HomeMy WebLinkAbout2570 LUCIERNAGA ST; ; 78-3365; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION S-,-,. . {
.:;. :,-7V City of CARLSBAD, CALIFORNIA 92008
Applicanrtocompletenumberedspacesonly Phone 729-1181 Permit No 7c
JOI ADDA ('!S
1 L[OAL· l OE.SCIIJ
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11 P PHONt
ASSESSOR"S
PARCEL NUMB ER
BOOK PAGE I PAR.
CON TA .. C TOIi
3 ~An, L MAIL ADOIIJ[.55 PMON[ STATE LIC. HO. C ITV L IC. NO.
3Y~8.2) / -/-' ~
MAIL AOOJtC:5S PHOM[ LICENSC NO
lNGINE['III MAIL AOOIIIILSS PHON[ LIClNSC NO.
5 ( .. -"J9G.S-
COMPENSATION INS, CARRIER Mlt.lL A.OOilH55 811JANCH
6
NO. BDRMS 3 NO. BATHS
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work . j
10 Change of use from
0 Change of use to
11 Valuation of work : $ PLAN CHECK FEE s 9~~ I PERMIT FEE$ /t, 7 ..::
SPECIAL CONDITIONS ' J !/ M ICRO FILM FEE t------------------------------t ~~~:t of :J!. , N ~~~~~•ncy J ~//l"J _
1-------------------------------t Sile of Bldg /'::J . Cf No. of (Total) Sq. Ft ::;, 7.cJ Stories
~~---,-...,.,.-,-----,,----------,--------'I:....~ Fire APPLICATION ACCEPTEO av PLANS CHECl<EO BY APPROV[O FOR ISS\JANCf ev Zone use
Zone
I
//-.
Ma,c
0cc. Load
Ftre Sprinklers
Required DYes
j,/, ,-~'Ir ?t t ~-n No o f
Dwelling Units I OFFSTREET PARKING SPACES
DATE , _,/ ./ • • DATE ~~ ~~vered C...: Sq. Ft. ¥ .VOi ~~en
NOTICE Sp~cial Approvals Required Received Not Required
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 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.
SICNATUIU. o, CONT .. ACTOIII 011 AUTHOlltllEO AG(NT (DAT()
~/~dl/6cd:li 1'),
~ i°MAT 111r n, OWN("' (1, OWNt• 9UILDCIII) (DATt)
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
) -,>lf.e .,;.}
TOTAL FEES$ ________ _
INSPECTOR
-
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. 7 j
• (QsEE ATTACHED SH£ET)
2
PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USI: o,-eu ll.OING
7
8 Class of work: □NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work:
PERMIT FEES
SPECIAL CONDITIONS: .,_:.._;;..~..;....------------------------t SWIMMING POOL WIRING,
Al'f'LICATION ACCEnEo IV 'LANS CHECKED IV APPROIIED FOR ISSUANCE IV
) k IIJ 1~ DATE
NOTICE
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 ORDINANCE:!> 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.
t,
AUTHORIZED AGENT
ATURE ER DA E
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL. ALTERATION NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE! THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
M.O.
• p
YY.30
CITY l.lC. NO,
CASH
I /1 IS. D P
I I / 17 ,~o.oo TL
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 / 7 -9'J /
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No.· -
JOI A00" [SS
LEGAL I 1 DUC~.
OWHl:fl
2
LOT NO.
7 ?_
MAIL ADOlll(SS
I .. •
1Qsct ATTACHED SHCl:T,
fv'\ -,,. ~ -. ' ~ d
PHON[
\ r <::; .,... -. -) /;,.
CONTtlAC'TOfl -MAIL .t.00LIICS5 " PHONE STATE LIC. NO. ' CITY LIC. NO.
3 , -' 31...( C. x ;:, 7
AIIII CHITCCT OJI OE.SIGNl" MAIL ADD"CSS PHOM [ LICE.NS[ NO.
4 J1
l NGINCt.lllJ MAIL AOOfltSS LICltNSt NO,
5
"-&Ail ... c.1/ c.. 6
""4AIL ADO"CSS
l l
USt 0,. 8UILDING
7
fl
8 Class of work: □NEW 0 ADDITION 0 ALTERATIO N 0 REPAIR
9 Describe work:
Type of Fuel Oil D Nat Gas D LPG. D
PERMIT FEES
SPECIAL CONDITIONS No. Type of Equipment
Air Cond. Units H.P. Ea
Refrigeration Units-H.P. Ea.
Boilers-H.P Ea
I Gas Fired A.C. Units -Tonnage Ea.
I Forced Air Systems B T.U,{' 0 f { ('M Ea.
APn1CATION ACCEPTED BY PLANS CHECKEO av APPROVE O FOR ISSUANCE av 1 Gravity Systems-B.T.U. F M Ea. \. t;.,-,,
-1 )
NOTICE
THIS PERMIT BECOMES NULL ANO 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
P RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF A NY OTHER STATE OR LOCAL LAW 51EGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
S II HATU"I. o, COHTRACTOflt O" AUTH0"11ED AGENT (OATl)
,_,c.•aTUIU. o, OWMUI (IP' OWNUI eUtLOllll) IDA'Tlt) '
Floor Furnaces-B.T.U
Wall Heater1L~B.T.U
Unit Heoters-B.TU
Evaporative Coolers
I Clothes Dryers
Ventilation Fan
I Range Hood , Air Handling Unit-
Incinerator
WHEN PROf'ERL Y VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O . CASH PERMIT VALIDATION CK.
INSPECTOR
M
M
M
C.F.M.
ISSUANCE FEE
TOTAL FEES
M.O.
---~-..
FH
$
'-I (1)
2 (")
" ;,"
~ ,,o
$
$ S l ,,
CASH
;
ELECTRIC~t PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181 Perm it No.
OWNE! 2 .• ,
ARC HITE
4
<OsEE ATTACHED SHEET)
OR DESIGNER MAIL ADDRESS
ENG !NEER MAIL ADDRESS PHONE LICENSE NO.
5
6 J· ·o ,tJ. t.\ BRANCH
7
8 Class of work: ~w 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
SPECIAL CONDITIONS'. ----------------------------t SWIMMING POOL WIRING, ----------------------------t NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
~An-L-1C_A_T_1o_N_A_c_c_tr_T_f o-•v-,-,-L-ANS_C_H..,.lC.,..K""E..,.o-•,-v---.,.A-,P..,.,R.,..o.,..v..,.E-0-Fo-R-,-ss-u-A-N-cE-B-v-1 AMP ER ES OF MAIN SERVI CE, SWITCH , FUSE OR BREAKER
{ I 7/
DATE
NOTICE
THIS PERMIT BECOMES NULL ANO 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 OAYS 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 ORDINANCE~ 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.
OWNlR BUI DEA DAT
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
No. Each
J
M.O.
•
CITY LIC. NO.
Fee
CASH