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Home My WebLink About2596 JEFFERSON ST; MULTI-PERMIT FILE; 67-10160; PermitApplicali for BUILDING Permit Building Permit Fee- 0 - CITY OF CARLS&P BUILDING DEPART-WENT 729-1181 - Ext. 36 For Applicant to Fill In Owners Name M 2 Wt44 i'p/ Mail Address 9& Contractor /f/, Jg A Contr. Address IN'3/ To Add 0 To Alter El Convert 0 To Move From Type of Const. 44 Frame, Masonry, etc. To Be Used For ,4t ,1L • 7' Kind of FoundationCô No. ,,f Stories - Floor Space (Sq. Ft.) - Garage Floor Space (Sq. Ft.) Attached_ Detached__________________________ Legal Description Lot Block Buildinci DeDf. Use On Building Address 2 ( 7' (p I(ff PS ) F. St. Near4'& t Set Back - Bldg. Valuatior'2 Front P.L. 75' Main Bldg. Side P.L. 7,9 Garage - Rear P.L. Other Group Zone 3 Approved - Contactor City Bus. Lic. No. ____________________________________ Water Meter -- Sewage Disposal System Inspection Record Subdivision Or Section Township Range No. of Existing Building Will this construc •on include any plumbing installation or alter- ation? Yes No 171 Signature of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE Utility Company. Notified — Date - By Final It a check is tendered for paytnent for the above fee and the check is not honored when presented for payment, your building permit will be immediately revoked. - City of Carlsbad Building Dept. Permit void if work is not commenced within 60 days of issuance. CITY OF CARISBAD• 41UN-10% BUILDING DEPARTMENT PERMIT - APPLICATION CITY STATE LICENSE NO. 8•6i BUILDING ADDRESS NEAREST __________ CROSS ST. TEL. NO. '.y','2t1 GROUP ZONE CARLSBAD BUSINESS LICENSE NO. Inspection Record I .f.es a r6 MAIL ADDRESS CITY ( EM TOILET @_$1.25 5 BATH TUB @ 1.25 SHOWER @ 1.25 WASH BASIN @ 1.25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB OR TRAY @ 1.25 f AUTOMATIC WASHER .@ 1.25 WATER HEATER & VENT @ 1.50 /GAS SYSTEM I TO 15 .30 EA. ADD. @ 1.50 .4 FLOOR DRAIN OR SINK @ 1.25 LAWN SPRINKLER @ 2.00 MISC. WATER PIPING @ 1.50 GARBAGE DISPOSAL @ 1.00 VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 @ 2.00 GRADING PLAN PERMIT $1 2 I 00 YES E:] NOD TOTAL FEE I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIOPERTY. SIGNATURE OF PERM ITTM:77:R~~~~ APPROVALS DATE INSPECTORS SIGNATURE UNDER _FLOOR _WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. APPLICATION FOR B IJ DIX G PERMIT 4200 CITY OF CARLSBAD — BUILDING INSPECTION DIVISION . PHONE PArkway 9-1181. Ext. 36 Owner 'am I ..A4. Mailing Address ------------- (Pleas Print) ( a t) / (Middle) Number CI teet City Phone Contractor ...........Maihng Addross2 / (Please Print Number Street City Phone To Construct 'To Add 0 To Alter 0 To Repair o To Convert 0' To Move From ..........................0 Type of C6nst.. Kind of Foundation .................................... No. of-Sfories.... .To Be Used 'for (Frame, Masonry. Etc.) . One Family Dwelling, Store, Etc.) Floor Space of Proposed Construction (sq. feet) . ........... .Const. Valuation $........::...................................................... attached 0 ' Floor Space of Garage (sq. feet) ..................................................detached DConst. Valuation $............................................................................................ LEGALDESCRIPTION .................................................................................................................................................................................................................................. Lot Block 'Subdivision or ........................................................0 .........................................................................Section....................................Township............................Range........................... Located at ....... . .... ......................... .Street, Near .... ..' Assigned'ouseNiAnber LAND AREA ........................... ............ NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ....................................................(INDICATE SIZE, USE AND LOCATION 9*.PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION,: ALTERATION, OR ADDITION? YES ....... .'........ - NO.......................' ,0 I 'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS -APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION If a check is tendered for payment of the above fee and the check is /°- .c' ,,iS 7 go o &.. 5 not honored when presented for payment, your' Building, Permit will be SIGNATURE OF f.7 immediately revoked. PERMITTEE —A6.. ............................................... .. _000 ........... Front Yard Set Back ............................................................. Side Yard Set Back .................................................................. Rear Yard Set Back ........................................................................ Distance Between Bldg................................................................ Off Street Parking Spaces......................................................... Sewage Disposal System ............................................................... Zone - Residential ( ) ........................................................... Zone -- Commercial ( ) ......................................................... Variance Driveway Permit Required Yes ( ) No ( ) Fee ........................................ - Grading' Permit Required Yes ( ) No ( ) ...................................................... Sewer Disposal Plant Capital Cont. 'Fee . .... Sewer Pumping Station Capital Coot. Fee .................................................................. SewerMain Line Cost ..................................................................................................... Sewer Lateral Connection Charge ................................................................................. Water Stocked Lands Charge ...........................................0 Water Main Pipe Line Fee ..................................... Water House Service Charge ................................. Eng., Check By ......... ............. ................ (......................................... - Water Meter Charge ..................... - ' Sub Total Plans Approve d ......Plan Check, Fee ...................................................................... 00 Approved by .0 .......... .....Building Permit Fee ......L. ............................ - Date .........................................-. Total Charges ........ - - APPLICATION FOR B U III \ G PERMIT - - 5406 CITY OF CARLSBAD - BUILDING INSPECTION DIVISION PHONE ay Owner Name ''.1a,z4- 81 . ..Mailing Address ... (Please Print( t) (First) (Middle) Number ( irfet City Phon Contractor .......Mailing Address ....................................................... (Please Print) Number Street City Phone To Construct 0 To Add To Alter 0 To Repair U To Convert 0 To Move From .............................................................. Address Type of Consf. ... Kind of Foundation ... 1 '........Nb, of Stories................To Be Used for .............................................................. (Fr me, Masonry, Etc.) (One Family Dwelling,, Store, Etc.) Il/Il fs—' Floor Space of Proposed Construction (sq. feet) .......' ..............................Const. Valuation $...... ..1/ .'X.ir attached 0 Floor Space of Garage (sq. feet) detached DConsf. Valuation $ LEGAL DESCRIPTION .............................. Lot Block Subdivision or ................................................. ............ ........................................................... Section .................................... Township ............................ Range ............................ Located at ..J4 .............................Street, Near .../1_"1J'.& ................................................ Assign o umber LAND AREA ................................NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ....................................................(INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION. OR ADDITION? YES ...... L.. NO ................. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. If a check is tendered for payment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. SIGNATURE . ..... Front Yard Set Back ... ......C. ....... C!.-..... -, Side Yard Set Back .............................................................. Rear Yard Set Back ........../. j - f .................................................- Distance Between Bldg................................................... I-c I Off Street Parking Spaces .......... Sewage Disposal System i........... Zone - Residential ( / ) ............................................................ Zone - Commercial Variance Eng. Check By Driveway Permit Required Yes ( ) No (J 'e ...................................... Grading Permit Required Yes ( ) No (,.-'................................................... Sewer Disposal Plant Capital Cont. Fee .................................................................. Sewer Pumping Station Capital Cont. Fee ....................................................... SewerMain Line Cost ...................................................................................................... Sewer Lateral Connection Charge ............................................................................... Wafer Stocked Lands Charge ..................................................................................... Water Main Pipe Line Fee ............................................................................... Wafer House Service Charge Water Meter Charge ....................... Sub Total Plans Approved 6y;j: .......... .../1'.........................................Plan Check Fee ........................................................................................................ Approved by ...... ..Building Permit Foe .................. .................................................... Date................ .................................................................Total Charges .......................................................... is '1'1~,Izl S - s WWI . . . BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 1' Applicant to cothletenU6r páces n:': . Phone 729-1181 ,: Pern it N a. NUMBER JOB ADDRESS / ASSESSOR'S PARCEL c9' ±:• c I ' , 1 DESCR.-- LEGAL OsE.E ATTACHED SHEET) 1.LOT NO.-.,: '- BL TRACT - -- BOOK [-PAGE PAR. OWNER ' -, • '.'.. . . MAIL ADDRESS ZIPS . PHONE 2A 1&,-J Is 1 no 3 , CONTRACTOR ' - ' MAIL ADDRESS PHONE LICENSE NO. ':ST"ATE CITY - ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. ENGINEER MAIL ADDRESS - PHONE LICENSE NO. 5 - CO NSATION INS. .CARfER - MAIL ADDRESS BRANCH 6 A? I) USEMOF BUILDING • 7 j 8 Class of work 0 NEW El ADDITION El ALTERATIO( REPAIR i MOVE 0 REMOVE 9 Describe work tl 19. Change of use from' Change of use to 11 Valuation, of work: $ PLAN CHECK FEE $ PERMIT FEE _'.. SPECIAL CONDITIONS. MICRO FILM FEE . Type of Occupancy ConGt. Gr6up : . . S Size of Bldg. " No. of Max. (Total) Sq. Ft. Stories 0cc. Load - F / Fire . Use Fire Sprinklers APPLICATION ACCEPTED BY: PLANS CHECKED BY: APP ROVEO'FOR I UANCE BY. Zone . Zone Required Elves UN0 -DATE - . • . . . ,3DAT /0 . Dwelling Units — Co,ered [Sq. Ft. Oen No. of - ; OFFSTREET NO PARKING SPACENSO. NOTICE - 44 Special Approvals Required Received . .Not Required 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 (SNOT COMMENCED WITHIN-12ODAYS, 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. .. 0 . OTHER (Specify) - APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT - ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORKWILL-BE COMPLIED WITH WHETHER SPECIFIED, HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT -- PROVISIONS OF ANYOTHER STATE OR LOCAL LAW REGULATING PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE CONSTRUCTION OR THE PE-RFORMANCE OF CONSTRUCTION. SIGN,E'TURE OF CO TRACTOR OR AUTHORIZED AGENT -' TIoATEl j4 / "SI GNATfJ'RE OF OWNER (IF OWNER BUILDER) -1 "-(D'5TE) -WHEN PROPERLY VALIDATED (IN THIS SPACE) THISIS YOUR PERMIT- PLAN CHECK VALIDATION - CK. M.O. CASH -PERMIT, VALIDATION CK. , M.D.- '. CASH ....... - 5 '.. . . .. S - . -.--- • , : , - - ... . -. . INSPECTOR --'r-' S S INSPECTION RECORD '7'-7 4 - Jk. DATE'. REMARKS - INSPECTOR FOUNDATIONS: . SET BACK - TRENCH - _REINFORCING FOUNDATION WALL& - - - - WEATHER PROOFING CONCRETE SLAB FRAMING - ' - -• .- - - - - . ' - INT. LATHING OR DRYWALL T. LATHING - - •- - - 'MASONRY FINAL - :-k•=-- -: -. mA , I , - tELECTRICAL PERMIT APPLICATIQN - Cityof CARLSBAD, CALIFORNIA 92008 ' Applicant to4 complete number'ed spaces only Phone 729-1181 Perm' N7ç'4" 4JoADoREsS -.-•- , . '- •- i- -:. ' - - :P' 4 TRACT LEGAL LOT NO. BLK (JSEE ATTACHED SHEET) r;,%'Th- - 1 cc CR. - OWNER 4 MAIL ADDRESS ZIP PRONE 2 A4 1 f f/-J / y CONTRACTOR MAIL ADDRESS . PHONE LICENSE NO. STATE - CITY 8.9 11 ARCHITECT OR DESIGNER - ' MAIL ADDRESS PHONE LICENSE NO... 4 ENGINEER . . F MAIL ADDRESS PHONE - LICENSE NO. 5' - I 1 -- COMPENSATION INS..CARRIER MAIL ADO SS . BRANCH . . P 6. 97 USEJILDING •j -.. p. V 4 8'\CIassof work E] NEW Cl ADDITION 0 ALTERATION REPAIR tV 9 Describe work 14 $ wr- • PERMIT FEES - -.1 . . ISSUANCE OF EACH PERMIT No... Each Fee SPECIAL CONDITIONS: . . . . - '4 . - - .•. . ... - . -•. -. -, . . . . NEW CONSTRUCTION FOR EACH /7 AMPERES OF MAIN SERVICE SWITCH FUSE OR BREAKER . . ;- APPLICATIONACCEPTEOBY PLANS CHECKED BY: 1A PJA EDFO/ISSANCE BY NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF lNrREASE -T .NOTICE 't - IN MAIN SERVICE, SWITCH,, FUSE - .. . .. . . THIS PERMIT BECOMES NULL AND VOID IF.WORK OR CONS-TRUC- OR BREAKER ...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 ISCOM- REMODEL, ALTERATION, NO CHANGE. . . '- MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READAND EXAMINED THIS INCREASE - . - .. APPLICATION AND KNOW THE SAME TO BETRUE AND CORRECT. . .4..; ALL PROVISIONS. OF, LAWS AND ORDINANCES GOVERNING THIS • , .:--' TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, -THEGRANTING 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. . .. - •4. . CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TEMP:—SERVICE OVER 200 AMP PER 100 or -C $1GNATUEOr CONTRACTOR OR AUTHORIZED AGENT - ;2 J7 , #41 PERMIT FEE 5IGNATyRC OP OWNER (Ir OWNER BUILDER) . (DATE) tS_ 4.. - .. ... WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS-YOUR PERMIT.- - -• , • 4 PLAN CHECK VALIDATION M.O.' CASH PERMIT VALIDATION. CK M.D. CASH 4 4 -, •,• . . I - ', - ., -, . •• •:- ...-.. 1 - 1 5 ,. . . - 4 •4 '4t' *. •. .'• - • t -Cl 4 -- .• - . - --INSPECTOR- . - - 4 ----------. . 4.• 4- -- '. -- INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR -, J - -' - - - - - - -: - ,- - - - - - -- -.- -- I - - - - - : MODEL NO . 94 BUILDING PERMIT APPLICATION - •--- . •- City-of CARLSBAD,.CALIFORNIA 92008 Aaa/ic&1t to complete numbered spaces only. Phone 729-1181 Permit No.- JOB ADDA C si'. V y Lc 64 ej PARCEL NUMBER , LEGAL LOT NO. BLE TRACT . ATTACHED SHEET) BOOK -PAGE PAR. OWNER . MAIL ADDRESS ZIP PHONE 20 jill C ! i4. c 7! '1 . - CONTRACTOR . MAIL ADDRESS PHONE . - STATE LIC. NO. CITY LIC. NO. * - ' ARCHITECT OR DESIGNER - - MAIL ADDRESS PHONE . LICENSE NO. - 4 --... ENGINEER MAIL ADDRESS 5 . PHONE LICENSE NO. - COMPENSATION INS CARRIER - . MAIL ADDRESS - BRANCH 6 * . USE OF BUILDING - -. I NO.BDRMS - NO. BATHS 8 CssO1work:- U NEW - DAbol-TION DALTERATlON- EPAlR . D MOVE D REMOVE 9 Describe work: R 4. , -(-•. ; 10 Change of use from p - Change of use to . . _________________________________________ 11 _Valuationof_ work: $-7_(.__.- PLAN CHECK FEE $ PERMITFEE $ SPECIALCONDITIONS:. - -. Type of . Const. Occupancy . Group MICRO FILM FEE - - Size of Bldg. - (Total) Sq. Ft. No. of . Stories • Max. - 0cc. Load Fire Zone Use Zone Fire Sprinklers Required LJves - [:]No APPLICATION .CCEPT7äV. PLANS CHECKED BY APPROVEOiF.OR'ISSUANCE BY No of OFFSTREET PARKING SPACES __/ OA _ Dwelling Units NO Covered lSq. Ft. - ONO. - NOTICE / SpecialApprovals Required Received NotRequired PLANNINGDEPT. - SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMITBECOMES NULL AND VOID-IF WORK OR CONSTRUC- HEALTHDEPT. FIRE DEPT. TION AUTHORIZED ISNOT 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- OTHER(Specify) - MENCED. . . - : ENGINEERING DEPT. . I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER DEPT. ALLPROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS - TYPE OF WORK'WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF PERMIT DOES NOT .A ..-_.. PRESUME GIVE AUTHORITY TO' VIOLATE OR- CANCEL.THE-- , PROVISIONS OF-ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ( _____ L) __ SIGNATURE OF CONTRACTOR'OR AUTHORIZED AGENT - (DATE) SIGNATURE _OF_ OWNER _(IF _OWNER_BUILDER)--(DATE) - - • - 'WHEN PROPERLY. VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT - PLAN CHECK VALIDATION CK.: MO. '- CASH - - PERMIT VALIDATION ,CK. - M.O'. •' CASH -- - TOTAL FEES $ INSPECTOR - INSPECTION RECORD DATE 7/ .REMARKS IN'PECTOR FOUNDATIONS SETBACK- TRENCH REINFORCING.,,. FOUNDATION WALLT& 0 - WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING* OR DRYWALL - _________ 0• 0 0 : EXT. LATHING - 0 MASONRY -. - FINAL USE SPACE BELOW FOR. NOTES, FOLLO. -UP, ETC...O. .. - 1 -. ...-. --.. . .'.. . .'.. ... ....'.-...-. . -...'..- .- .' —S -v .', . 4 .. "- S • 7 7.tif) PLUMBINGPERMIi'APPLICATiONi' City of CARL SBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only........Phone 729-1181 . 1jt Nn JOB ADDRESS 110T NO. ,I7feLI( LEGAL DE5CR. [TRACT OWNER MAIL ADDRESS . ZIP . PHONE . 2 CONTRACTOR . MAIL ADDRESS PHONE . STATE LIC. NO. CITY LIC. NO. .. ARCHITECT OR DESIGNER - MAIL ADDRESS - . PHONE LICENSE NO. 4 ENGINEER - MAIL ADDRESS PHONE .. LICENSE NO. coMPENsATIoN (NS. CARRIER MAIL-ADDRESS . . . . BRANCH 6 USE OF,BUILDING. 7 - 8-Class of work: '-. ONE/' El-ADDITION . El-ALTERATION . U REPAIR ' .. . . 9 Describe work:Jlws-~.-ze= 'd A-, ly"t -ell L11 . . • . - . . PERMIT FEES No. Type of Fixture or Item S Fee SPECIAL CONDITIONS: . WATER CLOSET (TOILET) . . $ BATHTUB - . - LAVATORY (WASH BASIN) fr SHOWER . . . . / KITCHEN SINK & DISP. . DISHWASHER - APPLICATION ACCEPTED BY .LPLANS H CXEOBY . . APPROVEFOSSNCE BY. LAUNDRY TRAY . .. . CLOTHES WASHER DAT j- 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 F R— I PDRAIN . LOO S NK 0 . . - - CONSTRUCTION-OR WORK IS SUSPENDED OR ABANDONED FOR A_ SLOP SINK PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. GAS SYSTEMS: NO. OUTLETS . . . I HEREBY CERTIFY THAT .1 HAVE READ AND EXAMINED THIS .. WATER-PIPING & TREATING EQUIP. . - APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL- PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WASTE INTERCEPTOR 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 . VACUUM BREAKERS PROVISIONS OF ANY. OTHER STATE OR LOCAL LAW REGULATING . CONSTRUCTION' OR 'THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM.' . - . SEWER . NUMBER CLEANOUTS CESSPOOL . . . SEPTIC TANK & PIT '.. / a,,...o,,;.,RE ROOF'DRAINS. S D TRACTOROR AUTHORIZED AGENT ATE) . -•.. . . . ISSUANCE FEE $ SIGNATURE'OFOWNER (IF OWNER BUILDER) -)OATEI . .. '- :- . - :' -.,TOTAL'. ES WHEN-PROPERLY VALIDATED (IN THIS.SPACE) THIS IS;VOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M.D. CASH S - 7.. :-- •- . INSPECTOR . • 1,n ELECTRICAL PERMIT APPLICATION City. of CARLSBAD, CALIFORNIA 92008 Aon/icint to comolete numberedsoaces bniv: Y . PhAnP.7 94-11 R1 . r.. JOB ADDRESS Ca U 4. LEGAL--. I DESCR. LOT NO. V V V BLK. TRACT - . . V - - (SEE ATTACHED SHEET) - V OWNER MALL ADDRESS ZIP . PHONE C2hJ f./H- O4f(/Li., )Aoc, 7V4 VV 4e7 r CONT RAIDTOR . MAIL ADDRESS 3 - PHONE - STATE LIC. NO. CITY LIC. NO. V V ARCHITECT OR DESIGNER MAIL ADDRESS PHONE V LICENSE NO. V V V ENGINEER. . ,. MAIL ADDRESS S . PHONE LICENSE NO. V COMPENSATION INS. CARRIER MAIL ADDRESS .. . . BRANCH V 6 VV V V V V V USE OF BUILDING. 7V. .. V :- V 7. VV V V V• V V 8 Classotwork 0. NEW' DADDITION DALTERATION REPAIR 9 Describe work -If 10 CL It,. 4 , i ( r -s ' V . .. V V V PERMIT:FEES V SWIMMING POOL WIRING, NOV.. Each Fee . V• • SPECIAL CONDITIONS: NO INCREASE IN SERVIcE NEW CONSTRUCTION, 'FOR EACH O PERESOFMAIN SERVICE, SWITCH, FUSE OR - 'BREAKER : . V V t V . . . .APPLICATION ACCEPTED BY: Iscc 0 -. APPROVED BY NEW SERVICE ON EXISTING' BLDG. FOR EA. AMPERE . OF INCREASE. DATE V . 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 V CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A -- PERIOD OF 120 DAYS AT ANY TIME AFTER -WORK IS COM-.-. REMODEL, ALTERATION, NO CHANGE . V . MENCEDV . . IN SERVICE, FOR. EA. AMPERE OF A/, . - . I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND 'KNOW THE SAME TO BE TRUE AND CORRECT. INCREASE ON ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS V . TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE HEREIN OR NOT, THE GRANTING OF A :PERMIT, DOES NOT TEMP. SERVICE UP TO AND INCLUD- VV VVV . V PROVISIONS OF ANY'OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. V V V CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. V V . : V V• ::-. •'- TEMP SERVICE OVER 200 AMP PER 100 SIGNATURE.OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE V V TOTAL FEES V SIGNATURE OF OWNER (IF OWNER BUILDER). ' PROPERLY .VALIDATED (IN THIS-SPACE) THIS. ISYOUR,PERMIT V - PLAN CHECK, CHECK VALIDATION. -CK. M.O.CASH PERMIT VALIDATION CK MO CASH 4 - VV .V:V V.VVV*VVVVV - V' INSPECTOR V ap PLUMBING PERMIT APPLICATION ° City. OfCARLSBAD, CALIFORNIA.' 92008 . .Applicant to complete numbered spaces only. Phone 729-1181 Pprmit Nn '7o" JO B ADDR ESS"zgo raW- A~ ()4 LOT NO. BILK TRACT ---I I LEGAL OWNER MAIL ADDRESS. PHONE 4_ 2() /çfr3P 7j5 7 CTOR - MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO; 4ARH14TE(rt OR DESIGNER - MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE . LICENSE NO. . 5 COMPENSATION (NS. C ARRI ER MAIL ADDRESS . BRANCH 6 Z 7J e2 USE OF BUILDING 7 8 Class of work; . U NEW U ADDITION U ALTERATION U REPAIR . .- 9 Describe work — PERMIT FEES Type of Fixture or Item . Fee SPECIAL CONDITIONS: WA1ER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) . SHOWER. : S KITCHEN SINK & OISP. DISHWASHER APPLICATION ACcETEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY. LAUNDRY TRAY CLOTHES WASHER . :JI •-j WATER HEATER DATE NOTICE URINAL THIS PERMITBECOMES NULL AND VOID IF WORK OR CONSTRUC. DRINKING FOUNTAIN TION AUTHORIZED IS NOT'COMMENCED WITHIN 120 DAVS.OR IF FLOOR—SINK RDRAIN . LOOR 0 - - - CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- SLOP SINK MENCED. GAS SYSTEMS NO. OUTLETS 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 WATER PIPING & TREATING 'EQUIP. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, XHE GRANTING OF A PERMIT DOES NOT WASTE INTERCEPTOR - PRESUME TO GIVE AUTHORITY TO VIOLATE OR -CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING. VACUUM BREAKERS C-,-- -CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM - - SEWER NUMBER CLEANOUTS CESSPOOL SEPTIC TANK & PIT -- t% ROOF DRAINS s'TTfiRC'OF CONTRA OR DR AU.TOR,bAGENT (DATE) - '--- -: . / . •• -. - .....•- .-:ISSUANCE.FEE , - SIGNATURE OF OWNER (IF OWNER BUILDERI - - - - IDA-TEl -- . - '• S • •- - -- -TOTAL FEES - -$ •- -vvmtN rpiurtpity VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH - - •PERMIT-VALIDA-TION CK- - M.O. • CASH INSPECTOR a 0 z NO, . . JOB ADDRESS - - AV. ST. DATE OF APPLICATION BUS. LICENSE . PERMIT NUMBER _iLA'VLiLii-_(frSIJI ._I_I -_- __RD OWN _R ___..- _OWNER'SPHONE, dONTRA OR . YI AILING ADO 5, . - - •;' STATE LICENSE.,_J__4I - . ..,. ' ONTRACI%R'SKDDRESS/) [j . /14 - CONTRACTOR'S IffUi .' ... ' - - -, - LOT BLOC SUBDIVISION ASSESSOR S PARCEL NO ESIG ER 'STATE LICENSE .- - .. - . _. DESCRIPTION OF WORK It I 1 ,1 I •.. ''i- .' ''' '.:qQ0,,I),i5, I2/9 /-Bq' - .. . DESIGNER'S ADDRESS f- DESIGNER'S .PHO(IE - - ,. -- - NUMBER OF STORIES - CENSUS TRACT - - -- GP LAND USE. ZONING - .. RES. UNITS - PARKING SPACE - -:- Not Valid Un/au Machine Certified -- - BLDG SO, FT. BLDG USE 0CC. GP STANDARD PLAN S PLAN ID S TYPE CONST - 0CC. LOAD •'' . --' . - . . - ,-.- - : MECHANICAL PERMIT -- ' VENT FAN SINGLE DUCT INSTALL FURN DUCTS UP TO 100,000 BTU OVER 100,000 BTU . BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP MECH EXHAUST - HOOD/DUCTS AMT., QTY,' - -- PLUMBING PERMIT . ' . AMT. - UTY. EACH FIXTURE TRAP - EACH BUILDING SEWER EACH WATERHEATER AND/OR VENT EACH GASSYSTEM 1 T04-OU.TLftI.5 - " . - - - EACH GAS SYSTEM R MOR(I) - - . .TC EACH INSTAL,, ALTER, REPAIR WATER PIPE . - EACH LAWN SPRINKLER SYSTEM ' - - ATER SOFTNER. . - RELOCATION OF EA FURNACE/HEATER . . BUILDING PERMIT . SIGN PERMITS. - . TOTAL PLUMBING - .. TOTAL MECHANICAL ..' .- - - PLAN CHECK CONTRACTOR . - - . . . CONTRACTOR - ' . - ALL INCLUSIVE PERMIT ELECTRICAL PERMIT - AMT. a-V. - MOBILE HOME PERMITS -- AMT. TOTAL PLUMBING ' 7 'ELECTRICAL - - - NEW CONST EA AMP/SWT/BKR - - . - AWNING MECHANICAL.' - I PH .25 - 3 PH - . PORCH . - MOBILE HOME'* - . EXISTBLDGEAAMP/SWT/BKR - . SET-UP SOLAR - 1PH25 - 3PH - . RAMADA, CABANA REMODEL/ALTER PER CIRCUIT - : - FENCE OVER 6' . -• - . - I 'I I TEMP POLE 200 AMPS - - . . TOTAL MOBILE HOME - . , '060-FILM - OVER 200 AMPS " - -TEJ,P OCCUPANCY (30 DAYS) . TOTAL ELECTRICAL - . . -. - -'TOTAL FEES PAYABLE- . CONTRACTOR - JI ---- - . . - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVE - HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I -. 5'-O'.OEEP AND DEMOLITION OR CONSTRUCTION OF - FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER -- SPECIFIED HEREIN OR NOT. I,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- - LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE APPL}IC1t'S SIGNA.j/RE OWNERD CONTRACTORD JAPPROVED BY - DATE - OF THE GRANTING OF THIS PERMIT. - . AGENTO BYPHONED - LICENSED CONTRACTOR'S DECLARATION -. .1 hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of -Division 3 of the Business and Profes- sions Code,and.my license is in full force and ef- fect. - '- - OWNER-BUILDER DECLARATION DI hereby affirm that I am exempt from the Con-' tractor's License Law for the following reason",... (Sec. 7031 .5Business and Professions Code), Any city or county whichrequires a permit to con- struct, alter; improve, demolish, - or repair any structure, prior to its issuance also requires the applicant for such permit-to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more thanfive hundred dollars ($500)..,. - - Dlas owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. .7044, Business and Profes- sionsCode: The, Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work - himself or through-his own employees, provided that such improvements are not intended or of- fered for sale-If however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of - sale). Dl, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Protêslons - - Code: The Contractor's License Law does not ap- ply to an owner of property t.ho, builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). - I am exempt under Sec. - , B.4 P.C. for this reason- Date _____________ Owner WORKERS' COMPENSATION DECLARATION .I hereby affirm that I have a certificate of con- sent to self-insure, or. a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800 ab r C de - POLICY i%- Q4 'Copy is filed with the city. OCertified copy is hereby furnished. - I-' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - (This section need not be completed if the per- mit is for one hundred dollars ($100) or less). - 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. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject Ito the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for which this permit is Issued (Sec. 3097, Civil Code). - CITY OF CARLSBAD—BUILDING DEPARTMENT -, - APPLICATION&PERMIT . USE BALL POINT PEN,ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. - SITE / ADDRESS: •- . - - . OWNER:- PERMIT NO: 1 • FIELD INSPECTION RECORD? - - INSPECTION DATE INSPECTOR INSPECTOR S NOTES - WOOD F-LOO • -•- -, -- - •- - • FOUNDATION. FORMS SET BACK .TOILET UNDER FLOOR PLUMBING _____________________________________________________ UNDER FLOOR HEATING . ' - - .-..•-. .' -' - -h-- OKTO INSTALL SUB FLOOR- '-,••. -•-. - ,. ....• - . - - --S. • - S .-. -- ..- .• . .,• 4-......... '• --i.. . . •-•-. -,••--.. .. •..-, SLAB FLOOR c UNDER SLAB PLUMBING FOOTING.FORMS. SETBACK .TOILET OK TO POUR-CONCRETE -: . - - '.: s . - . . . . . - • . - - - . . FRAME ROUGH ELECTRICAL. - . • - _______ - - - :: ... .• . . -., . ROUGH PLUMBING ROUGH HEATING/VENTILATING - FRAME-OK PLACE INSULATION' - - - - . - . -- • - - - INSULATION OK • PLACE WALLBOARD- . - • - . -- . -- - WALLBOARD OK. PLACETAPE - -- . . EXTERIOR LATH OK. PLACE STUCCO - - - - .- .- - . - - . FIREPLACE • . . - S/4 - • DAMPER & STEEL PLATE TIES/ HEIGHT: OF CHIMNEY - . . • - -S - . - . OTHER . - . -- :. - - - ••. - - - - - - S - - - - 4 . . - - -- .. - TEMP POWER (POLE) - . • - . . : -. -- SEWER GASTEST - -. SWIM POOL • STEEL BONDING - . PRE DECK ----- -:. - - - - S . - • FENCE P.REPLASTER . - -. - - - - • - - - . - - . - - . . - - - - - - - .- -. -SHOWN .... -FRAME - - - -- .• - - --S •-. . - . - - -4 --. PAN: . -- - A ________ FINAL INSP BY BLDG DEPT . .. - --- - ( / -. - -- . - - -. . -. - • - -. - - ----- - '- -' OTHER, DEPTSREQCOMPLETED - ELECMETER—PERM-=TEMP - -,44 .LZ -- u--- GAS METER—PERM—TEMP -. . • - - .2 - - . -' - -• - CERT OF OCCUPANCY ISSUED - . - ._- 14, 4-. .\ -.7 • -. . --- , 55, 4 4 -' •4 - 4 - • - _ ..- - - F-:- - ..*,.•. ••. -4 4 45 t• 7 5,- . 1- ••, - - - g-'_ • .•, :- - 41. •.4?• •-' - 5- - -j-'--.,:--.'- - - ..- •. f•,•4 I •- '. . - - •44 4 - -.-•-,-- .•. - -4.- ----•.'t -. - - - .......• -• -- 5' •,-.•.--• --:.-- . - -. _., .-'-• -S-.••. - 44 '-. S•-.- S• - ••,-:.,• -:4 • - - - S..--' ••4 --4 . •-'$ - -- _•7_•_ - . _.t ;- --5 - I --S - J •1, - •., - t. •'• - ;; ,1 k •••'4 44--5 - - --'S. '• -. -.- - -S. 4- _4., • -t