HomeMy WebLinkAbout2640 LUCIERNAGA ST; ; 77-4789; PermitMODEL NO. _ ___,,1,,__JL4..:.....,.J,__ ___ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Per~:l·JJ ~9ft"(~~dP,
J08 AOOR ESS ASSESSOR'S
2(., C/D Luciernaga Street PARCEL NUMBER
LOT NO, j"L< I ~:r Costa
BOOK PAGE I PAR.
LEGAL I <Oscc ATTACHCO SHCtT1 1 DCSCA. 2.55 Meadows. Unit-, 2
OWNER MAIL ADOAC:55 ... PHONE
2 NE\iPORT SHORES BUILDERS, Drawer A, Huntington Beach.CA 92648 (714) 962 668'.3
CONTJltACTO" MAIL A00A£S5 PHON [ STATE LIC. NO, CITY LIC, NO.
3 same Bl 16700.5 I 3:2:J.1-/
A1'Cl"tlTCCT OR OESIGNCJlt MAIL AOOA[SS PHON £ LIC[NSC NO,
4 LynnMaudlin , 21671 Seaside Lane, Huntington Beach,CA 92646 (714) 968 17J4
ENGINEER MAlL •ooACSS PHONE LICENSE /'jQ,
5 same
COMPENSATION INS. CARRIER MAIL AOOIIIIC.5S 8JltANCH
6 Atnea
use OF BiJILOl"'iG
7 residence NO. BORMS J NO. BATHS 2
8 Class of work: fiNEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: single family residence/semi attached Q.
elevation C 11 n.~~,. --/!
10 Change of use from tY? (.p /1
Change of use to
11 Valuation of work: $ ~L\' oL\S De> ~ t,. $b ! \~D~ 00
PLAN CHECK FEES ~RMIT FEE s
SPECIAL CONDITIONS: -MICRO FILM FEE
Type of II-Al Occupancy
Const Group .:£~T
Sile of Bldg. No. 0 1 Max.
(Total) Sq. Ft 1 ~U':I Stories 1 0cc Load
Fire 3 APPLICA flON ACCEPTED av PLANS CHECKED 8Y APPROVED FOR ISSUANCE ev Zone
Use
Zone R--Z-Fire Sprinklers
Required 0 Yes 0No
OFFSTREET PARKING SPACES· No of
4lal~gen DATE DATE Dwell,ng Units 1 ~g~ered 2 Sq. Ft.
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING. HEATING. VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT >-
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
,aov,s,QNS o, ANY OTHER"•~ COCAC CAW REGUCAT'NG
CONSTRK: OR THE PERFOR ANCE OF CONSTRUCTION.
J~n-~ < ,., . ._ ~/2'J/'7')
5tGNATUff't or CONTl'IACTr OJII AUTHOflltltO AC:t"NY" / IDATt)
SIGNATUlll[ 0,-OWN[fll If' OWl'IIC,_ IUILDEJIII lOATt)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$ ~S-Ob
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ., .. --.-171.i .. 1h1
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOI ADDA CSS
./() ,;_ t. .-' ,e,~ I ' )t"
LOT NO. , ■LK l T•Ac,, I' '1 /2·t' L[OAL I -l5. '? /J I I 1 ocsc•. C. ~I /
OWHUI MAIL AODllltSS ?IP PHONC
2 '). ~, ~. SoA..J } 1-':.lf' ('..f. J ' ' . .
CONTfllAa'rOIII . MAil. A.DORCSS -PHONC STATE LIC. NO. CITY LIC. ND.
3 ' 'I.be. &. , , r(Y)J-hc' ,f rl .., -Sooo • J -. -~---
ARCHITECT 0111 DESIGN'Ut I M A IL AO011tE5S PHONC LIC[NSC NO. '
4
CNGINEEfll MAIL AOOllltCSS PMON[ LICENSE NO.
5
COMPENSATION_ (NS. ,CARRIER MAIL AODIIIC55 IIIIANCH
6 ,,. . .
use o, IVl',DiNG
7 j -. .-
8 Class of work: O fJEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No . Type of Fixture or Item Fee
SPECIAL CONDITIONS· ... ~ WATER CLOSET (TOILET) $
I BATHTUB ' '"iz,
.. j LAVATORY (WASH BASIN) ~ ,., )
' SHOWER .I ,.., )
' KITCHEN SINK & OISP ' '"j ) , OISHWASHER -"
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED •OR •SSUANCE BY LAUNDRY TRAY
I CLOTHES WASHER I ,,
DATE j WATER HEATER I '(,J
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 HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS . APPLICATION ANO KNOW THE SAME TO Bf TRUE AND CORRECT. WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS ANO 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
J SEWER NUMBER CLEANOUTS f'
CESSPOOL
II --SEPTIC TANK & PIT
I -I ' I ... 77 ROOF D'1AINS
--4 'l . illl • I I 'f 51GNATURC o, CONTRAC1"011t a,.;;;.;u,..ifow'1zto AGiNT (DATE) '
ISSUANCE FEE $ J
TOTAL FEES $ _..,,
SIGNATUIII£ or OWHCR 1r OWNCll't IUILOCR) 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
7-:-
Applicant to complete numbered spaces only . City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No
""610 *' • 1 I ~
7)-9~&/
JOB ADDllt CSS
?11,. ~ r .... "'lAAn T, . -. ...
LOT NO. .... T1'ACT
L.lGAL. I . •. .. tO scc. ATTAC1-1c0 SHttTI 1 ouc~. m la -
OWN[llt MAIL A0011lE5S ZIP PHON[
2 . · p O ~ :l • lmtfngtm--" . .
CON TlltAC TO ft MAIL AOOlll:£55 PHO~[ STATE LIC. NO, CITY LIC, NO, 3 Khmey Air r~Mda:iint, 2.3JJ meym.-d.--·.1n 746-5700 lS&i9.r 12 oJ
Allll(MIT[CT OJlt 0E51GNUI MAIL ADDRESS PHONE LICEN.St NO.
4
EHGfN[[llt MAIL A00111£55 PHONE LICENSE NO.
5
LEHO[III MAIL A0011l[S5 8111ANC"4
6
US[ 0,-BUILDING
7 1:'eS' .
8 Class of work: lfNEW □ ADDITION □ ALTERATION □ REPAIR
9 Describe work: .lastall flm,ace
Type of Fuel. Oil □ Nat. Gas D LPG.□
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond Units H.P. Ea. $
' Refrigeration Units-H .P. Ea. ~
·-' Boilers-H.P. Ea
•,t~. Gas Fired A.C. Units Tonnage Ea.
..2.. Forced Air Systems-B.T.U. w M Ea. '1 ~(TJ
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heater~-B.T.U. M
NOTICE Unit He&ters 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.
,-
I( n
SIGNATUfll. o, CONT"ACTOII o,-AUTHOIIIZl.0 AGENT 1DAT[) -
ISSUANCE FEE s , M ., T1111r OP' OWNl" IP' OWNUI ■UILDEflil DAT[ TOTAL FEES s 11 00
WHEN ,ROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
l '
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
.,
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDRESS ,,.
,'~ f..uL-:.iv.;.".h-.'~ : .
LOT NO, I BLK. I TRACT <OsEE ATTACHED SHEET) LEGAL I 1 DESCR. -~ ,a . :d..ts -" • .. . ·_,.,, .
OWNER MAIL ADDRESS ZIP PHONE
2 ~ & &....J. rlr,"'7;"'1 ... ,r9'/u u.& 0 &I ·-.,g --
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC, NO,
3 _I ·..ltr£C 270f ~ ,a ~.:.-'1at.~A ~ -;as -'
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 "· =-.. ,_ .. M. ~ .. -. d ·-~
7
usE or eytiti •
8 Class of work: [J NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: -:: -,. ... ,1 ., ____
·-----.,.,.
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACCEPTED BY PLANS CHECKED BY APPROIIED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 100 .2, 25 00
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 DAYS 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 T HE 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. J' I PER 100
~ I '78
SIGNATURE or CONTRACTOR OR AUTHORIZED AGENT (DATE) 1 ISSUANCE FEE . -
TOTAL FEES 27 .. SIGNATURE uF uWNErc (IF OWNER BUILDER lnAT,_..
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
.... ""' LOT ~s ~ -.. _, ~C:,'-jC) ~-.-~AQA,,Mo·~-
BUILOIUG . · ..
4
-FOOTINGS -FOUNDATION ... REINFORCED STEEL ...
MASONRY --GUNITE OR GROUT ----· --
•
• ----... -... ...
... -... -.. ... ..
•
...
SHEATHING / · '-/ • 7 j ·n/4.
INSULATION ~.;... /&,,-;f /' C)
INTERIOR LATH & DRYWALL
PLUMBING
SEWER Al,D PL/CO lf •J, 2( WATER
LUMBING UNDERGROUND 'j,/t,, 77 J-u.e.
'1 ·Z..I ·7") l,,u/4.
SHOWER 2 ,'/ S · 7 ;/ ~::/e~
TEST , 2,
ELECTRICAL
'UNDERGROUND
ROUGH -z 7, 7
CEILING HEAT
BONDING
\ I IP
MECHANICAL
DUCT & PLEM, REF.
/·Z.1·7/.! /
PIPING //4,
llEAT--AIR
VENTILATING SYSTEMS
fl
FINAL: 3" &/7f: CJ> --=-,,,._,..:.=.,r-...:..J""----':::;;_-----