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Home My WebLink About2621 COLIBRI LN; ; 79-1165; PermitMODEL NO 36.00 BP Applicant to complete numbered spaces only BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Permit No JOB ADOR ESS ASSESSOR S PARCEL NUMBER -LEGAL IOESCR 13-7 (I (SEE ATTACHED SHEET) UCONTRACTORMAIL ADDRESS ARCHITECT OR DESIGNER MAI L ADDRESS LICENSE NO MAIL ADDRESS L [CENSE NO COMPENSATION INS CARRIER MAIL ADDRESS USE OF BJILOING NO BDRMS_NO BATHS. 8 Class of work D NEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE 9 Describe work Of- A- c. -e. 10 Change of use from Change of use to 11 Valuation of work $PLAN CHECK FEE $PERMIT FEE SPECIAL CONDITIONS Type of Const Occupancy Group illCRO FILM FEE Size of Bldg (Total) Sq Ft No of Stories Max Occ Load APPLICATION ACCEPTED BY DATE PLANS CHECKED BY R ISSUANCE BY Fire Zone Use Zone Fire Sprinklers Required dve DlMo No of Dwelling Units OFFSTREET PARKING SPACES No Covered Sq Ft I No Open NOTICE *i~y-b V? 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 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT S^Special Approvals PLANNING DEPT HEALTH DEPT FIRE DEPT SOIL REPORT OTHER (Specify) ENGINEERING DEPT WATER DEp-Jfl cooptration with the tug< proper^ SIGNATURE or OWNER II F OWNEH 8UILDEB Required Received Not Required La Costa Land est that you cFack with them restrict! >ns and C.C aid R.'S as most of the Company, or Deed in this aaea fins restrictions. We suggest flftpft prior to lining- WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH TOTAL FEES $ MODEL NO *BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only PhOne729-1181 Permit No JOB ADDR ESS , LEGAL 1 DESCR OWNER 2 £t /J ? I L LOT NO l37 • ' ><c ' BLK •» fiC . /'O TRAC T -7 Z " .2. If ASSESSOR S PARCEL NUMBER BOOK PAGE PAR (f7]sEE ATTACHED SHEET! r — . _ . ' ." -_ — T^ MAI L ADDRESS Zl P CONTRACTOR ARCHITECT OR DESIGNER 4 & 0 V t f<L ENGINEER 5 AJ.^ "- COMPENSATION INS CARRIER UU»';j^ £, V^*Lj .'•*.> 7 8 Class of work DNEW D 9 Describe workXj, /i A<> ; fa i • \> MAIL ADDRESS PHONE PHONE / •> ^ -at - r" f ~U M ^Kifc, ' " J1 STATE LIC NO Hill LIT IHJ~ MAIL ADDRESS PHONE — ' J T£ MAIL ADDRESS PHONE J k i ADDITION JU 4AI L ADDRESS W ALaav * .^___\ " I NO BDRMS_V ^1 // LICENSE NO LICENSE NO jL BRANCH ^\ \ 4 /\j \ NO RATHS \ \l/ / » ft D ALTERATION f\D REPAIR \1 MOVE/ ^REMfj^E \ fX. \ / I \. I , \ \\ X "' '->' «V- \\/ V U , (® r:f , , /- a,^3\/H L&*J\b 10 Change of use from Change of use to \\ /,\ w\ ^^ //±* 11 Valuation of work $ •"^ ', <7 & SPECIAL CONDITIONS APPLICATION ACCEPTED BY DATE PLANS CHECKED BY AP (.*• 0 NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELf ING HEATING VENTILATING OR AIR CONDITK THIS PERMIT BECOMES NULL AND VOID IF WO TION AUTHORIZED IS NOT COMMENCED WITH CONSTRUCTION OR WORK IS SUSPENDED OR A PERIOD OF 120 DAYS AT ANY TIME AFTE MENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AN!APPLICATION AND KNOW THE SAME TO BE TRALL PROVISIONS OF LAWS AND ORDINANCESTYPE OF WORK WILL BE COMPLIED WITH WHHEREIN OR NOT. THE GRANTING OF A PI PRESUME TO GIVE AUTHORITY TO VIOLATEPROVISIONS OF ANY OTHER STATE OR LOCALCONSTRUCTION OR THE PERFORMANCE OF SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT SIGNATURE OF OWNER (IF 3WNER BUILDER! / ,J PROVE/ FOR ISSUANCE BY Xrx- •• : v ATE \ *l ECTRICAL, PLUMB 3NING RK OR CONSTRUC IN 120 DAYS, OR IF BANDONED FOR A R WORK IS COM D EXAMINED THIS UE AND CORRECT GOVERNING THIS ETHER SPECIFIED ERMIT DOES NOT OR CANCEL THE LAW REGULATING CONSTRUCTION (DATE } i- x-79 (DATE) PLAN CHE^ FEBS r *' Type of Const Size of Bldg (Total) Sq Ft Fire Zone No of Dwelling Units Special Approvals PLANNING DEPT HEALTH DEPT FIRE DEPT SOIL REPORT OTHER (Specify) ENGINEERING DEPT WATER DEPT WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Occupancy Group No of Stories Use Zone OFFSTREET No Covered Required YOUR PERMIT PERMIT FEE $ «£ 7 MICRO FILM FEE Max Occ Load Fire Sprinklers Required QYes DNO PARKING SPACES INo Sq Ft [Open Received Not Required \ t V • PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH TOTAL FEES $. INSPECTOR INSPECTION RECORD FOUNDATIONS SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT LATHING OR DRYWALL EXT LATHING MASONRY FINAL DATE REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 Permit No _ bP TL JOB ADDRESS .LEGAL IDESCR ATTACHED SHEET) MAIL ADDRESS CONTRACTOR MAIL ADDRESS STATE llC NO CITY LlC NO ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO MAIL ADDRESS LICENSE NO COMPENSATION INS CARRIER MAIL ADDRESS USE OF BUILDING 8 Clan of work D NEW ADDITION D ALTERATION D REPAIR~ SPECIAL CONDITIONS SWIMMING POOL WIRING, NO INCREASE IN SERVICE APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVEQIFOR ISSUANCE BYW ISSUA NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER NOTICE - /'t/' 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 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT -f -2 NEW SERVICE ON EXISTING BLDG FOR_EA AMPERE OF INCREASE IN MSrrt 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 F OWNER BUILDER) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.MO CASH PERMIT VALIDATION CK MO CASH INSPECTOR DATE ITEM INSPECTION REPORTS REMARKS INSPECTOR USE SPACE BELOW FOR NOTES. FOLLOW-UP, ETC -' / n . MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only PnOHe 729-1181 Permit No JOB ADDR ESS A- «• -o - LEGAL1DESCR -73--Z9 (L]SEE ATTACHED SHEETI MAI L ADDRESS ED CONTRACTOR MAIL ADDRESS STATE LIC NO CITY LIC NO ARCHITECT ON OCSIGNEM MAI L ADDRESS LICENSE NO MAIL ADDRESS LICENSE NO •.MAIL ADDRBVSS USE Or BUILDING 8 Class of work D NEW D ADDITION D ALTERATION D REPAIR 9 Describe work /3 u <" Type of Fuel Oil D Nat Gas D LPG D 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 AC Units-Tonnage Ea Forced Air Systems—B T U MEa APPLICATION ACCEPTED BY PLANS CHECKED BY ISSUANCE BY Gravity Systems-B T U MEa Floor Furnaces—B T U M WallHeaterv-BTU M NOTICE 17 Unit He&ters-BT U M THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.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 Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit—CF M Incinerator SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT . »l««AfO-Rt Of OWMER-TIF OWNER BUILDIRI TrV- 7? ISSUANCE FEE '°*Tt' TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH INSPECTOR INSPECTION REPORTS DATE ITEM - REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC CITY OF CARLSBAD BUILDING DEPARTMENT (714) 729-1181 CERTIFICATION 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 If, after making this certificate, I become subject to the workers' compensation pro- visions of the California Labor Code, I will forthwith comply with Section 3700 of the Labor Code I understand that if I fail to comply with the workers' compensation laws, this permit shall be deemed revoked I further certify that if I should contract or subcontract with any person, including any firm or company, to do all or part of the work for which this permit is issued, I shall assure compliance by that contractor or subcontractor with Section 3800 of the California Labor Code SIGNED _ PRINT NAME AND TITLE _ JOB ADDRESS 2&3.I (L&l-l&B. [ t-A»O€. f £/*£.(.££ AQ DATED APfttl 9. J9-7?