HomeMy WebLinkAbout2520 LA GRAN VIA; ; 78-923; PermitMOO~L• NO.---=--------
BUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm It No
JOB .-.ooA ES$ tr1 ~-, ASSESSOR'S ,,., ~v rtN l rj PARCEL NUMBER ___ ,.,,
LOTN~y 3 I ILK I TRACT ovuK PAGE I PAR,
L<OAL I tO•EE ATTACHtD 5HEET) 1 DESCA.
OWN~ 5,££/;€.N.S MAIL A00RCS5 ttJ 6,?,,w i:~ PHON[ r"
2 iu :J -.;, 0 9'7?'c .... P r3G /'"., ,.,,/(
CONTRACTOR JJ. j)(S
... ,L •ooocss9 t:A 5'£<..UA
PHONC. STATE LIC. NO. CITY LIC. NO.
3 ,I ftt,£16 2« <'1. 7 /"• ('t~. 7;;3 ,;·, ,,,/ I ;//¥6-2. ' I , -.
AIIICHITCCT OA Ol.SIGNtA MAIL AOOAC:55 PHONE L.IC tNSC NO.
4
CNGINLtlll: MAIL AOO~[SS PHONE LICENSE. NO,
5
COMPENSATION INS. CARRIER MAIL AOOlltCSS a,u,NCH
6
USE OF BUILDING
7 NO. BORMS NO. BATHS
8 Class of work:
/
,~EW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REM OVE
9 Describe work: b~/P Stu✓AJ//,f~ /'?Jt:JL, +~
10 Change of use from
Change of use to
11 Valuation of work: $ 737? '"~ J) I //_//'-PLAN CH ECK FEE s PERMIT FEE S
SPECIA L CONDITIONS:
MICRO FILM FEE
Type of Occupancy
Const Group
.~ -s,ze of Bldg. No of Ma><
(Total) Sq. Ft Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCVTED ev PLANS CHECKED ev APPROVED FOR ISSUANCE BY Zone Zone ReQuired 0Yes □No
OATEJ /
. No. of OFFSTREET PARK ING SPACES
~f 1/ Dwelling Units No. 'No. DATE Covered Sq, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATlNG, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL ANO 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· 1---
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ A N D EXAMINED THIS ENGINEERING DEPT
APPLICATION AND K N OW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WI LL BE COMPLIED WITH WHETHER SPECIFIED
H EREIN OR NOT, T HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE Pf:.AFORM1ANCE OF CONST~UCTION .
" -,.-/-~ ,, I ,1..,.--~ ¥ / V I,, .
SIGNATU,.C OP' CONTlltACTO,. 0,. AVTHOJltlltO AC:!.NT {DA TC)
SIGNATUllt OP' OWM[llt IJP' OWN[" •ulLDt"I DA.Tit)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK . M .O. CASH ( ?) -
TOT AL FEES $ _ __,_(_•--'('---.---
INSPECTOR
INSPECTION RECORD .. -DATE REMARKS IH.;Pll'C IR
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.
-----------------
~ ~ ~ --~~------------
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB ADDA ESS I • C,,_'Air.--dR/./ -?7,__;q,:" I;"'-' 0t1M/ t,1,..i .
X ") -
LOT HO, I I LK I T~4<T
L"AL I /?3 1 0£SCO,
OWNER MAIL ADDlltES5 ... P MONC ~J~ -7~1/1/ 2 .,.., ,110 ~cv.Ut./5 . .-....,. _1 _-,,,.,e.
COH Tff.l,C 1'0R /be{~ MAIL AOOft[S5 PHON ( STATE LIC. NO. CITY LIC. NO,
3 S1✓~:.J/1 Ul::. ~/', ?Jr? Pl:., .git/.-'' 7~J7~c "!'r~,,,,-( -;)
A RCHITECT OR OC51CNCR , M AIL A00R[5S PHONE t.lC[N.SC NO.
4
[NCINEtlll M AIL A DDRESS PMONC LICENSE N O,
5
COMPENSATION fNS, CARRIER MAIL AODIICSS &111:ANCM
6
use 01' 9UILOING
7
8 Class of work: ~NEW 0 ADDITION 0 ALTER ATI ON 0 REPAIR
¢, . _)
§~,,#A-9 Describe work: ~:Jo S"-',,..,,. "'v ,6,.J G, ( t .'OC.
; .
PERMIT FEES
No, Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET) $
B ATHTUB
L AVATORY (WASH BASIN)
SHOWER
KITCHEN SIN K & OISP
DISHWASHER
APPLICATION ACCEPTED BY PLANS CMECKEO BY APPROVEO FOR ISSUANCE ev L AUNDRY TRAY )/ CLOTHES WASHER rY 7 DATE ? '/,1/? ll WATER HEATER ;'I<,?>
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 CON STRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK
MENCED J GAS SYSTEMS NO.OUTLETS I 1c;" I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT, I WATER PIPING & TREATING EQUIP, /"$"0 A LL PROVISIONS OF LAWS A N O 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 __,, 7,,t) PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEW ER NUMBER CLEANOUTS --/71/4, CE SSPOOL
SEPTIC T ANK I, PIT
(.,~wl-f:. ~.::o• ~• .:THO•tt£~ ROOF DRAINS
(DATE)
ISSUANCE FEE $ I --
SIGNAl'U"l o, OWN[.ft {Ir OWNtlll 8UILDE") IOATEJ TOTAL FEES $ /l '
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M,O, CASH PERMIT VALIDATION CK , M,0, CASH
INSPECTOR
l,
ELECTRICAL PERMIT APPLICATION
,,,.,. ' ·-
City of CARLSBAD, CALIFORNIA 92008 7t.> r /"e.::-< ~/ Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No t7 /
JOB ADDRESS "', -sd. X;JC /,4 (~h•flU t//A
1 LEGAL I LOT/)' J 3 DESCR. .
I BLK. I TRACT <OsEE ATTACHED SHEET)
OWNER S-tEt/EN s MAIL ADDRESS ZIP PHONE '11t -9st/'f 2 J ,fp,) 4in,e..
CONT~~CTOR foDL~ MAIL ADDRESS ''J t.,,t ...... 4: ;)'HONE STATE LIC. NO. CITY LIC. NO.
3 11--, 1 c.€. J,t,)~' ,9.,_; ~LVrl .,., 3 7¥9' F ~ 1 'J 'Ii' 2--ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE or BUILDING
7
8 Class of work: }(New 0 ADDITION 0 ALTERATION 0 REPAIR
~ • A_)az ;/:.Sl'A 9 Describe work: fe, ;:;lJ s-w~ 14-111-( ~ ~ .
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE I .J a,> -
NEW .CONSTRUCTION, FOR EACH
A,-,LICATION ACCEPTED BY PLANS CHECKEO BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER
_:..,) ✓ ;~,/2,1 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 AND KNOW THE SAME TO BE TRUE AND 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 ANO INC LUO-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.
~-~ ~1(,L---0 //7 j '
TEMP. SERVICE OVER 200 AMP.
~ PER 100
.(__..1 (
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
ISSUANCE FEE d l
TOTAL FEES "7 ,-s IGNATURE oF WN£R IF' OWNE'.R SUI OER (DATE!
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
~ . :I
J -c1'..
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
RECEIVED
DATE : _------'l""-,1A-"-'R------'9'-1-'-97c..c.8_
BUILDING ADDRESS: [/2& Ct:rv OF. CARLSBAD
Building Department
PLANNING DEPARTMENT
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
1,'ANDSCAPE & IRRIGATION PLAN COMMENTS:
\
'y
ENVIRONMENTAL PROTECTION REQ: ____________________ _
ADDITIONAL COMMENTS:
OK TO ISSUE: . ____ DATE ____ OK TO FINAL ________ DATE ____ _
/ ENGINEERING DEPARTMENT.
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ ~•
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT _______ EASEMENTS _________ DRAINAGE ____ _
LEGAL DESCRIPTION __ ---'--------------------------
ADDITIONAL Cc/)TS
OK TO ISSUE~l V DATE :'.7,r~:ra 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
_I REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
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