HomeMy WebLinkAbout2564 NAVARRA DR; ; 74-1550; PermitO r
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant tocomplete numberedspaceson/y. Phone 729-1181 Permit No.
Jo• Aood-S-b ~ #/-rt/ A 12 R..A--Sr. ASSESSOR'S
PARCEL NUMBER
LOT NO. I -I j(I ·L• I TSACT
BOOK PAGE: I PAR,
LE GAL I Ir.TN-" i')Jl) f ';3:u AT TA CHED sH«Tl l ocsc•. l1, -I _A ....J.
OWNUt MAIL. AODAESS % IP • PHO ta
2 { f"i,,.l~l~li •u._,1 -i .. J.IU 61/J1:,i:; } 'I ,lj..l /1 / ,T.H •'· ~ I -
CON TRAC TOft. ;2, MAIL AOOOESS Q_ ~' PHONE. I. l.lCCNSE N O, STATE: CITY
3 j') --/ V -"-k~ .,_/ ,t_/ ' .,;Ir~--~ L • ·~--
ARCHITECT 0 111: 0l.51GN£11 MAIL ADDACSS PHONE LICEN5£ NO.
4 //, _ _.1-:_J
ENGINt[J\ MAIL AOOA £5S ?HON£ LICCN5£ NO. .
5
COMPENSATION INS. CARRI E:R MAIL AOOJllttSS BfllANCH
6
USE Qp, BUILDING
7
8 Class of work: □NEW □ ADDITION □ ALTERATI ON □ REPAIR □ MOVE □ REMOVE
9 Describe work: .. ~1/c;oL. -, t_l'-_,/ 1.lf/L t, .J ' l J' t u.l, ,n, •• ,, " J, ,, -
7,,/ P-1 ; /
10 Change of use from /
Change of use to I• ,
11 Valuation of work: $ t.j~
I 6:. PLAN CH ECK FEE $ I PERMIT FEE $ ·/ s . ..:-.J(
SPECIAL CONDITIONS: MICRO FILM FE:E:
Type of Occupancy
Const . Group
Size of Bldg No. of Ma><.
(Total) SQ, Ft. Stories 0cc. Lo ad
Fire u se Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE 8V Zone Zone Required D Yes 0 N o
1-:1/. 11/-'' No. of OFFSTREET PARKING SPACES,
Dwelling U nits No. !No. DATE: DATE: Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FO R ELECTRICAL, PLUMB• PLANNING DEPT.
ING, H EATING, VENTILATING OR AIR CONDITION ING. H EALTH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN120DA YS, OR IF FIRE DEPT. I
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPO~T
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCE D , OTH ER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISION S OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WIL L 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.
,1·,, .,J.-i : • .. _
j , ; .... ✓_. , " C / i.i-.
SIGNATUIIH, 0,. CONTRACTOft 0111 AUTHOlllI1EO A,GtHT (DATE) .
51GNATU"[ 0" OWN[,. h,. OWNtfll IIUILDEA) OAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y OUR 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.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant tocompletenumberedspacesonly. Phone 729-1181 Permit No.
JO& AOOR ES5 ASSESSOR'S
/J ?. y' 7 /./~~f',(,,;7 ~~',, PARCEL NUMBER -~
LOT NO• I OLK I TRACT
BOOK PAGE I PAR,
LEGAL I t0sct. ATTACHC.0 S"t.tT) 1 DCSCO.
OWNtA _? .1'/.; MAIL AOOJltESS Z,P PHONE.
2 ,..r), -,,. ✓-~_..
CONT,.ACTOA _/,?
~../}£..,f',J
MAIL AOOIIIESS PHONE LICENSE. NO. STATE CITY
3 • ~y / ; . _./ _,.
AJilCHITC.CT 011'1 OESIGNtA / -MAIL ADDRESS F>HONE LIC £N5E NO,
4 .
£NGIN(£A MAIL ADDRESS PM ONE LI C[NSC NO.
5
COMPENSATION INS. CARRIER MAIL AOOll'IESS 8'1ANCH
6
ust or BUILDING
7
8 Class of work: ?NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: I ,... /11.,IP° PooMC
,:,. s~,N') R11L. • ~MJJll~M .
10 Change of use from
Change of use to
11 Valuation of work : $ PLAN CHECK FEE s l PERMIT FEE $ I -
SPECIAL CONDITIONS: MICRO FILM FEE Type Of Occupancy
Const. Group
Size of Bldg. N o. Of Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone zone Required OYes □No
No. of OFFSTREET PARKING SPACES·
DATE c -'5--,>, Dwelling Units No. INo. DATE Covered Sq, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, OR I F FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT .
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. '· APPLICATION AND KNOW THE SAME TD BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNIN G THIS WATER DEPT. 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.
v",,I. ii , .... ..,.._,.. ,! ~-···
.
~-~ r // ///$/
SIGNA,A[ o,-CONTflACTO" 0111: .t.lJTMOllt!Z.ltDL~ (DATl.t
'SlGN,t.TUllt[ 01" OWNUI ti" OWNEA eut\.DtAJ DATE)
______________ ..;.W;.:.H.:..:E:_N..:....;.P..;.R..;.O:..P __ E::..R...;.::L_Y_V.;._A;.::L;.:.l:;:.D.:...A:...;T...::ED (IN TH IS 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 C
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES FOLLOW-UP, ETC.
7-~-., 7 _!L -L'/,:B~~~~~~_l:.~ ~ ~~-_
7 -ff'4 -~#~ ~-~-d Y.-~tb:Z,~~~ ~-~
/..J'7/~
)
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces on y. Permit No.
JOB ADD" E.$5
~ -
I LOT NO.
LEGAL 1 Ot5Cllt, ··~ 1/-/4 I T~ACT ,s;».S.. ) •r,<A ~
M AIL ADOlltESS
,.111W .) ~~~ ZIP
.. ·r.S7J.J. ),
PHOM[
>l'J:+
CONT'IACT09'1 .., /1,, LS ' /I.) MAIL ADDRESS P HON t LICENSE NO, STATE
,2:,f/ ~h)I) 3.,~
MAlL ADDRESS PHONE.
3 ?
ARCHITECT 0,. DESIGNER LIC £N9E NO.
4
£NGIN[.[,. MAIL A DDfllE.5$ PHONE LICENSE NO,
5
COMPENSATION (NS, CARRIER MAIL ADOllt£5S BIIIANCH
6
US£ OF' BUILDING
7
8 Class of work : 0 NEW 0 ADD ITION 0 ALTERATION 0 REPAIR
q Describe work: ~ ;f;.i_r.:rllJ"-'
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS. WATER CLOSET (TOILET)
PLANS CHEC>(EO BY APPROVED FOR ISSUANCE BY
DATE/-_:}/-It I
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 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 DR 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.
$1GNATU.FU: oar CONTJIU.,CTOfll Ofll AUTHOfltJ.ED AGl:NT !DAHi
I j
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SIN K & OISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
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
ROOF DRAINS ·'
PERMIT
IOAT[) TOTAL FEE !ilGNAl" ,-,-0,. O'WNllll IIP' OWNCR IIUI\.D["•
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY
Fee
$
$ , ;;,,/ ;Jj /.
C.C.SH
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
r ~,.J -?v k-/C ~~ 07~/4-/ -
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
0
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 -, · /
Applicant tocomp/etenumberedspaces on/y Phone 729-1181 Permit No t/ ---~ ~
JOI ADOJI t5S
. ~(c;V-, ';).t:='£ -r . I LOT NO. I I LK I T•~c.T f' ..Q, LCt.AL < <Qstt ATTACHED SHE.tTI
1 cue•. / · -/fj-JCj,1 ;cBT.R-, ~·' OWNCJII MAIL AODfttSS Zl P
iTA-/../,Jr,
PHONI:
2 ,.. F1NA1./llJ/t.1-, u,/(i. 'I. (j:. \_~</ ~
CONTfllACTOJII MAIL Ac01u:ss ~ PHONE LICtNSt NO. STATE CITY
3 --a doL..q~ t...S ;--'rl~ . I aJ:
APICHITECT 0111 01:SIGNl.fll MAIL ADOlllCSS PHONI: LICENSE NO.
4 ,,,,, _J ~
ENGIN[CPI MAIL AOOJIE55 PHONE LIC[NS[ NO.
5
COMPENSATION INS CARRIER MAIL AOOfllE.SS BJIIANCM
6
U.8[ o, IUILDING
7
8 Class of work: 0 NEW 0 ADDITION □ALTERATION 0 REPAIR
-
9 Describe work: lo T,.iS7Al-t-fl. L./I.I ;7' C w' . '--.2 ki ,n,-rn ,-,,...., I ~.,,..J,..,.
Fi ,11£,ti_ ~-,I~ /
l J ' PERMIT FEES
L No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
d" t.o
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY PLANS CHECKED BV APPROVED FOR ISSUANCE SV AMPERES OF MAIN SERVICE, SWITCH, 5t, FUSE OR BREAKER
{ /o:J\. DATE 1-..:J1-, _: NEW SERVICE ON EXISTING BLDG.
i FOR EA. AMPERE OF INCREASE
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 OR ABANDONED FOR A
PERIOD OF 120 DAY~ 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 ANO KNOW THE SAME TO BE TRUE AND 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.
./ "'.? 7d PER 100 ·-· ,..
' Sl•NATU"~ o,-CONTIIIACTO" O" AUTHOIIIZCO AG~NT IDATEI .
PERMIT FEE 7t 9t.:I•,
_.1.eu.a.Tu•r n• nwNElil 1,-OWNElil ■UILOEfl DA.Tl.I
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 REPORTS
DATE ITEM REMARKS INSPECTOR
t>,~-?Y ~__✓,_:_ /"'J ~ ~?f~~ ~
r / -
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
,i
Q Q "r1
MECHANICAL PERMIT APPLICATION 0 ~
:! 0
z m
City of CARLSBAD, CALIFORNIA '" ►
1~-?L I~ "' 0 0 "' Applicant to complete numbered spaces only. '" '" '" JOB A DD" CSS
I l.,. • ._ .... i.ri ~-~' u.r . 92008 J -
LOT NO. I OLK f: ~•ACT (05££ ATTACHtO SHEET) LEGAL I 1 -1 DESta, , Wlf~'n -·· , ,
OWNUI M AIL A OOftESS ZIP PHONE
2 ... .,.-... a A • . ' i 'J, ,23 ., n •.r ., '..,0 ' _. '
CONTftACTOft MAIL ADDRESS PHONE L ICENSE NO,
3 . .oed Co. Sl8 ,r.. ~_,,. -........ L, ,I...J..s?lS ' ;, ,'Y . . • ,> • • AfltCHITECT Oft DESIGNER MAIL AOOA ESS PHONE LICENSE NO.
4
ENGIN E[ft MAIL AOD"ESS PHONE LICENSE NO.
5 . .. . . ~
L tN DC.111 MAI L AODIIIESS BftANCH
6 L. . ~ "'~-~ ...... , .. . Oo. Z3,4i :..u -u'1,l'l, ~C • t r.,w.1 A .. A j CJ:;008
USE OF BUILDING
1 ' . . '.n'!~
8 Class of work : LJ NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 11lrD1 1n:rt.all .c. units
Type of Fuel: Oil D Nat. Gas D LPG. D
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee ,, Air Cond. Units-H.P. Ea. S ,, -Refrigeration Units-H .P. Ea.
Boilers-H.P. Ea.
Gas Fired A .C. Units-Tonnage Ea. . Forced Air Systems-B.T.U. M Ea .
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPRO7O FOR ~SSUANCE BY Gravity Systems-B.T .U. M Ea.
Floor Furnaces-B.T .U. M
I ff/'/~-Wall Heaters-B.T.U . M
NOTICE Unit Heaters-B.T .U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-_ . Evaporative Coolers ' TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDON ED 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 ANO EXAMINED THIS APPLICATION ANO 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 Incinerator 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.
\ 1; -}?1 1/ . /t/-7. .. , f a, --'✓
51GNATUftE o•.rAACTOft Oft A"\JT~0•1iCDrA GENT -(DATE)
PERMIT $
~IGNAT flE o, OWNE .. IIF' OWHE" IIUILDC .. (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. CASH
AUDIT
Form 100.4 9-69 REO .. DEft FROM: INTERNATIONAL CO NFERENCE O F BUILDING O F F IC I ALS e !50 SO. LOS ftOBL ES e PASADtN•. CALlf'ORNIA 91101
PLUMBING PERMIT APPLICATION
Permit No.
/ City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
Joa ADDA ESS
LEGAL I 1 OESC ...
2
LOT NO.
---.
,-.
(0SEE ATTACHED SHtETI
_r;g & Hi
MAIL ADDPU::ss ZIP PHONE
CON TRAC TOR MAIL ADDRESS PHONt LICENSE NO,
3 .
A"CHITECT OR DE.SIGNER MAIL ADDRESS
4
ENGINEER "' ~ ' MAIL ADDRl:SS "'-t
5 II
LC~DER MAIL ADDRESS
6
USE o, &UILOING
7 ,-':t r ..!~{
8 Class of work: □NEW 0 ADDITION 0 ALTERATION
9 Describe work: .//, " / 1 ✓ . , -~
SPECIAL CONDITIONS·
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
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 HE.REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE 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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CONYRACTOR OR AUTHO,.IZ.E.D AGENT (D-' TE I
SICNATUPI£ Or' OWNEIII II" OWNER 9UILDER) DATEJ
PHONE LICENSE NO.
' }' PHONE LICENSE NO,
I
.•
0 REPAIR -f J j ---
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
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
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
• ,. l .
0 I.. 7J
~ 0 CD z ti) 3 fTl ► :r, 0 0 :z
ll 0
fTl 1/1 1/1
Fee
$
1 rnn
3 i0!l
$
$
CASH
J (J
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 7 ~ /
Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No.
~OB AOOR ESS ASSESSOR'S
• /: PARCEL NUMBER . V ~1 I ·, ,-4.
LOT NO, I •L• I TSACT BOOK PAGE I PAR.
LEGAL I 105££ A TTACMt:0 5H CCTI 1 ocscs. J '. "S J.. -·
OWNEl't -MAIL ADDRESS .,. Pt-fOt,c
2 I t I I L ' I' 4 --f ') t ii I {
7 t
CON TRAC TOR MAIL AOOAESS -PHONE L tC(NSt. NO, STATE CITY
3 .!JI >
AfllCHITCCT OR 0£$1GNUt MAIL ADDRESS Pt,40N[ LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 \__
COMPENSATION INS CARRIER MAIL ADDRESS 8,.ANCH
6
ust o, IUILDINC
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOV E
9 Describe work: ' ',.· ( ~/! , U, C
I I '•
I l l /J., I.~ //,
f , fi1 ~/, --
10 Change of use from
Change of use to
Valuation of work: $ ~//. ; t;.,• ~ I PERMIT FEE $
(t'! o· 11 -PLAN CHECK FEE$
SPECIAL CONDITIONS: MICRO FILM FEE . Type o f Occupancy
I Const. Group
I" 'I l, I' /l ' I I !' / Jt // ,, r LJ s,ze o f Bldf / No. of Max
I (Total) SQ. Ft. Stories 0cc. Load
-=
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY 'f(' APPROVED FOR ISSUANCE av Zone zone ReQulred OYes □No
DATE /
-No. Of OFFSTREET PARKING SPACES,
,# I DATE//,, ,1 'l Dwelling Units No. 'No. ' Covered SQ. Ft. Open . Special Approvals Required Received Not Required NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF FIRE DEPT. ,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE A N O CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT
PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION O R THE PERFORMANCE OF CONSTRUCTION.
-(
"I ,, /.I J ✓T
SIGMA.TU .. ~ or CONTRACTO" Ofl I.UJ'tfO"1210 At.I.NT , !DAHi
SI C~ATUNt or OWNE'.N ,,. OWN[" l!hJII..D£N) IOATd
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
0
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. . --.
Joe AOOR ESS
-vl'i "·" "''' ... /)p_ /,. /, ('.(/,. -( ~,.. J PiAI>, (~.
LOT NO. 1 •L• I T~"CT LEGAL I '}?,,, ~ :, ,., 1 DESC~. I
OWN£" MAIL ADDRESS ZIP PMONC
2 l 1 #A c;r;-,.._ .,q ~ /I:/. /?d," /1. ('/, ,L -
CONTRACTOR MAIL ADOflttSS PM ONE LICENSE NO, STATE CITY
3 'J h J;:. k~
ARCHITECT 0111 DESIGNEJI MAIL ADORtSS PHON £ LICENSE NO,
4
tNGINttR MAIL ADDRESS PHONt LICENSE NO.
5
COMPENSATION fNS. CARRIER MAIL ADDRESS BRANCH
6
USE 01" BUILDING
7
8 Class of work : □NEW □ ADDITION □ ALTERATION □ REPAIR
q Describe work : I l f 4 ;,< c 1 ;( ,., I L "'->t,.., ' :1 .__I. l L. !. <. ,hi. 11L I
I.I •
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONOITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP,
D ISHWASHER
APPLICATION ACCEPTEO BY PLANS CHECo<EO eY 6, ~ APPROVED FOR ISSUANCE ev, LAUNDRY TRAY "J-"" f 1))1
OATE /~'3"~i
CLOTHES WASHER v WATER HEATER
I NOTICE URINAL
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC· I~ DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF F LOOR SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM-SLOP SINK -~
MENCEO. I GAS SYSTEMS: NO.OUTLETS I I~ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. I WATER PIPING & TREATING EQUIP, / [5C_.II ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
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 T H E I VACUUM BREAKERS / l~C PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION . . LAWN SPRINKLER SYSTEM
SEWER
l,u~,~ CESSPOOL
QL ~ lt/,J,y SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OP' CONTfftACTO"-f fft AUTMblUZlD AGE.NT , " IDATEI
PERMIT $ '/ ,~.Y
TOTAL FEE $/r,{ / it'.: j SIGNATUfft[ Ofll' OWNtA "OWNt l' au tLO[II IOATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
0 ()
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 Jtjcau ';,71.
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. ~JL -
JOB AODR t.SS
"'' ,JL ~ lo·I ' ·-ff ., I, I,, I I ,
LDT NO, -I OU rOACT . ---. .. . .
L~GAL I QstE. ATTACHtO SHEi.Ti 1 DUC"• ~ ').. -
OWN,R MAIL AOO,-tSS tip PMONI:
2 ~ I./ ,r, ,. ""-· ,1-.L/.i'J Ai, 1.?L' I ... r.. .J • r (1
CONT,-ACTOR . ~ ---,-.... MAIL ADD,.t.SS -. -PHONE. --L ICE.NS!. NO, STATE CITY
3
AfllCHITt.CT OJI! DC:SIGNE.fll MAIL AOOJIJ 1:SS PHONE. LICENSE NO,
4
tNGINEtflt MAIL ADDA l:SS PHONE LICtNSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS B"-ANCH
6
USll 0 ,-BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: Ir • ~ .t., .& ... • -.O.i
-I ·-I ,. , ,. tl/C. •·-.... ,. • _,,, "'.,. i' J, = ---.. ·-... ---\ -u~---.. ~-·-,--.
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT :;, I?/~
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
I :...-r I
DATE /0' 2• 7V-NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
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 OR ABANDONED FOR A
PERIOD OF 120 DAYl> AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF 5 I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE ~ APPLICATION AND KNOW THE SAME TO BJ TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO OROINA C~ 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.
l .. : TEMP. SERVICE OVER 200 AMP.
PER 100
-•-/..-1,1/, /7t/
SI GNATUlllt or CONTIIACTOII 0) AUTe"l'%1tD AGltNT ~ ioATU IP11. '
PERMIT FEE -:'y, .. .. Tll■r nr nwwr• ,,,, OWNI.JI IUIL.OEII DA.Tl
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O, CASH
INSPECTOR