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MODELS}.�0•- S`) 3 s
BUILD±ING PERMIT APPLICATIO N�
City of CARLSBAD, CALIFORNIA 92008
ADDlidant to complete numbered spaces only. Phone- 729-1181 Permit No. Ir
JOB ADDR E55 /
a
ASSESSOR'S
PARCEL NUMBER
LEGAL
SCR
LOT ND.
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'TRACT
(E]SEE ATTA,C)$6D SHEET)
BOOK
PAGE
PAR.
OWNER MAIL ADDRESS
ZIP
PHONE
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'C ONTRACTOR MAIL ADDRESS
PHONE
STATE LIC. NO. •r' CITY LIC. NO.
_
3 Ti"'q
,qL�. ut
ARCHITECT OR DESIGNER MAIL ADDRESS
4
PHONE
LICENSE NO.
AL
ENGINEER' MAIL ADDRESS
PHONE
LICENSE NO.
COMRENSA'TION INS. CARRIER MAIL -ADDRESS
BRANCH
6
USE OF BUILDING
7 `
N0. BDRMS
N0. BATHS
8 Class of work: NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑
MOVE ❑ REMOVE
9 Describe work:
r �'�..r' .. �+�e@' )•+w�`a�:"G:� a' '-M �+ k � '�:*,• f�� h� fi'f�` 7 �Sr �'�'� �^'� � a�.."' �w "qaT .�' � .��.# °rt�.�;,,f1+.
10 .Change of use from
Change of use to
�
1.1 Valuation of work: $ .C�
0
e ,
` :
�
^
PLAN CHECK FEES
PERMIT FEE $
SPECIAL CONDITIONS:
Type of�
Const.
Occupancy
Group
MICRO FILM FEE
o
.w
Size of Bldg.
(Total) Sq. FA�$i
No. of
Stories
Max.
Occ. Load
Fire yfwM
Zone .
Use �u
`Zone l"4.,4,fi
Fire Sprinklers �-�;,,,�.+>
Required ❑Yes (3No
APPLICATION ACCEPTED BY
PLANS£6H CKED BY -
ISS ANCE,BY
,
�A4PPRVV,��OR
No. of
OFFSTREET PARKING SPACES:
No.
DATE
Dwelling UNo
nits
Covered Sq. Ft. Open -
NOTICE '
Special Approvals
Required
Received
Not Required
PLANNING DEPT.
'" &-<�
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
HEALTH DEPT.
THISPERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
FIRE DEPT.
rs�a
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
SOIL REPORT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
OTHER (Specify)
ENGINEERING DEPT
sC. 1� °`�`t �
I HEREBY CERTIFY, THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT-. •;
-WATER 'DEPT.
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.
w
SIGNATURE OF CON TR AC TOROR 'AUTHORIZED AGENT - (DATE)' '
SIGNATURE OF OWNER IF OWNER BUILDER) (DATE)
WHEN PROPERLY. VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN .CHECK -VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.o. , Y
TOTAL FE6Sa"
41'eg -
INSPECT -OR
INSPECTION RECORD -2(.0 ^ 3a1 T
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. ✓ - Gil/
11-19-76 Fdn. Forms- Okay to pour footings. E. Plude.
12-7-76 Foot-ing- Footing for col's okay E. Plude.
7
MECHANICA�y' PER11T APPLICA 10 Applicant
to complete numbered gpaces'only. Phon,6 120-1
- "* " 'A'
City of CARLSSB, AD F-C% ' 1
"CALIFOR
Permit NO.
S08 ADDRESS
D _7
C.,
LOT NO,
BLK 7
TRACT
( []SEE ATTACHED SHEET)
ZIP PHONE OWNER-' MAIL ADDRESS
-2
•-114,- tw ity'l I& pwmow
CONTRAC-T MAIL ADDRESS- PHONE STATE LIC. NO. �q�j-Y LIC. NO.
3
z
AR,CKITECT_OR;'DMSIGNER MAIL';ADDRtSS PHONE LICENSE NO.
4
War e
ENGI,NlEER'_' MAIL ADDR ES
S. ow
PHONE LICENSE HID.
LENDER MAIL ADDRESS
6
BRANCH
USE Or 'BUILDING
of- r 8 Vlass of -work: k: NEW El ADDITfON- - El ALTERATION
El REPAIR
9 'Describe, work:
0
Typd-'Of -;,'Oil El Nat.'Gas 1:1 LPG.
PERMIT FEES -
SPECIAL CONDI-TIONS:
No.
Type of Equipment
Fde
g77:
-Af-r-Cond. Units—H.P. Ea.
sga
06
efe tion
R -i§era Units—H.P. Ea.
-7
-Boilers7k'P. Ea.
G a SF` , ired A.C: Units —Tonnage Ea.
4F,
fot,te AirSystems—B.T.U. M g., Soo
--9—
0
APP.LicA-TioN-ACCEPTED BY:
PLANS CHECKED 8
APPROVED FOR ISSUANCE BY-
iJ
Grav ,T. U. M Ea _�ty'Systerns8
Ff6or 'F,urnaces—B..T:U.
Wajl'446q*e�ri—B.T.U.
NOTICA 0 6 E
THIS PERMIT
MIT BECOMES NULL AND'VOID*IF WORK OR CONSTRUC-
TION .AUtHORIZED IS NOT COMMENCED WITHIN 120 DAYS,,Qk. 11-
,CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
P'F-AIQ*P, 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 VIOLATF_-0,R,tANCEL THE
PROVISIONS OF ANY OTHER'STATE"OR LOCAL7- -A REGULATING
CONSTRUCTION, OR THE PERFORMANCE CONSTRUCTION.
UnitHeaters—B.T.U. M
Evaporativejg7
Coolers
10-0
Ventilation Fan
Range :Filo ad
i I
Air Handling Unit— C.F.M.
Incinerator
I ATURE,
ISSUANCE FEE - $
0,0,
TOTAL FEES $
-0T.
SIGNATURE Or -'OWNER (IF--OWNER',BUILDER) ATE)
"`WHEN, PROPERLY VALIDATED (IN THIS-SPACEY THIS IS YOUR PERMIT &0 ou
PLAN CHECK VALIDATION :CKi- M.O. CASH -PERMIT V LIDATION CK. M;G. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
ra- - �., a_• � rtv .1w.+..e."..�',�"� W4'a."wGY':��`-• �5a
s . PLUMBING',PERMIT�APPLICATIOR"`` -
.: City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. Permit No.
'.JOB ADDRESS
- LEGAL
DESCR.
-LOT NO.
BLK _
TRACT
•'
OWN g r MAIL•I,DDRESS ZIP PHONE
ACTOR MAIIy KDDRESS PHONE LICENSE NO. STATE C
ARCHITECT O DESIGNER MAIL ADDRESS
4
PHONE LICENSE NO.
'ENGINEER MAIL ADDRESS
5
-
PHONE LICENSE NO.
I
COMPENSATION (N S. C`ARRI-ER MAIL ADDRESS
6
BR NCH
USE OF BUILDING -
7
a
8' Class of work: NEW ❑ ADDITION O ALTERATION
0 REPAIR
t
9 -Describe work:
PERMIT FEES
No.
Type of Fixture or Item
Fee
SPECIAL CONDITIONS:
WATER CLOSET (TOILET)
$ .-
�:✓
BATHTUB„ -
LAVATORY (WASH BASIN)
SHOWER,
'KITCHEN SINK & DISP.
DISHWASHER
APPLICATIOONtCEPTE BY-
9�
Y"
PLANS CHECKED BY,
APPROVED FOR I U CE 9Y.
DATE # r
LAUNDRY TRAY - -
CLOTHES WASHER
-
WATER HEATER
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 1 HAVE REA.O 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.
URINAL
DRINKING FOUNTAIN
FLOOR --SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
O.C�
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OF CONTRACTOR OR AU TFi RIZED AGENT (DA-TE)
_
PERMIT
$
t
TOTAL FEE
$
'F
SIGNATURE OF OWNER, IF OWNER BUILDER) •(DATE)
WHEN PROPERLY VALIDATED (IN THIS SPA(;E) 1 MIS-)b ruun rtnmi
PLAN CHECK VALIDATION CK. M.O.. CASH PERMIT VALIDATI-ON CK. M.O. CASH
_ _ _ INSPECTOR -
0
•
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
12-1-76 Underground Plumb. -Underground and property line connecting okay.
E. Plude.
1-21-77 Gas Test -Okay gas test only
"tour of roof. E. Plude.
1-27-77 Gas and Rough to point -Okay
lines not suported. Plumbed for con-
E. Plude.
M....a.>....s0....._xx:..,w,y.t:-Y:w,._ Iq ..a.� it , -: ..s�.... e....Fr-�,,,,r _.-3r... , s..s. �.. •+..a.k•�. - • _ ___ -
411
- ELECTRICAL PERMIT APPLI rtCaNr `::
City of,`CARLSBAD; 'CALIFORNIA 92008:
Applicant to complete numbered spaces ogly: - _= . Phone 729-1181 Permit No. t
J,05 ADDR ES+�SyIyy..
LEGAL
t DE3CR,:
LOT NO.
BLK
TRACT
'
([]SEE ATTACHED SHEET)
-
OWNER�{
MjAI��L11 ADDRyyESSSyS..�yy�
ZIP 8:-z'-:. PHONE '- •
g- y�, �
t p �ifg�, '+��
.2 - ,i.+F� �14r •I�7�Ir$ i..iR.i /�e3.•Ib �B¢B � � �dY- � +R,�r,�4 it L IL.
-
CONTRACTOR M/,�I L`Apq RE35
,�.w•,�x,y.,..
PHONE LICENSE NO. KST-ATE--�_,,.,C LT,Y
3 Steger Ueatrc,,1, 1*,. 0. Ift 2IS6v • "038 53�436"1671 1105.1
ARCHITECT. OR 'DESIGNER MAIL AODRESS�
PHONE LICENSE NO.
4 .
ENGINEER MAIL ADDRESS
PHONE LICENSE NO. _
5
-
COMPENSATION INS. CARRIER ADDRESS
BRANCH
j.. MMAI�LL
q+�
USE OF BUILDING
'
'8' Class of work:] NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR
9 • Describe -work:
PERMIT FEES
ISSUANCE OF EACH PERMIT
No,
Each
Fee
SPECIAL'CONDITI DNS: _
NEW CONSTRUCTION, FOR, 'EACH
�•
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR -BREAKER ;
-
APPLICATION ACCEPTED BY:.
PLANSCHECKED BY: .
APPROVED FOR ISSUANCE BY:
NEW SERVICE ON EXISTING BLDG.
FOR' EA. AMPERE OF INCREASE
DAre
NOTICE
IN MAIN SERVICE, SWITCH, FUSE
THIS -PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
OR -BREAKER
TION. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
,CONSTRUCTION OR -WORK IS SUSPENDED'QR ABANDONED FOR A
`-PERIOD' OF 120 DAYS AT 'ANY TIME AFTER WORK IS COIV-
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.
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD-
ING 200 AMP.
P SERVICE OVER 200 AMP.
���..
PER 100
SIC ATURC06.CONT ACTOR OR AU-TH I D A EN - DATF.
PERMIT FEE
-
102
00
IGN T R -or OWNER Ir OWNER BUILDER _ (DATE)
WHEN PROPERLY VALIVA7tD 1IN I -Mil SrAGt1 IIII* Is Tuun renmi I
PLAN CHECK VALIDATION CK. M.O,' CASH' PERMIT VALIDATION CK.,. M.O. CASH
-INSPECTOR �... Y- ..
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
12-6-76 Underground Elec.- Okay E. Plude.
12-10-76 Underground Elec. - Okay E. Plude.
1-31-77 Rough Elec.-Partical Building 8 conduit in walls only. E. PLude.
3-30-77 Rough Elec. O.K. E. Plude
ELECTRICAL PERMIT APPLICATIrQN : �4 : r , ,:
City of. CARLSBAD,- CALIFORNIA 92008
dnnlin.nt to nmm�lpto niimhBrpri:SnaCP.S nnly. - - Phnnp- 729-11 R1 PArmit Nn.
,JOB ADDRESS Yg
y
LEGAL
LOT NO.
BLK.
TRACT
(QSEE ATTACHED.SHEET)
1 DESCR.
OWNER" MAIL ADDRESS
2
� ��
ZIP '* PHONE
�f ��B�SrLi`•IF. if .
Y'�i X�Pi�'��w
CONTRACTOR - , MAIL ADDRESS PHONE STATE LIC. NO.
14
CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL" ADDRESS
PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS
PHONE LICENSE NO.
5 •
.COMPENSATION INS. CARRIER MAIL ADDRESS
BRANCH
USE OF BUILDING
- y
7
r
8 Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR
9 Describe work: } > ' y^ _ ` `
F 5,'•', F'"`A '. ^C�.i'"'r - �e.�i 4. fl 1W't?E.,.+� 'L.j ti d'3l76'l.f s
2
PERMIT FEES
-SWIMMING POOL WIRING,
No.
Each
Fee
SPECIAL CONDITIONS:
i�t
s
NO INCREASE IN-SERVICE
NEW CONSTRUCTION, FOR ` EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
APPLICAT ON ACCEPTED BY:
P SVCH D
-AOPROVED F R IS$ NCE v:
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
�+
DATE "
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
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 AND EXAMINED THIS
INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
s
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
TEMP. SERVICE UP TO AND INCLUD-
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
J,•
PER 100
`�,
' tr td -
SIGNATURE OF CONTRACT-Vrt'OR THORIZED AGENT (DATE)-
ISSUANCE FEE
TOTAL FEES
�' }
SIGNATURE OF OWNER OF OWNER BUILDER DATE
WHEN PROPERLY VALIDATED (IN T H15 5PAGIO I HIS Is TUUrI rrnml I
PLAN CHECK VALIDATION CK. M.O. CASH • PERMIT VALIDATION CK. M.O. CASH
.INSPECT®It
INSPECTION REPORTS
DATE ITEM REMARKS' INSPECTOR
USE SPACE" BELOW FOR NOTES, FOLLOW --UP, ETC.
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 become 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
compliance by that contractor or subcontractor with Section 3800 of the California Labor
Code.
SIGNED: j a
PRINT NAME AND TITLE: J2v+�- ;F.( (
JOB ADDRESS. Z S ` o a,? 0, 1&,�
DATED: 3
P
CARLSBAD PLAZA
Cl-ry OF CARLSBAD
APPROVED
ding
j
VTR
V-
44-
_7
rl Opp
kAj.c'o,
)ru'
CARLSBAD PLAZA.
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'y. ',•:1�,•.tf ��Yaai'• :;{kl,;,':e��'t'' y.,dii �ti:':f{�; ...�_�.,4Q.�....-., _. ...�.._
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eti r�
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OARLSBAD PLAZA
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