HomeMy WebLinkAbout2413 La Plancha Ln; ; 77-4618; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 n /} _ , ) /' £7
Applicant to complete numbered spaces only. Phone 7 29-1181 P_ElJJTIJl,No /.,.,6. %. /0, > ')Q
JOO AOD• (55 A~S-ESSOl'f'S -J '-l 13 La p /a Ar ha La ,ue. PARCEL NUMBER
LEGAL I 1 DUCA.
a...,....,I'\ 73-l~Ost.c ATTACHEO SHCCTI PAGE I PAR.
MAIL A00 .. £55
~(.\. V' '> e. ,\)
ZIP
MAIL A00 .. ESS PHON C STATE LIC. NO. CITY LIC. NO.
AIIICHIT[CT , .. 0[51GNt .. MAIL AOOIIC55 PHON ( l.lC (H5t NO.
4
MAIL AODA£5S PHONC LICENSE NO.
5
COMPENSATION INS, CARRIER MA1L AOOIH.SS 8 111:ANCH
6
NO. BORMS 3 NO. BATHS
\J ' 8 Class of work: □NEW GJADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9
10 Change of use from
Change of use to
11 Valuation of work : $ -F /1 ~o PLAN CHECK FEES
~S_P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S ___________________ -1 Type of
Const
t------------------------------1 s,ze of Bldg (Total) Sq Ft.
~~~='."."""=:-=-:-:-±.-:".':"""'.l"=-"."'.""::-:".-:-:~~'."."""----,r"".'"::-=-:::---:~-:-:~'."."""-:-:-'.'.""""1 Fire
APPLICATIOifJTi / PLANS CHECKED BY APPAOVE°if)l~SUtCE r ~::f
DATE /YI\.. DATE/f/(p,f//p/-b w,11,ng Units
f -N QT ICE \ / ( 5',ecial Approvals
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 120 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 ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND 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.
(DA.TC)
s1r.-..: r11a,' Ol' OWNtA ,,. OW"'(" 80llfOtllt) OAT[)
1 bu I PERMIT FEE $ ; s. o a
I
Occupancy
Group
No. of
Stories
use
Zone
MICRO FILM FEE
Max
0cc. Load
Fire Sprinklers
Required 0Yes DNo
OFFSTREET PARKING SPACES
No.
Covered
Required
Sq. Ft.
Received
!No.
Open
Not Required
V WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
tlc2, so TOTAL FEES$ ________ _
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 71 /1 //)
Applicant to complete numbered spaces only Phone 729-1181 Permit No -f.o/_ ':/
JOB ADD" E.$5
... , '
LOT NO,
LEGAL I 1 ouco. ~ \,_J \
2
CONTflACTOIII ..... . f
3 -AIIICHITECT 0111 Ot51GNEIII
4
ENGIN(CIII
5
tr .
COMPENSATION (NS. CARRIER
6
use OF BUILDING
7
8 Class of work: 0 NEW
~· .
I TO~CT \ r> \
, r . \) l. \ L \ <.,-....x_" I_ Ii\_ ~~ Cl 73-:
MAIL ADDIIIE.5S ?IP PHONE
I ' I C.D~ .... ..
MAIL AOO,t[SS PHONt STATE LIC. NO. CITY LIC. NO.
MAIL A0D"C5$ PHONE LICCNSC NO,
MAI L A00,-[55 PHO NC LICE.NS[ NO.
MAIL •00111css BIIIANCH
•\I
0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: \us\o l\
\ ' '
. PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & O ISP
DISHWASHER
APPLICATION ACCEPTEO ev PLANS CHECKED BY
( ''--1-•
APPROVE O/;~jRISSU"fCE 81 LAUNDRY TRAY
'11./ '\•~---+-C_L_O_T_H_E_S_W_A_S_H_E_R _____________ --+--t---,
DATE J,. " f WATER HEATER
NOTICE
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 ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO SE TRUE AND 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 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.
SIGNATUR!. 0,-CONTRACTO-. OR AUTHO"IZ.ED >,GtMT
r ,,,.J ...
s1CN..t.TtHh. o,1
owN·~ .. 11, OWNCR 1Hii[0cR)
!DATE)
IOATtl
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GASSYSTEMS NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS ,
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
$
$
CA SH