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Home My WebLink About2409 Jacaranda Ave; ; 75-3124; Permit0 BUILDING PERMIT APPLICATION City of CARLSOAD, CALIFORNIA 92008 Applicantto completenumberedspacesonly. Phone 729-1181 Permit No. • -;_$-3l:J.4/ JOB ADOFI E55 ()~ PnA /J MA.,,., i' f2JJJ / t:J/ ,~ ASSESSOR'S ,,.2Lj'o9 P ARCEL NUMBER ~ LOT NOV' I OLK TRACT 1t I BOOK PAGE I PAR, LE OAL I ,J_✓.~,-/f,os£< ATTACHED SHEET! 1 D E SCR, --, " f OW N[R /f/-'MAIL ADDRESS "1.,/.A'.J' 4 .\J:IP ~~7:r PHONE. 2 " \: t ~!,IA •._.-~-..... ~_., IJ._f, /-J.J fr ,I' ,. j CONTJIIIACTOR M A IL ADDR ESS PM'ON E LICENSt NO. ST ATE CITY 3 -;!._ , /, ~-., c;. . -;, . -ARCHITECT" OR 0£S!GNE.R MAIL ADDRESS 'fl 'Cl { ,, PHON E ·"" l<cl_/V -L.ICCNS[ NO. 4 .,. A .A, _,\I I JI , f ~.•-I -~ -',-_j ENGINE.CA ,, ./ ~ MAIL .4O0RCSS -PHONE LICE"4St:. NO. 5 J / ;. .n , .. ,.. I ~J , ,,,, I.. -. COMPENSATION INS, CARRIER MAIL AOOJIIICSS t'✓ ·,J IV, I .~ ,:.:;. BJU,NCH 6 > _/ ./: '-;I A-f/r715"/ --_ .. -'· use Of' BUILDI NG Ll ,~-7 -. ./ .,,,,,,,.,.,/-_ -r ~I j 8 Class of work: □NE W 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 RE MOVE / -9 Describe work: 1 .-/ ,,r .L -!v .-v!J..1 _ 6,} . ,., 1. .I. .+f. /CJ_✓ .JI 16 Vrr1 1 lo 10 Change of use from "-../' L r /, V ~------Change of use to ( ,f'iWef:I~,, ' 11 Valuation of work: $ fq -1/4 0 ' PLAN CHECK FEE$ ~/? I ,ii!..,...,. PERMIT FEE $ ? - SPECIAL CONDITIONS: -MICRO FILM FEE Type o f / Al Occupancy -Const. G roup --- Size of Bldg. No. of Max. -(Tot al) Sq. Ft. /'S-t:;q Stories I 0cc. Load Fire Use Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKE0 BY APPROVED FOR ISSUANCE BY Zone ) Zone Required OYes O No N o. of OFFSTREET PARKING SPACES: I Sq. Ft. # ~91 ~gen DAT Fi' Dw elling Units No. ~ DATE Covered NOTICE Special Approvals Required Received Not Required SEPA RA T E PERM ITS A RE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT. ING, HEA T ING, VEN T ILAT ING OR AIR CO N DITIONING. HEALTH DEPT. THIS PERMIT BECOM ES NUL L AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCE D WITHIN120DA YS, OR I F FIRE DEPT. CONST RUCT ION O R WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPO RT PERIOD OF 120 DAYS A T ANY TIME AFTER WORK IS COM- M ENCED. OTHE R (Specify) I H EREBY CERTIFY THAT I HAVE READ A N D EXAMINED THIS APPLICATION A ND KNOW THE SAME TO BE TRUE AND CORRECT. ENGINEERING DEPT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPL IED WITH WHETHER SPECIFIED HEREI N OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO G IVE AUT HORITY TO VIOLATE OR CANCEL THE PR OVISIONS OF ANY OTH ER STAT E OR LOCA L LAW REGUL ATING CONSTRU CTION O R THE PERFORM A NCE OF CONSTRUCTION . .--->31.. VL CA 'r>.....-.. SIGNATUft[ o, CONTRACTO" Oft AUTHORIZ.£D AC.I.NT (OATt) . Sll';NATUA:C 01" OWNER fl,-OWNtlll 9Ull0£11t) (OAT[) WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK . M.O. CASH INSPECTOR INSf'ECTION RECORD DATE FOUNDATIONS: SET BACK TRENCH REI NFORCING FOUNDATION WA LL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING ' MASONRY FINAL 1/-~CJ-7~ USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 12-18-75 Fdn. Forms: O.K. B. Nelson 12-19-75 Pour: good job. B. Nelson ' REMARKS 1-9-76 Setting Fireplaces: O.K. B. Nelson 1-19-76 Sheatning: O.K. B. Nelson 2-6-76 Drywall and exterior lath: O.K. B. Nelson 2 4 76 IosuJatian· a K B Nel 7s-01;;2.c.t INSPECTOR 0 0 BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 App/icantto complete numbered spaces only. Phone 7 29-1181 Perm it No. Joe A.ODA tSS /1.,.1_1~} - ASSESS0R"S . ,- rr_1 7 J ... 1.--"' r.....,.._.,;,. ✓/''-l.. PARCEL NUMBER . L0~1-tiY I aL• I TRACT l,L1 BOOK PAGE I PAR. LEGAL I ,Ac\ ti/'u,J iq, GJ•« •rnc••o •v~~ 1 otsc:: Mu~:'~:., ,_ _ , '__., OWN(A ti/.,,-_; MAIL AOOF'tESi-. ':/]VJ.AJA ;'" rJ~ :~s;) ltrAHONlh ✓ I I 2 d,J: //-<J_,,, ~i -.' -1-tJ / ,.,.:;; lb CONTFtACTOA -MAIL ADDRESS /u,Lelv, PHt No/~ LICENSE NO, STATE CITY 3 ,J. s, :J-. --~ -........ Afll:CHITCCT OR DESIGNCA ';; MAIL A00AESS a.A._.. PHONE fl~ LICENSE NO. A. ,~!t O ,-1;; 4 ..... ,:.J.n,,.._...., J rJ ~,,4, ·1. p/· l:ti L -~• l ... _ ' -~ -~ ,11" ~ '71.J ( 5 lNGINE~;{ MAIL AOOAE5S { PHONE Llt"E.NSC NO. ~9:5 ,I r /,,, .ii, t" ~-•-d .i rt.././, J,'A .. ~ ~ _ llo (Ji -?/!rt.IF :✓-'/ ,I, COMPENSATION INS, CARRIER u { 6 /.,.,,,.,.,, j/.., " t ~AIL A~O:E5S4tf ~ /,}, f ~,J✓/'~t. ,;/;;, --=NCH .t.../1 'Tl'ZIJ., I 7 US< o, auJLOING rJ:· -~I' /4 -. ~ ,r. ' 8 Class of work: □NEW 0 ADDITION ~ ALTE RATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: l.1 1 1--:Y1 .' ./ .,.,_1, ft I! i.'1/ ,,,~_;£_ . _.-.. • ~r., .i /9 ✓/·JJ 0 - 10 Change of use from .. Change of use to 11 Valuation of work:$ Roo 0 <J .,,,....~ I PERMIT FEE $ Jl"::tU PLAN CHECK FEE$ SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy Const. Group ,,,,,-. s,ze of Bldg. No. Of ~ Max. (Total) SQ. Ft. Stor~ -0cc. Load -1 ,,,_ Fire use Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BY ~j:0 FOR ISSUANCE BY Zone zone Required OYes O No ~ N o. of OFFSTREET PARKING SPACES: I DATE "j-l{-1 0weII1ng Units No. JNo. DATE " \ 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. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF Fl RE DEPT. L-- 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 APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ENGINEERING DEPT ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER 0EPT. HEREIN OR OF A PERMIT DOES NOT NOT, THE GRANTING 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. c:.,, (_/ J -·}.,.,...,..,...,. .-f .I/ t1K 51GNATUA[ 0,-CONTlll:ACTOJI O" AJJTHOJIIZl:D A.Gt.NT IDAT!) 'SICNATUlll:1'. 0,-0WN[fl If' OW"''(" IVILDt") (OAT£) /, WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR £ECT~Al PERMIT APPL2Ar,Ot~{ l'.m .... : m.;:J City of CAJ:lLS BAD, CALIFORNIA 92008 -,,/ J C).;-- Applicant tc, complete numbered spaces only. Phone 7 2 9-1181 -Perm it No / (r.:, / \J • .JOI AOO,t C5S c; ,,.)) . ,.,,< ,/ , / Par Attnehod /,/// /_,/ I , . / JI" .,-> ·-.. - LEOAL I 1 ouc•. LOT NO. I 9LK /9 -r'/11 ,.; . .::.L~ : I TRACT /'. e sct ATTACH[O SHtCT) OWNC" MAIL AODIIIC~S %IP PMOHt 2 Tffl~ernt1.n Ho:nes 1/iO Y..!nrine Vieu Dr.:tw. Ste. 101... Sol.Ma Beach Cillf'ornia 1-275-18;2 CON TfllAC TOJ\ MAil. AOOIIICSS PHON t LICENSE NO. ST ATE Cl TY 3 ~, • .Jt tYf,~ T"'1 ,,.,_-,.-',. 1 1. ~ Tr..~ ,~i;.-.na,. l":"\H i'°Ol"Tl-i ~ 0?(:{12 711,.-l/)2-1161 18CJ,90 ClO an file AIIIICHITCCl Orf DESIGN[,. MAIL ADDRESS PHONE LICCN.:.C NO. 4 CNGINtCIII MAIL ADDfl:tSS ~HONt LICCN5t NO, : 5 COMPENSAT.ION INS. CARRIER MAIL AODfll[SS lfllANCH 6 ., ··?:'.:rcm.~•s ·}"tln:f·Poot ·o:rrii~--Bi:m.-f97~rs:mtafuiaciilirorn1a-9Z7d2_,,_,_.,,..~.-,._ ~ .:-"~.,.,,.: --~~-....... .;. .. _ .. r ' use 0" &UILOING t ---'\ ' f . ~ .. -k;/tl:7"··· "· 1,t<. :~ ... ..,:~. r. •·:~~;. .. ; ---_,, ' !~~). 7 !!mt F.esid.entisl .. I .. ' :-, .. ~ . , 8 Class of w'ork: 0:NEW □ADDITIO N 0 ALTERATION ~ 0 REPAIR < 9 Describe work: F.loctriea.1 tv'"irln!! ot mm hooes . .. PERMIT FEES No. Each Fee SPECIAL CONDITIONS: _ ISSUANCE OF EACH PERMIT c; 2.00 10 .oo NEW CONSTRUCTION. FOR EACH APPLICATION ACCEPTED BV: PLANS CHECKED BY APPROVED FOR ISSUANCE ev. AMPERES OF MAIN SERVICE, SWITCH, 0// t · FUSE OR BREAKER . ' .a; 15.00 125 .oo OATE NEW SERVICE ON EXISTING BLDG. ., NOTICE FOR EA. AMPERE OF INC:REASE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER t ,..~ • TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAY!, AT ANY TIME AFTER WORK IS cor..i REMODEL, ALTERATION, NO CHANGE MENCED. ., ,•r :--·-~ -.!•. .. , .. ,IN SERVICE, FOR EA, ,AMPERb: .OF . .. s·· .,,. •• :.!.;:,r,:'J--; ~ <-.z_ I HAVE READ AND EXAM1i:.iED THIS ·1NCREASE . ~· ... ., .... ' ..... · -: ·•. \ . ~· I H EREBY CERT IF Y THAT .. ·--·• .. ,, i; .. t~- .. APPLICATION AND KNOW THE SAME TO BE TRUE A N D CORRECT. ALL PROVISIONS OF LAWS AND ORDI NANCE!> GOVERNING THIS T YPE OF WORK WILL BE COMPLIED WITH WHETH ER SPECIFIED H EREIN OR NO T, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO G IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR L OCAL LAW REGULATING ING 200 AMP. . CONSTRUCTIO N OR THE PERFORMANCE OF CONSTRUCTION. . '• ; TEMP. SERVICE OVER 200 AMP. 4 /.~./t. ,, i ;-// -l-1> ,·' 1.:( ,r PER 100 au;NATUft[ OP" COHTIIIACTOIII 0111 AUTHOIIIIIlO-,,"ACH.HT IDATE) ,,... , . 1~76 PERMIT FEE •1t:.H•Tu,u· ()P' OWNUI it,. OWNllll eU ILOCfU OAT[) 135. (YJ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VAUDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O, CASH • INSPECTOR 7 * PLUMBING PERMIT APPLICATION Permit No. City of CARLSBAD, CALIFORNIA _ Applicant to complete numbered spaces only. __ ;' " ,;> ,....:.,.Jo;,.e=-"",.-=-0=-0=-•-=-cs=-s=--......:.---------------------------------------------,-;---,---;oT,1..:l-O LIGAL 1 ocsc•. 2 <109 :r- I LOT NO. COHTIIIACTOIII ·-Av~ uc. ". I T•A<T Qsc1. ATTACHED SHECT> MAIL 4O0,.CSS ZIP PHONE ~-, 1,-l MAIL ADDRESS PHON l LICENSt NO. 3 1 .,.,verto ..... ,Ti Di--,n. Tnr!. 1::.,7:, ~·.11rrnll "RnAA 6an Dicao. CA 56~ 11 ARCHITECT 0" OESIGNtfllt MA IL AODIIIESS 4 l:NGINEllR MAIL AOO,..CSS 5 LllNOtlll MAIL A0Dllt£.SS 6 USE OP' IUILDING 7 8 Class of work: Q NEW 0 ADDITION 0 ALTERATION 9 Describe work: ~l !,>1""'M":' SPECIAL CONDITIONS· APPLICATION ACClPTED BY PLANS CHECKEO BY APPROVED FOR ISSUANCf IY 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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PCRMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CON STRUCTION. /., ~ SIGNATUftl o, CONTflACTO,-OR .&.UTHORIJ.lD AGCNT (DATEI "IIGNATUIIJ: OP' OWNE.111 I I' OWNCJI 9UILOtPl OAT[ PHONE LICENSE HO. PHONE LICCNSE NO. 8IIIANCH 0 REPAIR PERMIT FEES No. Type of Fixture or Item _., WATER CLOSET (TOILET) I BATHTUB :.., LAVATORY (WASH BASIN) I SHOWER ·, KITCHEN SINK & OISP. I DISHWASHER LAUNDRY TRAY CLOTHES WASHER I WATER HEATER URINAL DRINKING FOUNTAIN FLOOR SINK OR DRAIN SLOP SINK ' GASSYSTEMS:NO.OUTLETS Lf . WATER PIPING lo TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK lo PIT PERMIT TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR ,. ~ 0"' z o, a $ $ $ CASH 111 ► lJ 0 Fee ~ (ii') 0~ lJ. 111 .. Ill I ... I.> , r,; l J ,::.-1) -, t""() I t""n ' ~.n I ~ll ',,.,-"' (: fd\ INSPECTION REPbRTS DATE ITEM REMARKS USE SPA CE BELOW FOR NOTES, FOLLOW-UP, ETC. 12-17-75 Underground : O.K. B. Nelson 12-18-76 Underground water: O.K. B. nelson 1-27-76 Topout and copper: O.K. B. Nelson INSPECTOR kJ MECHANICAL PERMIT APPLICATION ' 0 a ,. ~ ~ z City of CARLSBAD, CALIFORNIA "' > ~f'! ~ rl. "' 0 0 _...( " Applicant to complete numbered spaces only. I ,,, .. .. JOB ADD" CSS 2409 Jacaranda Avenue , LOT NO, I BLK I TUC ~ncho Ponderosa Q scc ATTACHED SHEET) LCGAL I 1 DCSC~. 23 OWNCIII MAIL ADD,.CSS ZIP PHONE 2 Ponderosa H<a.s 140 Har1ne Ytew Avenue, Sufte 104, Solana Beach 275-1852 CONT,.ACTOIII MAIL ADOFtESS PHONE LICENSE. NO. 3 Unfv. Mech. l Eng. Contr •• 4464 Alvarado Canyon Rd •• San D1ego 283-3181 88552 AIIICHITCCT 0,_ DESIGNCIII MAIL ADDIIIESS PHONE LICENSE NO, 4 CNGINEU• MAIL ADD,.ESS PHONE L ICENSE NO, 5 L ENOCIII MAIL ADDIIIESS BlftANCH 6 USE 01" BUILDING 7 8 Class of work: Kl NEW 0 ADDITION □ALTERATION 0 REPAIR 9 Describe work: 1nsta11 fo~ed afr UliHI and afr condttfonfna• Type of Fuel: Oil □ Nat. GasJC□ LPG. 0 PERMIT FEES SPECIAL CONDITIONS: No. Type of Equipment Fee 1 Air Cond. Units-H.P. Ea. ~._ ton • uu Refrigeration Units-H .P. Ea. Boilers-H.P. Ea. Gas Fired A .C. Units-Tonnage Ea. 1 Forced Air Systems-B.T.U. 60 M Ea. 4 00 APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea. Floor Furnaces-B.T.U. M Wall Heaters-B.T.U. M NOTICE Unit Heaters-B.T.U. M THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-., Evaporative Coolers TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF r Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES N OT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CAN CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRU CTION. 1{, /i ,J t I/, , I I' SIGNATUJU: 0,. CONTfllACTOfll O" AUTHOflllZED AGCNT , (t>ATE) PERMIT $,_~ uu ~IGNATUfll~ 01' OWNCflt IP' OWNEfll IUILOE,. OATC TOTAL FEE $ I I UV WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH AUDIT Form 100.4 9-69 ftltOfllDt" ,-fllOM: INTERNATIONAL CONFERENCE OF BUILD ING OFFICIALS a !50 SO. LOS fll:OBLCS e PASADENA, CALl,-OANIA 01 1 0 1 • .. .. THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURREll'1' ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORBIA, IB THE BUILDING LOCATED AT: ? 10 ') Rancho f~cl Street Tract EXTERIOR WALLS Manu:f'acturerc:2u-11.1+,b"')I.M I J.I C.. Thickness/Type. __ "'3'""-"L-=--------"R Value_/_./..__ __ _ CEILINGS O,W.J"'$/..e 0/1.l,J IAJt> Batts: Manu:f'acturerq-. 111.U-Htflft !Hr:# Thickness __________ __.R Value _____ _ Bl.own: Manu:f'acturer ________ """'Thickne~s _____ __.No. Bags __ __,Wb~ /'Ba& __ _ Sq. Ft. Covered R Value ---- FLOORS Manu:f'acturer ________ -'Thickness/Type. _______ __:R Value. ______ _ GENERAL CONTRACTOR ________________ ~LICENSE NUMBER. ________ _ BY_...,.,_.,,.......,., _____ __.TITLE. __________ ___:DATE. ____________ _ INSimA4~ ~t!I'OR :ipring Vullc::oy Insul. Cc:mt,s. LICENSE NUMBER. __ ~_n_0 n_J_,_" ____ _ B v /IJL, M41,.,•~: I,-;,--~-~--~-----------,. .,........,. -TITLE_...;;.P.;;.r..;;e.;;;s.;;;i;..;'·';.;;c"-n.;,,;t:;._ __________ _:DATE ,2... -S--Zk ·-- ·o PLUMBING PERMIT APPLICAT10N ~·,~ tss*~• ••11.~ City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only Permit No 76 -, JO• AOOfl t.S.9 LEGAL I 1 0UCO. LOT NO, 2.:1 I TOACT OWN£ .. MAIL AOOJlt[SS 11. PHONC 2 ' e,1r// /,,4. CONTii.AC TO .. MAIL ,._ODJltESS PHONE LICENSE NO, STATE CITY 3 c~sr. Co .s,._,,.,, /)/,;J,I('{" -'"CHITCCT OJlt OESIC.NC,. MAIL AOD,.[SS PHONE LICENSE. NO, 4 ENG IN IE." PHONE LICENSE NO, 5 COMPENSATION (NS. CARRIER MAIL AOORtSS 6 use o, BUILDING 7 8 Class of work : C'.JNEW 0 ADDITION 0 ALTERATION q Describe work: ., SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROIIE O FOR ISSUANCE BY DATE 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 REAO 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 COMPLl!:.D WITH WHETHER SPECIFIED HEREIN DR 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. 51GNA\U,.l Of' ,.-ONUIACTO!lt Ol't AUTHORIZED AGUH / ./ (DAT£) IIJtANCH 0 REPAIR I PERMIT FEES No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP, DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR SINK OR DRAIN SLOP SINK GASSYSTEMS NO.OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS ,,,.2_ LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK&. PIT ROOF DRAINS PERMIT 5fGNATUfl[ OP' OWN[III (I,-OWNlJI BVll .. 0(111) lD.TE) TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. I INSPECTOR Fee s / ~ ) $ $ // CASH