HomeMy WebLinkAbout1020 DAISY AVE; ; 76-2491; PermitMODEL NO 510
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 "Pern it No ^y
JOB ADDR E5 S
f . i y * -"2=>' i y "-. J j£^=s==:
LOT NO
LEGAL — .O**
1 DE5CR 2O|
/ ' ' /
'-» »•;•£:> "-i "— -n^' -/ ^
B L K / TRACT jf
73-39
/^} ' ASSESSOR S
/ BOOK PAGE PAR
O'ANER MAILADDRESS ZIP PHONE
2 S2AIIMBD PACIFIC OF SAH DIBGO, 9&g 7<>70 CMIRSaDSa? MBSA» SAB BXBGQ 92111 2T9-50U2
CON TRAC TOR MAIL ADDRESS PHONE STATE LIC NO CITY LIC NO
29^215 10^77
4 ESSKUS (SOUP. 1010 HQE2B I3MB S3?., S622A ARIL 92711 835-Q6l6
ENGINEER
5
MAILADDRESS PHONE LICENSE. NO
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 GFS SESVICE COEPOaKPIOB, tOS MffiSLES
__ f»irTT\r Q —^ J| /I A
* £JiciJGijtii* P f V? tX ffiVy ^WJliUJUjL&lCr M/-I ono P,,IC- *** AT* it•-" — — — r - NUBUNMo NUBA T/nS
8 Class of work L?NEW D
9 Describe work SIEGSE
10 Change of use from
ADDITION D ALTERATION D REPAIR D MOVE D REMOVE j ./j
FAMILY DHErXISG tfTTH AS7TACHE5 G&MGE /jljjf ^, ^(/ ^ A
M ^
I ^
Change of use to
11 Valuation of work $ '/ ' <V" '-/* /
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE D F OR ISSUANCE BY
DATE DATE
NOTICE
SEPARATE PERMITS ARE REQUlf
ING HEATING VENTILATING OR >
THIS PERMIT BECOMES NULL AN[
TION AUTHORIZED IS NOT COMM
CONSTRUCTION OR WORK IS SUSF
PERIOD OF 120 DAYS AT ANY
MENCED
1 HEREBY CERTIFY THAT 1 HAVAPPLICATION AND KNOW THE SAALL PROVISIONS OF LAWS AND CTYPE OF WORK WILL BE COMPLIHEREIN OR NOT, THE GRANTIPRESUME TO GIVE AUTHORITY
PROVISIONS OF ANY OTHER STATCONSTRUCTION OR THE PERFO
1ED FOR ELECTRICAL, PLUMB
MR CONDITIONING
3 VOID IF WORK OR CONSTRUC
ENCED WITHIN 120 DAYS OR IF
'ENDED OR ABANDONED FOR A
TIME AFTER WORK IS COM
E READ AND EXAMINED THIS
ME TO BE TRUE AND CORRECT
3RDINANCES GOVERNING THIS
ED WITH WHETHER SPECIFIED
VJG OF A PERMIT DOES NOT
TO VIOLATE OR CANCEL THE
E OR LOCAL LAW REGULATING
RMANCE OF CONSTRUCTION
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
PLAN CHECK FEE $ jf" J ~*^PERMIT FEE S f s~
MICRO FILM FEE
Type of V«"H Occupancy TT
Const * Group W
Size of Bldg l/jl.2 No of 1 Max
(Total) Sq Ft •**•*•*< stories *" Occ Load
Fire ^ Use n ^ r7'1^ Sprinklers v
Zone •* Zone «-«i Required GYBS HNO
OFFSTREETNo of ^ /j
Dwelling Units C° d
Special Approvals Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
PARKING SPACESk6Q NOSq Ft Open
Received Not Required
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
TOTAL FEES $.
INSPECTOR
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applican t to complete numbered spaces only P n OII6 729-1181 Permit No
LEGALDESCR ATTACHED SHEET)
OWNER'MAIL ADDRESS
XCONTRAC TOR MAIL ADDRESS ,'STATE LIC NO CITY LIC NO
^ARCHITECT OR DESIGNER
4
MAIL ADDRESS LICENSE NO
ENGINEER MAIL ADDRESS LICENSE NO
MAIL ADDRESS
USE 0 F BUI LDI N G
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work
Type of Fuel Oil D Nat Gas D LPG D
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
Forced Air Systems-B T U ..i"O f'~'s M Ea
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems—B T U M Ea
Floor Furnaces—B T U M
Wall Heateri-B T U M
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 COMMENCED
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION 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 THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
Unit Heaters-B T U M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C F M
Incinerator
t/f
)(J
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
ISSUANCE FEE
SIGNATURE OF OWNER (IF OWNER BUILDER)(DATE)TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
PLUMBING PERMIT APPLICATIQH
' City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PhORG 729-1181 - Permit No
i---•''0^3*'*
JOS AODR ESS
fa 1 0 '
LEGAL
DESCR
S f>) f4'i sift. (J $\ '*. iJf <•
MAIL ADDRESS
V (3
CONTRAC TOR MAfu ADDRESS STATE LIC NO CITY LIC NO
///57>
MAIL ADDRESS LICENSE NO
LICENSE NO
COMPENSATION fNS CARRIER -IAIL ADDRESS
USE OF BUILDING
/) t,/./ifiif
8 Class of work D ADDITION D ALTERATION D REPAIR
PERMIT FEES
No Type of Fixture or Item Fee
SPECIAL CONDITIONS 2,WATER CLOSET (TOILET)
BATHTUB
3 LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECK.E 0 BY APPROVED 'OR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
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 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 THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING,CONS.T,R4JGT4QN?-.OR .-,T,HE"-PERFORMANCE -iOF^CONSTRUCTION":?
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
StOP-SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
":,3:./~^>, -NUMBER' CLEAN^UTS »''
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
ISSUANCE FEE
SIGNATURE OF OWNER (IF OWNER BUILDER)(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 APPLICATION
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008', .,, ..
: PermitPhone 729-1181
JOB ADDRESS
LEGAL
IDESCR ATTACHED SHEET)
MAIL ADDRESS
e? See SSSGO
ZIP PHONESssi 3Jego 92m
CONTRACTOR
I £a&3g>
MAIL ADDRESS STATE LIC, NO CITY LIC NO
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER
6 €23 P
MAIL ADDRESS
USE OF BUILDING
^ S
8 Class of work IfNEW D ADDITION D ALTERATION D REPAIR
9 Describe work £j
SPECIAL CONDITIONS
APPLICATION ACCEPTED BV CLANS CHECKED BY APPROVED 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 APERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED
I HEREBY CERTIFY THAT I HAVE RE:AD 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 SPECIFIEDHEREIN 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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER)(PATE)
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
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
ISSUANCE FEE
TOTAL FEES
No Each Fee
cc
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
BUILDING
OUTING S
FOUNDATION
REINFORCED STEEL
MASONRY
Gm3irnoR GROUT
EXTERIOR LATH
INTERIOR LATH __S DRYWALL
PLUMBING
SEWER AND PL/CO
PLUMPING UNDERGROUND l///t/f/)
COPPER "^
ELECTRICAL
UNDERGROUND
CEILING HE A1
BONDING
TUB AMD SH017ER
MECHANICAL
DUCT & PLEM, RCF.
HEAT — AIR
VENTILATING SYSTEMS
FINAL:,