HomeMy WebLinkAbout2612 La Gran Via; ; 77-8553; PermitMODE:L NO.~---------
BUILDING PERMIT APPLICATION b~L-v,,..,. City of CARLSBAD, CALIFORNIA 92008
Applicantto complete numbered spaces only Phone 729-1181 Perm ii No
JOB ADDA CSS
LtCAL I 1 ocsc•.
LOT NO,
~.s-; I UK l TRACT ~~p,y
OWNER
2
CON TRAC TOA MAIL ADDRESS
3 I , >
4
A•CHITCCT o• ~£5~CNt A MAIL AOOA[SS
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ENGINEER . .,Jff-~,.:;Y ~ MAIL AOORC55
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PHON C
PHONE
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PHONE
ASSESSOR'S
PARCEL NUMBER
BOOK PAR,
t0SE£. ATTA.CHED SHCCTI PAGE I
PHONE
STATE LIC, NO. CITY LIC, NO.
LICENSC NO.
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LICENSE NO. 5 _,._,, -5'.-:
,. E?l<-c.) J/?~? ~ .,;~ ~
COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH
6
use o,-BUILDING
7
, :)/
.
C. ~ / ~ .. y
NO. BORMS NO. BATHS f ,
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE di
9 Describe work: ~~ ~~_J ,,.~------<-,,!
..,6, ~ 7~ -4~ 7~
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE$
i,..:S..:;P..:;E..:;C..:;I_A..:L..:;C:..O.:.._N..:..D_I_T_IO_N_S_: ------------------~ Type of
Const.
1---' __ ;___;_7 .:.._ _ __;~:.;:._---,.,.,f:__' _ __::/:..__-'~~-~7_-~Y"-.!'.J:_:,J,:_..:,,,.L<!:"; ____ -I Size of Bldg. g ALU ,-r (Total) Sq. Ft ;7p
1-----------,-----------.----------C Fire Zone ..._... APPLICATION ACC;Ep av l)~~s cl/ ev
DATE ..,//' O'
APPROVED FOR ISSUANCE BY
DATE
NOTICE
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.
No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEALTH OEPT.
FIRE OEPT
SOIL REPORT
OTHER (Specify)
,,,,
/M ...1$~1 PERMIT FEE $
Occupancy ,vA I
Group ""
No. of
Stories
Use
Zone I
MICRO FILM FEE
Max.
0cc. Load
Fire Sprinklers
Required DYes DNo
OFFSTREET PARKING SPACES:
~~vered Sq. Ft. t:'~l~gen
Required Received Not Required
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE T RUE AND CORRECT. 1---------4--------4--------4--------ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED 1---------4--------4--------4--------
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.
,
SlGNATUAl o, CONTAACTOl'I ON AUTMOfUZtD AGENT IOATt)
,tCiNATUIIU o, OWN[PI nr OWNU• BUILOE.1'1) OATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
/"'.,,,P...,,._ TOTAL FEES$ ___ .,_. ____ _
INSPECTOR
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---..
◄ ..
BUILDH!G
FOOTINGS
FOUNDATION
REINFORCED STEE
MASONRY
GUNTTE OR GROUT
SHEATHING
I'RA.ME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO
PLUMBING
COPPER
TOP OUT
TUB AND SHOWER
GAS TEST
ELECTRICAL
WATER
:::::GROUff R
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPING
HEAT--AIR
VENTILATING SYSTEMS
.5"-/f
"'"''· 'Y .... ·;;-
PLUMBING PERMIT APPLICATION _ .., *.H
city of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB ADO,. [$5 I ~-LA & :, f 11 1 f • i --L
LOT NO, 1 •L~ -I THCT
L (GAL I , I 1 ot5CO.
j
OWN[JIII dlj,• MAIL A00Jlll£SS ZIP PMON(
2 nJ10~ ,,,r ,i)
CONTJIIIACTOJIII ..
~/;1A'N1l 1
MAIL A.d"O .. £$$ PHON C. STATE LIC. NO . CITY LIC, NO.
3 ~I.// ... \VPA : J
I :' .. ., -I -•
AlltCMITtCT OR OC51GN[R -MAIL AO011t[5$ PHONE LICCNSt NO,
4
t.NGINEER MAIL AOOlll(SS PHONE LICENSt NO.
5
COMPENSATION (NS. CARRIER MAIL ADOJlll(SS &IIANCM
6 'I . {) ' ...
usr: of' et}1LOING ~~. f I· 7 . I\, r ( A
r
8 Class of work: QI NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ~ L,rnl>, i\l\
..J
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: { WATER CLOSET (TOILET) $
BATHTUB .
LAVATORY (WASH BASIN) I
SHOWER }
KITCHEN SINK & DISP. ·:.:.. ' )
DISHWASHER
APPLICATION ACCEPTED ev PLANS CHECKED BY APPROVE O FOR •SSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
DATE I WATER HEATER ). 1(~0
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR--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. ' GAS SYSTEMS. NO.OUTLETS f.l .) lhl"-I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 'THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. I WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHE'THER SPECIFIED WASTE INTERCEPTOR 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
J SEWER NUMBER CLEANOUTS . ,
CESSPOOL
/} J I SEPTIC TANK&. PIT ,,r ROOF DRAINS
5'fGt-1~TUR~ Of' CONT,U.CTOJII OM AUTHOAltEO AGtNT
1
(DA T~1
ISSUANCE FEE $
SIGNATUJIE 0,. OWNUt II,-OWNtR IUILDCJII) OATEI TOTAL FEES $ , 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
\
"
f •
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDRESS
LEGAL I LOT NQ. 1 DESCR,
OWNER
2
CONTRACTOR
3
1.
ARCHITECT OR DESIGNER
4
ENG !NEER
5
COMPENSATION INS CARRI ER
6
USE or BUILDING
7
8 Class of work: □NEW
9 Describe work: ,_
SPECIAL CONDITIONS:
.
. --I BLK. I TRA(;1
.. __
<OsEE ATTACHED SHEET)
MAIL ADDRESS
H V
MAIL ADDRESS
MAIL ADDRESS
MAIL ADDRESS
MAIL ADDRESS
0 ADDITION 0 ALTERATION
. -UI ~ • .-~,~--.nn -~ .. --~---
Pf!ONE '
~HONE ,.1,._, -~-STA\; LIC, NO,
. ..._. --~--
PHONE LICENSE NO,
PHONE LICENSE NO,
BRANCH
0 REPAIR
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
No. Each
AP,LICATION ACCEPTEO BV PLANS CHECKED BV APPROVEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH , 11'.lit:.
FUSE OR BREAKER r;;,,.;,,, •
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 AND EXAMINED THIS APPLICATION AND 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
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
5 ·
SIGNATURE or CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER ff" OWNER BUI DER DAE
NEW SERVICE ON EXISTING BLOG.
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.
CITY LIC, NO,
Fee
31 1
-
CASH
ELECTRICAL PERMIT APPLICATION:, ,~
City of CARLSBAD, CALIFORNIA 92008 ?.C
Applicantto complete numbered spaces only Phone 7 29-1181 Perm it No 1
JOB ADDRESS
~·
LOT MO, I BLK. I TRACT (OSEE ATTACHED SHEET) LEGAL I 1 DESCR, ,51 a;w;;,._ -OWNER MAIL ADDRESS ZIP PHONE
2 Pa01tl.o i r,t~hn•il 1 )3 " .... _ en:· ) .. ,:·i ,. . -
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC , NO,
3 le,» IDC~ 218t -~, Avo, ~Pl¥ -
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
-
USE OF BUILDING
7 rc".1~'1''.),~-::~·
8 Class of work: □ .. EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: -. ., •'-'~.lo'
' ..
. • PERMIT FEES '
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
E;I·
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
D ATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOi DI F WORK OR CONSTRUC· OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS,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 R£AD ANO 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 INC LUO· 5 C ► 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.
PER 100
5 -78
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE )
ISSUANCE FEE
TOTAL FEES , .• SIGNATURE OF OWNER 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
' .-MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI AOOft tSS
I
l.,. r .. -I. ·"JC,. . ' ,e:J
LOT NO. laLK I TRACT 105£[ ATTACHCO SHEET) L[GAL I 1 OUCR.
OWNtfll / 1-, MAIL •oo.-css 21 p PHONE
2 ~ l., .. /J ./ • t II' .,.
CONT,.ACTOIII MAIL ADDRESS ,, PHOM t STATE LIC. NO. CITY LIC. NO.
3 ,
\ '2,/ 'I, ,~ k 712 l , •. -
A"-CHITCCT 0" DE.SIGNE" MAIL ADDRESS PHONE LICENSE NO,
4
ENGINCE.R MAIL AOOlllCSS PHONE LICCNSC NO,
5
LCNOUt MAIL A00111[S5 &lll,NCH
6
ust 0,. IUILD~t+G .,/ 7
~
' 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: I I/ (/.,. '/,,"-~
.-r
Type of Fuel: Oil D Nat. Gas D LPG. 0
PERMIT FEES
SPECIAL CONDITIONS· ' No. Type of Equipment Fee
Air Cond. Units H.P. Ea. $
Refrigeration Units-H .P Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
J Forced Air Systems-B.T.U. I M Ea. u-p.L1,
APPLICATION ACCEPTED BV PLANS CHECKED av APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
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 120 DAYS,OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 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 ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO 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.
~J 7 I 7 r_
SIGHATUflll. OP' CONT,.ACTOfl Ofl. .iuTHORIZCD AGENT (DAT[)
ISSUANCE FEE $
41.IC.H ,,.,.111:r 01' 0WNC:fl If' owtu:,i eu1LDCR: IOATI-) TOTAL FEES $ .,. , . .
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR