HomeMy WebLinkAbout2080 Gayle Way; ; 71-638; PermitBUILDING PERMIT APPLICATION
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0 • 71-t7f( ~'t!o_.* ~ -~
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City of CARLSBAD, CALIFORNIA AUii 19·71
Applicant to complete number.ed spaces only. ~ --... ::
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CONTRACT~ • .._ -MAIL ADDRESS PHONE LICENSE NO. ,;.....,.. IL r "\
~3~11A~A~,~· ~-~::::::r.A__,,~.A---:=--==------;;=c;-------;-=,-;;;c-----1'\N~~~' 11.lftHJTECT OR DESIGNER MALL ADDRESS PHONE LICENSE NO, ~~
4 ·• -
.~ ENGINEER M,\IL ADDRESS PHONE LICENSE NO,
5
1--s_'_'"_O-,'..," ___ ~-----./-",--------M-A_(_C_A_O_O_O_,_·_· _____ ~ _______________ .. _·_·_'_' ______ ---i (: ~~
7 USE Of' BUILDING ✓...,/~ ~ A'\ ..l
8 Class of work: 0 NEW .e"ADDITIDN 0 ALTERATION 0 REPAIR •MOVE • REMOVE
9 Describe work: ,'~ / /,, I'/ )(' 1R-I~ J}.' 'f: . • A ,
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE
rS~P~E_C_I_A~L~C~O_N_D_I_T_IO_N_S_, _________________ Typeof ~ A/
Const. ,1l-,-IV
1--------------------------------1 Size of Bldg..:_ _ _A, A/ (Total) Sq, f«../' ('/( (I
-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 60 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 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.
S!GNATUFIE 0,. C0NTFIACT0III 0FI AUTHORIZED AGENT (DATE!
J/-z77A~
Sl&NATURE 0,. 0WNEIII Al,. OWNER BUIL0EIII) DATE
Special Approvals
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
Occupancy
Group
No. of
Stories
I PERMIT FEE J9_di!'J
Division
Max.
0cc. Load
Use O / Fire Sprinklers
Zone /) -Required Dves
OFFSTREET PARKING SPACES:
Covered / Uncovered
Required 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
INSPECTOR
Form 100.l 9-69 RE0R0EIII FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e 150 so. LOS III0BLES e PASADENA, CALlf'0RtHA 91101
7 i--oro 0 • • • City of CARLSBAD, CALIFORNIA Alli 19-71 ~r~•__. •• {).~ -
• 'J Applicant to complete numbered spaces only. " ~ • • ' Joa ADDA ESS r! <'.9 J(o 2( ~ L/, ../..,t) (LL., ~ I
LOT NO. I"' I TRACT I LE(i;AL l tOSEE ATTACHED SHEET) C) 1 DltSCR. ~ "§ 0~ ~ _..._IJI✓, MAIL ADDRESS o/t:1cr PHONE d' 2 . (_., ~ A ,/'0 f •o~ . ~ CONTl'l:A.,. 0111 -MAIL ADDRESS PHONE LICENSE NO. >'
MECHANICAL PERMIT APPLICATION 4
3 /1.1 JJ ~
ARCHITECT 011 D1<":>IGNl!:R MA1L AODIUss PHONE LICENSE NO, ~" 4 ~ ...: ENGINEEII MAIL ADDIIESS PHONE LICENSE NO,
5 ~ ~
LEN DER MAIL ADDRESS BRANCH ' 6 >
USE OF BUILDING ~ 7 ~ -
8 Class of work: •NEW 00ITI0N • ALTERATION • REPAIR .....
' • ,"/ ---//,/R'._-zi;; Jl ,'-1,AA~J 9 Describe work: J ,. -, -. , " . . ✓
Type of Fuel: Oil D Nat. Gas D LPG.•
PERMIT FEES
SPECIAL CONDITIONS, No. Type of Equipment Fee
Air Cond. Units-H.P. Ea. $
Refrigeration Units-H.P. Ea.
Boilers-H .P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
Forced Air Systems-8.T.U. M Ea. APPLIC;t;:y PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea. rf ?'h-• -rf tj}\_, Floor Furnaces-B.T.U. M
Wall Heaters-B.T .U. M
NOTICE Unit He8ters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT, Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE Y YI .,.. r-;. JI J.-,1/) -v./ -() s c9r PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,,, V
SIGNATURt. OP' CONTRACTOR 011 AUTHOIILZED AGENT \DATE)
x~7-';h~--,) ,/../. _-z, A'""-PERMIT $ -., VO
/ -
T P' OWNEII I 0'"'NEII BUILDl!:11 DATE) TOTAL FEE $ /_ r,n
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
,.. ___ ~ ...... ,.,._,. •,.-nu111:• P'IIOM/ INTERNATIONAL. CONFERENCE OF BUILDING OFFICIALS .150 !10. LOS IIOBLES. PASADENA, CALIFORNIA 91101
7/ ·30 0 ~ • • z . l City of CARLSBAD, CALIFORNIA AINlt9·71 'SPAID...,. *1 •• -•t 50 -cc
Applicant to com lete numbered spaces only. " • JO~?(; p,;__ /,f ,;; <)/,fj ~ ~ "'1 ' LOT NO, C/ '" u I Tl'I ... CT tOsu; ATTACHED sHEET) ;~ ~ I LEGAi. I 1 DUCII, ~ /1) _'J::1~ ~ /_/ MAIL ADDl'IESS "' PKONE ~ -./11,n/ . .A ~ ~ CONTl'IACTOIII: MAIL ADDRESS PHONE LICENSE NO, (1 3 _A •-'A -~ ' ., ,
AIIIICHtTECT 01'1 011:SICNEIII MAIL AODIIIE!IS PHONE LICENSE NO, ....
ELECTRICAL PERMIT APPLICATION 3
4 ' ""' ••• :-.
ENGINEER MAIL ADDRESS PHONE LICENSE NO, " i 5 '\~
LENDER MAIL AOOl'IESS 811ANCH I'"" 6 ,.
USE 0,-BUILDING Alp M-7
8 Class of work: •NEW ~ION 0 ALTERATION • REPAIR
9 Dascriba work:
, PERMIT F.EES
~SZ,o qa}'f /,/¥" No. Each Fee
SPECIAL CONDITIONS: To I RECEPTACLE Outlets r t::2'
LIGHT
SWITCH
Total
LIGHTING Fixtures
APPLICATION ACCEPTED BY: PLA;:7~ APPROV~;: BY FIXTURES ;::I/)?'\_
RANGES CLO.DRYER WTR. HTR.
NOTICE GARBAGE DISP. ST A. COOK TOP
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DISH, WASH. CLOTHES WASH.
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SPACE HTR. ST A. APPL, 1/z H.P. MAX. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. MOTORS: H.P. I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT ODES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE NO. TRANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NO. LAMPS
TEMP. POWER UPOLE UUNOGO.
SERVICE 0·200A
201·400A •NEW 401·600A
SI0NATUl'IE OP' CONTIIACTOII 011 AUTM0l'IL1ED AGENT (DATE) •CHANGE OVER 600A
)('~. '/_,, ~ --\ c;I/'__--PERMIT ISSUING FEE $ ~ 1C/
' TOTAL FEE $ "7 1,:7) T , ow • OWNEII SUILDEIII DATEI
WHEN PROPERLY VALIDATED (IN THIS SPACE I THIS IS YOUR PERMIT ,
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
-----------··· ,.._,.,..C"DILl&Tln..,41 t"nl>Jt='FRE:l>JCE OF BUILDING OFFICIALS. eo so. LOS 1'1081..ES. PASADENA, CALll"OIINIA tiJl101
.. INTERDEPARTMENTAL INFORMATION SHEET
~--_, ~ ..
. DATE : _ __,_/_·~_2_·-'-&_-_.:_7_0 __ _
-BUILDING DEPARTMENT
owner's Permit No. -------------
Lot No. ---------------
Contractor ~ Legal Description ________ _
Address -----------------
Approval to Issue Permit;.._ ______ _ Certificate of Occupancy _____ _
PLANNING DEPARTMENT
Parking Spaces Provided;.._ ______ _
Setbacks ______ ~_-________ _ Zone • .;...... ______________ _
REMARKS~: __________________________________ _
Date_-1-f=-~----z=r"-.........,__-_:-7_._..:,,C).._,,_ '-----Date _______________ _
Approval for Occu8ancy ______ _
" ·, ..
I ENGINEERING DEPARTMENT
'
I ' Easements_~cf'.~_?,_,_0_,_6_;;;--__________ _
Cur 6 h~~,,,:? ,4.;~.,,,,,;,~r
Improvements ,/4/o 5;,:1~d-<.r<C..
Driveway Locations cy/s ZZ60.,._ ___ _
Industrial Waste ------------
j=DC:,,s T7 ""'4
Sewer Connectiori~ztv~~~-!:::_~v:;2•~1~1~e~~~-~-
. Water Connection hsnNt; , __ _
REMARKS: 94£4-z. e /__,p c,4:z;r
.----~ /l'lo:r· /:;:5ve
a.A..J c=:./-Jsen?c:.,-¥<.IT-·
7
Po£ ,#7/ z:
Date_________________ Date ________________ _
Approvc1l to Issue Permit ________ Approval for Occupancy ______ _
==..:: .. ----==== -----
~ I have read the i:.llove information and agree to cumpl-y with the requirements
set forth.
Signature __________________ _ Date. ____________ _