HomeMy WebLinkAbout2011 CUMBRE CT; ; 77-6609; Permit^ « -ILLW4BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 920O8
PhOHC 729-1181 Peimit No f S'fr&V? y
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JOS ADDRESS ; ASSESSOR'S
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OWNER |—
CONTRACTOR
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AMCMI^JfCT OR DESIGNER
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COMPENSATION INS CARRIER
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USE OF CUILDING
7
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MAIL ADDRESS IIP , PHONE * ^^^ f^^
A MAIL ADDRESS' tf~?/°'"5 *•'&*/ STATE Lie NO CITY LIC NO,
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A _ MAIL ADDRESS _ PHONE LICENSE NO
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MAIL ADDRESS BRANCH
MO SDR MS MO BATHS
8 Classofwork SNEW DADOmON D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work >^-i t C.V4_» ^ -* / -t- / -* £ X^o £— JfCCjLs ~"
10 Change of use from
Change of use to
11 Valuation of work $ "J' /
jtaCIAL CONDITIONS
.••/O'-
. -
APPLICATION ACCEPTED BY , P$NS CHECKED
* ••' i
DATE / ' f
BY APPROVED FOR ISSUANCE BY
' / S"
h -J--1, DATE / I
NOTICE
SEPARATE PERMITS ARE REQUII
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 SA
ALL PROVISIONS OF LAWS AND (TYPE OF WORK WILL BE COMPLIHEREIN OR NOT, THE GRANT!
PRESUME TO GIVE AUTHORITY
PROVISIONS OF ANY OTHER STATCONSTRUCTION OR TWE_PER«^ \g ryZp^ <~*i*ts*%j //c,
^ED 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 THISME TO BE TRUE AND CORRECTORDINANCES GOVERNING THIS
ED WITH WHETHER SPECIFIED
MG OF A PERMIT DOES NOT
tO VIOLATE OR CANCEL THECAR LOCAL LAW REGULATINGBMANCE OF CONSTRUCTION
£ 7Tr-fr>
SIGNATURE OF CONTRACTOR OR AUTHOH4CYD AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER SUILOti ) (DATE)
PLAN CHECK FEE $ Sjr """PERMIT FEE $ ^Jf J "**
Type of Occupancy '
Const Group
Size of Bids No of Max
(Total) Sq Ft Stories Occ Loid
Fire Use Fire Sprinklers
Zone Zone Required dyes DNO
OFFSTREETNo of
Dwelling Units Cw,ed
Special Approvals Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
•-
PARKING Sf ACES
INoSq Ft 1 Open
Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
TOTAL FEES $.
INSPECTOR
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JO* ADOR ESS
LOT NO *LK TRACT j ,.
- LEGAL ^-i * jf jf ^ - / * ti ^^*
OWNER » f~f MAIL ADDRESS ZIP PHONE ^ *
CONTRACTOR >^P.AIL ADDREU PHONE STATE LIC. NO CITY LIC NO
ARCHITECT OR DESIGNER *" MAIL ADDRESS PHONE LICENSE NO
4 /^ ^» ^jr * * f — ~j O f^& dfi*. * f.t £/ {*/ ••• ft/ jf V X"T ""?* "> "iW'X'X '7* •X€/C X // ' ^>y J C *^ rf£> f * ) {3 ) V- ^~ 7 •' A f} f f^~J
ENGINEER MAIL ADDRESS PHOHE LICENSE HO
5
COMPENSATION fNS CARRIER MAIL ADDRESS (RANCH
6
USE OF BUILDING
7
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work
SPECIAL CONDITIONS
i *** s -•
^ ^' ^.'rf" ^ t*^~~\
APPLICATION AaCEP^EOj^V/ PL>uSs CHECKED BY /-" JAP>fOVED fOR ISSUANCE BY
THIS PERMIT BECOMM-NuTl. AND VoWlF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED
1 HEREBY CERTIFY THAT 1 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 THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
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SIGNATURE OP COHTRfcC-TOR^ OR A|,||Hllimil <Tllll (DATE)
SIGNATURE OP OWNER (IP OWNER (UILDER) (DATE)
PERMIT FEES
No
7
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP
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 CLEAMOHTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE $
TOTAL FEES $
Fee
$
/<
f 'Z-
f ^
~2~fs
7 ^
f &
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
d
N
b
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Apptictntfto complete numbered spaces only PhOfie 729*1181 Perm it Np ^" *'
JOB ADDRESS
T
.LEGAL
I DESCR
LOT NO
<OSEE ATTACHED SHEET)
MAIL ADDRESS
CONTRACTOR MAIL ADDRESS STATE LIC NO /• j-»CITY LIC NO
/ i :f. /
ARCHITECT OR DESIGNER
4 «•-
MAIL ADDRESS LICENSE NO
XV, I /
MAIL ADDRESS PHONE LICENSE NO
) /\j )£-' L. 9 fV •*i //
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF BUILDING
8 ClMiofwork BfNEW DADDITION DALTERATION D REPAIR
9 Discrtbt work
SPECIAL CONDITIONS
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No Each Fee
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
THIS PERMIT BECOMBS NULL AMD/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 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
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
SIGNATURE nr_ rniiTniijjiflr mi AUTHORIZED AGENT (DATE)
ISSUANCE FEE
iP*TE)TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION etc MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
BUILDING
INTERDEPARTMENTAL INFORMATION SHEET
DEPARTMENT
-..BUILDING ADDRESS:
RECEIVED
Jljl 2 71977
CITY OF CARLSBADBuilding Department
PLANNING 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
ADDITIONAL COMMENTS:
OK TO ISSUE DATE OK TO FINAL DATE
ENGINEERING DEPARTMENT
R . 0 . W .INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
DRIVEWAY LOCATIONS
EASEMENTS'^ -/M3 DRAINAGE
.
OK TO ISSUE:DATE ~7/ ?7
-
PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING 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