HomeMy WebLinkAbout1123 CAMINO DEL SOL CIR; ; 79-1186; PermitMODEL NO.
Applicant to complete numbered spaces only.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 fc/i3/zy7^6 o/*fi..
Phone 729-1181 Permit NO.// f/ff-**
CON TRAC TOR
MAIL ADDRESS . __
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ADDRESS CITY LIC, KO-.
MAI 1_ ADDRESS LICENSE NO.
ENGINEER MAIL ADDRESS LICENSE NO.
MAIL ADDRESS
NO. BDRMS_NO. BATHS.9 fe ^.
8 Class of work: D NEW ^ADDITION ^ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work:<J LI
10 Change of use from >1<3D i/ e Ke c/
Change of use to
11 Valuation of work: $PLAN CHECK FEE $PERMIT FEE S
SPECIAL CONDITIONS:Type of
Const.
Occupancy
Group
MICRO FILM FE
Size of Bldg,
(Total} Sq. Ft.
No. of
Stories
Max.
Occ. Load
APPLICA«ON ACCEPTED 6V PLAN»T*eCKEO BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required Qye DNO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No.Covered Sq. Ft.No.Open
NOTICE
SEPARATE PERMITS 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 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 SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS 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.
Required Received Not Required
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
_
SIGNATURE IF OWNER BUILDER)1 /
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 $.
INSPECTION RECORD
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
DATE
1/Z7
REMARKS INSPECTOR
1tr*»Y
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. PnORG 729-1181 Permit
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OWNER
CONTRACTOR " /
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4
ENGINEER
5
COMPENSATION fNS. CARRIER
6 * /-$
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BLK TRACT
MAIL ADDRESS ZIP PHONE
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MAIL ADDBES5 PHONE STATE LIC. NO. CITY LIC. MO.
MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS BRANCH
USE OrtA/LDING »'' £; ^(L*
8 Class of work: D NEW ^ADDITION
9 Describe work: f) /
IA.JA tZ- i\ ^i*-V ^
h U
^ALTERATION D REPAIR
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SPECIAL CONDITIONS:
APPLICATIONV.CCEPTEDBY I PLANS CHECKED BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF V
TION AUTHORIZED IS NOT COMMENCED Wl
CONSTRUCTION OR WORK IS SUSPENDED OP
PERIOD OF 120 DAYS AT ANY TIME AF
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE REAO flAPPLICATION AND KNOW THE SAME TO BE 'ALL PROVISIONS OF LAWS AND ORDINANC
TYPE 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 LOCfl
CONSTRUCTION OR THE PERFORMANCE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
SISNATlJWt OF 8*VNEB*1F OWNER BUILlfEl } >~
jf
APPRrfv^Q^OR ISSUANCE BY.sf
CATVK ^—•y*— •"•-""'"v— ^^_
WORK ORCONSTRUC-
FHIN 120 DAYS, OR IF
ABANDONED FOR A
TER WORK IS COM-
ND EXAMINED THISHRUE AND CORRECT,
WHETHER SPECIFIED
TE OR CANCEL THE
OF CONSTRUCTION.
(DATE)
/// / -7<fi:*'*" '^* ^f*rf'tr IT r^- yrf TE!^ f /
PERMIT FEES
No.
/
/
/
/
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 EQUfP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUT^
CESSPOOL
SEPTIC TANK * PtT
ROOF DRAINS
f"L'.^^~4^f.^\^
{/ ISSUANCE FEE $
TOTAL FEES $
Fee
$
$
L>-ii
I/
'
***
•**
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM
^7/7?
REMARKS INSPECTOR
^^,
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 '*/lj/
Applicant to complete numbered spaces only.PhODG 729-1181 Permit No.
JOB ADDRESS
CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE HO.
MAIL ADDRESS LICENSE NO.
MAIL ADDRESS
OF BUILDING
8 Clnsofwork: D NEW ADDITION D ALTERATION D REPAIR
9 Dwcrtbe work:
f
SPECIAL CONDITIONS:
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No. Each Fm
APf LICATtON ACCEfTEO BY: PLANS CHECKED BY ISSUANCE BY
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
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 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 NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
knew SERVICE ON EXISTING BLDG.
VOR EA. AMPERE OF INCREASE
(N 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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)ISSUANCE FEE
TOTAL FEES...S16NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
REMARKS INSPECTORDATE
/ / /'SE SPACE B
ITEM
BELOW FOR NOTES, FOLLOW-UP, ETC.
INTERDEPARTMENTAL INFORMATION SHEEBUILDING DEPARTMENTBUILDING ADDRESS:DATE;PLANNING DEPARTMENTZONE CIT/ OF CARLSBADii^ DepartmentLOT SIZE LOT WIDTHUNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
n/)
PROVIDED
PROVIDED
PROVIDED
ALLOWED
PROVIDED
SIDE SETBACK:REAR SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION
SCHOOL FEE:
Q :
DISTRICT;AMOUNT
ADDITIONAL COMMENTS:
OK TO ISSUE:K TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS l RAINAGE
ADDITIONAL COMMENTS
OK TO ISSUE
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
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729-1181
CERTIFICATION
I certify that in the performance of the work for which this permit is issued I shall not
employ any person in any manner so as to become subject to the workers' compensation
laws of California.
If, after making this certificate, I become subject to the workers' compensation pro-
visions of the California Labor Code, I will forthwith comply with Section 3700 of the
Labor Code.
I understand that if I fail to comply with the workers' compensation laws, this permit
shall be deemed revoked.
I further certify that if I should contract or subcontract with any person, including any
firm or company, to do all or part of the work for which this permit is issued, I shall assure
compliance by that contractor or subcontractor with Section 3800 of the California Labor
Code.
SIGNED:
PRINT NAME AND TITLE: & t*J> A/
JOB ADDRESS: // 2. ^ (/^^ D-4 f S
DATED:
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