HomeMy WebLinkAbout2056 LINDA LN; ; 77-2891; PermitBUILDING PERMIT APPLICATIC,~-77 ~p~~
03oo7••·••lSG.OO + P . 17 ).~ \ City of CARLSBAD, CALIFORNIA 92()9: ~ erm1t No. '
Applicant to complete numbered spaces only. Phone 7 29-1181 ~m .;:/-1.12
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J08 ADDA ESS r V 0 L
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"" )> I LOT NO. I OLK 1z;~t>A l) 0 L£GAL F,s-,~ TE~ (0 S££ ATTACHED SHEET) 0 1 DESCR. / ~ l)
"' OWN EA MAIL ADDRESS ZIP PHONE "' "' 2 1 t t A 6 r;onr-+J I SA m 1-:-
CON TRAC TOR MAIL ADDRESS PHONE LICENSE NO,
3 ('.1 ;J ,e_ Ed~, L f) IE. I'•
A"CHITtCT OJlt DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MA.IL ADDRESS PHONE LICENSE NO.
5
LENO EA ~ODRESS BRANCH
6 ~ ..AY],..__ ,l.tJn ,,,
USE OF BUILDING V 7
/
8 Class of work: □NEW ~OOITION □ ALTERATION □ REPAIR □MOVE □ REMOVE
9 Describe work: ,4()0 'J ~ En ~ooM'-
10 Change of use from
Change of use to
11 Valuation of ~ork: $ ct,05Co C"' ..£. ~-:::i._uu _,
PLAN CHECK FEE I -PERMIT FEE It> (J, ~ .
SPECIAL CONDITIONS: Type of Occupancy
Const. Group Division
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
..-----... Fire use Fire Sprinklers
APPLICATION ACCEPTED av 1Kr:75, ' ~:~;'; Zone Zone Required DYes □No < OFFSTREET PARKING SPACES· No. of I Uncovered Dwelling Units Covered
NOTICE V Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT. I
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT I v PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-I r \ MENCED. OTHER (Specify) t \
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS 1./ ( ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS r-. \ C'id u TYPE OF WORK W ILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES N OT l ~-rv I V
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAN CEL THE ~ V I PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONST RUCTION.
I I ,,.,,.. }
'-/
SIGNATURE or CONTRACTOA OR AUTHORIZED AGENT (DATE)
SIC.NAT RE Of' OWNER {If' OWNER BUILDER) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
?1
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0
INSPECTION RECORD 11-~ I
,
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
5-11-77 O.K. on footing , steel, underground. T. Mata
REQUEST FOR
. INSPECTION
I~s;;uor -~r~~~.:: ______ 0
.,
0 f?-Jo-11
-?:JS--TIME _ __.!'.1_..__ ____ _
Lot Number
BUILDING PLUMBING ELECTRICAL MISCELLANEOUS
Insulation ................. 0 .................................. □ ................................ O Plenum & Ducts ....... O
Drywall .................... 0 Gas .......................... O Pool Bonding .......... O Porch ........................ O
Fdn. Forms .............. O Water Heater ............ O Temp Pole .............. O Patio ........................ O
Steel ........................ O Sewer ................ O ................... O Driveway .................. O
Sheathing ................ O Undergrnd. Plbg ....... 0 Sign .......................... 0
lath ·························· D
Frame ...................... O Undergrnd. Water ····;:=;--~=,__---Wall .. ~ ...................... O
Rough ...................... O Fence ...................... O
Final ........................ O Final ........................ O Final ...................... O G-ading .................... O
Ready for Inspection --
Special Instructions --:~:·-~:::~~~-:-~--------------
Requested by .............. ~.~·~························
Phone number ................. 1.d.:: ....... :-.. '.&..~ .. S.:-.~..... Person Taking Report: ····"14··············-·············
• I
REQUEST FOR
INSPECTION TIMtf' D/ /+ fYl
I~spector .i~J:1.:'.. ..Pe,m;t No. ~ Date J::_(l_··:.})
~;;r:s :fo 0AJ__1.&· J (;0 k dLH
Lot Number•
B4JILOING PLUMBING ELECTRICAL MISCELLANEOUS
Insulation ................. D
Drywall .................... D
Fdn. Forms .............. D
Steel ........................ D
Sheathing ................ D
Lath .......................... 0
Frame ...................... O
Final ........................ D
··································D
Gas ······················ .... o
Water Heater ............ D
Sewer ................ □
Undergrnd. Plbg •...... □
Undergrnd. Water .... D
Rough ...................... □
Final ........................ □
Plenum & Ducts ....... D
Porch ........................ D
Patio ........................ O
Driveway .................. O
Sign .......................... 0
Wall .......................... 0
Fence ...................... O
Grading .................... O
······························••□
Pool Bonding .......... O
Temp Pole .............. D ................... □
Underground . . . .. . . . . . O
Ceil Heat .............. O
Rough .................... O
Final ...................... O
Ready for Inspection --
Spec ia I Instructions --~itA· ~ ~ -tv ~ ~ · ... 11. .. aii .. ·.~········· ~:\...\.~ ·························································
Requested .. by· . .M.0. .. L .... ~~ •. ···············································································-·
Phone number ........... 1 ~.q::-.0-.0.S:-:.G:7... ............ Person Taking Report: .... ~ .. : ....•....................
.. /A~ uc>~. ?d~··.
/
. .. REQUEST FOR .() fYl
. INSPECTION TIME _ ____,_T __ _ I~s~~;~:~-f=-L~_/;~d7-17
BIJILDING PLUMBING ~LECTRICA--c;) MISCELLANEOUS
Insulation ................. O .................................. 0 ................................ D Plenum & Ducts ....... O
Drywall .................... O Gas .......................... O Pool Bonding .......... O Porch ........................ O
Fdn. Forms .............. O Water Heater ............ O Temp Pole .............. O Patio ........................ D
Steel ........................ O Sewer ................ D
Sheathing ................ 0 Undergrnd. Plbg ....... 0
................... O Driveway .................. D
Underground .......... O Sign .......................... D
Lath .......................... D Undergrnd. Water .... D
Frame ...................... O Rough ...................... D
Final ........................ O Final ....................... .
Ceil Heat .............. 0 Wall .......................... 0
Rough .. .. J8 Fence ...................... O
Final ...................... D Grading .................... D
P.eady for Inspection -Mon., Thurs.,
~~t~.J;i.::::~: .. : ..
Requested by ........... ~......... ~
Phone number ............................................................ Person Taking P.eport: ........................... '.0. ... ::-
-
..
~ ~ ~ .. ~
.~\i ~~ j it 1 ~· -~;~~
~N ~
· O Residential REQUEST FOR O Mobi lehome Park
O Multiple Res._, Tract • . INSPECTION ID # ................ Space# ......... .
I~spec:oc:~.~t./j_J../.L .................... Permit No ............ ····-·········· Date.~.":'. .. ~.J .. ~ .. z. 7
········l;~··················
.. ........... . .. c?..& ..... ~ ......... .
Owner.................................................. .... ... ..... . . . :::~::: ·················-·············~
PLUMBING ELECTRICAL MISCELLANEOUS
................................. □ ................................ □ .................................. □
s .......................... O Pool Bonding .......... O Porch ........................ O
Fdn. Forms .............. ater Heater ............ O Pole ........................ O Patio ........................ O
Steel ........................ O Soi I Line ................ O Pump ...................... O Driveway .................. O
Sheathing ................ O Undergrnd. Plbg ....... O Underground .......... O Sign .......................... O
lath .......................... O Undergrnd. Water .... □ Ceil Heat .............. O Wall .......................... O
Frame ...................... O Rou ..................... O Rough .................... O Fence ...................... O :::~,~;~:~~,;;,"=Fon, ~:;:: ~~.';"~"';, ~; 0 c,,~h~
~ecial~lrnu _ r!J {!;tl[dfff -_-------------~-~---
Reques d by ............................................................ ) Ac.
Phone nu ber............................................................ Person Taking Peport: ..... fr.'. ....................... .
. REQUEST FOR
. . INSPECTION TIME-----
I~s~;~:~~:-~ -;'~ -;;:_)
81.JILOING PLUMBING ,£LECTRIC~ MISCELLANEOUS
Insulation ................. D .................................. 0 ..... > ............ ~ ........ 0 Plenum & Ducts ....... 0
Drywall .................... D Gas .......................... O Pool Bonding .......... O Porch ........................ D
Fdn. Forms .............. 0 Water Heater ............ O Temp Pole .............. O Patio ........................ O
Steel ........................ O
Sheathing ................ 0
Sewer ................ O ................... O Driveway .................. D
Undergrnd. Plbg ....... 0 Underground .......... 0 Sign .......................... 0
lath .......................... D
Frame ...................... O
Final ........................ O
Ready for Inspection --
Undergrnd. Water .... O Ce i I Heat .............. g Wa 11 .......................... O
Rough ...................... O Rough .................... ~ Fence ...................... O
Final ........................ O Fi~ ............. O G-ading .................... D
Mon., Tues., Wed., ~ Fri.
Special Instructions --
TIME ______ _
BUILDING PLUMBING ELECTRICAL MISCELLANEOUS
Insulation ................. D .................................. D ................................ D Plenum & Ducts ....... D
Drywall .................... D Gas .......................... O Pool Bonding .......... O Porch ........................ O
Fdn. Forms .............. D Water Heater ............ D Temp Pole .............. D Patio ........................ O
Steel ........................ 0 Sewer ................ 0 ................... 0 Driveway ·········-········ 0
Sheathing ·······-········ O Undergrnd. Plbg ....... D Underground .......... O Sign .......................... D
Lath ........................ ~ Undergrnd. Water .... □ Ceil Heat .............. O Wall .......................... O
Frame ... ·~ Rough ...................... 0 Rough .................... 0 Fence ...................... 0
:::~;;;;~;;:;;~~~~ ;:~::: ~~--''."~"'::: ~;;: 0 G-,d~~
~;.,_,,.tr,ct:::.•• . ~•-•::::;<;(.~_ B .................. .
Requested by --~~---------------------. \. '--W~
Phone number____________________________________________________________ Person Taking Report: .... -.................................. .
~ ~Pr-~--rrd__ 7~
61<-7o ~
c_ /J_
.? _;;:,
REQUEST FOR
. INSPECTION TIME ____ _
' ,-7 ~-Ins::~.:or -----\ -~ __ Pe,m;, No-~,f?.J.;~
Address c)l.O;S Y ~ ~ ~ Lot Numbers (Q_ ~ ~ =
BUILDING PLUMBING \.._ ELECTRICAL .........__ MISCELLANEOUS
Insulation ................. O .................................. O ~ ,E'.1 Plenum & Ducts ....... O
Drywall .................... O Gas .......................... O Pool Bonding .......... O Porch ........................ O
Fdn. Forms .............. O Water Heater ............ O Temp Pole .............. O Patio ........................ O
Steel ........................ O Sewer ................ O ................... O Driveway .................. O
Sheathing ................ O Undergrnd. Plbg ....... O Underground .......... O Sign .......................... O
Lath .......................... O Undergrnd. Water .... □ Ceil Heat .............. O Wall .......................... O
Frame ...................... O Rough ...................... O Rough .................... ~ Fence ...................... O
:::ly ·~~~ .. ·;~~-~~~~;~·n ~~-.. ·;~~~:·: .... ·~~-.Fin~~;~~-: .... ·;~·i~ .... 0 Chding .................... 0
~;,11,.rr,c1;0,_¢r,-:'!;£;_•---------~--~--
Requested by ... . ............................. ~~.. _,,,--j ~
Phone number............. . ................................ Person Taking Report: ...... (..=-::.. ..................... .
\
lnsulat, ........ 0
Drywall .................... 0
Fdn. Forms .............. 0
Steel ........................ O
Sheathing -·
Lath ·························· D
Frame ...................... O
Final ........................ O
Ready for Inspection --
Spec ia I Instructions --
REQUEST FOR INSPECTION TIME _______ _
MISCELLANEOUS
··································D ................................ □ Plenum & Ducts ....... 0
Gas .......................... □ Pool Bonding .......... 0 Porch ........................ 0
Water Heater ............ 0 Temp Pole .............. 0 Patio ........................ 0
Sewer ................ □ ................... □ Driveway .................. 0
Undergrnd. Plbg ....... 0 Underground .. ... . ... . 0 Sign .......................... 0
Undergrnd. Water .... O Ceil Heat .............. O Wall .......................... O
Rough ...................... □ Rough .................... 0 Fence ...................... 0
Final ........................ □ Final ...................... 0 G--ading .................... O
Mon., Tues., Wed., Thurs.,~
Requested by ............. ~ ~ '--r--,
Phone number ........................... ············-··················· Person Taking Report: . c-
. .
f3L4tt le, AIL To SECv/?'E O R,i..,t
/4//tt/ J f'/fEUJ (,A/](J DL t,ti~
-lJ /2 ''J ' :? l /I -.--. _ ,,_ c_ 1 J up 1 we t? ,,:-, 11 'l
DUPLICATE Signed r · ,,
LA.; €a I? a~,(( O vo 0/.,.1 c, l, 7J, ;n~
Dote
Ae4iff,.
4S 465
Poly Pal< 150 Mbl 4P465
r ':Z 7,7a
Signed
SEND PARTS 1 AND 3 WITH CARBONS INTACT.
PART 3 Will BE RETURNED WITH REPLY.
. ~ r REQUEST FOR . r--INSPECTION
Ins;;;:r ~~!t ... ~• No. • •• . ~, •. h -. 2-7)
Lot Number._ ___________________________ _
TIME ______ _
BUILDING P L UMBIN G ELECTRIC AL MISCELLANEOUS
Insulation ................. O .................................. □ ................................ □ Plenum & Ducts ....... O
Drywall .................... O Gas .......................... O Pool Bonding .......... O Porch ........................ 0
Fdn. Forms .............. O Water Heater ............ O Temp Pole .............. O Patio ........................ 0
Steel ........................ O Sewer ................ □ ................... 0 Driveway .................. O
Sheathing ................ 0 Undergrnd. Plbg ....... O Underground .......... O Sign .......................... 0
Lath .......................... 0
Frame ...................... 0
Undergrnd. Water .... Q Ceil Heat .............. O
Rough ...................... IQ Rough .................... O
Wall .......................... O
Fence ...................... 0
Final ........................ O
Ready for Inspection --
Final ........................ □ Final ...................... O
Mon., Tues., ~ed., ~Fri.
G--ading .................... O
Specia I Instructions --
... """"" by .-P~J? rJ-;; ·············································-·····p··-
Phone number ........ ~ .. 2. .. C, ... ~.r.).....,{~:!. Person Taking Report~ ........ : ........... ..
REQUEST FOR
INSPECTION TIME -----
Ins;;;,~r .. T ==z a:~•;;)
Lot Numbers ~ ~~
Bl.llLDING PLUMBING ELECTRICAL MISCELLANEOUS
Insulation ................. O .................................. □ ................................ 0 Plenum & Ducts ....... O
Drywall .................... O Gas .......................... O Pool Bonding .......... O Porch ........................ D
Fdn. Forms .............. D Water Heater ............ D Temp Pole .............. O Patio ........................ O
Steel ........................ O Sewer ................ O ................... O Driveway .................. O
Sheathing ................ D Undergrnd. Plbg ....... D Underground .......... O Sign .......................... D
lath .......................... D Undergrnd. Water .... □ Ceil Heat .............. O Wall .......................... D
Frame ...................... O Rough ...................... D Rough .................... O Fence ...................... D =~ ;; ;:;~~;;~~ ~ ':.. ~~:::~_;tt9 ~;; D <Moo .................... D
Sped a I lomct;oo, •· ......... . ·/_~··············.tfl!P::······-;;:;;(z:;__·········-·
~•=·~~:•·~;~:::: .... :::::: .. :: .. ::: .... ::~:··•&~•v • ·• . ~····7;{1?~
Phone number .•.................................... ·-··················· Person Taking Report: ·······{·-:-::._"/..·~···············
O Residential REQUEST FOR O Mobilehome Park
O M_ultiple Res._. Tract . INSPECTION ID # ................ Space# ......... .
I~s:,:~:;:~~·······~;~~No~{~·.Date :{L~/:} /
Address ~ S-b I Jq_ a_.~ Address .............................................................................. ... ................................. ... . .................... .
BUILDING PLUMBING ELECTRICAL MISCELLANEOUS
~ ~~flA
~ 7-,w-o ---1J,,d-A-l ,,,;z;:,,t.._7i:~
~tt-ff
\
1 '
TIME -------~
BUILDING PLUMBING ELECTRICAL MISCELLANEOUS
Insulation .•............... D .................................. □ ................................ D Plenum & Ducts ....... D
Drywall .................... D Gas .......................... D Pool Bonding .......... D Porch ........................ D
Fdn. Forms .............. D Water Heater ............ O Temp Pole .............. O Patio ........................ O
Steel ........................ O Sewer ................ O ................... O Driveway .................. O
Sheathing ................ O Undergrnd. Plbg •...... O Underground .......... O Sign .......................... O
lath .......................... O Undergrnd. Water .... D Cei I Heat .............. O Wa II .......................... □
Frame ...................... D Rough ...................... D Rough ..... .. .. ........... D Fence ...................... D
F;oa1 ........................ O F;.,., ........................ □ F;n,1 ·······~ G,aa;ng .................... O
::;.:~.:::.::: -~ :~~:~: ... ::: :::::·: -~-k ....
~uasted by lf ~1-4-.. .. ··.~/J-t;.i-; -·~ t -·····-·
Phone number .. qf_::: ....................................... Pe;s:n-~ing Report: ·················-······-·············
''
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181
Joa A.DOR css /-v 1-1· N ✓--( (;; /../1VOlj c r11<~ s e F1 D -LOT NO, I ILK I ;A/J'I 011 Ss LE.AC I /c i ., T"£S 1 cue•. I
OWNCII A. MAIL ADDIICSS ll P PHONC.
2...._j,., b Goou1-1I/ i .--. ,
I , -' CONTIIACTOfll: MAIL A DOACSS PHON[ STATE LIC, NO, CITY LIC. NO.
3 ' , r I. . 1-1 ~v.,Jolr I~ -· , "
ARCHITECT 011 OCSIGNClt MAIL AOORC.55 PHONC LICENSE NO,
4
CNGIN EE.R MAIL A00fil[5$ PHONE LIC£N5[ NO,
5
COMPENSATION (NS, CARRIER ""'AIL AOOJIC.5S B IIIANC~
6
USC 0~ !IUILOING
7
8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Ty pe of Fixture or Item Fee
SPECIAL CONDITIONS· ...L WATER CLOSET (TOI LET) $ J ') (
I BATHTUB / 'I _, LAVATORY (WASH BASIN) '/ J (.'
·-SHOWER ro
K ITCHEN SINK & D ISP
DISHWASHER
APPLICATION ACCEPTE OBY l"tAN5-q<ECKEO BY 7~0:lsOR •tr£ BY
,_
(f' (:) LAUNDRY TRAY
CLOTHES WASHER K♦<:.·. I , DATE ~-~,!,••) I WATER HEATER , r)
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF W ORK OR CONSTRUC-DRINKING FOUNTAIN
T ION 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 HEREBY CERTIFY TH AT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW 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 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 DR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK a. PIT
ROOF DRAINS
SIGNATURE or CONT,.ACTO" OR AUTHO"IZCD AC.ENT IOAT[)
ISSUANCE FEE $ I c..;
SIGNA,TU"t 0,-OWN(.111 I,. OWNCIII BU IL.OCR) (DA.TEI TOTAL FEES $ -l f . )
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDAT ION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
------
INSPECTION REPORTS ----------------
DATE ITEM REMARKS INSPECTOR
---------
,___ --
-----
---~------
--.
,
---
----
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
5-11-77 Had problems on water heater location. T. Mata
l
0 ~ .(}
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
**
Applicant to complete numbered spaces only. Ph 729 81 one -11 Permit No. -':> •
JOB ADO" E.S5
, lNO~ I
LOT NO. I OLK I mlCT/ ,,t t, A Qsci. ATTACHED ■HE.CT) LEGAL I E. 'S 1 DUC", I ~ I •• s -
OWNUI MAIL ADD,.ESS 21 P PMONll
2 , I A c,'-;~or> 1 i ·~ ~ ~.J1A.fn.1 . ..JJ-!'"" ·:.t.O ,
CONT .. AC TO" MAIL AOOllilltSS PHONE. LICENSE HO. STATE CITY
3
A,_CHITI.CT 0" OESIC.Nlft MAIL ADD,.ESS PHONE LICENSE NO,
4
EHGIHEEIII MAIL ADDIIIICSS PMONt LICCNSC NO,
5
COMF>ENSATION INS CARRIER MAIL AODlltCSS llltANCH
6
US( or BUILDING
7
8 Class of work: ON.EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
;}. 00 -
NEW CONSTRUCTION, FOR EACH ~
APPLICATION ACCEPTED 8V PLANS-CHECKED BY APPROVED tOR ISSVANCE BY AMPERES OF MAIN SERVICE, SWITCH,
, FUSE OR BREAKER
• K OATdl~-~·,::: .. ?? NEW SERVICE ON EXISTING BLOG .
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 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS CO~\
MENCED. IN SERVICE, FOR EA. AMPERE OF ,
( (
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE _) -APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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 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
aleNATUJIE 0,. CONTRACTOJI OJI AUTMOflllKD AC.INT (DATC)
PERMIT FEE ) (''~'
'
-. . Tllflr ft,. nw .. r111...11,. OWNUI aulLOEJI) OATI)
WHEN PROPERLY VALIDATED (IN THIS SPACEI 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
JOI ADOl't CS5
L.C'iAL. I 1 Otsc•.
LOT HO,
OWN t i.
2
CONTfltACTOflll
3 -/'/'
A IIICHITECT OR OC51GN[llt
4
[NGIN[["
5
L-QC
COMPENSATION fNS. CARRIER
6
USC OF BUlr;'OINC
7
8 Class of work: □ NEW O',AOOITION
I,
MAIL ADD"/55 ,,. PHONE
Jr,,U,IJ(. ADOR[55
#~ Ct1µ1,., PHON t STATE LIC. NO.
I 7..lY i .
M A il. A00Jll[55 , P HONC L1CCN5C NO.
M A IL AOOJIIC5S PHONC LICEfrril SC NO,
MAIL A.00"[55 ~ IIIIIIAN CM
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V
□ ALTERATION □ REPAIR
CITY LIC. NO.
-, -
9 Describe work : 171/5 L/µG· /lp/Af.1% ..?£
SPECIAL CONDITIONS:
APPLICATION ACCEPTED 8Y
NOTIC E
APf>'IIOVEP fO~ 1jiSUANCE 8Y
•'--
D ATE s --a4
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 ANO KNOW THE SAME T O 9E 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.
J
/
PERMIT FEES
No. Type of Fixture or Item Fee
WATER CLOSET (TOI LET) $
BATHTUB
LAVATORY (WASH BASIN )
SHOWER
KITCHEN SIN K & D ISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
/ GAS SYSTEMS NO. OUTL ETS '
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
',
/t/2 CESSPOOL
.,/ ~ SEPTIC TANK&.PIT •It .,._,' --+--·---------~ F ROOF DRAINS
51CNATUllll:C OF CON TRAC TON OR A.UTHOflllll[O AGENT / (OATCI / .,
t---'----------------------------ISSUANCE FEE $
$1(;kATUfli• o, OWN£fll 1, OWNtfll 8UIL0[") (OAT£) TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK . M.O . CASH
INSPECTOR
729-1181
CITY OF CARLSBAD
BUILDING DEPARTMENT
IN CONFORMANCE WITH THE REQUIREMENTS OF THE DIRECTOR OF
INDUSTRIAL RELATIONS, I ATTEST TO THE FOLLOWING:
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 WORKMEN'S COMPENSAT.ION LAWS
OF CALIFORNIA.
SIGNED:?~ ;f~
PRINT NAME AND TITLE: Ev;;;.1._1/A/ l. £3ooD»I/ -own-e.,t{,
. ) .
JOB ADDRESS: 20£ ,,(,,,,110,4 /4,9,r,1£"'
DATED: /j -/.5--_ 7 7
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