HomeMy WebLinkAbout2504 Jacaranda Ave; ; 79-4334; PermitMODEL ~0. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 , "?c; //_ rA t.
Applicant to complete numbered spaces only Phone 729-1181 Permit No I -7.:f::s 7 " .
JOB ADDA ESS ASSESSOR'S
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COT NO/L/ l/lOCK I T";,c T 7 .7-,J BOOK PAGE I PAR.
LEGAL I . 1,,,,v-v:-105££ A TT.-.CH£0 SH[E.TI
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OWN CA MAIL AOpR[SS F" ---~---ZIP PHONE
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C()N r,u.c TOR V ,., MAIL A00flll[SS PHONE J /•/J..£ STATE LIC. NO. CITY LIC. NO.
3 ~
ARCHITECT O R OlSICNE" MAIL AODRE55 PHONE LICENSE NO.
4
tNGIN[[,t MAIL AOOAESS PHONE LICCNSC NO.
5
COMPENSATION INS. CARRI ER MAIi,. AOO"ESS 8".4..NCH
6 V
USC or: 801LOING 1v
7 NO, BORMS NO. BATHS
8 Class of work: □ NEW □ ADDITION 0 ALTERATION 0 REPAIR □ MOVE 0 REMOVE
9 Describe work:
~(A./
10 Change of use from tr ZI
Change of use to
11 Valuation of work. $ PLAN CH ECK FEE $ .., "" I ~ ~
PERMIT FEE s ./
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
Size of Bldg. No. of Max.
~-. -• . , (Total) SQ Ft. Stories 0cc. Load
-: [ -Fire Use Fire Sprlnl<lers
APPLIC4tlON A~EPTED BY PLANS CHECKED BY APPROVED FOR ISSUAN\J' BY Zone zone Required OYes □No , 9-~-No. of OFFSTREET PARKING SPACES
Dwelling Units No. !No. DATE 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 COMMEN CED 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 AND EXAMINED THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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 STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. .
'-/-.A{j ,, ... ,,,,~ " : I ,
SICNATUJl'Cv'CONTftACTOflt Oflt AUTHOftllCO AGE.NT (DATE) / . k;f I ~ ~ 47,c. /7 '-J -~
51GN•T11RS' 0~ OWNCIII 111',OWNEft 8UIL0Eft) (DAT[}
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
TOTAL FEES$ ___ / __ ~----
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
I
FINAL /~/4
I I ~ ~ -~
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
-------------------------------------------
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Perm it No
JOa ADn" css
• ~.-~-1 ::file /ht!.A·NDJf . ·. ~·
LOT NO. I ILK ITOACT LtGAL I l'f AZ.~cr 73-/8 "' 1 DtSt~. 17o~~oJa ~ -. -OWNUt MAIL •0O.-rs, ZIP I PHONC
2 -,,... PoP;;C:: M...) "'. ') (;-i,i,9 ! .• ?.."3,-c ~., L. . -I ' ~ '( I.,_ '
CONT .. .._CTOJII MA-,L ADDJll[SS PHONt STATE LIC. NO. CITY LIC. NO.
3
,UICMITCCT Oflt OCSIGH[fll MAIL AO0"[:!S PHONE LIC [NSC NO.
4
CNGINCEJII MAIL AOOlll:t5S PHON[ LICENSE MO.
5
COMPENSATION (NS. CARRIER MAIL AOOIIIESS e,iANCH
6 ,..-,-
US£ or !IUILOINC.
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: $,,-14-6~/;V
I'
PERMIT FEES
No. T ype of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
{\/\, l DISHWASHER
APPLICATION ACC~PTED av PLANS CHECKE O BY APPROVE O '-"'P1AN'"'' ' LAUNDRY TRAY
\"'111 ' CLOTHES WASHER r· OATE , /' #~ -~ WATER HEATER ~ ~
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 O R 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 "',,,,e/""'-I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS . ; ~ APPLICATION AND KNOW TH E SAME TO BE TAUE AND CORRECT l,· WATER PIPING & TREATING EQUIP. . ,..
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRAN TING OF A PERMIT DOES NOT PRESUME TO GIVE A UTHORITY TO VIOLATE OR CANCEL T HE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH E PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
I~ ROOF DRAINS
SIGNATU"E OF CONT'IACTOfll 0 .. AUTHO"IZ.£0 AGCNT (DATE)
ISSUANCE FEE $ -, ~, '-7 t:; ~ , TOTAL FEES $ -
SIGNA TIJAt 0,-.OWN[" (I,-OWNl" IUILO[fll) (t)ATt) -WHEN PROPERLY VALIDATED ON THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I
ELECTRICAL PERMIT APPLICATIE>N 11
City of CARLSBAD, CALIFORNIA 92008 7f-~ :.c-::>";
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
J08 ADDRESS
✓ l' I f1C.,lr J T
LEGAL I 1 OESCR.
LOT NO. /
/~
I BLK. I TRACT' ;;~c..t-:6 <Os EE ATTACH_E~SHEET) 73-, ,,.
'
OWNER MAIL ADDRESS ZIP PHONE
2 -f>of/Pt. ) "'(l .q(J(.,9 ~ :_..-. \..' ' ( '
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. C ITV LIC. NO.
3 ... T' .
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENG !NEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW 8AOOITION 0 ALTERATION 0 REPAIR
9 Describe work: 5pO-,
II 6t./rp '
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE ~ ....
/ .:S -
~
''.l NEW CONSTRUCTION, FOR EACH
-'IP'LICATION /ICtEPTEO IV PLANS CHECKEO BY APPROVEO FOfll ISSUANCE ev AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
I . I ,-11, ✓ ., NEW SERVICE ON EXISTING BLDG. DATE 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 AND CORRECT. ALL PROVISIONS OF LAWS AND 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.
TEMP. SERVICE OVER 200 AMP.
PER 100
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ,,, ~
/9 ISSUANCE FEE
<, ' / TOTAL FEES SIGNA uR~:u uWNER It 'NER BUILDER) OATEl
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
·-
iJW INTERDEPARTMENTAL INFORMATION SHEET
I~NG DEPARTMENT n . DATE=RECEIVED
BUILDING ADDRESS: --=o<c...,..;.5::c~...,Oc......~<--.,..~<-,,<-:.::,;;,.::=-..;::.,,:'-""''-'""=-------------
+ _gd ;~
PLANNING DEPARTMENT
SEP 5 1979
CITY OF C".RbS8AD
Building Department
ZONE _______ -'---_LOT S IZE. _______ --'._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:
•·
ENVIRONME.TAL PROTECTION
.AMOUNT:.
OK TO ISSUE:
ENGINEERING DEPARTMENT l.f/M ~
R.o.w._~MIJ"'--___ INDUSTRIAL WASTE --+.M~il:.,_ __ ._IMPROVEMENTS.__,_M_;;;.~~-'------
sEwER CONNECTION ,JA DRIVEWAY LOCATIONS _ __.,,V.'--'~'-"L--------
GRADING PERMIT -~~~·,,._ ___ EASEMENTS__.N~.uA1:4-_;, _____ DRAINAGE--'~'JL.1"~'----~ . n , .
LEGAL DESCRIPTION vq • -~ < I I ADDiTIONAL COMMENTS __________________________ _
PWI ____ OK TO FINAL ____ DA"l'E ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIRE. J\,LARMS EXITS, _______________ _
FIRE' HYDRANTS LOCATION ________________ _
ADDITIONAL COMMENTS ___________________________ _
OK TO ISSUE: _____ DATE, _______ OK TO FINAL. ______ DATE ____ _
WATER DEPARTMENT . ' REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _