HomeMy WebLinkAbout2612 LUCIERNAGA ST; ; 77-4800; PermitMODEL NO. __ ~@~~l_J-4_3 _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 J l ~?)
Applicant to complete numbered spaces only Phone 7 29-1181 F!.1Jlf!RllNo7 2+ ~Q-,1 · ~
JOB ADD" ce !I ASSESSOR"S
2612 Luciernap:a Street PARCEL NUMBER
t..OT ~O I IL•
1~:CTcosta
BOOK PAGE I PAR.
L<CAL I (CJS<[ ATTACHED 5HCETI l ot5CA. 165 Meadows. Unit 1
OWN lit MAIL A00111tSS ZIP -, PHO NC
2 NEWPORI' SllO.RES BUILDERS, Drawer A Huntington Beach.CA 92648 (714) 962 668 3
CON TlllAC TOllt MAIL •00-.css PHON [ STATE LIC. HO. CITY LIC. HO.
3 same B l 16700.s /3:i_,,,1.f
A"CHI TCC T Olll DlSIGNC" MAIL AOOACS5 PHONC LICC.N,_C NO.
4 Lynn Maualin , 21671 Seaside Lane, Hun tington Beach,CA 92648 (714) 962 1734
CNGl,..ClR MAIL AOOlltCSS PHONE LICE"'ISC. NO.
5 same
COMPENSATION INS. CARRIER MAIL A0011tCS5 9,tANCH
6 Atnea
use o, IVILDING
7 residence NO. BDRMS J NO. BATHS 2
8 Class of work : m:,tiEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work single family residence/semi attached .l~ nJ/
Elevation B OU{~j ~ V tr' ,:-jl
n' ..., ' \../ ~ .. ov-/ ~
10 Change of use from I (' tO
Change of use to
11 Valuation of work: $ ~l.\ OL\S co ()0
PLAN CHECK FEE s (~ :-I I PERMIT FEE$ \ ~o' oa
SPECIA L CONDITIONS. .J MICRO FILM FEE Type of V-N Occupancy J ✓
Const Group -
Sile of Bldg No. of Max
(Total) Sq. Ft 1343 Stories 1 0cc Load
Fire 3 use /2-Z.-Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED ev APPROVED FOR ISSUANCE BY Zone zone Required 0Yes □No
No. of OFFSTREET PARK ING SPACES:
Dwelling Units 1 No. 2 Sq. Ft~18 !No. DATE DATE Covered Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTI LATING OR A IR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.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 CERTI FY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 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
CONSTRU& OR THE PERFORMA~CE OF CONSTRUCTION .
_.:(£t/4 >, lo-,h -' ~ /2 3 h :,
SIGNATUfU. o, CON TIil AC TO' 0'4 AUTHOllllZtO AG[H'f / IDATtl
~IGHATUfU: 0,. OWN[lll ur OWNtlll aulLD[lll OATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y OUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M O. CASH
TOTAL FEES $
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Appl ca t to o plete I 11 C m num bered spaces only Phone 729-1181 Per t N m1 0. ~--
JOB AOOIII CSS .; I I J ·-----
~ ' r I!>_ Lull t e ie [A ~ •. r
LOT NO. I OLK
TJtACT ; (Ls LlGAL I lb5 ) It<--~./ I /c.,.' I 1 DtsC,., /-I
OWNl" I
~IV
MAIL ADDlltlSS t,. PHON[
2 . I es f ,,,._,, L; /1=an ((.J i
COH I}IAC T1" ""4AIL ADO"CSS -PMO,,_t STATE LIC. HO, CITY LIC. NO.
3 u}Pr\,A P\bq Y, 12'-l 1-nAK ;(_,b C.~/HL ... . --. . -, -
AIIICHITtCT 0111 OCSICNCIIII \ \ MAIL A00111[5S PHON( LICtNSC P..0.
4
lNGIHCtJt MAIL ADDllltSS PHONt LtC<NSI: NO.
5
COMPENSATION rNS, CARRIER MAIL AOOllltC.SS IIU,NCM
6 . -~ -.
USl OF evll,QIN G
7 I .
8 Class of work: O~EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work :
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: 1 WATER CLOSET (TOILET) $ .'I( I
I BATHTUB I ,1. )
LAVATORY (WASH BASIN) -c
j SHOWER I a,t
J KITCHEN SINK & DISP I <;t_ i
J DISHWASHER I r.;z_
APPLICATION ACCEPTED BV PLANS CMEC"-E OBY APPqQVEO ~oq ISSUANCE BY LAUNDRY T RAY
• CLOTHES WASHER I ',()
OATE ' WATER HEATER ' L:Z.•
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 J GASSYSTEMS NO.OUTLETS I 4)1) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO SE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. 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 THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS I/A-""',
CESSPOOL
-~ .,~ c; ~ SEPTIC TANK&. P IT 77 ROOF DRAIN S -.. It i ,
SIGNATUllll 0,. CONT,-ACTO!lt Ott AUTHOlltlltD AGCNT (OATt I
ISSUANCE FEE $ .. -~ ,,
'IGNATUJU 0" OWN[III I ,. OWNtllt 8UIL0lfl) (OATl) TOTAL FEES $ 14 t
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICA l10N -· -~0• 9
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No 1)-ct6b~
JOB ADDRESS • -•
LOT NO, I BLK. I T~ACT
~
LEGAL I s -·· e ta. ---,JO~Ei ATTACHED SHEET) 1 OESCR,
OWNER MAIL ADDRESS ZIP PHONE
2 r.;r I\~..-, A ~r-'7l •M ,~no r.,.....,,. f Cl ..; ... ,n ........ n~n!>h -_..,;_.,-q;
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC, NO,
3 ,,,., ~.,. , ~ -': rt !>"YI\. :r J"I ~ i1'fln r."~,t,-,r,:,.-.,11 : , ~ ~AAn tli"P7nQ 1:.,0\ -
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 • t,o81 j . y
USE OF BUILDING
7 • pt:';. ••
8 Clau of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: m~~caJ. ~•----:.::
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Ar,LICATION ACCEnEO BY 'LANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, fOO ~2' 2, 00 FUSE OR BREAKER
DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
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
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION NO CHANGE PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE. FOR EA AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
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 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.
PER 100
1.fln
SIGNATUR~ OF CONTRACTOR OR AUTHORIZED AGENT (DATE) .
ISSUANCE FEE I P. .. oti 2 100
TOTAL FEES P!J· Inn !IIGNA · uRE OF OWNFR nwNER 9111 DER ln,f\T
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. 1111.0. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
-...... ---
,,,. , MECHA~ICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181
JO■ ADO" &SS
.£1.Q T 1 At"-f .• St. 6 2612 hlcie.n1."1ga t .
I LOT NO.
LE.GAL 1 DUCR. 165
OWNU, MAIL ADOfllCSS
2 0 -
CON TIii AC TOtl
3 _:L, __ .Mr 0:lld:lt1m1ne
MAIL ADDIU.S.S
., tt.t. . . .
Afll CHITtCT 01111 OtSICNllt MAIL AODllttSS
4
EMGINtt." MAIL ADDlllll[SS
5
L&M0Ut MAIL A.0O111£$5
6
USI. OJ' IUILDING:
7 r~iJauce
8 Class of work: oi.NEW 0 ADDITION 0 ALTERATION
9 Describe work: . ,n ~ nn B'lU -
·•
-.
Ill
ZIP
PHONC .. -
DMON C
PMONt
0 REPAIR
Type of Fuel
10sc, ATTACHED SHtCTI
PHON£
STATE LIC. NO.
746-5700 JS8
LICENSE. NO,
LIC[N9£ NO,
Nat. Gas D LPG. D
PERMIT FEES
,
CITY LIC. NO.
12093
SPECIAL CONDITIONS --------.------i
APt'LICATION ACCEPTED BY PLANS CHECKED BY APPROVED roR ISSUANCE BY
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
APPL.ICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK Wll.L BE COMPl.lEO 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 l.OCAl. l.AW REGUL.ATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
{
( ' 17
SIGNATU"E OY CONTflACTO" Ollt AUTHO .. IZEO AGENT IDATEJ
(OATI.)
No. Type of Equipment
Air Cond Units H.P. Ea
Refrigeration Units-H.P Ea.
Boilers H.P Ea
Gas Fired AC Units Tonnage Ea.
Forced Air Systems BTU HU M Ea.
Gravity Systems-B.T.U. M Ea,
Flo~ Furnaces B.T U. M
Wall Heateri. BT.U. M
Unit Hebters B T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range 11.ood
Air Handling Unit -C.F.M.
lncinerato"'
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O.
INSPECTOR
Fee
$
s -M
s . ""
CASH
------
' .
-..
----
'
'.
•
LOT· /v5
;it; /;2. ~~,~-r-
BUILQHlG
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SHEATHING
FRA.111E 'f • /J · 77
INSULATION
EXTERIOR LATH
INTERIOR LATH &
PLUMBING
SEWER AND PL/CO WATER
PLUMBING UNDERGROUND 1-/o/· 77 de
. COPPER 1 .. ,, ---],z,(, 77 b+:l-,
TOP OUT r f'. · 7] n..,l. \;_ ~ 4
TUB AND SHOWER
GAS TEST
ELECTRICAL
• .UNDERGROUND
ROUGH Cf . ti· ~1AJ.
• CEILING HEAT
BONDING •
MECHANICAL 7 ,frl.17 DUCT & PLEM, • REF. PIPING LJ
HEl\T--AIR -VENTILATING SYSTEMS
-