HomeMy WebLinkAbout2606 LUCIERNAGA ST; ; 77-9090; PermitMODEL NO. - BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to comp/Ste numbered spaces only. Phone 729-1181 Permit No.;
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PAGE
PAR.
OWNER MAIL A.D.ERA
zIF
ONONE
CONTRACTOR MAIL ADDRESS
PHONE
STATE LIC. NO. CITY LIC. NO.
3
ARCHITECT OR DESIGNER ADDRESS
PHONE
LICENSE NO.
)MAIL
4
ENGINEER MAIL ADDRESS
PHONE
LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL ADOR[ss
BRANCH
6
USE OF BUILOIH4
7
NO. BDRMS
NO. BATHS
B Class of work: ❑ NEW LYADDITI0N ❑ ALTERATION
❑ REPAIR ❑
MOVE ❑ REMOVE
9 Describe
10 Change of use from
Change of use to
11 Valuation of work: $ t:Y
PLAN CHECK FEE B
PERMIT FEE $ •^�
SPECIAL CONDITIONS:
Type of
Const.
Occupancy
Group
MICRO FILM FEE
Size of Bldg.
(Total) Sq. FL
No. of
Stories
Mai.
Occ. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required Oyes [IN,
APPLICATION ACCEPTEOHY
PLANS CHECREO BY
APPROVED IOR ISSI.NCE BY
OFFSTREET PARKING SPACES:
GATE
GATE
No. of
DweOin Units
g
No.
CO vered Sq. FL 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.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
FIRE DEPT,
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.
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.
SIGNANRE OF CO RACTOR oR oTX T'i AGENT (DATE)
.GNATR OF OWNER IF OWNER BUILDER) DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
r�
TOTAL FEES $
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Ann icanr to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDRESS
loESAL.
LOT k e
BLK.
T h l
(E]SEE SHEET)
ATTACHED
OW NEP- / MAIL ADDRESS
ZZIIP PHONE
2
CONTRACTOR MAIL ADDRESS
PHONE STATE LIC. NO.
CITY LIC. NO.
3 _
`/:P- i.I'jl^
ARCHITECT OR DESIGNER MAIL ADDRESS
PHONE LICENSE NO.
ENGINEER MAIL ADDRESS
PHONE LICENSE NO.
COMPENSATION INS CARRIER MAIL ADDRESS
BRANCH
USE OF BUILDING
B Class of work: ANEW El ADDITION El ALTERATION
❑REPAIR
9 Describe work: /• ��,
PERMIT FEES
SWIMMING POOL WIRING,
No.
Each
Fee
SPECIAL CONDITIONS:
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
APPLICATION ACCEPTED y
I'
PLANB CHECKED BY
APPROVFO Rlff$UANCE BY
--
DATE
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 120 OAYS,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.
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-
ANY OTHER STATE OR LOCAL LAW
IN 200 AMP.
CONSTRUCTIPROVISIONS ON OR THE PERFORMANCE CONSTRUCTION
-
TEMP. SERVICE OVER 200 AMP.
PER 100
i J
SIGNATURE OF C TRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE
y
TOTAL FEES
SIGNATURE R IF OWNER BUILDER DATE
WHEN PROPERLY
CK. M.O. CASH PERMIT VALIDATION
CK. M.O. CASH
INSPECTOR
PLUMBING PERMIT APPLICATION _
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOE AOOP ESS
ST77
LOT MO.
•lR
TRACT y�
owNER MAIL ADDRESS
ZIP PHONE
1
CONTRACTOR MAIL ADORES!
3 - PN rntr
PHONE STATE LIC. NO.
CITY LIC. NO.
ARCHITECT OR 6[514M CR MAILADDRESS
4 S.rf✓(f- /YFj A}GY �FS jh/✓ JJSS 'J j///
,�E PHONE !LICENSE NO.
//(/'�.r N/.Y %//f•sO 1.4 J'I
�'/,•1/;:7
ENOINEER MAIL ADDRESS
5
PHONC LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS
8 h 7_/ /s fl
BRANCH
D!E OF SVILOINE �J
7 Ir rSII .% ✓ f L
8 Class of work: W ❑ ADDITION ❑ ALTERATION
❑ REPAIR
9 Describe work: /
T
PERMIT FEES
No.
Type of Fixture or Item
Fee
SPECIAL CONDITIONS:
WATER CLOSET (TOILET)
$
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK d DISP.
fl
DISHWASHER
APPLICATION ACCEP TEDBY
IPLANSCHEC"Oey
APPRO RISSUANCE BY.
DAT
LAUNDRY TRAY
CLOTHES WASHER
ATER HEATER
' 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 15 COM
MENCED.
1 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.
i
' � ,�., .,/"• ,(R. .. 40 j)
URINAL
DRINKING FOUNTAIN
FLOOR --SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING 6 TREATING EQUIP.
)
WASTE INTERCEPTOR
VACUUM BREAKERS
p
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK 6 PIT
ROOF DRAINS
IIONA P Oi CON TI�.P TOR I ED ♦ NT IDAT[1
/(
ISSUANCE FEE
$
TOTAL FEES
$
SIGNATURE Or OWNER III OWNER BUILDER) IDATEI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR