HomeMy WebLinkAbout2628 LA COSTA AVE; ; 78-5084; PermitMODEL NO. _________ _
BUILD NG · PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 7JJ .-.jcg7/ TL
Applicant to co plete numberedspaces only Phone 729-1181 Permit No m • -
JOB ACOA £5S
2.9) Ln-(_c)S. m-4ve (A ASSESSOR'S
2.fa l Nt,_l • .)J",1-' PARCEL NUMBER
LOT NO. r L• I TOACT ..,_,v" PAGE I PAR, L £GAL I I tO.sct ATTACHco SHEtTI 1 ocsc~.
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OWN[R 0::..,_J, ~ MAIL 400111£55 ,~ IJ.1(./ .., ZIP
J
•-~ONE ....-') .... ~ 2 l\:-1) I; ') : (,v)?
C0NTlltAC TOIIJ MAIL AO0R£55 I PHON C STATE LIC, NO, H CJTY LIC, NO,
3 __,,~~i .E
ARCHITECT 0111 OCSl(;N[R MAIL AOOAtSS PHONE LICENSE NO,
4 --~""' \~
E.NGINCCR MAIL AOOAE.5S PHONE LICCN5E. NO.
5 ~ Prt I C
COMPENSATION INS, CARR~~
MAIL AOOftC.SS 81111ANCH
6
use o,-8\Jll.OIN(; ~"~-~~ 7 NO. BDRMS NO. BATHS
8 Class of work: ... dNEW 0.AOOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : Le.,\\\ f IJ.<T lv;"S
i
10 Change of use from
Change of use to
11 Valuation of work: $ ~/)~ PLAN CHECK FEES 7-S-V I -,:;,,1()
PERMIT FEE $
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
Size of Bldg No. Of Max.
(Total) Sq Ft. Stories 0cc. Load .,,.,
Fire use Fore Sprinklers
APPLICATION ACCEPTED BY Pi.AJ\IS CHECKED BY APPROVE() FOR ISSUANCE BY Zone Zone Requ1red DYes □No .,. ( ~~~ (.....r:; ~ I N o. of OFFSTREET PARKING SPACES.
DATE 1 Y, ,,,j Dwelling un,ts No. JNo. .,,,,. Covered Sq. Ft. Open .
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR Al R 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ENGINEERING DEPT.
ALL PROVISIONS OF LAWS ANO 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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIC.NATU .. E. o, tONT .. ACTO'-O" AUTHO,-IIEO •GtNT \PA TC l
I
'I.IC.NATUPI( o, OWN[" 1, OWN£" au ILDlfl OAT[}
WHEN PROPERLY VALIDATED (IN THIS SPACE} THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$ ___ / ____ _
INSPECTOR
INSPECTION R~CORQ -DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
//1 !'Z-2~
REOU~ST
11:,L~
TIME-· --'~-'"T~~--
______ DATE: 11.-1 er 1;
OWNER ____ --=_LU.~~~:::Q<:___.::l,,,,,:~---,-----------------
ADDRESS __ ~V----"---_::_--"'-----'--~--"'--=---W""""l./!:.kztv::..L--'--"--"-...--=::...._---------
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUN I TE
D FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
0 EXTERIOR LATH
D INSULATION
PLUMBING
DRYWALL
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WA.I.alfr-1,1-EATER
FINAL
RE DY FOR INSPECTION:
~AV'
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
( _ ~OL BONDING
,L > Vo" ELECTRIC SERVICE
,~ D CEILING HEAT
OG.F.I.
D TUESDAY
~~CTOR
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
DRE IPING ·,
FINAL
□WEDNESDAY □THURSDAYS
REQUESTED BY __ =-+..L----.c,;_ _______ PHONE NO. 'J-7 ~ -C) ')63
PERSON TAKING REPORT-~&\+-><Q____,c....,.. ___ _
• ~-•' . . ........
.s. //c -,
DAT~ · 5. d 1gne
1· e~ ~ ~4e;,_.
Rod7no
45 465
,. .. !.~_! ~~ (50_ ~l 4P'.'65
Signed
SEND PARTS l AND 3 WITH CARBONS INTA .
PART 3 WILL BE RETURNED WITH REPLY.
•
•
TIME·'--------RE?UE~T FQR INSPECTION
INSPECTOR--~~~~------PERMIT NO.-.~------DATE: I/-l?-7/
OWNER __________ ___,,.,..-----------------------
ADDRESS_~d-_C,.~d__.__.S_· _/~--~<'-----::?~-_d=-~"--'~--=-----------
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION _ q INTERIOR LATH OR DRYWALL
~ FINAL
I
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY
DA.M.
DP.M.
□TUESDAY
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
f
□WEDNESDAY 'THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __________________ PHONE NO. ____ --,.{--+-1/ __
PERSON TAKING REPORT ___ J_-~/ __ · __
•
TO
SUBJECT L,l
I
I
RETURN TO --i)►
DATE
4S 474 Redi7rm 8
Poly Pok ISO -I 41'474
AT
DATE
-
r
SIGNED
I SIGNED
SEND PAITS I AND 3 WITH CARBONS INTACT -PAIT 3 Will IE RETURNED WITH IEPLY
1
1
!
REOLt,EST FOR INSPECTION TIME;_· -~--
INS;ECTOR R-~-0 PERMIT NO ______ DATE:--'Cr/t.,-i-i-1-0~7l~--
OWNER _________________________________ _
ADDRESs,__,.'bc...,Vc._,~:...<.._ __ '-=---· -=-c_. -LL~-'<=---------------
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT· GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY □THURSDAY □FRIDAY
DA.M.
DP.M. {),J,uJ;. ,w./. ~ I u.,c/ ~ f
~--,✓ LA~ SPECIAL INSTRUCTIONS-----~~--~-__J...-J-~....--~pl!U'(~(/J:,,'#ul'"'d..___:-(1Au,i.-t11,,:__.z:"'4M:-=:..:.,::~=-.-,iti-o 1n,-,Ci"7
REQUESTED BY ___ ...,(~-'<.-+-1-),.»p.,._hl¼~......+---------'PHONE N0·--£)-.-1----~ 7 PERSON TAKING REPORT_-'-~-,,_,_ ___ _
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--·-·-------··-···----······--... --•-·
'
PLUMBING PERMIT APPLICATIGN
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JO& AOf),t ($5
LEGAL I 1 OESC~.
I TUCT
OYwNt.A
2
CONT,-ACTOl'II MAIL 400R[5S
3 .,-~-
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,UICHITCCT o-. DtSIGNUI MAIL A00RC55
4 CJJ~C
ENGIN([,-MAIL AOOR[S!i
5 ~ Mr
COMPENSATION (NS. i,,.u.i1. •oo•tss
6 CA.RRlE.~
tJSC or BUILDING
7
(
8 Class of work: Q NEW '&,' ADDITION 0 ALTERATION
9 Describework: Ft-:"N...L..(E; w~,\
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY ' APPROVl't, FqR ISSUANCE BY
DA/lC
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 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.
-PHONC
I
I PHONE STATE LlC. NO.
PHONE LIC£N5(. NO,
PMONC LICENSE NO.
8AANCH
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
I WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GASSYSTEMS,NO.OUTLETS
( WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
I VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
It •00
I
CITY LlC. NO.
Fee
$
2. ·:,
.:,)-f ',
r /" ( ,... r-I CESSPOOL.
~, ... /' ~ ,. 1;,.,. ;{ ;'l.5._ L~ /f.J :-t-."'7 '",,"r-..-+--:-~-:-T-t-D-TR_A_:-,:-s-•_P_1_T ___________ -+-----t----i
SIGNATUllli"l'. or-tONTftACTOft o" '-UTHO .. ltl!D~ (OAT[)
ISSUANCE FEE $
$1GN,A.T IIIE 0,. OWNlll 1,-OWNtll BUILOEft {OAT[) TOTAL FEES $ r
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
p
• J
I /'1
ELECTRICAL PERMIT APPLIG:ATION
City of CARLSBAD, CALIFORNIA 92008
d Ph 729 1181 Applicant to complete numbere spaces on y. one -Permit No. ----'""'
JOB ADDRESS L~ ~~ . I ---,-'-,\ L c. p .... ,~c;, '~-, .--__,, ~ ••'
LOT NO, I BLK, I TRACT (QSEE ATTACHED SHEET) PH ~ 7 __ ('T::p LEGAL I 1 DESCR,
L...I
OWNER MAIL.ADDRESS -~(I -f p tP ,....~ I PHONE () 'I ' r\ 2 ~1,.,, l.,_ .!::., :;:;A-,, ~
CONTRACTOR ~IE' MAIL ADDRESS PHONE STATE UC, NO, CITY LIC, NO.
3
ARCHITECT OR DESIGNER ....... ,~\\: MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER T '\-:--'I I MAIL ADDRESS w~'i'· PHONE
Ul-1':f-f Y,-.~ ~ENSE NO,
5 ; i_-,-,..;t=. I 01~ I )
COMF>ENSATION INS ,P'~RR/'FR MAIL ADDRESS BRANCH
6 --_,,, ' ---· -
7
USE or BUILDING /
8 Class of work: .,. □N"EW El ADDITION 0 ALTERATION 0 REPAIR
. fvo '""'/o,J 9 Describe work: r-,~,. (..~ ~ l\ r' t-\:Z--\,,u ~ d.o'\'--ct.... -...
1'2.-v'""' ~
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE I s-,~
NEW CONSTRUCTION, FOR EACH
Al'Pl.lCATION ACCEPlE.O BY PLANS CHECKED 8Y APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH ,
. ) i FUSE OR BREAKER
1
0A~ 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 DAYS,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 ANO EXAMINED THIS INCREASE
APPLICATION AND 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 ANO 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 PERFORMA,NCE OF CONSTRUCTION.
ex? ✓O I_ TEMP. SERVICE OVER 200 AMP. ' (' r-~r. iq .. .,,.. PER 100
' I" ""1·1
SIGNATURE or CONTRACTOR OR AUTHORIZ~ AGEN'L (DATE) J ISSUANCE FEE --'
TOTAL FEES ,-·1 -SIGNATURE Of OWNER IF' OWNER BUILDER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION cK. M.O. CASH
u • -·-... "
INSPECTOR
. '
• INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
l'
BUILDING DEPARTMENT DATE: AIJG 3 o 1978
c:;;;_ C. ~ c5f',4 l:os.M fk.e · CITY OF CARLSMD BUILDING ADDRESS:
1 Building Department ·
PLANNING DEPARTM§NT
ZONE _________ LOT S IZE. _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED _____________ PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ______ _
PROVIDED -------
INTRUSIONS ------
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
NTS:_ ~1f2& '& (j)a.4 (144./t« 0 I
OK TO
ENGINEERING DEPARTMENT
R.O.W. ______ INUUSTRIAL WASTE _____ ___,._IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT __ -,,-____ .EASEMENTS ;1,e,w ~ DRAINAGE ____ _
LEGAL DESCRIPTION~/j%.;l,uu:"'->.J~3L.f--f--P-;r/;'_u~~OA~1u4~-~&.a,s,1)_:tf-.___;/j_~--------------
NTS ____________________________ _
( OK TO ISSUE DATE j, Ja 7f
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE. _______ OK TO FINAL ______ DATE. ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ D4TE. ________ _