HomeMy WebLinkAbout2530 LA GRAN VIA; ; 77-7657; PermitM~DEL''NO. ,....., ________ _
,l BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant tocomp/etenumberedspacesonly Phone 729-1181 Permit No 77-7w-1
JOB ADOllt [~S
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COMPENSATION INS, C A RRIER
6
US£. o, liJILOING
7
8 Class of work. !¥NEW 0 ADDITION
9 Describe work : < _,){.U ~ ,I,} 1,1/; u ~ -
10 Change of use from
Change of use to
11 Valuation of work: $
ASSESSO~·s
PARCEL'"t,J\JMBER
BOv" ~tOsct .t.TTACHtD SHf.CTI
MAIL ADD•us Z,P '/L'C-f...cJ
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PAR.
STATE LIC. NO. CITY LIC, NO.
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MAIL AO0 .. C5S PHO~[ LICtNSC NO.
LICt.N5[ NO,
MAIL AOOlltCSS . 8111.\NCH
NO. BORMS NO. BATHS
0 ALTERATI ON 0 REPAIR □MOVE 0 REMOVE
~I
c.,--PLAN CHECK FEE$ I "V I -PERMIT FEE S
1--S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S ________ , ___________ ~ Type ot Occup~ncy
Group
MICRO FILM FEE
Const
t------------------------------t Sile of Bldg (Total) Sq. Ft
No. of
Stories
Use Fire Sprirll<lers
.
~~~=--,..,..,.=~..,..,.--,~--,--..,..,....,,..-------,----------f Fore
APPLICATIO:_;N ACCE/T[t.9 PLA .. S CH,EC><EO BY ,.... APPROVED FOR ISSUA .. C£ ev Zone zone Required 0Yes 0No
/
,,,. / '-' , N o. of
DATE DATE Dwelling Units
J NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING. HEATING. V ENTILATIN G OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AN D 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 V IOLATE OR CANCEL THE
PROVISIONS OF A N Y OTHER STAT!;::,roR LOCAL LAW REGULATING
CONSTR UCTION OR ;THE PERFi;iJRMANCE OF CONSTRUCTION.
., ' /. q I
(OATll
,1CNATUIIIE OP' OWN[" (1, OWN['I IUILO[tll DA Tl)
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT,
OFFSTREET PARKING SPACES:
No.
Covered
Required
Sq. Ft,
Received '
No. Open
Not Required
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS Y OUR PERMIT
I• j
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . CASH
. ' M.O. Oc
' u TOTAL FEES$ ________ _
INSPECTOR
INSPECTION RECORD
DATE REMARKS
FOUNDATIONS'.
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE!
FRAMING
INT. LATHII\
EXT. LATHII
MASONRY
,_ __ _
FINAL
USE SPACE Bl
REQUEST FOR ~ 11 -r-:" d INSPECTION TIME ' I{·.!,~
Inspector ................ ~ ............................... Permit No .................. -.......... Date .1.L:::..f::: .. ~l.1 ..
Oww ~ ~
Address .. =:> A O k ~~ ✓l 9'_
B(JILOING PLUMBING ELECTRICAL MISCELLANEOUS
Insulation ................. O
Drywall .................... O
Fdn . Forms .............. O
Steel ........................ O
Sheathing ................ O
Lath .......................... 0
Frame ...................... O
Final ........................ O
Ready for Inspection --
Spec ia I Instructions --
................................. □ ............................... O Plenum & Ducts ....... O
Gas ........................ O Pool Bondin~ .. q····· O Porch ........................ O
Water Heater ............ □ Ter+f Pol: ......... 0 Patio ........................ 0
Sewer ................ D fY/4 L J--·1~· ... ' ...... O Driveway .................. O
Undergrnd. Plbg ...... 0 ~erJ1V<} n .. ... 0 Sign .......................... 0
Undergrnd. Water .... □ Cell Heat . . . .... O Wall .......................... O
Rough .................... O Rough ... . . . . . . . ... . . . O Fence ...................... O
Final ..................... @nal ..................... O Grading .................... O
.~\:~~:;;.:,se_~~········:······························ . ...................... ,··1--·cR;SL···✓······· ...................................................................................................... .
Requested by r..\L .... j;.\ ............... D. ... ~T .. ..
Phone number .................... ~.~ . .'::-.. S .. =-t-.. k~..... Person Taking Report: .... % .... -.................... .
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PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 .....,, P~nut,Ntr ,.7 2•. Zh~~~
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MAIL ADOflt CSS Z.IP
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CON T"AC TOIi CITY LIC. NO.
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AflCMITCCT Ofl OCSIGNUt MAIL AODflt[S!I PHON[ Ll(CNSC NO,
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[N GIN[[ .. MAIL AOOII CSS PHON( Ll((NSC NO,
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COMPENSATION rNs. CARRIER tr,,,(AIL AOOIU.5.5 9 .-tANCH
6
US[ Or I VHOING
7
8 Class of work: ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: r -. -v,-,;,,,,,.,,,/ln , .
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
K ITCHEN SINK & DISP ----------------+---1-----1
DISHWASHER
APPLICATION A5CCEPT~E O 8~ ~PL(J.ANS CHECK[ 0 : (£ APPROVE O •O(R •~SSUANCE r 1---1---~-:-~-~-H_D_:_SY_W_T_:-:-H-:-R--------------+-----<I-----I
-• -, ,0 1 , . ., /J..0'/AT E , ' I ' J -' WATER HEATER / "$'~
I NOTICE I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CbNSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 ANO KNOW THE SAME TO B~ TRUE ANO 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 G I VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
SIGMATVfll OP' CQ/fTJU,CTON 0" .4.,...,.HOflllEO ACltMT ------_,,, (DATlt I
SIG,..ATUJt[ OP' OWN[fl (IY OWNCJI aUILO(NJ IDATt}
J
J
I
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GASSYSTEMS NO_.o__:u_T_L~E_T_s-======'-----1--~/+C=:....~l:>~
WATER PIPING & TREATING EQUIP. / ~ ('_ ___________ ..___.,__._-=-""I
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE s / ·::,,o
TOTAL FEES $ j 'f ( 'l.)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O. CASH PERM IT VALIDATION CK. M.O. CASH
INSPECTOR
r .. ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB AODRESS .. R 0J::HH ,,,,,-1
LOT NO. I BLK. I T~ACT
?SrA &uth #4,~ <OsEE ATTACHED SHEET) LEGAL I 1 DESCR. I
OWNER_
1-::J4111
MAI~ ADORESS ZIP PHONE
2 -t..~ .:Y'..>!io ,,, ~' t.. .,,.,
..., ___ --, T ' I (...""""~~ I .,
CONTRACTOR
lb?ls
MAIL ADDRESS
,f/1~ ~d/
PH,ONE tt~-,jfl. ' STATE LIC. NO, C ITV LIC. NO, 3 11,,1,/11 : / /,; ' . ,;n.!) ) I ~
ARCHITECT OR DESIGNER ~ MAIL ADDRESS PHONE LICENSE NO.
4 , ' -
ENGINEER MAIL ADDRESS PHONE ltjt;. 113f..:. LICENSE N(), 5 1t:?;< 56;-\. /1,r •. t ".e I Ii e,zou,,, l . ;I I
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR
-9 Describe work: )w 1111 n1 ,,.,.-i fi,Q/
'-,/
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE s ::?< --
)
NEW CONSTRUCTION, FOR EACH
""LOCATION ACCEnro IIY PLANS CHECKED IIY / APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
/ } I "-I ,/2 >
DATE '1--:J -7 NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS,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 ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
~iff0tE0fo NG~i•E 1Hu\HGlR~N1~% $Fo~iEE1g~1TcA~iR ~~~ TEMP. SERVICE UP TO AND INCLUD· PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
✓ r;..... ~ TEMP. SERVICE OVER 200 AMP.
,# q ,# PER 100 ,, : ~--,
SIGNATURE Of' C~A~TOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE
..,..
TOTAL FEES , --NATUR'E nF nWNER If' OWNER BUILDER) 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
..
-_, .. \
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
SEP 1 1977
V • CITY. OE CARLSBAD
BuPcHng 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:
ENVIRONMENTAL PROTECTION REQ:
< ADDITIONAL COMMENTS:
OK TO ISSUE:
\
____ DATE ____ OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. e?'f'~ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION __ ......!>=======:DRIVEWAY LOCATIONS __ :-:::~-:::::._---~---
GRADING PERMIT __ _.:::==. __ EASEMENTS ,{,b. ,e
LEGAL DESCRIPTION Cd>7": ft:J9': / C°.a s;;I..!!!' d:
DRAINAGE ____ _
ADDITIONAL COMMENTS ____ ··--------------------·-----
OK TO ISSUE:~ DATE ?-2-7) 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
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE, ________ _