HomeMy WebLinkAbout1022 DAISY AVE; ; 79-1471; PermitMODEL NO
*Applicant to complete numbered spaces only
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
78. Of) BP
Permit No
JOB ADDR CSS ASSESSOR SPARCEL, NUMBER
.LEGAL
IDCSCft
(Q^]SEE ATTACHED SHEET)
MAIL ADDRESS
CONTHACTOII MAIL ADDRESS STATE LIC NO CITY LIC HO
ARCHITECT "OK DESIGNED MAIL ADDRESS LICENSE NO
LICENSE NO
COMPENSATION.INS CARRIER MAIL ADDRESS
6
USE OF BUI LOING
NO BDRMS_NO BATHS.
8 Class of work D NEW LtftDDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work
10 Change of use from
Change of use to
11 Valuation of work $PLAN CHECK FEE PERMIT FEE $(TV
SPECIAL CONDITIONS Type of
Const
Occupancy
Group
4ICRO FILM FEE
Size of Bldg
(Total) Sq Ft
No of
Stories
Max
Occ Load
APPLICATION ACCEPTED BY PLANS CHECKED BY
DATE
ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required Dves DNO
No of
Dwelling Units
OFFSTREET PARKING SPACES
No INo
Covered Sq Ft Open
NOTICE
SEPARATE PMMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING HEATING, VENTILATING OR AIR CONDITIONING
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 THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
Special Approvals
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
SIGNATURE OF OWNEK (IF OWNEH 8UILDEB)
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH
TOTAL FEES $
INSPECTION RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE
*V^.
REMARKS INSPECTOR
V * v
VvV
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
BP
PLUMBING PERMIT APPLICATION
Qty of CARLSBAD, CALIFORNIA 92008
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ARCHITECT OR DESICNER > '
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8 Class of work D NEW D ADDITION
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MAIL ADDRESS f , ZIP — ' ' PHONE
MAIL ADORES% ^PHONE STATE LIC NO CITY LIC NO
MAIL ADDRESS PHONE LICENSE NO
MAIL ADDRESS PHONE LICENSE NO
MAIL ADDRESS SRANCH
D ALTERATION D REPAIR
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SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKED BY
f
V- ^- 7 ? ^ ' NOTICE
THIS PERMIT BECOMES NULL AND VOID IF V
TION AUTHORIZED IS NOT COMMENCED Wf
CONSTRUCTION OR WORK IS SUSPENDED OP
PERIOD OF 120 DAYS AT ANY TIME AF
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ ftAPPLICATION AND KNOW THE SAME TO 3E 'ALL PROVISIONS OF LAWS AND ORDINANCTYPE OF WORK WILL BE COMPLIED WITH \
HEREIN OR NOT, THE GRANTING OF A
PRESUME TO GIVE AUTHORITY TO VIOLA
PROVISIONS OF ANY OTHER STATE OR LOCICONSTRUCTION OR THE PERFORMANCE
sieiOffuRi or comC£|^•^^™
SIGNATURE OF OWNER [IF
|j*«E*0'TJia»IIEb ACENT•^c/
OWNER BUILDER)
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APPRO^MWt ISSUANCE BY
WORK OR CONSTRUCCHIN 120DAYS.OR IF
ABANDONED FOR A
TER WORK IS COM
iND EXAMINED THIS
FRUE AND CORRECTES GOVERNING THIS(VHETHER SPECIFIEDPERMIT DOES NOT
TE OR CANCEL THE
iL LAW REGULATINGOF CONSTRUCTION
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(DATE!
PERMIT FEES
No
/
f
/
/
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE $
TOTAL FEES $
Fee
$
3
^
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3
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* & \
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
/.'.!.'
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 <~
Applicant to complete numbered spaces only Phone 729-1181 pgrmirNn / ^ / c
JOB ADDRESS
io A
.LEGAL
1 DESCR
OWNER
2 (V
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j£? "h/yt)
CONMACTfiR
ARCHITECT OR DESIGNER
4
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PK
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ENGINEER
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CATION INS CARRIER
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MAIL
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ADDRESS } ZIP PHONE
MAIL ADDRESS "" ffHONE "~ STATE LIC NO cTrY LIC NO
"j> R Ci / r / / ft n D u /i 7t 2%1-L v// yvtf / 7 ^ ;-?^</£
MAIL
MAIL
MAIL
ADDRESS PHONE LICENSE NO
ADDRESS PHONE LICENSE NO
ADDRESS BRANCH
USE OF BUILDING
7 , s ; /?
8 Classofwork D NEW ^ADDITION D ALTERATION D REPAIR
9 Describe work 1 ' -4 *' - \ • ) ~~) ' '/ •/
/
SPECIAL CONDITIONS *
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOySSUANCE BY
*S '•!- 'f 1 <U NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK
TION AUTHORIZED IS NOT COMMENCED WITHIN 1
CONSTRUCTION OR WORK IS SUSPENDED OR ABA
PERIOD OF 120 DAYS AT ANY TIME AFTER
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND E
APPLICATION AND KNOW THE SAME TO BE TRUEALL PROVISIONS OF LAWS AND ORDINANCES GCTYPE OF WORK WILL BE COMPLIED WITH WHETHEREIN OR NOT, THE GRANTING OF A PERKPRESUME TO GIVE AUTHORITY TO VIOLATE OPROVISIONS OF ANY OTHER STATE OR LOCAL LAI
CONSTRUCTION OR THE PERFORMANCE OF C
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SIGNATU
"
IE OF OWNER (IF OWNER BUILDER)
OR CONSTRUC
20DAYS.OR IF
MOONED FOR A
WORK IS COM
XAMINED THIS
AND CORRECTJVERNING THISHER SPECIFIED/IIT DOES NOTR CANCEL THEN REGULATING
ONSTRUCTION
./?/<,
'/DATE/
(DATE)
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
€
Q.
*7,
* i
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tf A
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.MO CASH PERMIT VALIDATION CK MO CASH
* *.
INSPECTOR
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE
BUILDING ADDRESS:
S APR i) -
IT
PLANNING DEPARTMENT CSTY OP CARLSBAD— .-..y Department
70NE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
! BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEE: DISTRICT:AMOUNT:
ADDITIONAL COMMENTS:
A.
OK TO ISSUE:DATE 4~'?-OK TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS,
EASEMENTSTu^x^ L^f-DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTSn ,'
OK TO ISSUED DATE PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPPINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP.
EXITS
LOCATION
OK TO ISSUE:DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE