.$5
4 • 1010 B l •• .. it
ENGIN££R MAIL AOOA£55
5
COMPENSATION INS. CARRI ER MAIL AOOIU::ss
6 • • • -, .. .. ~ . • ., LES
US[ or BUILDING
1
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION
9 Describe work: SI1IO
10 Change of use from
Change of use to
11 Valuation of work: $
SPECIAL CON D ITIONS: r
APPLICATION ACCEPTED BY PLANS CHECKEO ev APPROVEO FOR ISSUANCE BY
DATE DATE
... '· ......
PHONE L ICtNSC NO.
··,-16
LICENSE NO.
BIU,N CH
NO. BORMS or ii NO. BATHS
0 REPAIR 0 MOVE 0 REMOVE //
GE
PLAN CHECK FEE $
Type of
Const.
Size of Bldg.
(Total) Sq Ft
Fire
z one
N o. of
Dwelling un,ts
-
~~
3
I I I PERMIT FEE $
Occupancy --:s Group -MICRO FILM FEE
No. of l Max.
Stories 0cc. Load -
Use -l Fire Sprinklers
Zone Requ,rcd DY es
OFFSTREET PARKING SPACES:
No. ' , ._.' !No. .... Covered SQ. Ft. Open
·E1No
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUI RED FOR ELECTRICAL, PLUMB
ING, HEATING, VENTILATING OR AIR CONDITIONI NG.
THIS PERMIT BECOMES NULL AND VOI D IF WORK OR CONSTRUC-
T ION 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.
/
51GNATU"C Or CONTftACTOlll O R AUTHOIIIZEO AGENT !DATE)
SIGNATuf'[ 0,-OWNER flf' OWN[,. llUILD[flt) (OAT ()
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
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
11
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ,-4' I
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOI ADD" [.5$
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LOT NO. ;J I 8LK I TRACT / J qscc. ATTACHED SHE.CT) L[GAL I ~I',; ./'I'~/:~( 1 D[SCII, . < 1.l .
OWN(III
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MAIL AOO"t: . .SS ZIP PHONE
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CON T"AC TOllt MAI L ADOlltE.SS , -PHONE STATE LIC. NO. CITY LIC. NO.
3 (/ Ul!i ti I: /1 I ~ 4, II' (J /,., '1 --"
AIIICHIT£CT Ofll DE51GN£Pll MAIL AOOIIIESS I PHON [ LICENSE NO.
4
lNC:IN[[III MAIL AOOAE.55 PM ONE LICENSE NO,
5
LENCI.Ill MA.IL 400111:ESS BIHNCH
6
usr: o, IUILOINC.
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: l 1, 1 (/, l ( .I ~ -r,-/ •" 1 ,.' I r .I-,
tr
Type of Fuel: Oil D Nat. Gas 0 LPG. 0
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Un,ts-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. I
APPLICATION ACCEPTEO BY PLANS CHECKEO BY APPROVE O FOR ISSUANCE BY 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 AND VOID IF WORK OR CONSTRUC· Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT d PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE {
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
"
I t ,. I d l \ )
.SIGNATUfllE 0,-CONTIIIACTOfl O" AUTHOIIIIZ"~D AGENT (DAT£)
ISSUANCE FEE s -
., ..... T "' 0,-OWN'fl ·~ OWN[fl autLDl.fll DATE. TOTAL FEES $
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 APPLICATION
City of CARLSBAD, CALIFORNIA 92008 .. ~ ..-"'A1.trn.Q5d t:JJ
Applicant to complete numbered spaces only Phone 7 29-1 181 Permit No 7 (tJ f£J f
JOB AOOR £1.S
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LOT HO, , ... I T•ACT 'f ,v, J ti', LH 4L I ''1 J !/NAKZ.( II 1 DESC •.
OWNtllll /} MAIL A001111£SS t tP P HOM[
2 1ttf11 4 ..> , J}1r
CONTlltACTOIIII /' i;y MA il. A.001111£5$ PHON [ STATE LIC. NO. CITY LIC, NO,
3 I 7/ ) r
AACHITtCT OA Ot51GNCR MAIL AODRE5S PHON E LICENS[ NO,
4
ENGINE[IIII M AIL AOOIIIIESS PHONE L ICENSE NO,
5
COMPENSATION (NS. CARRIER MAIL ,4.00IIIIESS 8 1'1ANCH
6 ) Ill<
USE 0 ,-&Vi l.DING /) pf/ 7
8 Class of work: D NEW 0 ADDITION 0 ALTERATION 0 REPA IR
9 Describe work : .,
' .. /ti""'· 6, •• ~ "~ ~ I, /-1-1.1 l'jt , r
PERMIT FEES
No. T ype of Fixture or Item Fee
SPECIAL CONDITIONS. WATER C LOSET (TO ILET ) $
BA THTUB
J L AVATORY (WASH BA SIN)
SHOWER
I KITCH EN SIN K & DISP. i \
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY , CL OTHES WASHER J
OATE WA TER H EATER J
NOTICE URINAL
THIS PERM IT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINK IN G FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK O R D RAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-' St:OP SINK /_,),Ii ,,., l ' MEN CED. J GAS SYSTEM S, NO.OUTL ET S ..... J I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLI CATION ANO KNOW T HE SAME TO BE TRU E ANO CORRECT WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI ED W ASTE IN TERCEPTOR 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 REGULATI NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYST EM
SEWE R NUMBER CLEANOUT S I!
f) I CESSPOOL
1, ~ '\ SEPTI C TANK & PIT
"' ROOF DR AINS -SIGNATURE 0,. CONTAACTOlt OA. AUTM09'11.ED AGENT IOATE I
ISSUANCE FEE $ ;
SIGN.A TUfll:[ 01' OWN[" r"1,. OWN[III autLOEA) (OAT[) TOTAL FEES $ ) -· 1
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 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 --.,. \,
JOB ADDRESS r.. . -... •" I"'
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LOT NO. I BLK. I TRACT <OsEE ATTACHEO SHEET) LEGAL I 1 OESCR. .,~ ....
OWNER MAIL ADDRESS ZIP PHONE
2 :.rd n..-c ,r: ~ "" ~
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC, NO.
3 ~( --· -Ave 5 -
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 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: --~" ..... ""' !rhlg ... . ----
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
100 .es 25 NEW CONSTRUCTION, FOR EACH 'V\:
APPLICATION ACCEPTED BY 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 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
INCREASE
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
I
.L'
SIGNATURE OF' CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE
TOTAL FEES f!l SIGNATURE OF' OWNER (IF' OWNER BUILDER) OATF'
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Lo·r · ~Y-3 ... •
r.
FOUND.i'\TION
REINFO RCED STEEL
Ml\SONHY
GUNI'rE OR 'GROUT
INSULATION
EXTERIOR
INTERIOR
PLUMBING
. COPPER
TOP OUT JI! /1?@
TUB l\ND SHOlvER <h l /7f' fD >
GAS TEST a' !1 I 7? _t(D
~~.
ELECTRICAL
· UNDERGROUND
ROUGH
CE ILING HEAT
DON DING
MECHANICAL
..
pc~T & PLEM, REF . P1PING
JIEZ\T--AIR
VENTILATING SYSTEMS
PINAL:~-~