HomeMy WebLinkAbout2320 Hosp Way; ; 74-640; Permit" 0 O
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 1,.L/.-~. t ~
Applicant to complete numbered spaces only. Phone 7 29-1181 Perm It No. {£;· / (
JOB AOOR ESS ASSESSOR'S
)._5~0 f .J~P tVA PARCEL NUMBER
LOT NO. I OLK I TRACT BOOK PAGE I PAR,
LEGAL I <DSEE. ,ATTACMED 5M[[T) 1 O<SCR,
OWN[A M AIL ADDRESS -f':.. ZIP PHONE
2 A 'i?Jn/.:.., c· _ ·JN sr (_ _J J,,,,m .\ .... 1;.e. .... .!),d.,.;,. -
CONTRACTOR MAIL A DDRESS PHONE L IC[NSE NO. ST ATE CITY
3 -~~ ... \ /4 ( -• .,j <; y C2<,/ iL"'"i ,J it!~ -~,. 0 r~~I:;.:\ , 11 '
..... CHITECT OR ocs,c;.N[R MAIL A0DA£S5 PHON t L.ICE,.,.SC NO . 7/q~ 4
ENGINEER M•IL ADDRESS PHONt LICENSE NO, r
5
COMPENSATION INS, CARRIER MAIL AOOlll:ESS 8IIIANCH
6
USE Of" BUILDING ..
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: p ISt..lL. f,"J -I t.1...-;1/1-,P,-
B ~ ~ /:;,
10 Change of use from
Change of use to
11 Valuation of work: $ -_, 6~ ~'?5 r1 /, PLAN CHECK FEE$ -/ I PERMIT FEE $ ~:7. St:
SPECIAL CONDITIONS·.' A/6JNf-.J /'...JJfY/,~j ,,;!_,IOI')/ MICRO FILM FEE Type of Occupancy -. ~FAn---.Dl./1'/r/J" ,_ Const. Group
,.NrrJ _ l ; ff/✓ E.AT✓Jl':VI/ 1/ A /1.I~ I'
Size of Bldg. N o. Of Max.
,__l'fr.:_ ,-:,.;.n ;....,.,A.A 1-::, .J:_:J L..f., N r::u,.. ~-~·,. (Total) SQ. Ft. Stories 0cc. Load
All T .f~ --.;_v /.J£..'!: ~~rP., ,r 7 Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone z one ReQutred O Yes O No
' No. of OFFSTREET PARKING SPACES:
I\ DATE ,"2/~)/,_f.,t'j Dwelling Units No. I No. DATE II Covered SQ. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. 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 SlATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
:f£ J. ·-~-~ik'/1.) :..-!>f I '-1 I 14-,:-,
SIGNATUJU o, tONTIIIACTOPl;OR AUTHOlll!l!.D AGENT • fATt)
!IIGN&TUllt[ o, OWN[Pt 1, OWNtlll 8UILD£111) DATC)
WHEN PR OPE RL Y VALi DATED (IN T_H_I_S_S_P_A_C_E_;)_T_H_IS_IS_Y_O_U_R_P_E_R_M_I_T _____________ _
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAtlDATION CK. M.O. CASH
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.
3-27-74 s.:teel and bondinli: All O,K , The jacuzj pool needed cleaning
told Dick Mantle to take care of i t . T. Mata
0 0
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 Jll.-/4 I-I Permit No.
Applicant to complete numbered spaces only. Phone 729-1181
JO• ADDIIII ESS . ,,
1·~~(-..1 )r\ J
LOT NO. IOLK I TIIACT Osc.c ATTACH~o sHitl.T) LEGA~ I 1 DUCII,
OWNUI MAIL ADDPl'E.SS %1 p PMOHE
2 Lh1<....-r ~2.~ ?._, / rA v/0 ,·. .
CONT .. ACTOJt MAIL ADOJIIIESS PHONE. LICENSE NO.
3 ..,U., '\, -..,, /,..,()4'b ,_ -/ .. _,{,/,r-(;. i; ,/:it,.,), -AftCHIT&CT 01'1 OE81GNl.fll ,-MAfL ADDfU:ss PHONE Litt.HSI: NO,
4
1.HOINl.£PI MAIL ADCflllt.SS PHONE LICENSE. NO.
5
LENDER MAIL ADDIIUIS ' &fllANCH
6
uat. o, 8UILDINO
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ~ .. JR.{ J/ u,.,, ¢
' ·-
7., ...., ~A-..P'":' , PERMIT FEES
No. Each
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
-
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY PLANS CHECKED BY. Az:O;ANCE BY
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
rA--X-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 60 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 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 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.
II TEMP. SERVICE OVER 200 AMP.
i~ I PER 100
-,/ -/.:/ _/Alf J.// ~/A-~ f
SIGNATUfll: OP' CON TRAC TOA 0,-AUTHOJlll.1.0 AGt:NT r (0,lTEI --:, .
MINJMUM PERMIT FEE '~
4111 ......... Tttfl• OP' OWNUI If' OWNE"-aul\.01[11 iOATIC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
0 t z
l'I ..;;;.J.,.
Fee
l:;4
5
l•J ?1
CASH
... 0 ..
> 0 0 .,.
l'I ..
,...
z 0 .. .
It
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1..-
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Vh· -
n L 2. * • l. PLUMBING PERMIT APPLICATION
7/_£/,,2_ Permit No. _____ _
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA
JOB ADDA ESS
-Ltr,~ N~
LOT NO. I OL< I TftACT QstE ATTACHE0 SHCETJ L[GAL I 1 D£5Cft.
MAIL AOOJU,55 ~IP PHON[ OWN£,_ il 2 t I ( ;lll:!1. ,A1 l.r •·....._,-A' --'-""1
CON TAACTO" MAIL ADDRESS PHON£ LICENSl NO.
3 ~ a ·• -'-. {, '/J ~ ,~ ,e1 .. j~ /'.$ l..J --
A"CHITECT OR DE.SIGNEA MAIL ADDlllltSS -PHONE LICE.NS£ NO.
4
£NG1NEER MAIL ADDRESS PHONE LIC!.N51. NO,
5
LEN DER M AIL AODIIIE5S 8 .. ANCH
6
USC OF BUILDING
7 .
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ) r-Bt-, c.... Poi.J ... ,
I Ff, l!:A·P'7'
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED 8Y PLANS CHECKED 8Y APPRDIIED FOR ISSUANCE BY LAUNDRY TRAY
y:--CLOTHES WASHER
I' ,;I. J ,/ '-....A.. _J WATER HEATER
NOTICE ~--URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR I F
CONSTRUCTION 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. r; GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER Pf PING & 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 I VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,_ LAWN SPRINKLER SYSTEM
SEWER
£ Jr CESSPOOL
-,i,.//~
I SEPTIC TANK & PIT
SIGHATUR£ 0,-CONTIIIACTOft 0111 AUTHORIZED AGENT , (DATEI
PERMIT
SIGNATUftE OIi' OWNER (I P' OWNER BUILDER OAT£) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
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0 OJ I?~ ► 0
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Ill I'.\ IJI 1/1
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If I"'
L-
I, .1
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Fee
$
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.
$
$ r 1--
CASH
7J
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3
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0
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