HomeMy WebLinkAbout2536 El Gavilan Ct; ; 77-7212; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant co complete numbered spaces only. Phone 7 29-1181 Permit No.
tOSEC: ATTACM[D SHC CT J
7
8 Class ofwork: O NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $
SPECIAL CONDITIONS:
DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING. HEATING, VENTILATING 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 READ ANO EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO 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.
IG:HA.T "E ,. OWNtllt 1, OWHtJII au1LOCllllJ DATC)
No. of
Dwelling Units /
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINE:ERING DEPT
WATER DEPT.
No,
Covered
Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOlf
I
I
ASSESSOR'S
PARCEL NUMBER
B K PAGE PAR,
CITY LIC. NO.
NO. BATHS
{CJ
/?
MICRO FILM FEE ....
Ma><
0cc. Load
Fire Sprlni<lers
Re<1uired
No. Open
0Yes DNo
Not Required
MO. CASH
PLUMBING PERMIT APPLICATION
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 7 29-1181 7 )·?.~I'" Permit No ~
Joe AD0fl EIS /J/1,7, ///{-~ . _.-r{o.;e, l}ll, ( 1Ttl/l/-I
LOT HO. I ILK I ,~ .. ,., ~1t//o~d1'£~
~ --r LEGAL I 9 /(/[(
. 1 ouc~.
,F 1,1
0WN£fll tdrJL--:1 l//l.51
MAIL ADDJIESS 'IL(~UJ/d tt// PHONE .,. fU'.: .,,
2 S/ZI?/
CONTfllACTOIII MAIL ADOfllESS
I 1,ltf1 JJ. PHONE .. STATE LIC. NO. CITY LIC. NO.
th·:J /h,/?,.._~ ~
3 ¥/,r ~1, -,
AACl11TECT 011 0£51CNEA / -MAIL A00f1CS5 / PHQt,;[. v LICCNSI: NO.
4
[NGIH([JI MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION (NS. CARRIER MAIL ADD"ESS ~
~tit i!tr l'lt r II BIIIIANCli
6
• J --•• J§/JJdfj,. !~ .. ,;?/.;', ( ·-, .. ~ /-
use OP IBUI LOIH-4 .,,
7 I; I/ /fl, ~-f/, ;,,I
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : ,_fit,JJJhl /I/,
I /
PERMIT FEES
No~ Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ -
/ BATHTUB .r:. .J
,47-LAVATORY (WASH BASIN) ' ':,,n
/ SHOWER / . -
I KITCHEN SINK & OISP. / ...
DISHWASHER .,
f PPL!CATION ACCEPTED ev PLANS CHECt<ED ev APPROVED ~OR ISSUANCE SY LAUNDRY TRAY
I. CLOTHES WASHER .. I -)I-
DATE / 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 OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK .
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS GAS SYSTEMS. NO.OUTLETS / )U
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
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 VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS I ,1
CESSPOOL
_J / I"', lit/. I I SEPTIC TANK & PIT
" // :I . I 1 ROOF DRAI NS
S1CNATU"£ o,.rcoNT .. ACTOllll Ollll AUTHOIIIIZ.EO AC.EMT (OAT£)
ISSUANCE FEE $ [, -
SIC.NATU"t o, OWN£." ti~ OWNE" IUILO["l (DAT[J TOTAL FEES $ -~'
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
..
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB AODRESS
~VJ.Um
LOT NO, I OLK. I TRACT l(JSEli ATTACHED SHE.ET) LEGAL I .. 1 DESCR. ·-~·"' ~-··--
OWNER MAIL ADDRESS ZIP PHONE
2 ..:in -~ 10951 lley
CONTRACTOR MAIL ADDRESS PHONE ---STATE LI C. NO, CITY LIC, NO.
3 ~ --.,. c. .... . .. ----·---
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LIC ENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATI ON INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BU ILDING
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: --. leal -en<! . .. ---· .,_. ... .... .... -n ~.!..:..... lB -.....-..
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'f'LICATIO ... ACCEPTEO BY PLA ... S CHECKEO BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, 100 .~ 2!, FUSE OR BREAKER
DATE 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 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
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 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 CONTRACT OR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE : ? ( i)
TOTAL FEES 2 s GNATURE oF OWNER CIF OWNER BUILDER OATEl
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
INSPECTOR
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 /'
Applicant to complete numbered spaces only. Phone 729-1181 "';( Permit No. i.=-1 • ..:,~-?.t
JOI ADO .. CSS -
• . ::.vi,n'l"t .'.. } -·· . ,ClJ.rr.... -• •. * L ---,
LOT NO. I 8LK I T"ACT <Ost£ ATTACHED SH£ETI L(GAL I 1 D(SC", ,, I P.c -·-\_,_.._a ...
OWNEflt MAIL AOOlll:ESS ZIP PHONE
2 ' _-·:::i. Hcraeo 2nc. 1 0g, _ ,_nto V.':111_nv: r; O!>il~ : , ~ ., . -CONTlll:ACTO" MAil. ADOAESS PHONE STATE LIC. NO. CITY LIC. NO.
3
·-1. -• -··-~ ,g1 u .. Cnffl"' --. -Cnion. na._ -Rn•t "·-· --·-A"CHIT[CT 0111 OC51GN[" MAIL AOOlllESS -PHONE L IC(N$( N<f. ---~ -·-
4
lNGINEtlll MA1L AOOllltSS PHONE LICENSI. NO,
5
L(HOUI M.t.lL AOD!lt[SS BJU,NCH
6 ~ .. ~. -:me. 10~L --~• .......... t:n Vnl l _o,r rut. ~m Q~14't ... --.1· r1 "" ~.? . .i
USC Olr BUILDING
7
8 Class of work: S NEW 0 ADDITION 0 ALTE RATION 0 REPAIR
9 Describe work : n \ '..U.. ~i t.'?/! nn.d. Vl"l'l t.i..1.n. f:i. n .q
I Type of Fuel. Oil 0 Nat. Gas CJ LPG. 0
PERMIT FEES
SPECIAL CONDITIONS No. Type of Equipment Fee
Air Cond. Units H.P. Ea. $
Refrigeration Units-H .P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units Tonnage Ea.
Forced A ir Systems-B.T .U. ' M Ea. ( IJU
APPLICATION ACCEPTEO BY PLANS CHECKEO BV APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heaters.-6.T.U . M
NOTICE Unit He&ters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. 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
Incinerator
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
'
.# • .I
SIGNATUf"l 0,. CONTftACTOIII 0111 AUTHOtltZ.ED AGE.NT (DATE.l -~.
ISSUANCE FEE s :.l i,IV
TOTAL FEES s . , .. !l.l"'"-'•Tttlllr o, OWNl'.fl IP' OWNE,t •UILDE" DA.Tr:)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
LOT 7?
•. ,
• BUILDING
•
FOOTINGS --FOUNDATION
-REINFORCED STEP.L -J\!ASONRY
·~ GUNITE OR GROUT -SHEATHING -.. FRAME
-INSULATION ... EXTERIOR
INTERIOR -PLUMBING ..
-SEWER AND PL/CO .i'·Zo•?fWATER ------,~'· .;;. PLUMBING UNDERGROUND r ~ -COPPER / I ' I-eh ·J1 h<l -TOP OUT ..
TUB AND SHOWER -.. GAS TEST
-ELECTRICAL -UNDERGROUND
ROUGH 'f'/0·7/ M ..
...
CEILING HEAT -"' BONDING
... MECHANICAL
.. '/·ltJ·7/ / I DUCT & PLEM, REF. PIPING_,,_f'k-!J-'. ____ ~
HEAT--AIR
VENTILATING SYSTEMS •
FINAL; .....:C,~·c....').._CJ---', 7....;:;t_"-"~~----... ..
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729-1181
CERTIFICATION
I certify that in the performance of the work for which this permit is issued I shall not
employ any person in any manner so as to become subject to the workers' compensation
laws of California.
If, after making this certificate, I beco.me subject to the workers' compensation pro·
visions of the California Labor Code, I will forthwith comply with Section 3700 of the
Labor Code.
I understand that if I fail to comply with the workers' compensation laws, this permit
shall be deemed revoked.
I further certify that if I should contract or subcontract with any person, including any
firm or company, to do all or part of the work for which this permit is issued, I shall assure
~~~~-liance by that contractor or subcontractor wiztion 3800 of dli~:bor
PRINT NAME ANDS~::: ~'q ::;or;,: ,.::r 4
JOB ADDRESS: 2536 El Gavilan ct, Carlsbad, Calif.
DATED: May 20, 1979