HomeMy WebLinkAbout2393 LAFAYETTE CT; ; 77-4562; PermitMODEL NO. __ B-UILD~G PERMIT APPLICtTION
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Permit No.//.: (/.5-r.,. ) Phone 729-1181
.JOB .I.ODIi ESS /) {')'J.. v;, •,.,, I , I I "'S"S!l'O'lf'S' -e-~~r.J Lt ,.'C',-/mtcr PARCEL NUMBER
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L[loAL I 1 0£$CIII:.
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IZbl2L~eAO (□$EE ATTAC>H'.O SHEET)
aouK PAGE I PAR.
OWNER
2
3
CONTIIACTO~Llj M ... IL AODIIESS
6CCO\
MAIL ADDRESS
MAIL AOOIIESS
COMPENSATION INS. CARRIER MAIL ADDRESS
s vr:x:, ~ \ ( cc:::. ee \n-2
USE OF BUILDINlo
7
'"
PHONE
PHONE
I
NO. BDRMS
P1-10N E
STATE LlC. NO. CITY LIC. NO. c,qo111 cie;3 IJ?,/S
LICENSE NO.
LICENSE NO.
BIIIANCH
NO. BATHS
8 Class of work: 0 NEW ~DDITIDN 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ /, /7;;;.__ ~ PLAN CHECK FEES
~S'-P--'E'-C'-1-'-A--'L'-C-'--'-O_N-'D'--I_T_I O_N_S_: ----'----------------1 Type of
Const.
1--------------------------------1 Size of Bldg. {Total) Sq. Ft.
~=~-a:;,:"'.:-;:-;,::,i,,,-;c:;-:,-,,1"::':'7::::-;:-,:.,.,::,:,-;:-:,::-----r.::::::::,.,:-::-c-:::,;:-:-;CC":--c:,:-:C'.'i Fire
APPLICATION 7(ED1,"J/ ,CANS CHECKED., ,e,aove;;.~::'; ::":,
DATE / / j) DATE './7 Dwelling Units -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 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
"
ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
~NS oF ANHEF.i s-r ~~"oR ~fjAL LA~~,~GULATING ;;;N l t_E /P:F 1 ;::z OF ;:; ;;h;ON
/
Of' CONTFU,C , ...... 0111 AUTHOIIIIZED AGENT I IOA'!lf:) '
IGNATU!llt 01' OWNl!:11 II' OWNEIII l!IUILOl:1111 1DAT[)
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
Fl RE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT,
Occupancy
Group
No. of
Stories
u,e
Zone
PERMIT FEE S
MICRO FILM FEE
Max.
0cc. Load
Fire Sprinklers
Required DYes
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. CASH
TOTAL FEES $_~&~-0~-~---
--
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No
JOB A0011t CSS --~'10 l. -,:.::,. \... I
LOT NO. I 9LK I T"'" T L<GAL I 1 ocsc•. ' .
OWNClt ,..,
~7
MAIL 40011tC5S II p PHON[ 2 'c::: ,.___ -CONTlltACTOllt MAIL AOOIIICS5 PMONt STATE LIC. NO. CITY LIC. NO. 3 --..-r-,~ .. " -f' 5e'c-, jt . l ~ . I . --AflCHITECT Ollt O\51CNCft V MAIL AOOft[.55 PHONC LICCNSC NO,
4 . .
[frrl(OINC[llt , MAIL A00 11t[S$ PHO NC LICENSE NO. 5
COMPENSATION (NS. CARRIER M AIL AOD,.£55 l!UU,NCH
6
use o, BUILDING
7
8 Class of work: 0 NEW Cl ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : t>fT PDoL (--:;CJ 2. >,,j_:) .
PERMIT FEES
N o. Type of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP
DISHWASHER
APPLICATION ACCEPTED ev PLANS CHEC~EO BY APP~OVE O FQ~ ISSUANCE BY LAUNDRY TRAY
-CLOTHES WASHER / I ~ ,-WATER HEATER . ~ DATE )
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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.
GAS SYSTEMS. NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS , J .;J(_,
APPLICATION ANO KNOW THE SAME TO ae TRUE ANO CORRECT. \ WATER PIPING & TREATING EQUIP. j _) I•~ 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 I VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
.._ SEWER NUMBER CLEANOUTS
\ ,,,-·\ I (, CESSPOOL I SEPTIC TANK lo PIT 2) ROOF DRAINS a.! 51GNATU111t Or' CONTfllACTOIII OA AUTHOttlZED AGENT (Df' TC)
ISSUANCE FEE $
51GNATU1'E 0,-O~NCIII IP' OWNEIII BUILOCIIIJ _iOATE) TOTAL FEES $ 'I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK . M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No ,, ~ JOB ADDRESS , -' ' )lv ' I t... ( I LOT NO. LEGAL 1 DESCR. q I BLK. I TRACT <OsEE ATTACHED SHEET)
OWNER ..V( MAIL ADDRESS ZIP PHONE
2 ~(Y\<Mc.J .,. n'\ ,,
CONTRACTOR 't1)21._~ MAIL ADDRESS
~l\j /? Hf\ v'Y\ • \
PHONE STATE LIC. NO. CITY LIC. NO.
3 --,· C\C(II (
' 1 ', I
ARCHITECT OR DESIGNER I MAIL ADDRESS PHONE LICENSE NO.
4 r I
ENGINEER . MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW □--ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ~\I\ ~L.
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE l '5 ~-
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACCE,TED .... PLANS CHECKED av APPROVED FOR ISSU~NCf.BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
I ) I DATE 5 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 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.
) A I J I /. I )
TEMP. SERVICE OVER 200 AMP.
~ PER 100
J I . r~ , , l _
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT {OATt) J r~ ISSUANCE FEE ... -
TOTAL FEES 7 C) I'
'i:ll~NATURE OF nwNER (IF OWNER BUILDER DATE
_.,,
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
-.. $· INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
• BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
•
DA TE : ----1JeHffflM---<'>B--41-A'9JR7'-. -
CITY OFi CARLSBAD
811lldlR8 DepartmaRt
ZONE _________ LOT SIZE. _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED ______ _
INTRUSIONS
, LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
"'" ADDITIONAL COMMENTS:
OK TO ISSUE: ____ DATE ____ OK TO FINAL ________ .DATE. ____ _
ENGINEERING DEPARTMENT
R. o. w .Glf""'..s r INDUSTRIAL WASTE ..-ot11 IMPROVEMENTS ~K(>-t
I SEWER CONNECTION ~DRIVEWAY LOCATIONS__.AJ~,/<4";A,.__ _______ _
GRADING PERMIT A//,A EASEMENTS p.,,._,e_ DRAINAGE &A
LEGAL DESCRIPTION ~,;,7': 14·, <2r: 2</: -s:A . ~ t!SJ 2/ r r ~
ADDITIONAL COMMENTS__.a,)"""'~Ow,_~,e~------------------------
, OK TO ISSUE: ,e~ DATE t:,/1/72 PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP·-----~--
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION ___ ~--------------
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _