HomeMy WebLinkAbout1030 Magnolia Ave; ; 77-6767; PermitMODEL 'NO •. ,.----------II
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocomplete numberedspacesonly Phone 729-1181 Permit No 7-l 7{7
J09 ADOR [SS ASSESSOR'S
/ -//. l,£._, PARCEL NUMBER -LOT NO, I I OLK I TRACT
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LtGAL I (0sec: ATTACHED 5HCC.T) 1 DtSCA,
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MAIL ADOAE55 11• o~~ PHONE. ,..
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CONTIIIACTOA t:,,,... M AIL AOOR[SS....,. PHONC STATE LIC, NO. CITY LIC. NO.
3
A.ACHITtCT 0,. 0£51GN£111 MAIL A0D111£SS PHOM[ L1C[N5C NO.
4
tHGIN££R M AIL A DDRESS PHON[ LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL AOOIIIESS llltANCH
6
US£ 0,. BUILDING
7 NO. BORMS NO. BATHS
8 Class of work: □NEW 0ADDITIDN 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: \('({ IA6, -+lt\'\ \ 1 IV fCl U) Lf J!stc, \'f5 hf<~Yec f\1 ~
-..J ' .
\
10 Change of use from
Change of use to J
11 Valuation of work: $ "(}· y "s 0 I PERMIT FEE s -~ -9 2 PLAN CH ECK FEE $
SPECIAL CONDITIONS· MICRO FILM FEE Type of ., N Occupancy / -Const. -Group ~I
Size of Bldg f2 No. or 2 Max -(Total) Sq. Ft Stories 0cc. Load
Fire use ..... , Fore Sprinklers
APPLICATION ACCEPTED av PLANS CHECKED SY APPROV[D FQR ISSUrCE :y Zone _. Zone Required 0Yes 0No
No. of :--: OFFSTREET PARKING SPACES:
OAfr.X (~! ·, Dwelling Units No. JNo. CATE Covered Sq, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMa-PLANNING DEPT.
ING, HEATING, VENTILATING OR AI R CONDITIONING ' HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED 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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL 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.
SIGNATUIIII. 0,. COHT,.ACTOJII Oft AUTHOJltlZED AG[NT (OATEJ
Vi . ,)
SIC.NATUIIIE Or' OWN[" I,. OWN[,. autLD(" OATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ _ _;:_I_~---•--_• __ -
INSPECTOR
REQUEiST FOR INSPECTION TIME: 'i-'tf.5
INSPECTOR ---r-v:ri • PERMIT NO. ______ DATE, ~'J-tr 1i
OWNER ___ \O~(l ...... /\C4,,1/c.....:...l•"""J2~__,~-~~.,_• ___________ _
ADDREss ____ ~j _o_;_,_u ___ u__~O::P\~.,,,_~--.... _D:~l __ l~-Gt=================
BUILDING ELECTRICAL
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
DRYWALL
~~\~
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
FINAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
~
0 PLENUM AND DUCTS
D COMBUSTION AIR
0 PATl9,
D ~N
(',, j6 GRADING V □ DRIVEWAY
D CONDITIONED AIR SYSTEMS
~NG
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY FRIDAY
REQUESTED BY 1) \ 0 PHONE NO. -1 d-q-tt/1tf
PERSON TAKING REPORT q,f '
..
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS
) M I/,
LOT HO. ,rLK, 1 TRACT (OSEE ATTACHED SHEET) LEGAL I 1 DESCR,
OWNER MAIL ADDRESS ZIP PHONE
2 -.. lh If ~ ~r/ M C. .h ...,.
CONTRACTOR MAIL ADDRESS ,, PHONE STATE LIC, NO. CITY LIC, NO,
3 -ARCHITECT OR OESIGNER MAIL ADDRESS ~HONE LICE NSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW qAOOITION 0 AL TE RATION 0 REPAIR
9 Describe work : ,-\ ~ J • ..,~ F,.,. ~ . /., ).. _j ..) ls-h ~ .J ,. •) "-i ,), l ,A -1l. ,
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
A""LICATION ACCEPTED IV PLANS CHECKED BY APPROIIED F,OR ISSVANCr BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
DATE )J()r/J/1 NEW SERVICE ON EXISTING BLDG.
NOTICE \... / \ t '
FOR EA. AMPERE OF INCREASE • 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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE a. MENCED. IN SERVICE, FOR EA. AMPERE OF -I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE !.;) APPLICATION ANO KNOW THE SAME TD BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN DR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INC LUO-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 -:
SIGNAT UR< OF OWN~~ (IF OWNER BUI DER 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
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
.108 ADDA [SS
(,., ,.
< ,. ·-LOT NO. / IILK lmCT L[GAL I 1 DtSC..
OWNE,-MAIL A0Dllt[55 Zl p PHONE
2 j I/ J;,,, (' f -It L ,.,.J6 / ¥,)
CONTJIACTOIIII M AIL A0O11tC5$ ,, PHON[ STATE LIC. NO. CITY LIC. NO.
3
AJIICHITCCT Ofll OCSICN£11t MA IL ADDAC5.S PHONC LICENSE NO.
4
[NGIN CC"-MAIL ADOIU.SS PHONE LICENSE NO.
5
COMPENSATION (NS. CARRIER MAIL ADOlltC$5 BIIIANCH
6
use Of' BUILOINC
7
8 Class of work: 0 NEW □ADDITION 0 ALTERATION 0 REPAIR
'
9 Describe work: .. ~ ,.J J f'<;, ·--~ t1 r-1'~ . "1, 1 ,,. .. ,;i,. IA VI ,J I~ , ...... /4 ,., ~ ~, -'"T . ,,,. I I "
PERMIT FEES
No. T ype of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $
I BATHTUB
, LAVATORY (WASH BASIN)
11 SHOWER
1 KITCHEN SINK & DISP .
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKE O B V APPJIOVE O FQJI ISSUANCE BY LAUNDRY TRAY
DATE ~Jdlf/11 CLOTHES WASHER
WATER HEATER
NOTICE ·" • .,,, f • • URINAL
THIS PERMIT BECOMES NULL 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 ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK
MENCED. GAS SYSTEMS: NO. OUTLETS ,I J I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS )
APPLICATION AND KNOW THE SAME TO 9E 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
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIONAT\JR[ o, CONTfltACTO,t OA AUTti.OlltlZCO AGtNT (OAT[)
ISSUANCE FEE $
l , ~ -~
Sl(;NATUlltt o, ow~c.-,, OWNCllt aUrLDENJ IDA~E) 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
INTERDEPARTMENTAL INFORMATION SHEET
,ILDING DEPARTMENT DATE ;RE CEIVED
BUILDING ADDRESS: /~J'O ~, I' II~\ 11977
~ ~~?lf~~s
PLANNING DEPARTMENT ~ 1 _,1 /?-3,
ZONE _________ LOT sfz'Y ~ 10T {IDTH_~{d;.,a:;....c....._ _____ _
UNI TS,. ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED z_ PROVIDED & ... ~ % COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED ----:::io.....i.---
PROVIDED __ _,___.....,___ __
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
,lDDI TIONAL
OK TO ISSU ________ DATE ____ _
ENGINEERING DEPARTMENT -t(-z. ~(77 ✓
R. 0. W. £~:st: INDUSTRI:i::::c;'J'E A.J/11 IMPROVEMENTS F.fT'iJ:.~~ •
SEWER CONNECTION ~1s+ DRIVEWAY LOCATIONS~.A),-=-1.Y:~:A~---------
GRADING PERMIT A/a..,& EASEMENTS P~e.-DRAINAGE A/#
LEGAL DESCRIPTION fo1e, C,f /31 G(~ &1 ~.-e& ol-lo~. AJh A~c~'7 ~
ADDITIONAL COMMENTS /.)~e,_.. ~
~
OK TO ISSUE: FA.JC DATE <f]-S--77 PWI ____ OK TO FINAL ____ DATE ___ _
•
FIRE DEPARTMENT
SPRi liKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
,ADDITIONAL COMMENTS ____________________________ _
.OK TO I SSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
•