HomeMy WebLinkAbout2563 LUCIERNAGA ST; ; 78-4904; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181
JOB ADO" CfS ,.
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LOT NO I aL-, I TUCT -
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OWNUt M.I L AOOllttSS ... "'l'tONC
2 AJA_. /_./.,.// .. L" ,, /,-,, ~• fl''-~ _:G~ -.,: ~ 4'' V ~ I
CON TIIIAC TOllt . MAIL -.oo,.CSS , PHONI. STATE LIC, NO, CITY LIC. NO.
3 WIA --. ~ -f"y?~/ ,' . ' ) / /~/:::-Al A ~ .. ----
AIIICHITCCT o• OCSICNUII / .... Al L •00•1:ss PHON( J LICtNSl ,._0
4 '
lNGINCtllt MAIL AOOfU.55 PHONl LICtNSI: NO,
5
COMPENSATION rNs. CARRIER MAIL AODllll(.SS a,_ANCM
6 A .... ,_
US( Or BUILDING
7 //.,,_ ..
8 Class of work: □NEW DA00ITI0N 0 AL TERA TI0N 0 REPAIR
9 Describe work : R-'-J .I. ,, r.\,n_,.J...,..,,.../ -l"J,. _;, 4At' .11110,. -,r,,,.,,.,,,,. ~
;;---~' 4-/' 5'~-·"' /, , , ,, , ch, ,I,.,.,,,.,,.,,,.✓ I'., ,,,,_ ;r ~r 1 ....,;_ ..
.fr Ju,,'-'l'~ JJ"' l,~c-,, PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET) s
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP
DISHWASHER
.APPLICATION ACC(PTEO BY PLANS CH(C~( 0 ev 4PPROV(?ISSUANCE ev LAUNDRY TRAY ~-~ .; .. :lt-OAT~ $r/) /4 ✓ CLOTHES WASHER --,.. -)& ' WATER HEATER ,..) (0 ,, C 'J NOTICE . URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOA--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 GAS SYSTEMS NO. OUTLETS I l .:, I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ·. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. 'I WATER PIPING & TREATING EQUIP ,D ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN QA 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
CESSPOOL nr}?l ... SEPTIC TANK a. PIT -· -I ,-4.; -1 R ROOF DRAINS SIG770• CONTaACTO• 00 AUTH0017 lNT IDATl)
ISSUANCE FEE $ ~ " , I
"'IC.NAT lilt 0,. OWN(flt IP' OWN[II eu11-0[II) {OATl) TOTAL FEES s /, ro
WHEN PROPERLY VALIOATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
LLOW-UP, ETC.
....
ELECTRICAL PERMIT APPLICATION S~·· ~ ~ L
City of CARLSBAD, CALIFORNIA 92008 -r '. -~:-t f! ~
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No 7tJ -1Ji'
.. ,. , ,U -\ -JOB ADDRESS
) , ~ v "Ct,, -1 ..
LOT NO. I BLK. I TRACT (QSEE ATTACHED SHEET) LEGAL I 1 0ESCR.
OWNE_ll..
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MAIL ADDRESS ZIP PHONE
2 11¥1
..., . CJ. !_ tJ t:I _, ,. h ; / ., -J~,F(:; I. ' . , ,;t
CONTRA<;l,OR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 I I ., ..,.. ., _, ,.. j I ~-/ ,Zr-1''..f l /. .,·;;,,../ I I . ..: .... > /
ARCHITECT OR DESIGNER f MAIL ADDRESS PHONE LICENSE NO.
4 h'u,, .-
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 /V.,;-,
COMPENSATION INS CARRtER MAIL ADDRESS BRANCH
6 Jr,.,,.. .
USE OF BU ILDING /1-7 \..t
8 Class of work: 0 NEW ADDITION 0 ALTERATION 0 REPAIR
9 0 escribe work: /l,r nt-c,,, ,.,/, f,..,.,.., ~A•r'•-,J /J<,~/ ~ )"'i',lfJ,,-d[ h ..,'117 .. ;6,
,-.,, .. J. ,v,,.. lie./ f-L f/J, /1.,. f' ,,,,,./ l,/4 ... ~,. .,1 '" t, ,,,/.,, /,f 11/.r>Y, f 7,, .
'~ . PERMIT FEES • No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE I .,,., [ ,J
) --
NEW CONSTRUCTION, FOR EACH
AH,LICATION ACCEPTED IV PLANS CHECl(E D 8V APPRO~ FOA ISSUANCE ev AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER ~----· --· i~1,/11 CJ a, -,y' 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 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 AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND 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. ;•r,-,.: PER 100
-, ,_ ,
s1GJf)1'URE or CONTRACTOR Q1f AUTHORIZED AGENT (DATE)
ISSUANCE FEE
TOTAL FEES -~1r,,NAT\JRE Of' OWNE:R IF OWNER BUI DER 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
l
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INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE: _ __;...~.=.U_;;;G:._3~19 ...... 7-=8 __
l 1..u:{ eui 81 a-SJ ,
Building Department
CITY OF CARLSBAD
PLANNING DEPARTMENT
ZONE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED -----------
% COVERAGE ALLOWED PROVIDED -----------
BU IL DING HEIGHT ALLOWED PROVIDED ---------------------
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS ------
SIDE SETBACK: REAR SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
::DITIONAL coll,
: ____ DATE f -3 -7f°"OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION DRIVEWAY LOCATIONS ---------------------
GRADING PERMIT _______ EASEMENTS~~ DRAINAGE ____ _
LEGAL DESCRIPTION-'-~~~U?.=-~,<.L..=:..._-----------------------
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE:~ DATE ff3fj PWI ____ OK TO FINAL }1)jJ DATE ___ _
FIRE DEPARTMENT
SPRI~KLING 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 ________ _
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