HomeMy WebLinkAbout1706 EVERGREEN CIR; ; 1978; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No JOB ADDRESS ,
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, LYer 4 ree /l C.11 (7 l= I LOT NO, ..; I BLK. I TRACT l LEGAL "'? <OsEE ATTACHED SHEET! DESCR. -
OWNER MAIL ADDRESS . ZIP PHONE
2 /'l_, 77. ;fAr" /?C'r £"l·2/c,/een (l /I(' ·-~ 1l.O-.; -,-.?.-~/. 7 I -' /, ··' ... CONTRACTOR ., MAIL A_DORESS PHO) STATE LIC, NO. CITY LIC, NO, 3 ~ ,#'' -;:,,h~ °I/Cf I ~' _)/1/Je A/(C.' ·:, Y-l:>57/,# .. ;._:;.7.~:. /<., ~'I' y , '(._
ARl°:HITECT OR DESIGNER MAIL ADDRESS . PHONE LICENSE NO. 4 )./'l~_,/..,
ENG !NEER MAIL ADDRESS
5 PHONE LICENSE NO,
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH 6
USE or BUILDING
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: /I B IA I A,,/ 1 De.i('(\\1 ~ {'(\ L~ I "-'CJ ~r ~m. ,t~
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PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE I 5 (J
NEW CONSTRUCTION, FOR EACH
Al'PLICATION ACCEPTEO 8Y PLANS CHEC"iEO BY APPROVED FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
//,I i,-.. ;.-y--DATE /, v
,,:l (_,}\ NEW SERVICE ON EXISTING BLDG.
NOTICE 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 MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH 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.
l I .4~--~--PER 100
, ~/ . , .. • .:: ' 7 J /. "' . .
SIGNATURE Of' CONTRACTOR OR AUTHORIZ¢l AGENT (DATE')
ISSUANCE FEE ./
~Ir.NATURE OF OWNER If' OW NER BUI DER) DATE: TOTAL FEES J
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 APPLICAT10N ,::: . -.
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No 7~.f?d'/
JOB AODIIII ESS
1 ~~:~~. I LOT NO.
CONT~O"' J#" I /
3 (" ._jO/--
.
ARCNIT[C"T O'll·b't-sfo,/[R -
4 c---· -CNGINEER .
5
COMPENSATION (NS. CARRIER
6
USE OF BUil.DiNG
7
8 Class of work: O NEW 0 ADDITION
9 Describe work :
SPECIAL CONDITIONS.
APPLICATION ACCEPTED ev PLANS C><ECKED BY
(1 ,'rfl/p .
MAt.lL ADOPl:[SS ZIP .
IY
PM ONE
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STATE LIC. NO. CITY LIC. NO.
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MAIL A00111[55 PHON £ LICENSE NO.
MAIL AODRl5S PM ONE LICENSE NO,
MAI'-AOOIIESS 8ftANCM
0 ALTERATION 0 REPAIR
PERMIT FEES
No. Type of Fixture or Item Fee
WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPROVED ~OR.18!,UANCE BY LAUNDRY TRAY
J 1-~~+-~~~~~~~~~~~~~~~~~~~~~--1~~-+-~--;
CLOTHES WASHER
J /'../ (,
1., ,,,, ((/ -)' ,,,,. I WATER HEATER DATE
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
PER IOD 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 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.
SIGNATU111" O" OWN[." 1, OWNEfll BVILDt") (DAT [)
I
I
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
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
$
$
CASH
' ~-·
I >
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
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)/-2, 7( ~ ~· ~ I /'?: -0 <::::\~~ / VI«-tJ
USE SPACE BELOW FO NOTES, FOLLOW-UP, ETC.
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INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT /'f''\
'huILDING ADDRESS= 11 a lo
Lo~..3
PLANNING DEPARTMENT
RECEIVED
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED _____________ PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED-------
PROVIDED. ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: z;?,u/' DATE 6 -2/J,?fOK TO FINAL __ 4-4,,.,./_,../d:_...__ __ DATE. ___ _
. 1 I
ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE ~------IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS.~-----------
DRAINAGE.~----GRADING PERMIT EASEMENTsJkzu, w/1AJA1-?t:
LEGAL DESCRIPTION.~~a~_/;a.L.~-"-'rc::::==:::_---------------------~
ADDITIONAL COMMENTS_~.53~1J'J,µ..._~---''1-----~--------------~
FIRE DEPARTMENT
SPRI!iKLING SYSTEM ___________ FIRE PROTECTION EQUIP·--------
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
'
1)K TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
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To Date6~2( 7 }7.
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DUPLICATE Signed
Date Signed Re.,...
45 465 SEND PARTS I AND 3 WITH CARBONS INTACT.
PolyPok(50-.ht4P465 PART 3 Will BE RETURNED WITH REPLY.