HomeMy WebLinkAbout1014 Foxglove Vw; ; 76-5500; Permit,
MODEL 'NO. ____ ,_1_o_c __ _
BUILDING PERMIT APPLICATION -n :s
City of CARLSBAD, CALIFORNIA 92008
Applicantto complete numbered spaces only Phone 7 29-1181 Permit No
JOB AODR ESS ASSESSOR'S /01¥ ,I ( l ( LLt ( -PARCEL NUMBER • '-LOT NO,
,OLK · I TRACT
1
BOOK PAGE I PAR,
LECAL I 256 (nSEE •TTACHEO 5H( ET I 1 DESCR, 39
OWN[~ MAIL ADDR ESS ZIP PH0~4 E
2 ' . ·D ~co :co, 'lt { I !!!....:... m~ t .. 1 9~ .. ( ;,; .....,._.,'1r. • CON TRACTOR MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC. NO. 3 .t -. }, ' 1 J. ,I Ti
ARCMI TECT OR 0E$1GN[R M AIL A DDRESS PHON [ LIC[NSE NO.
4 , l.010 m:rrth mu ~ 6 ( -,( j ' .. '. ' ,....-•{ . ,
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[NGIN EEi\ MAIL A OOR [SS PMON [ LtC[NSE NO.
5
COMPENSATION INS. CARRIER MAIL AOOAESS &~ANCH
6 J.1 •.• ~·.·1:,, I ---,A1.t7'nn'
I., • .;.. -(,
US£ 0 ,-8UILOINC
7 .,.. ( .. l : .Mit:l rn;my JI~ NO. BORMS j O!" h NO. BATHS () ...
8 Class of work: Ef"NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE ~ i .:...--o:-;·~-l! ~''-'.'l"•.'i ,,,.Jr'T.:1 ft,u. · i,..r."IAl'U'T." l".J\Dt., ~ii: /) 0 ?. __ v1v (" 9 Describe work:
V ~ ~/ -, 1\
10 Change of use from ·~
Change of use to
11 Valuation of work: $ 'Ir I (/1// J</:) I // -PLAN CHECK FEE$ PERMIT FEE s :t"
SPECIAL CONDITIONS: MICRO FILM FEE Type of V. Occupancy 1.-J -Const Group
Sile of Bldg. l ') N o. of 1 Ma><.
(Total) Sq. Ft. Stories 0cc. Load -·
Fire 3 Use -1 Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECl<ED av APPROVED FOR ISSUANCE BY Zone Zone Required DYes ~o
No. of OFFSTREET PARKING SPACES·
Dwelling Units l No. .: I \) J No. -DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTH ORIZED 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 AND CORRECT. A LL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. 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 C
51GNATUIIC or CONT .. ACTOIII OA AUTHOflllZEO AGENT (O•TEI
SI GNATUII[ or OWNEA-i1r OWNEIII BUIL OEIII) (OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
_/ •./., l
TOTAL FEES $ __ .7 _ _..:_/_ ·----
INSPECTOR
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. -t Permit No. .,,. .~, ,.. Phone 729 1181
JOB ADOII ESS . , vt1//1 ( //
LOT NO. .I I BLK I TRACT • l/-r (~Sit ATTACHED SHEETI LEGAL I j. g l 1 ocsc•. / } y ....-, -J ' ,,...
OWHEft
1!1VLI
MAIL AODl'tES5 ( (-l l~ PHONE /('µc_ 1 I/
,
2 t '{_))l< I
..
CON T,-AC TO .. MA IL ADDRESS . PHON[. STATE LIC. NO • CITY LIC. NO.
3 ; .. ,(/({'<1 f l ' ( .. -:/ J'/ I ,.,,,
A,tCHITCCT 011 Dt.SIGN[ft MAIL ADDRESS 0 PHONE LICENSE NO.
4
lHGI N[t. .. MAIL AOD,.ESS PHONE LICENSE NO,
5
LEHOEl'I M•IL AOO,.ESS 8 .. ANCH
6
use o, BUILDING
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: \ n. •. v 11U I 1£ ( ./ }l. f,) -tf
Type of Fuel: Oil D Nat. Gas D LPG. 0
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 . J
j Forced Air Systems-8.T.U. M Ea. "( <u
APPLICA TtON ACCEPTE O BY PLANS CHE CKE OBY APPROVED FOR ISSUANCE BY Gravity Systems-8 .T.U. M Ea.
Floor Furnaces-8.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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS 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 .HJ PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
\ j 1 \ I I 7Y I , I
} • SIGNATU"~ OP' CONT!IIACTOII 0111 AUTHOII IZl.0 AGI.NT (OATCI
ISSUANCE FEE s :) • (. I
AIGNA.T Jlr: OP' OWN&" IP' OWHI." 8UI\.D[II) (DAT[J TOTAL FEES s I (.,, Ul
WHEN PROPERLY VALIDATED ON THIS SPACEI 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
A b d Phone 729 1181 P ·t N pp ,cant to comp ete num ere spaces on v. . erm1 o. ... ~ . .,., t • " JO& ADD" CSS
'i-./J
, /(} I 'I ' V
LOT NO, I BLK I T~AC T LCOAL I .. ! 5l. } 1 CESC~. ;.I ,tJ A. L, ,( II,
OWN£R MAI L A.DDJICSS 21 p PHONC 2 d J, 1( I j f, .;/ ..., cl '
CON T .. AC TOA M.AIL. AD0Atss PHON [ STATE LIC. NO, C ITV L IC, NO. 3 ..,,... l
~# i'j} ' ti!"¥ --AIIICHI TCCT OR DESIGNER MAIL AODRE!SS PHONE L IC CNS[ NO, 4
£NGIN CEA MAIL AOOAE5S PHONE LIC[NSC HO. 5
COMPENSATION (NS. CARRIER MAIL •0011css &RANCH
6 •
USE or BUil.DiNG
7 /)~ ~II
8 Class of work: O NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ut I I f 1.Q,' ; l~ C.,1'· ,,,~,,
,F
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS· WATER CLOSET (TOILET) $
f BATHTUB ..
LAVATORY (WASH BASIN) -I SHOWER I
I . K ITCHEN SINK & DISP. u
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR •SSUANCE ev LAUNDRY TRAY I
CLOTHES WASHER I I
DATE , WATER HEATER I
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR I F FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-! SL01>'SINK ' .n , I J MENCED. GAS SYSTEMS NO. OUTLETS (. ,; . I ' I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL 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 THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS i{.. )
/.·> ;J CESSPOOL
SEPTIC TANK & PIT
F }j i ROOF DRAINS
StGNATU,t[. 0,. CONTIIIACTOf\. 0A AUTHOIIIIZEO AGENT (DA. TEI
I SSUANCE FEE $
51GN ... TU 111£ o, OWNC,t 1, OWNtR IUILDCRJ (OAT[) TOTAL FEES $ ... ... ,
WHEN PROPERfrY 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. one -Permit No. ~--~ .. "'6 I·; .. Ph 729 1181
JOB ADDRESS
~o
LOT NO, l BLK, I TRACT <OsEE ATTACHED SHEET) LEGAL I 1 DESCR, -;
OWNER ~ MAIL ADDRESS ZIP PHONE ----· --2 ~.-09
____ .,_...,,~ ...
CONTRACTOR MAil,. ADDRESS PHONE 1 STATE LIC, NO, . CITY LIC, NO.
3 ..
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
-. "h 1r. 9 Describe work: ,. -
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH, 00 .as 25 ......
AP'LICATION ACCEPTEO BY PLANS CHECKED 8Y APPROVED FOR ISSUANCE BY FUSE OR BREAKER
DAT E 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·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
OR BREAKER
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 AND CORRECT. ALL PROVISIONS OF LAWS AND 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
L.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE
TOTAL FEES ~ c;.HH-'ATURE nF WN•R IF OWNER sun DER 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
·• .• · .:.;.:__ · /o I fl · --~-. ,,.. ·F~~~
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-... ... -·--
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•
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t r BUILDING ·
FOOTINGS_~~-· ·!.:/z.'::J.'..:;..!.~
FOUNDATION ---· ·-'---·
Nl\SONRY
INTERIOR Li\TH & DRYHJ\LL · .. ·-------
PLU~ll3ING ·. ",/}, 'x/i7 i)_,
SEHER AND PL/CO ~~---
PLut,!BING mmERGROUND,#£' -
COPPER
TOP OUT ~ZJ ~2-~ 02 ' .·,
TUB. AND SHOWER _:., '.c? / ' .--, < , '
ELECTRICAL
UNDERGROUND '
CEILING HEAT
BONDI~IG
MECHANICAL I i,
'
DUCT & PI;E!4, REF. PIPING
IIEi\T--AIR
VENTILATING SYS'fEMS • .
FINAL :~·4?tfr!:t..;._. -.... -1-r/r~1hr'--· . _