HomeMy WebLinkAbout1013 Foxglove Vw; ; 76-5455; Permit- -~
MODEL N0. ____ 5 ____ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
App/"c nttocompletenumberedspaces only Phone 729-1181 Permit No
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7b,-s'f 5'5 I a
Joe AOOA £55 ASSESSOR'S
,~ I.:> r ( { ( I ( -1.A. ( -PARCEL NUMBER
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l.Ol NO. I OL~ I TRACT'{ -39 BUOK PAGE I PAR,
LE CAL I 242 (0$tt ATTACH£0 SHttTI l OESCR.
OWN CA MAIL A00R[55 ZI p PHONE
2 PACIFZC DII ' .. { [:].dr 9 ~ 1 --~ ' ...
CON TRAC TOR MAIL ADDRESS PHONE STAT.E LIC, NO, C !TY Ll't,. N?.
3 ; .... , .& '
ARCMITECT OR OCSICNtR MAIi.. ADDRESS PHONE LICENSE NO,
4 ' l.Ol.O r....--92Tll .... 16 • 4 • ••
tNGIN([f\ MAIL AOO'ltSS PHONE LICENSE NO.
5
COMPENSAT ION INS. CARRIER MAIL AQO,t(SS ftAANCH
6 ~ ~o .. . • .. ... . . •
vst OF' 8 1Jl1..0ING
7 . I.: m.Y n.mr .F.TrG ·. or 4 .... I\ NO. BORMS NO. BATHS
8 Class of work: leJ NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE )/
9 Describe work: DD 1'l!ILY .---~a UI5.'H .--,>L"H ,t:llUl,ffn
A~ A p/= {/
tr tr/..} V n !I
lO Change of use from 1!::} Q/b L
V
Change of use to
ll Valuation of work: $ 11. ~.)) ( .. / 1 , ·-) PLAN CHECK FEE$ PERMIT FEE $
SPECIAL CONDITIONS: r MICRO FILM FEE
Type of Occupancy ~ Const -Group -.
s,ze of Btdg .; No. of l. Max.
(Total) SQ. Ft. . Stories 0cc. L oad -
Fire 3 Use Fire Sprinklers
APPLtCA TION ACCEPTED BY PLANS CHECKEO BY APPROVEO FOR ISSUANCE BY Zone Zone -Required 0Yes {JNo
No. of OFFST REET PARKING SPACES·
Owet11n9 Units No. .:_ l, ',) INo. -DAT E OATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECT R ICAL, PLUMB-PLANNING DEPT.
ING, HEATI NG, VEN TILATING O R AIR CONDI TIONING. H EA L TH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC·
T ION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT
CON STRUCTION OR WORK IS SUSPEN DED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM·
MENCEO. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORR ECT. ALL PROVISIONS OF LAWS ANO O RDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL B E COMPLIED WITH WHETHER SPECIFIED HEREIN OR N OT, 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 CONSTRUCT ION OR THE PERFORMANCE OF CONSTRUCTION.
-' '
SIGNATUlltC 0,. CONTAACTOllt Ollt AUTHOlltlZED .t.GtNT (DATE I
$1GNATUlltt 0,. OWNEf\ tlP' OWNUI 8UILOtllt) IDATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CASH
TOTAL FEES$ __ ..< ______ _
INSPECTOR
MECHANICAL PERMIT APPLICATIGN~tcr ~
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JO& AODfll ESS
LCGAL I t DUCA.
LOT NO.
. J-
I TRACT
',I ' I
2
OWNI;,.
I II tf /a,c_ 'ltt
MAIL AJ)O,-ESS
CONTfllACTOfll MAIL AOO,t[S5
3 1 t ( j.J
MAIL AOOACSS
4
CNCUNEEfll MAIL ADDlltESS
5
LENDCfll MAIL AOO,t[SS
6
USE 0" IUILDI NG
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION
9 Describe work: 1.!_ h; J / \: r I " 1/1Z U'
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED 8Y APPROVE O FOR ISSUANCE BY
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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO 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.
" I• I I
.SIGNATU"I: OP' CONT .. ACTOIII 011 AUTHOfllll.O AGENT CDAH)
Al1'H•&TUfU. OP' OWHl:l'I OP' OWNEIIII 8UILDCIII) (DAT[)
/ I 1c;::Jstt ATTACHED SHEETI
t:, ' "p . Pt,eONt
(' 1 ' ·t.
PHON t STATE LIC. NO,
( :J/,J 1 ' PHONE LIC[NSC NO.
PHONE LICENSE NO.
BfllANCH
0 REPAIR
Type of Fuel. Oil D Nat. Gas D LPG. D
PERMIT FEES
No. Type of Equipment
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. . M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heater~ B.T.U. M
Unit Hei.ters-B.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F .M .
Incinerator
; . 'J
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY LIC. NO.
-
Fee
$
f I I(_.
---I (~
s 3 oc
s : (t /,}(.
CASH
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181
JOB AOOJt ESS
/0/j • l O II f
LOT NO, I I LK I T"ACT LlGAL 1 ~ 'IL ti, /I G d4 1 DESC,., 1i <,
OWN(Jt MAI L A.00 .. ESS Zl P PMONE
2 ?11,1 f q I )
CON T"AC TO .. MAU. •ODAESS P~OM[ STATE LIC, NO, CITY LIC. NO,
3 ,,, k-; ¥J I 'd ' , ---AJtCMITECT OR DESIGNER , MAIL A00 .. £55 PMON [ LICENSE NO,
4 •
ENGINEER M A IL ADDRESS PM ONE LICENSE NO,
5
COMPENSATION (NS. CARRIER MAIL AD0A£S5 Bfl.6.NCM
6 I ·~
U.SE OF' 8UltOING
7 ) . ,,h
8 Class of work: CJ NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 0'1., ,; I /?iv'-b/;ur, , / / B/1 J t;
I ., '
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: . WATER CLOSET (TOILET) $
' BATHTUB I ' -LAVAT ORY (WASH BASIN) I J
SHOWER i i) . I KITCHEN SINK & D ISP ' ., J
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKE O BY APP'IOVEO FOR ISSUANCE BY LAUNDRY TRAY
I CL O THES WASHER I J
DATE WATER HEATER I ~ w
NOTICE URINAL
THIS PERMIT BECOMES N U L L AND VOID IF 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 ABANDONE D FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM-' SLOP SINK /.J l'i .A I !",J MENCED. I GAS SYSTEMS, NO.OUTLETS V I J I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION ANO KNOW THE SAME T O B E TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. A LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL T HE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT ION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS ;, . I
/? I) CESSPOOL , r\ SEPTIC TANK & PIT
ROOF DRAINS
S IGNATURE o, CONT,.ACTOfll OR ,-\JTHOfltZEO A.GENT (DATE I
I
ISSUANCE FEE $
'51GNATIJ,_-J or OWM£fll (JI" OWNCA BU ll.Dtft) (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
ELECTRICAL PERMIT APPLICAllQNr.~
Applicant to complete numbered spaces only
f ;}t,.fJ City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No
JOB ADDRESS
\/l.
LOT HO, I BLK. I TRACT ,OsEE ATTACHED SHEET) LEGAL I -1 DESCR, lnT~ ~
OWNER MAIL ADDRESS ZI P PHONE
2 •. ' "9•_ -c_ .. -..
CONTRACTOR MAIL ADDRESS PHONE
11::
STATE LIC. NO, CITY LIC, NO,
3 ·--m ~ ·lirl..C, • • -
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENG !NEER 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 : -_-.. & :---: ~. W:lrW -
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH lOC ~ 0)
AP,LICATION ACCEPTED IIY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, .21;
FUSE OR BREAKER
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NUL L ANO 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 AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO OROINANCE!> 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 INCLUO· 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 ,,
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE
TOTAL FEES ·= SIGNATURE nF nwNER IF OWNER BUILDER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o . CASH PERMIT VALIDATION CK, M,O. CASH
INSPECTOR
~·-"''
LOT d: V 2...._
-'-o 13 . E(/X,~du-(
BU ILDHlG ..
. l"OO'rINGS :-<.!ta·,. Jh9fl .. ?' ~_K'. ·.
yonNDl\'fION ~ ~ /. ;-( <:;" ) . .JI; 2/; 71 t;z-
REINFO RCED STEEL .
Mi\SONRY
FRl\..ME
I NSULi\TIOH
EXTER IOR LA'rH
IN 'l:ERIOR LA'I'H
PLUMBING
SEHER l\ND .PL/CO ~W~.nm-/J/,~
PLUM BING UNDERGROUND ·Jft/~ .
. COPPER
TO P OUT 4 /7 f fF>
ELECTRI CAL
UNDERGROUND
ROUGH
CEILING HEl\T
DON DING
MECHANICAL
DUCT & PLEM, REF. P1PING
BEi\T--1\IR
VENTILATING SYSTEMS . .
l?INl\L: ~4J~.t~d~. d1..J./.R'U-· _·.