HomeMy WebLinkAbout2021 Ladera Ct; ; 76-4113; PermitMODEL N10. -----'--------
BU I LDI NG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
7~-1.//13 Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB ADDA (SS
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I
LOT NO,
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OWN[f'
2 1 • \. . 4
CONTRACTOR
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MAIL A0OA£5S ,. D l•· T-·1 ,llDJ.n!mont
MAIL ADDRESS
Di '. n.
ARCHITECT OA OtSIGNCA MAIL A.OORESS
4 C' • eill.,. 17452 ~1,
ENGINEER
5
COMPENSATION INS. CARRIER
6 v!r ·u ' · ··, ;
use o,-BVILOING
7
l. •
M AIL AOORCSS
M AIL AOO,t[SS
PHONE .. '-f',. ,?
•
PHONC
NO, BORMS
,, ,. ASSESSOR'S
PARCEL NUMBER
(n SEC ATTACHED !H(ETJ
PAGE PAR,
Di P~ON[ . ·•
ST'\TE LIC, NO. :?gl:' ~
LIC ENS[ NO.
L ICE"-15[ NO,
8,-ANCH
' ....
1.:.1 '{)-'·"
CITY LIC, NO.
NO. BATHS
8 Class of work : □ NEW 0 ADDITION 0 ALTER ATI ON 0 REPAIR 0 MOVE 0 REMOVE
-9 Describe work: tngl :t· ,,, -•----d
10 Change of use from
Change of use to
11 Valuation of work: $
SPECIAL CONDITIONS:
APPLICATION ACCEPTED 8Y PLAN$ CHECKED BY APPROVED FQA ISSUANCE BY
DATE DATE
NOTICE
SEPARATE PERMITS ARE REQUI RED FOR ELECTRICAL, PLUMB
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
T ION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDON ED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE T RUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING T HIS
TYPE OF WORK WILL BE COMPLIED WITH W H ETHER SPECIFIED
HER EIN OR NOT, THE GRANTING OF A PERMIT 0OES NOT
PR ESUME TO G IVE A UTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTH ER STATE OR LOCAL LAW REGULATING
CONSTRUCTION O R TH E PERFORMANCE OF CONSTRUCTION.
SIGNATUR[ OP' CONTRACTO'lll OR A.UTHORIZ[0 AGENT (DA.T C)
51GN•TURC 0 1" OWNER Ill" OWNC'lll BUILDER) DATE)
PLAN CHES~ FEE!
Type o! lt Const -
S,ze of Bldg.
(Total) Sq. Ft
Fire _p Zone
No. of
Dwelling Units
1c2~,
l
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
,,
PERMIT FEE $
Occupancy /; Group
MICRO FIL.M FEE
No. of I
Stories 1 Max. ....,....
0cc. Load
Use / Fire Sprinklers
Zone Required O Yes D No
OFFSTREET PA RKING SPACES,
No. Covered
Required
Sq. Ft. ;' !No. Open
Received Not Required
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 $ ___ ,,_<_;:_~_(;__ __
INSPECTOR
.LOT, /77
'~...21 ·~ c%
BUILDING
FOOTINGS
FOUNDATION
REINFORCED
MASONRY
GUNITE OR GROUT
SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH &
PLUMBING
SEWER AND PL/CO WATER ----
PLUMBIHG UNDERGROUN 2ij7l.~---·
COPPER
TOP OUT
TUB AND SHOWER :J, 3/,, J"/ &fl)::
GAS TEST 3. / b, 77 ✓,k'
ELECTRICAL
' UNDERGROUND
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPING
HEAT--AIR
VENTILATING SYSTEMS
,, -
MECHANICAL PERMIT APPLICAT10N r._
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOa AODIIII tSS
2 ,. -
LI: GAL I 1 ouc~.
LOT NO,
177
I T~ACT a.aar 1Wl99
h
(0sec. ATTACH(.O SHtCT)
OWNl:1111 MAIL ADDfltCSS
2 -t>aciflc
CON TIIIAC TOIIII MAIL ADDRESS
3
AIIIICHITCCT o.-DtSIGNUt MAIL A0O1111(55
4
tNGINttfll MAIL AOOJltESS
5
LI.N0llll MAIL AODJIUSS
6
USE 011" 8 UIL01N(i,
7
8 Class of work: OllllEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED av PLANS CHECKED av APPROVED FOR ISSUANCE ev
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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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.
. / "' -
2 IP PHONE
1· '"7 -~ )/..
PHON [ ST ATE L IC, NO,
PHON C LICENSE NO,
PHON[ LICENSE NO,
lilltANCH
0 REPAIR
Type of Fuel: Oil D Nat. Gas O LPG. D
PERMIT FEES
No. Type of Equipment
Air Cond. Units-H.P. Ea.
Refrigeration Units-H .P. Ea.
Boilers-H.P. Ea.
Gas Fired A .C. Units-Tonnage Ea.
1 Forced Air Systems B.T.U. SOM M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heater~-B.T.U. M
Unit He&ters-B.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
CITY LIC, NO,
Fee
$
4 00
,, ,
, ) . 1---1------------------------11----+-----I SIGNATUf'E OP' CONTIIIACTOfll 0111 AUTHOIIIIZ.10 AGENT tOAT(J
ISSUANCE FEE $
SIGHATUIIII. OP' OWNIIII IP' OWJr,fUI eutL.01:111 OATI. 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
ELECTRICAL PERMIT APPuCAiiON ~ . .!-.. ,,. •• •
n.to
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No 77-/;J J 3
JOB ADDRESS ., ll ;.;~~ .. ,--""' '---I LOT HO, 18LK. I TRACT JQsc.,E ATTACHED SHEET)
~ LEGAL 1 DESCR. 17? '>; '" orth
OW HER MAIL ADDRE~S I\IP 2 11 fl:'O~c~ .2 ific, .. 7 C 1.: 2 ,I • -: • • • -
COtlf~~1J?i ric, . '<I/\.U..A9{'U,i~ c. 74S-J'IOll,C l STATE LIC, HO, CITY LIC, HO, 3 ' • • ' ,1 J L ..,
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH 6
USE Of BUILDING
7 -r ;~ ;:: i:in
8 Class of work: GINEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: c-·-1 nnnrYh -· -'"' ir -
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
'
NEW CONSTRUCTION, FOR EACH
AP,LICATION ACCEnEO av PLANS CHECKEO av APPROVEO FOR ISSUANCE ev AMPERES OF MAIN SERVICE, SWITCH,
23 00 FUSE OR BREAKER 100 .2s
DATE 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.
~ / PER 100
SIGNATURE OF" CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE z uu
TOTAL FEES 27 vlJ
NATURE oe OWNER (If OWNER BUILDER DATE
WHEN PROPERI.Y VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I •
INSPECTOR
► •
. -
PLUMBING PERMIT APPLICATION1 City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB AOOIII E$5
?oz I L. ' "IJ ' --LOT NO. I OL K I TOACT ~ lty , .. {er/~~:. I'/;' J,t'?, J LEGAL I 171 / ~ 1 ocsco. :,,-A ~ill , :
OWMtfl M AIL 4 0DftC.95 Z I P P MONC. -
2 4'/ j,, ',, ///.-.'•I 7 I' /J//',j J/ !i~ ., // ~ 'I' . /,, ,
I . .__ ,. I . ..
CONT"ACTO" ,, IIAA I L AODllttSS PMON E STATE LIC, NO, CITY LIC. NO,
3 " d ~er(/:.· ◄.,.,-../£ ,I dJ I( ✓lt,l✓/1{ j 9' ~-2.J ,...,. ' .· .: ,., ~ .
AfltCMtTtCT 0111 ots,C,.ic111 ' MAIL ADDRESS PHOM[. l.lC tNSE. NO,
4
[NGIN£ER MAIL AOO"[SS PMOH[ LICENSE NO.
5
COMPENSATION (NS. CARRIER MAH. AOOIIIC.55 &IU,NCM
6 I I I -. -
use. or BUILDING ,i,l r/£ 7 A
8 Class of work : □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ,r() () ,I ', ( ·, A.11< /,' ~v. U ," ,i,c., ,. , ,.
PERMIT FEES
N o. Type of Fixtur e or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ J ' I BATHTUB I
,,{ LAVATORY (WASH BASIN)
I SHOWER I ) I
I KITCHEN SINK & OISP i •·'
DISHWASHER
·••uCA TI0N ACCEPT(0 av PLANS CHECKED BY APPROVED F,QR ISSUANC[ BY LAUN DRY TRAY
f I CLOTHES WASHER I -....../.,/ DATE I WATER HEA T ER /
NOTICE URINAL
THIS PE RMIT BECOMES NULL A ND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
T ION AUTHORIZED IS NOT COMMENCED WITH IN 120 DAYS.OR IF
CONST RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR-SINK OR DRAIN
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK . MENCED. I GA S SYSTEMS. NO. OUTLETS b I c.-J I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND K NOW THE SAME TO BE TRUE AND CORRECT, WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR H EREIN OR NOT, T H E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISION S OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS ~ -"'
/) CESSPOOL
I "\ / SEPTIC TANK & PIT ti ROOF DRAINS
91GNATUIII:£ 0 ,-CONTNA CTO• 0 111 ,AU THORIZED AGC.NT (OAT CJ
ISSUANCE FEE $ ,,
TOTAL FEES $ ... ,, ' SIGNAT"IIJ£ o, OWNEIII: It,-0WN[8' BUILOCIII (DATE) • ~ I /
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O. CASH PERMIT VALIDATION CK . M .O. CA SH
INSPECTOR