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HomeMy WebLinkAbout2525 Jefferson St; ; 73-01; Permit~ jf • BUILDING PERMIT APPLICATION . ~ {)/ City of CARLSBAD, CALIFORNIA 92008 -057****11\~_3 i..JV Permit No. Phone 7 29-1181 Applicant to complete numbered spaces only. JOB A.DOR ESS 0 l.. ,,. Y./d/., :, 0 .;.i .i .,'\ ( .. z [D ,; .I "' )> LO: NO.,lt /ii I aLK I TRACT ll 0 LEGAL I QsE£ ATTACHED SHEET) ,. 0 1 DESCR. /..J ,"' \ :n ., --,IT! OWNER A~~~ ... MAIL ADORES!/' " -ZIP PHONE ~I"-2 / ~-.1 /,_. . .1,J,..1 t-. ,, . h~ l I \1, . .. CONTRACTOR ... -MAIL AODRES.!j -·· PHO-NE ii I.;~ Q LICENSE NO. ..... "' 3 /J,t2,/.~-./ • :J ~ ' ., ~ -~) fJJ/" I")/ 7,1', , ... . , ~-ARCHITt<:T OJI OESIC.NER './ M;,c ArfDRESS -PHONE -... -LICENSE NO, ~-4 ' ~ ENGINEER MAIL ADDRESS PHONE LICENSE NO. -5 ..... ~ ~ _;;; LENDER MAIL ADDRESS BRANCH ~ ~ 6 .. t USE OF 9UILD1NG 7 -u rYN"ew (1) 8 Class of work: D ADDITION 0 ALTERATION D REPAIR D MOVE 0 REMOVE 3 i.' --z ,(µ 9 Describe work : ' ~ ? ~ .. . ·? ' 1 -· .l"f -, .· I ~ tu I 10 Change of use from ~ Change of use to _(/ 11 Valuation of work: $ ~J{[ .,-PLAN CHECK FEE I PERM;~j{ _?4 5 ~ SPECIAL CONDITIONS: Tr I -~~ / Type of Occupancy . J Const. : .,. Group /. ,. Division -. .,, _, , . Size of Bldg. No. of Max. (Total) Sq. Ft._...jq,&,j Stories 0cc. L oad Fire ' Use Fire Sprinklers ~ APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY 7.one -< Zone k Required 0Yes drro' No. of OFFSTREET PARKING SPACES: rf ii r-1 '/,r\.. I Uncovered .... I ; Dwelling Units-Covered ~--' NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· ZONING ING, HEATING. VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT. , ". CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT ! .. / ,t PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-'\ -~ I MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ 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 COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT ' \ PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE I \ PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I ; I Ff, . / "'t' I I ! i. ... .· SIGNATURE' t:H' CONTRACTOllt Ollt AUTHORIZ.ED AGENT (DATE) .. I I I J • .,) / t I I Ir . stG-NATI1RE OF ()WNEll ttF'OWNER 8UILDER) lDAT[) WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH 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 FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. PLUMBING PERMIT APPLICATION M '6 V Permit No.7 '7 -/ City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. ,.._;J~o~e~Ao=o~A~c~s~s~~_:__~~~~~~~.;_~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-r--::0:r---:,~-u ::; 0 (1) r /,L//J , a__,,,/J!._ "\ , ~ : ~ LE'"L I LOT NO. '11 ... Kf'" ITAACT O ' :u 00~:z? ...... ,# SEE ATTACHED SHEET) 1 DESCA. 21P k', I -PHONE - A -?/7/ _I - PHONE 8 Class of work: ,, - 0 ALTERATION 0 REPAIR ~ r \_] 9 Describe work: ~~~~~~~~-------------------1·~, PERMIT FEES I "-.i SPECIAL CONDITIONS: PLANS CHECKE_p BY '--117t 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 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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. '/ ,I .... $1(11<ATUAE OF CONTAACTOII OA AUTH0At2ED AGt:MT (DATE) No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GASSYSTEMS:NO.OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK & PIT PERMIT SIGNATURE OP' OWNE" CIF OWNER BUILDER) {DATE) TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. INSPECTOR Fee $ 1150 J !~() s R n CASH INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. ELECTRICAL PERMIT APPLICATION Permit No. /S-..,.., 1/J _. City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numberecfspaces only, Phone 7 29-1181 2 3 4 -11:NGilHE.£" 5 Ll:NDt.1111 6 US£ OP' BUILDI NG 7 8 Class of work: ~OAOOITION 9 Describe work: h.JA.M SPECIAL CONDITIONS: NOTICE THIS PERMIT BECOMES NULL ANO 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 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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. (/ ,· ?//' (DATE) DATE. O st.£ ATTACHED SHI.I.Tl LICtNSt NO, PHONE LICENSE NO. B"ANCH PERMIT FEES ISSUANCE OF EACH PERMIT NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH , FUSE OR BREAKER NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION , NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE :J ~ TEMP. SERVICE UP TO AND INCLUD· ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 MINIMUM PERMIT FEE No. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Each PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. INSPECTOR Fee CASH -u ~ 0 ~ ~ : ~- " 0 .... 0 "2 ~ 0 ... INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.