HomeMy WebLinkAbout2425 LA COSTA AVE; ; 75-416; Permit0 j
BUILDING PERMIT APPLICATION
•
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 ~--Permit No. -I~
JOB ADDA CSS
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OWN EA
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LOT NO,
O v MAIL AOOIIIESS
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PMONC
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ASSESSOR'S
PARCEL NUMBER
BOu" PAGE I PAR,
CON TlltAC TOR MAIL ADDRESS PMONI. LICENSE NO. STATE CITY
3 • I IV 6uR& ... (:. ·I 3?l I o Z.... g--_ .. 'i
A RCMITECT OA DC.$1GN£R MAIL ADDRESS PMON E LICE.NS£ NO.
4
£NGIN CCR MAIL ADDRESS PM ONE LICCNSC NO.
5
81'ANCl1
L, A .
7
USE OF' 8UIL01NG 1) { J
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ;'.~ ( 740
10 Change of use from
I c'.l
Change of use to
11 Valuation of work: $ PLAN CHECK FEE$
0 I PERMIT FEE s
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: ___________________ T ype of
Const.
~------------------------------f Size of Bldg. (Total) SQ. Ft.
Occupancy
Group
NO. of
Stories
MICRO FILM FEE
Max.
0cc. L oad
1------------,,-----------,------------t Fire Use Fire Sprin1<lers
11•'AOvEo FOR ISSUANCE BY zone Zone Required □Yes DNo APPLICA flON ACCEPTED SY PLANS CHECKED BY
I ----------+-O-F-FS_T_R_E_E_T-PA_R_K-IN_G__._S_P_A_C_E_S:---------1
1 N o. of
CATE ,< /f J D welling Units No. !No, r:, oi. TE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB•
ING, HEATING, VENTILATING OR AIR CONDITIONING.
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COM'VIENCED WITHIN 120DAYS, 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 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 PERMIT DOES NOT
PRESUME TO GIVE .11.UTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
'::-!~ xt~Jf\A
SIGNATURE OP' CONT .. AC'1°.P11t 0" Airil'IO .. IZ.ED AGCNT
!IGNA.TUJU OP' OWN[ft II,. OWNE .. aulLDC .. ) {DATE)
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT,
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA,.ION CK.
INSPECTOR
M .O. CASH
, .
INSPECTION RECORD
DATE
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, ETC.
5-16-75 Gunnite: O.K. B. Nelson
REMARKS
,.
'
INSPECTOR
-----------------------------------------
J 0 ill t
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces on y. Permit No. I
JOB ADD" tss
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LOT NO. I I LK I nACT
L~GAL I 1 ouc•.
OWNER MA.IL AODllt£5S Sr. tip PHONt
2 .02 ,tc?'t-of()?'\ NT I 4 1 IIIA1M ~--""
CON Tlll:A.C TOR a MAIL ADD.£SS 6 PHON [ LtCtNSt NO, STAT!c., C'TY
3 Yoo1...S bo4o '1-; r-• ~Ge le: ~ ~ l I //Siu L ~; r,cj(/
AlltC .. ITECT Ofll OESIGNtllt MAIL AO0111:£SS PHON(. LIC £HS[ ,..0. f
4
ENGINCC,t MAIL AODlll[SS PHONC. LICCNSt NO,
5
COMPENSATION (NS. CARRIER MAIL AOOllttSS 8. I IIANCH
6 f:;/\Jltl➔ N f1 -r1 o,ic.flf'.L I:, 3 Cc:) W1(.~£E () (.../J.
USE. or 8VILOING -;-// _JI 7 ~ D '-t ~ ~-,
'
8 Class of work: 0 NEW 0 ADDntON 0 ALTERATION 0 REPAIR -
i .;
q Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CON DITIONS WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP
t1 I DISHWASHER
•PPLICATION ACCEPTED SY PLANS CHECr<E O SY ~vj;'/7:= .. LAUNDRY TRAY J ,P tJ CLOTHES WASHER
OAT "1 WATER HEATER f'a:, f -' ,:p
NOTICE I . 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
MENCEO. ,f GAS SYSTEMS: NO.OUTLETS I I,) u I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO Bl: TRUE ANO CORRECT. fL WATER PIPING & TREATING EQUIP. ~<l 00 ALL PROVISIONS OF LAWS AND ORDINANCES GOVE.RNING 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 '2. VACUUM BREAKERS 'I IOU PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM LJL SEWER
4/2/1S'
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGlrrfATu,u. o, CONTflltACTOfl o .. AUTHO .. IZED ... ,uH (DATE)
PERMIT $ '7 50
SIGNATUPU: 0,. OWNCIII (I,. OWNl .. a UILOt.,-) (CATtJ TOTAL FEE s /V UJ
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
,, ,,
PLAN CHECK VALIDATION CK. M,0. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
..
• 0 . ')
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ✓
Applicant to complete numbered spaces only Phone 720-1181 Permit No 75"'-~/f,'
JOI ADO" t SS
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LOT NO. I I L< I TIIAC T
L~UL I <Ostc ATTACHED SHE.£T) 1 DUCII,
OWNC" MAIL AOCfllE.95 21. PHONE
2 ; ... '-'Dir~,,,~,. ·,' i I I : S,0. ... -, •f I -· CON TPIAC TOllt <. :~ L.-I h -1-00\.. S MAIL ADOIIICSS PHONt LIC(NSt NO, STATE Cl;;'
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A,,rl(:HITECT Ofll DI.SIGNl1' MAIL ADDlllt.SS PHONE L I CENSE NO, r ,I
4
I.NGIN CCII MAIL A00,.[59 PHONE LICENS[ NO,
5
COMPENSATION INS CARRIER MAIL A.00111:ESS &IIAMCH
6 ~
--C • _...lM'\.. l ~-----_'JM✓Le 'BLvi/:J L,A.
USE o,-BUILDING -r__/1 -~ 7 ':) ;/ .,, -r I -
8 Class of work: 'S:I..NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
" .t,,, -
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT z , ,o
/i I NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTEO BY PLANS CHECKEO BY ~OVEO F~R ISSUANCE BY
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
-~ i '· ~ --... . CIATE •,~, ,J NEW SERVICE ON EXISTING BLDG .
NOTICE FOR EA. AMPERE OF INr.REASE
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 REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS COIi,~
MENCED. IN SERVICE,. FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS .!NCR.EASE lo o•
APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. I ,· ' ;.,
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.
u [! TEMP. SERVICE OVER 200 AMP.
4/z lii<:
PER 100
I ~ --810HATUlll:E 01' CONT .. ACt OIII: 0111: AU,.-H09'1%ED A 8ENT • O (DAUi
PERMIT FEE Ii., l-
.ICloUI.Tll•· I\IJ HrR Ir OWHE.111 ■UILDIIII IDATI
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR