HomeMy WebLinkAbout2160 JANIS WAY; ; 76-3133; Permit____ ... _
,
MQ~EL NO. ________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB ADDA £55
LEGAL I LOT NO. 1 Ct.SCA,
OWN CR
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2 I ) A. /;;;. I) Ff:..;..ll..1.-1
l \_ ' Al..(
(nSEf. ATTACHED SHEET!
MAIL A0011t[S5 z,. PHONE
I h O .T'A•f'-11':::, '· , )..0(.)
ASSESSOR'S
PARCEL NUMBER
BvvK PAGE I
/
PAR.
CONTRACTOR
LA k, rJ
MAIL ADDRESS PHONE STATE L IC. NO. CITY LIC, NO,
3 ' t/1 l . SD, C..oe 1 '-, f'j . j1,-:,
ARCHITECT OR OC51GN£111 MAIL ADDRESS PHON C LICENSE NO.
4 I I
ENGINEER MAIL AOOR£.~S PMON[ LICE"ISC NO.
5 I l
COMPENSATION INS. CARRIER BR.t.NCH
6
use OF BUILDING 7 , )
NO. BDRMS NO. BATHS
8 Class of work: ~NEW ~DITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMO VE
9 Describe work: P; <J f L"1i5'
'
10 Change of use from
Change of use to
11 Valuation of work: $ -,CJ
PLAN CHECK FEES 7? I PERMIT FEE s
1-S_P_E_C_I A_L_C_O_N_D_I_T_IO_N_S_: ___________________ ---i Type of
Const.
1---------------------------------i Size of Bldg. (Total) Sq. Ft
~----------,,----------,-----------1 Fire APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCf'illY Zone
DATE 1 · DATE
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 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 REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUT H ORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTI ON.
{ ~ SIG'"NATURC 0,. CONTRAC TOJIIJ 0111 AUTHOIIIIICD AGtNT (DATE I
§l(;NATU"-C 0,-OWNEIII 1,-OWNCJIIJ 9U ILO[III) (OATC)
No of
Dwelling Units
Special Approvals
PLANNING OEPT.
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
.
Occupancy
Group
N o. of
Stories
MICRO FILM FEE
'
Ma><
0cc. Load
Use Fire Sprinklers
Zone Required 0 Yes
OFFSTREET PARKING SPACES,
No. Covered
Required
Sq. Ft.
Received
INo. Open
Not Required
WHEN PROPERLY VALIDATED IIN THIS SPACE} THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
M.O. /~G, C?Hc
TOTAL FEES $ ________ _
INSPECTOR
INSPECTION RECORD -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.
----l.i.-O=-l=-1-6--Good -s -teeJ ........ .woJ;.k__and........bo.nding a 1 l blo .. cks tied i o place...--T..-Ma ta
10-7-76 Gunnite, Good gunnite program very cleam work, T. Mata.
11-2-76 Final Building , Not Ready. Try again. T. Mata
• I
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No 7 -3t34
JOB AOO,t ESS
2/1:,(" ) --.) A I Jt ~ (_} f\, C. 1.:,.,~ .... ~ ~ ~f~
LOT NO, -1 OLS I '"ACT
ctGAL r 1 ocsc•.
0'1¥Ntlll MA.IL A.ODIIIESS ti. PHON[
2 I t ..,/\RD t &--'60 TAI\Jt'SI.J"" 7 .loo~ -, l._c-/ t: } f ' . -.1 I-,--c(mAo; -u I ft/ ► ,< r, rJ
MAIL A00R£55 PHON[. STATE LIC. NO, CITY L'_), NO,
3 --_,c:). Co RD o :"I 4 l.... zrt~L> #-• I I .. ~ t I r;;' ) ·' J -..
AIIICHITECT 0 .. OCSIGNEfl MAIL A001't[.5S PHONE LICCNS[ NO.
4
CNGINEEIII MAIL AOOA[SS PHONE LICENSE NO.
5 I
COMPENSATION (NS. CARRIER MAIL AOOIH.55 81111ANCH
6
USC Of" 8Ull.OING
7
8 Class of work: (}(NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: PooL-1s~, -L\
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS· WATER CLOSET ITOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
K ITCHEN SINK & OISP
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED ev ~"""" "' ·~" LAUNDRY TRAY ½I~ ' CLOTHES WASHER rl./Yl. . , WATER HEATER 1 15 ....
NOTICE URINAL
T HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR-ABANDONED FOR A F"LOOR-SINK OR DRAIN
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. I GASSYSTEMS NO.OUTLETS .I l~ I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED "THIS
/ '-" ~ APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ;i 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 -117(~ PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM •
SEWER NUMBER CLEANOUTS
~ CESSPOOL
I II r'\ SEPTIC TANK & PIT
• ~
~ .... _
ROOF DRAINS
51GNATURt or CQNTJltACfo11t Oflt AUTH011tl?£D AGtNT (CA TE)
ISSUANCE F"EE $ -; ~,
§ICiNA'fUl'IF-0,. 0WN£"1 ,,. OWM[Jlt 8UIL0C") (OAT£> TOTAL F"EES $ l'-f I\.,
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA LIDATION CK . M.O. CASH
INSPECTOR
------
INSPECTION REPORTS
.---------~--------~~ ~--
DATE ITEM REMARKS INSPECTOR -----~ 1-----
---I--------
,___ ---
-
-
l -~--~
--
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
10-19-76 Gas test. All O.K. to proceed test holding good. T. Mata
11-2-76 Final Plumb. Not Ready, try again. T. Mata.
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No l l,, -!J / .:3 S
JOB ADDRESS
I ' J""A.t,,1, l A. l CA\!2..LC,. Q ~f'J LOT NO. l BLK. I TRACT (Q SEE ATTACHED SHEET) LEGAL I 1 DESCR.
OWNER MAIL ADDRESS ZIP PHONE
2 , \ n.. ~ {:-1~ ILL. f l 1 .s---A. f\.J 1'-:, I I c <? .,
l .. ' ' ,_ lJ(.' n --I
CONTRACTOR ; N MAIL ADDRESS PHONE STATE LIC. NO. C ITV LIC. NO. 3
~--; '" .,
;:, 0 . Lo~ .... '-If, .) '··-7 7 L ' I \ I I . I I , •:J ARCHITECT OR DESIGNER MAIL ADDR ~SS PHONE LICENSE NO.
4 I
ENGINEER MAIL ADDR;ss
5
PHONE LICENSE NO.
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH 6
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : .,au\ -r-3 lJ I \-.-,-
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTEO 8Y 'LANS CHECKED 8Y APPROVED FOR ISSUANCE ,r'j AMPERES OF MAIN SERVICE, SWI TCH,
FUSE OR BREAKER Dt ,.,v ~A/ NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE 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
REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
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
le?(' HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· '7-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.
(J\ I TEMP. SERVICE OVER 200 AMP. ,
"t} f_ / PER 100 ,.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ct<• ISSUANCE FEE ~
a1r-uATURE:: of' OWNER If OWNER BUI DER CnATE TOTAL FEES ?i b(
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS ---------
DATE I ITEM REMARKS INSPECTOR
-
--
-
--
-
---+-----------+-------------
---~----------+-
__._ ____ ---~--------~ ---
~~~--~----~~-----
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
10-18-76 Pressure Test-Gas test Okay. But I asked for the motor to be fastd-ene ;
10-20-76 Electric raceway all O.K. wires have been pull ed and
G.F.I. set. T. Mata
10-29-76 Final Elec. Not ready, try again. T . Mata
T. rnata