HomeMy WebLinkAbout2350 Hosp Way; ; 73-1572; PermitBUILDING PERMIT APPLICATION
Permit No. ~ /5 7~
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 7 29-1181
Joe ADDA £55 l-1~ 0 '-
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LE CAL I (Q SE£ ATTACHED SME£TJ 0 1 OESCR, :-~-1 . ~ 7'.-. .:. .,,~ ll ! -·-·j ftl u-• ;Jit..~--i .... -"' OWNER MAIL AOOA[SS ZIP PHONE. 1/1 1/1
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CONTAACTOf': MA.IL ADDRESS -PHONE LICENSE. NO.
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A.IIICHITECT OR DESIGNER ~ MAIL AOOR[59'""" ~ PHONE: LICENSE NO,
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tNGINttfl . --~ MAIL AOciRC5S -.,,.-..,;. ~ PHONC LICENSE NO.
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L ENO[R -_,.. '~ . ,-+ MAIL ADDRESS ~ ~ BRANCH
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\JS£ OT BUILDING --~ ~ ~
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE '
9 Describe work: ,
10 Change of use from
Change of use to
11 Valuation of work: $ 4-~L "'J"'?~ PLAN CHECK FEE l PERMIT FEE ;~</ C
SPECIAL CONDITIONS: ....,, y" -
Type of Occupancy
Const. I Group /r Division -r Size of Bldg. No. of ~ Max.
(Total) SQ. Ft. In, Stories 0cc. Load -Fire u se Fire Sprinklers
APPLICATION ACCEPTED ev PLANS CHECKED BV APPROVED FOR ISSUANCE ev Zone < Zone Required Oves □No
N o. of OFFSTREET PARKING SPACES:
t I~ /. 4/-,,h~ 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. HEALTH 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 ANO 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.
'-._ ·~~ ::__---....__ --~-,r F
SIGNATURE!O, CONTRACTOft Oft AUTHOftlZEO AGENT JDATEJ r -
/
Sit.NATURE 0,-OWNER OP' OWN[" IIUIL.0£R) DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
l
7J CT>
3
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0
INSPECTION RECORD 173--/ S7;J,
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, £TC.
8-17-73 Interior footings Steel: O.K. E. Plude
9-7-73 Fdn. O.K. to pour, gas line down. T. Mata
PLUMBING PERMIT APPLICATION
Permit No. _ --~ City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
JOB ADDA ES5
LEGAL I 1 OESC~.
LOT NO. I T~ACT
:.ibad ?2-l2f. QscE ATTACHED SHEET)
OWNUI MAIL ADDIIIE.55 11P PHONE
2 . . 1n~n l?On ~ . • f:'.nn ns. .
CONT,.ACTOR MAIL AOOfllESS PHONI. LICENSE NO,
3 . n. li11rrninn .il"n .. en .
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDfllESS PHONE LICENSE NO. .
5
LE.NDC9ll MAIL AODfltESS BRANCH
6
US£ o, BUILDING
7 'O
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : Pl~blnr. '
SPECIAL CONDITIONS·
APPROVED FOR ISSUANCE BY
NOTICE
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.
)
SIGNATURE o, CONTRACTOR OR AUTHORIZED AGENT (OATEI
~IC.NATUR£ 0,-OWNEPI ,,-OWNE.llt IUILOl!'.R DATE)
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
_j ... LAVATORY (WASH BASIN)
SHOWER
?U KITCHEN SINK & DISP.
__j ,_j, DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS _ _?
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT
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
1.
0 <.. cl
::[ 0 CD
z Ill 3 Ill > ll 0
0 :z
ll 0
Ill C/1 C/1
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Q~
-
Fee
$ ,.,
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1_ ,o, ,I
"IL no
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$
$
CASH
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
8-15-73 Underground Plbg. O.K. to cover. Need to replace 611 cast fittings E. Plude
9-5-73 Underground Plbg. Test Holding, all O.K. T. Mata
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING PERMIT APPLICATION
Permit No. 7,S ~-1 _2 7 City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
JOB ADD" ESS
3.50 Eosp
LOT NO, Im I T"ACT -~li;bad LEGAL I QsE.t ATTACHE.0 SHEET) 1 DESC ... ?2-1
OWNER MAIL ADDRESS ZIP PHONE
2 --· _ _... Inv l l~ ~1-u-.:. • cc . . 1200 , . • ii I
CONTflACTO" MAIL. ADDRESS PHONE LICENSE NO,
3 . _r T'l, ...., . ..,. _ A. t.°"+flr.~ , ··--· "· Ml,ir:lon __ ldo, ca. ·-
AfltCHITECT OR Dt..SIC.NER -MAIL A00R£S5 PHONE LICENSE NO.
4
fNGINEER MAIL ADDRESS PHON[ LICt:NS[ NO,
5
LEN DEii MAIL ADDRESS 8RANCH
6
USE or BUILDING
7 Ra i nc('I>
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : r.-ewer 1eonnectlon
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECl(ED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
1/ CLOTHES WASHER
,. "' 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. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. 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 PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
/7, ,/ r: ,/1 CESSPOOL ,,
,/;J SEPTIC TANK & PIT -. --I
' \
51GNA'T'tlRI[ 0FfONTRACTOR OR AUTHO,-IZED •Gt.NT (DATE)
PERMIT
SIGNATIIR[ o, OWNEft. 1, OWNER 9UIL.0£R) IOATt) 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
•
$
$
$
CASH
.....
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:f. 0 z (II
l'1 ► ll 0 0
ll
l'1
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Fee
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0 :l ELECTRICAL PERMIT APPLICATION
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~ City of CARLSBAD, CALIFORNIA 92008 l'I
Permit No. /,·.~-,./ " ,,I I
Applicant to ·complete num6ered spaces only. Phone 729-1181 .
JO• ADD" IESS
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LOT NO. 0 I 9LK I I Ti.•C'l'-oi-• rr .... {; ..... r -
L~•AL I Qst;E ATTACHED IHCE.T) 1 oue,.,
OWNIUI MAIL ADD .. l:SS ZIP PHONE.
2 I I I ,. ... , * r _
CON ""ACTOJI MAIL ADDIIESS PHONE LIC£NSE NO.
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AflCHITI.CT o" ,r.slGNlft = -·~ MAIL ADD .. tSS d r I PHONE -LICENSE NO.
4 I
E.NGINE.Cft MAIL ADD .. ESS PHONE LICUri1St NO,
5
LENOIUI MAIL AODflltSS IJIIA.NCM
6
\JS£ Of' eUILOIHG
7
8 Clau of work: ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR .~
9 Describe work: [.{. t C .. • 'J
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
'2--
NEW CONSTRUCTION, FOR EACH APPLICA~:P PLANS CHECKED BY APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER I J{Jd fl l,uo -
NEW SERVICE ON EXISTING BLOG. -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 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-REMODEL, ALTERATION, NO CHANGE
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 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 ANO 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
818MATUflE OP' CONT,tACTOfl Ofl AUTHOfllZ.CD ACiC.NT (0,-TE)
MINIMUM PERMIT FEE
., TU■tr: 0,. OWtr,11.fl HP' OWNUI auu.01." DA.Tl) ).),..,/''
WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS VOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
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