HomeMy WebLinkAbout2348 La Costa Ave; ; 73-250; PermitBUILDING PERMIT APPLICATION
13-~5["'1 Permit No.
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
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OWN£,t \ MAIL. AOOlllCSS ZIP PHONE "' "' 2 t f ' -COHYlllACTOlll \, MAIL. ADDRESS PHON( LICENSE NO. ' ·,; 3 I / -I (
ARCHITECT OR 01.SICiNUt ' MAIL AOD,t£SS PHONE LIC ENS£ NO. ( .\..
4 \ . " ENGINEE,t \ MAIL ADDRESS PMON£ LICENSE NO. ~~ 5 .....
LEHDE:llt \ MAIL AOOJIESS &Ill.A.NCH
6
USE o, BUILDING \ 7
("'· " "'
8 Class of work: □NEW □ ADDITION □ALTERATION □ REPAIR □MOVE □ REMOVE 3 -· -;z
9 Describe work: \ ~
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--
10 Change of use from r )f] \, J I
Change of use to \\r R \ -~.
11 Valuation of work: $ '{)" \~ I PERMIT FEE l,L__ -' PLAN CHECK FEE ' 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 BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required □Yes □No
No. of OFFSTREET PARKING SPACES:
Dwelling Units Covered I Uncovered
NOTICE 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.
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 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. \
'\
51GNATUJIU o,-CONTIIIACTO"I 0111 AUTHO"IIZ£D AGENT (DATE)
51GNATu,u: 01" OWN£111 (I,,. OWNEIII &UILOEIII) DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOi.JR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK \ ... ""J _/
TRENCH ~\' V
REINFORCING 11\ ---rY
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
' ~
FINAL c,l/5/~ I u,1!o
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING PERMIT APPLICATION '>4,.-/
Permit No. City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
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LOT NO,
IBLK I TIIACT lJ g:z LEGAL I 0sec ATTACHED SHEETI 1 ouc~. ;)J?
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MAIL A0D111£SS ?IP PHONE "' OWNEJII "' 2 l I J~ tL_ ( ,, y -' CON T .. AC TOIIII MAIL ADDftE.SS PHONE LICENSE NO,"t:',. I IIUJ 3 ,; I>·· J I ltf '-" I fl./
AACHITECT O"-DESIGNER , MAIL AOO .. ESS PHONE: LICENSE NO, I•
4 I•
l:NGINEER MAIL ADO .. ESS PHONE LICENSE NO, II
5 ..,
LENOCIIII MAIL ADDRESS BIIIANCH !~ 6
USE. Of" BUIL.OINCi
7 ~ I~ 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR ' 9 Describe work: ( \
_,,, -~ ~ (>. \0 I'-.
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS· WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTEO BY PLANS CHECKEO BY APPROVED FOR ISSUANCE 8Y LAUNDRY TRAY
... )U.I\J.
CLOTHES WASHER
"l 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 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. r GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS r~ J : ,~ ~
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. I WATER PIPING & TREATING EQUIP. • ALL PROVISIONS OF LAWS ANO 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 OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMAN CE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
) CESSPOOL
SEPTIC T ANK .. PIT
I/,"
SIGNATURE 01' CONTIIACTO" OR AUTHOPIIZICD "iGENT (DATt)
PERMIT $
SIGNA.TUJtE 01' OWNEII 1,-OWNEIII &UILOEft OAT£) TOTAL FEE $ '
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
i./?/7_ ~-~ -
, ' -
5 !ts/j ~~ }uL.__~
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i : 3 . /-A City of CARLSBAD, CALIFORNIA
z ,, 92008 -1e;10 -~·; ~-" .... Permit No. ,, " .. :oz
Applicant to complete numbered spaces only. Phone 729-1181 :: 0 .. .
ELECTRICAL PERMIT APPLICATION
JO• A001' ESS
,Lie/ I I ./,, Fil .. ~ &..OT NO. -I OLK I TU,CT
L&GAL I Qs1.1t ATTACHED SHEETJ 1 DUC,., ~
OWNUI MAIL AOOJIESS ZIP PMONI:
2 ' ~ . r. t • I. ,,. ' 1 ,. ~ ..J ,.. I I 6 A/.,..,, . ' CON T"ACTOft ~ -.,_ ..... ., MAIL .\DDfU~S9 .. . PHOHl:" -LIC£Hst H0~11v s~ !~ -,
3 ' c-I I ~'",I-.... ') I f'\ -· Ii 1-· I, • f'J/ 1. . -(7_ '-I 'I
A"CHI TECT Oft OESIGNlft ,-t .. MAIL A.00,-ESS ~ .,~, ... ,... .. -PHONE. LICENSE. NO. • ~ ' 4
I.NGINEE,t MAIL AODIU:ss PHONE LICENSE NO.
;~
-~ 5 -. .
LI.NOEIII MAIL Aooi.1:ss 9JIAHCH
6 ·~ ~ USE 01" eu1LOING --:::, ~ I~ 7 ,I -L It ,,
0 ALTERATION 0 REPAIR K)
8 Class of work: □NEW 0 AOOITION \_)
9 Describe work: . (J.
-----p
,, PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT I ""' l.
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY; PLANS CHECKED BV APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
• \I? n.) I NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL ANO 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 R~ODEL, ALTERATION, NO CHANGE ?-1,0
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCEO. IN SERVICE, FOR EA. AMPERE OF 1S ,,.,
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE ~ '20 ....
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 INCLUO· 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 ' TEMP. SERVICE OVER 200 AMP. ~ PER 100
_ ... --~.i' ...
alGNATU"E or CON.TltACTOlt o .. ,, .. ,THotllZ&D AG~ (DAUi r ,
MINIMUM PERMIT FEE
') / ~ . . .&.Tu"• n,-OWNER , OWNER au ILDE"} DA.Tl:)
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 ITEM REMARKS INSPECTOR
--..
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.