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.
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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.