HomeMy WebLinkAbout1015 FOXGLOVE VW; ; 79-1047; PermitMOo'EL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
A /" I t b d pp ,cant to comp e e num ere s space on y. Phone 729-1181 Perm t No I i,ll _,1!'\
JO& ADD ,-[$5 ASSESSOR'S
10~61. ~ C/ir t..>t>Al) PARCEL NUMBER
LOT NO, I ILK l T .... CT
BvvK ?AGE I PAR.
L tGl,L I ti 3-..;i tOstt ATTACHED SHCtT) 1 D£$CR.
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OWN [R M Ail. AODll':£5$ ~ ZIP P MONt
2 ; 611AD 7fttJnf/) 43,'" I _ 0X~Lo11t
CON T~AC TOIi':
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MA.I L AOORES.5 PMONt STATE LIC, NO. CITY LIC. NO.
3 .SJ rnou,ui SV I Ii 'I i -
A"-C~ITtCT OR OtSIGN(,. M A I L A OOA C.55 PMON E L ICENSE HO,
4
E.NG IN CE.Ill• MAIL AOOR[.55 PHONE LICCN$( NO.
5 ./ • .. \
COM?ENSATION INS. CARRIER M AI L A DO,-[ 5.5 &RA NCH
6
USE O F &UILDINC.
7 NO. BORMS NO. BATHS
8 Class of work: 0 NEW~DITION 9J ALTERATION 0 REPAIR 0MOVE 0 REMOVE
9 Describe work: ~. ( VuoL 7 10 (j
' \.~ __.,/
10 Change of use from
Change of use to 1
11 Valuation of work: $ r~ 77A/. /k I PERMIT FEE $
'J/1
PLAN CHECK FEE$
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const. Group
s,ze of Bldg. No. of Max.
(Total) Sq Ft Stories 0cc. L oad
Fire Use Fire Sprinklers
APPLICAT ION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone ReQuired 0Yes 0No
'!j,,,_;,/. ,, No. of OFFSTREET PARKING SPACES,
I Dwelling Units No. JNo. DATE DATE .,,, Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR E L ECTRICAL, PLU Ma-PLANNING DEPT.
ING. HEATIN G. VENTILATIN G OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NU LL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WIT H IN 120 DAYS.OR IF FIRE OEPT.
CONSTRUCT ION OR WORK IS SUSPEN DED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTH ER (Specify)
I H EREBY CERT IFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO COR RECT. AL L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTIN G OF A PERMIT DOES N OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR T H E PERFORMANCE OF CONSTRUCTION.
-,.,, . , .J .,--f L/,.J':f..
SIGNATUfU. o, tONTftA.CTO .. OR AUTHOlltltt.0 AC£NT . (DA Tt:r) "
~IGNAT fl[ 01" OWNtllt Cl,-OW!iER BVILDEft) OAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
I O.U ,0 TOTAL FEES$ ________ _
INSPECTOR
INSPECTION RECORD -DATE REMARKS INSPi:CTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL I~,,<, ·~
/
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
J
, 1 # ..
PLUMBING PERMIT APPLICATION
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 7 29-1181 Perm it No 7/ ·( () </:?
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JO& AOOIIIII [$5
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MAIL AODIIIE.55 II P PMONC
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. I ' ' ' //
. I L.[GAL 1 DESCft.
LOT NO.
I I
OWNEft
2
MA IL ADOIII tSS PHONE. STATE LIC. NO.
.?mOu11;I )}; .) I:, 'I "1 . . 3
A"CH(TttT OR OESIGNJ" MAIL ADDRESS
4
MAIL AODlll[S.5
<. I I.. "T
COMPENS'ATION fNS. CARRIER MAIL ADOIIESS
6 .
L •
USC o, !5UILDING
1
8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION
9 Describe work: 4)1 ,,., r),.,. .• / Y' ' -~ ,
SPECIAL CONDITIONS.
APPLl~IIT>ON ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
;./"/. F~
DATE ~ ..J.•v/" ~
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 AND KNOW THE SAME TO 61; TAUE AND 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.
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7 TDATEJ ' '
SIGNATUII\£ OP' OWNEIII: ll,. OWNC .. BUILDE,.I (OAT£)
PHONE LICCNS[ NO,
PHONt LICENSE NO,
0 REPAIR
PERMIT FEES
No. Type of Fixture or I tern
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
I WATER HEATER
URINAL
DRINKING FOUNTAIN
h,_, FLOOR-SINK OR DRAIN
SLOP SINK
I GAS SYSTEMS: NO. OUTLETS
•/ WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
/ VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK a. PIT
ROOF DRAINS
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
f
11.
CITY LIC, NO.
I ... . .
Fee
$
'
$
$ ... '
/ / ,U "
CASH
liiiiii ............. lliiiilililiiiiiiilll ________ .,... _________________ ,_..~~~~ --
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ' i/-/() YI Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDRESS . .
~/JY /:, {__ I j r~A/21 C hAI) , .. • , 1 .. . I p
LdT NO. ; I !LK. I TRACT r
LEGAL I -,c3_ <OsEE ATTACHED SHEET) 1 DES CR, II ~9
OWNER -MAIL ADDRESS ZIP PHONE
2 ~IAol) /#J AA·-~hi'v /-./ i' IF-\A\ ~ ,
CONTRACTOR ' MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC. NO.
3 ~\J 14v~I c.. r;~, l?Yh.(\/JJ1,1-I ~ _, '.,I///
ARCHITECT OR DESIGNER -MAIL ADDRESS. PHONE . LICENSE NO.
4
ENG INEER ~ MAIL ADDRESS PHONE LICENSE NO,
5 tJ 71/."T ..
COMPENSATION INS CARJER -MAIL ADDRESS BRANCH
6 . . . .. ~ ,---
USE OF BUILDING
7 '
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 11"11 ii n1,.-~I ~-??<-.() /h
T fl --,
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE f ' I ,
·-NEW CONSTRUCTION, FOR EACH
~LICATIOH-!,CCEnEo IY ,LANS CHECl(EO IV APPROIIEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER ----rp,1,,-,.,.,;,
DATE ' ~IJ'7 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
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 ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE!> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED Wl'TH 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.
I'\ / PER 100 ' ~ ,/j,., ( ?~~}_._ .
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ' ISSUANCE FEE 'I .J. , .•
TOTAL FEES ...-l•:r. ~1<;Na 'URE OF OWNER (IF OWNER BUILDER IDA.Tf:' , )
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
' ,P .,
V BUILDING
INTERDEPARTMENTAL INFORMATION SHEET
DEPAFTMENT DATE:
pu ILDING ADDRESS:
~ c:2</1 73-31
)
PLANNING DEPARTMENT
ZONE ____ )~e:1=--~~('--___ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED _______ ,__ _____ U_NITS PROVIDED __ -+---1._. ______ _
PARKING SPACES REQUIRED -----+-+-----PROVIDED_-+-1-+~+------,,.-----
--------~----% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN
ENVIRONMENT AL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSU
ENGINEERING DEPARTMENT
PROVIDED
REAR SETBACK:
AMOUNT:
R. 0. W. 56 .. ~;(Js7rlfA!. INDUSTRIAL WASTE IMPROVEMENTS --------
SEWER CONNECTION DRIVEWAY LO CATIONS ____________ _
GRADING PERMIT -EASEMENTS 11/'4 DRAINAGE -----
LEGAL DESCRIPTION S~n'Vlf/f/k:£~ #Jt...J..... .I? 3 ~r 73-3-,
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: l<J,v DATE '3-t?-1---r-f PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRit;KLING SYSTEM FIRE PROTECTION EQUIP·--------
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS __________ LOCATION __________________ ~
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _