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Home My WebLink About2629 Jefferson St; ; 68-500_misc; PermitCITY OF CARLSBAr BUILDING DEPARTM~h 729-1181 -Ext, 36 c ~ ~plicafiol !or BUILDING Permil C> 0 Building Permit Fee licant to Fill In Owner's Name cA.J.16NL5 '/fl '/l v Mail Address 2G e--2 'JErPJ:/JSo,,.(/ Contractor __ ...,,(!)=-_CI.J __ ./V"----'--''£=-...:.a-" _______ _ Contr. Address __ '5___::_A.:..@~M:......:...-"--"'E=---------- T o Const. 0 To Add ~ Alter 0 Convert D To Move From-----~------------ Type of Const. __ _..,_h___,-g'-----, --'-"-'g.c...,_M___.:._./.=_:: ______ _ 11 Fr; ~sonrf, etc. To Be Used For __ 7~--"C...C::..-"-'----''------------- K;,d of Fo.,d,t;o, CO ./I'~ No. of ~" Floor Space (Sq. Ft.) __ ,:../_9'6....__t) __ ±'_.1.._ ______ _ Garage Floor Space (Sq. Ft.) Attached _______ _ Detached, ________ _ Legal Description -----------------Block Lot Subdivision . or Section Townd1ip Range No. of Existing Building --------------- Will this construction incl•de 4Plumbing installation or alter- ation? Yes O No ~ ., ' Signature of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUI BY CITY F CARLSBAD AND STATE OF CALIFOR THAT I AM THE LEGAL OWNER OF THE ABOVE DE RESIDENT! PROPERTY. P'lO /.,,,p-~ SEPt!J-68 ~ ~c 159f"*~ Building De t. Use Onl Building Address d. b::...ocZ...:e:_L...9 _ _;1........,£=::....,_r_:.,r._~_-~11_.:;S:...../J.c...:,</.:.L. St. Near L,~ lL.!/1/ff Set Back Bldg. Valuation Front P.L. Side P.L. Reor P.L. Group Contractor City Bus. Lie. No. Woter Meler Sewage Disposol Sys+em Inspection Record Util:ty Company Notified -Date .. ______ By _____ _ Fino I If a check is rendered for pdyment for the obove foe ond the check is not honcr,,d v,hen presented for poyment, your buildi~g permit will be imrrodiately revoked . City of Carlsbad Building Dept. Permit void if work is not commenced within 60 days of issuance, ~ -o PI.NING CITY Of CARIJ8Ar BUILDING DBtARTMENT CITY PLUMBER ADDRESS CITY TEL. NO. STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. NO. ITEM TOILET • Sl.2!5 BATH TUB • 1.2!5 SHOWER • 1.2!5 WASH BASIN • 1.2!5 KITCHEN SINK • 1.215 DISHWASHER • 1.2!5 LAUNDRY TUB OR TRAY • 1.2!5 AUTOMATIC WASHER • 1.2!5 WATER HEATER a VENT • 1.!50 (V.S SYSTEM 1 TO 1!5 . 30 EA. ADD. • 1.!50 I FLOOR DRAIN OR SINK • 1.2!5 LAWN SPRINKLER • 2.00 MISC. WATER PIPING • 1.!50 GARBAGE DISPOSAL • 1.00 VACUUM BREAKER OR BACK FLOW DEVICES 1 TO !S • 2.00 GRADING PLAN I PERMIT s 2 YESQ NOD TOTAL FEE s ...3 FEE -- --- 6{) f- 00 -~() I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI- CENSED AS REQUIR D BY THE C ITY OF C RLSBAD AND STATE OF CALIFO I OR THAT I AM THE GAL OWNER OF THE ABOVE SCR BED RESIDENTIAL PR PERTY. j I IO _.PERMIT. APPLICATION • -t-61 !'L• 1..,. ...... 3.50 GROUP I ZONE Inspection Record APPROVALS DATE I NSPECTOR08 SIGNATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed end Validated. Permit void if work is not commenced within 60 days of date of issuance. ) CITY OF CARLSBAD J~ BUILDING DEPARTMENt :" 729-1181 -·Ext. 36 licant to Fill In Contr. Address ----------------- To Const. 63"' To Add 0 To Alter D Convert 0 To Move From---------,,..---------- Type of Const. dlkzt ~ ~ U -= Frame, Mason& etc. To Be Used For \.1..L-r< C' g Kind of Foundation ______ No. of Stories _____ _ Floor Space (Sq. Ft.) --------------- Garage Floor Space (Sq. Ft.) Attached _______ _ Detached ________ _ Legal Description -----------------Lot Block Subdivision ------------------or Section Township Range No. of Existing Building _...:2==------------- Will this construction include any plumbing installation or alter- ation? Yes D No 13) ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE ----------------- Appli~J!on .Jr BUILDING Permit ~ _::..suilding Permit Fee St. Near -------------------- Set Back Bldg. Valuation cl<5c:2, 0 D Front P.L. Main Bldg. Side P.L. Garage Rear P.L. Other Group Zone Approved by Contractor City Bus. Lie. No. Water Meter Sewage Disposal Sysotem Inspection Record Utility Company Notified -Date ______ By ____ _ Final If o check is tendered for payment for the obove fee and the check is not honored when presented fo r payment, yo ur building permit will bo immediately revoked. City of Carlsbad Building Dept. Permit void if work is not commenced within 60 days of issuance. CITY OF CARLSB/ - BUILDING DEPARTt.._ .•• 729-1181 -Ext. 36 CONS,..,.,,. Applicatic t, -423 ~ ~ .2 ( 2. '1 9 /J"P,cm s:e-v P' Owner's Nome Moil Address Controclor _ _J,,(9..,r_.=f.lJ~»~....,'/;..._.ll,'---"._. -------- Contr. Address __ .S-=-. ..... fe}w-:;..,:.M~_.L;: ... -________ _ To Const. 0 To Add~ Alter 0 Convert 0 To Move From ----=---------------- Type of Const. __ _,_z;__,_~~..i:~...J/:}_!::.Ll,M=..:,J;.._=' ______ _ Frome, Mosonry, etc. !?!'?? To Be Used For ---'(!J~/:.~F_.:..l -"C~f'.~)----"~~-Afa,_~ 1 .La_c,L_ __ _ I Kiod of fooodotioo C Ok " No~•i•• Floor Space ( Sq. Ft.) _..,./_..=6:...--=¥"'---~L--------- C.,uye l'loor Spoce (Sq. Ft.) Oelached Legol Description ---------------- Block Lot Set Bock Front P.L. Side P.L. Rear P.L. Group z~ f<-.3 Moin Bid Contractor City Bus. Lie. No. Water Meter So"'ogl' Disposol E '(:15r C ''5Jt Inspection Rec System Subdivision 4,.~---'------- ·--------or 9 . () 0 C ~'--------'O"-'N~- Section Township Range No. of Existing Building -------------- Wi1I this conshlicti~ludo any plumbing installation or olter- otion? Yes ~N~ .. [J Signoture of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE HIAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE ---------------- Uti!;ty Company Notified -Doto. _____ BY----- Finol = -----= -''---"'=;::.:_..:..:::===== ------ If o check is ienderod for pdyment for the obove fee and the check is not honcr•,d when presented for payment, your bu"ldi~g permit wii' be imrrcdiotely revoked. City of Carlsbad Building Dept. Permit void if work is not commenced within 60 doys of issuanc;e. ,,moo { " ~ ( . ,, ·. . ~) l. ' :\ (-- r -• ( . -· ., >,; ( l -....... (. -C \ \_. ... . ") -. ~ J. '( --(, \ ')( ~ \.. . BONSTRUCTION LENDER IDENTIFrcA~!ON ' CALIFORNIA STA:&ii: CODE OF CIVIL PROCEDURE SECTION 1193 (J) name of lender branch address of lender city ~ignature ot appliG~t 19 cl&te I PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 // Applicant to complele numbered spaces only Phone 729-1181 Permit No 7~-c:J/~ JO& ADO" ESS ,,Li ~,~. 79 ~J;,u· .. r-;v y --- LOT NO. r LEOAL I 1 C£5C", vp I BLK I TU.CT OWN,Eft £AU( MAIL AODfllCSS {~.~ ZIP PHON[ (,/(/t/9 2 ,//)~ ; ... ~ "'-,'?-.~,_3'1uftb ,, . .,;, ~ .: . ' CO•.lfACTO" ~ V MAIL AD0 .. [5$ PHON!. STATE LIC. NO. CITY LIC. NO. 3 .i' l..,J:;,+-ic-,--,~AA /a.?&-,. t.<.,,..'-"' : , .,,......>l:·;7---...,. AIIICMITCCT Ofll OCSIGNEfll . MAIL A00fll[55 PHON C LI( CNSE NO. 4 CNGINEEIII "'4AI L ADDA CS5 PHONE LICENSE NO, 5 . COMPENSATION (NS. CARRIER MAIL AOOfllESS 8fllANCH 6 use Of' 9UILOING 7 8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION ~EPAIR 9 Describe work: A:. Lf:t .Jl"1 ~~/ / 30 c~ ~~ /f2--,,r--<_,. ? {/ V V PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS WATER CLOSET (TOILET) s BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER '"""'~";:s,": [;!ANS CHECKED BY APPROVED FOR ISSUANCE BY. LAUNDRY TRAY CLOTHES WASHER DATE WATER HEATER , 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. / GASSYSTEMS:NO.OUTLETS / ...> ('_~ I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL SE 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 CESSPOOL SEPTIC TANK & PIT r . ROOF DRAINS q;•• o, coNTNACTo" o" AutHo•ozco AGENTL (CAT% ,, ;/ . ,1'1.t#_i!/ (/ ,' lt·. ,~ /lk' c-,/ '.".W( ISSUANCE FEE $ / ..) ..... ,,, s"NATV .. E o, OWN[III n, OWN[II: 9UILOCR) OATE> TOTAL FEES $ 7 .... -,;- J WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT f)LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH - INSPECTION REPORTS -··-- DATE ITEM REMARKS INSPECTOR . --- .._ -------..__. ·-._ -l b-_d;J-/h ~----L/ P: _, ~ "~~ ,LA_ . ---, - USE SrACt: bt.-LuW FOR NOTES, FOLLOW-UP, ETC