HomeMy WebLinkAbout2649 GALICIA WAY; ; 76-4931; Permit•
·MODEL NO. __________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm It N 0
JOB ADO!lit ESS
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ASSESSOR'S
PARCEL NUMBER
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f•.U,IL AOOR[SS PHONE STATE LIC. NO. CITY LIC, NO,
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MAIL ADDRESS
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LLC[NSt NO.
[NGJNC.EA MAIL AOORE55 PHON C LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL A OOIIICSS BA,t,NCH
6
use 0,. 9VILOING
7 NO. BORMS ii/ I NO. BATHS
8 Class of work: IS.NEW 0 ADDI TION 0 AL TE RATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: M
10 Change of use from I 1/)tf-
Change of use to
11 Valuation of work: $ PLAN CHECK FEE S ~~ I -----PERMIT FEE S
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1-S_P_E_C_I_A_L_C_O_N __ D_I_T_I_O_N_S_: __ ,, ________________ --1 Type of I I; ,'
Const. _. _ -I
Occupancy •,,"
Group
MICRO FILM FEE -
~------------------------------1 Size of Bldg ~ (Total) Sq. Ft. u
APPLICATION ACCEPTED BY PLANS CHECKED ev APPROVED F6R ISSUANCE ev
DATE
N OT ICE
SEPARATE PERMITS A RE 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 CER TIFY THAT I HAVE READ A ND EXAMINED T HIS
APPLICATION AN D KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVIS IONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETH ER SPECIFIED
HEREIN OR NOT, THE G RANTING O F A PERMIT DOES NOT PRESUME TO G IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OT HE R STATE OR LOCAL LAW R EGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGN ATURE o, CON TlltACTOflll Oflll AUTHO"IZ[D ACtNT IOATE )
51GNATUflllE Of' OWNtllt 11, OWNEIIII BUILOC,t) OAT£)
Fire V
Zone ?
N o. of J
Dwell,ng Units
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
Max. -' No. o f
, Stories 0cc. Load
Use J J Ftre Sprinklers
Zone Required DYes
OFFSTRE5,i'-fARKINj SPACES:
No • f No. Co~ered ' .>o, .Sq. Ft. J Open
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
,; r ._J
TOTAL FEES $ _c.c.~_1{!.c=~....;;? ____ _
INSPECTOR
INSPECTION RECORD
DATE REMARKS
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL 7 -//-?-;
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
12-7-76 Fdn. Forms-Okay B. Nelson.
1-31-77 Roof Insulation -Okay Lloyd. -----
2-3-77 Roof Nailing -No_r.orrectians i n folder B.-Helsan.
2-10-77 Roof Nailing -NO Corrections in folder . B. Nelson.
2-15-77 Roof Nailing -Okay B. Nelson -----------------
INSPECTOR
/7A
/&.?~ ~
2-l5-77 Frame -Okay B. Nelson. -------------------------------
4-21-77 Insulation : Partial O.K .. Frame: O -~-_B._____,,N~e=l=s=o=n=-------------
4-28-77 Insulation -Okay B. Nelson.
5-13-77 Drywall: O.K. B. Nelson
0 J
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No l'J ( -
LCGAL I 1 DESt•.
OWH[ft
2
I TUCT /.3 a ,,-;p
MAIL A00A£SS ?IP
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PHONC
-I
--
CON'TIIIACTO" MAIL AOOR[.S5 PHONE. LICCHSC NO. STATE CITY
3 ,r~ ~
AIIICHIT[CT Oft 01:SICNC" MAIL A00ft£55 PHONC LICCNSl NO.
4
£NGIN[£" MAIL A00"CS5 PHONE LICENSE NO.
5
COMPENSATION (NS. CARRIER MAIL AODftESS
6
USE OP' 9Uh ... 01NG Lr 7 .
8 Class of work: CJ NEW 0 ADDITION 0 ALTERATION 0 REPAIR
q Describe work:
SPECIAL CONDITIONS.
PLANS CHECl([O BV
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 Bl:' TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED Wl"TH 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.
(DATC)
SIG'-ATUl'lt. OP' OWNUI fl,-0WNl" I IJILOl"J ·~•TC>
No.
·-
PERMIT FEES
Type of Fixture or Item I Fee
WATER CLOSET (TOILET) '-" If-:"._-· $
BATHTUB ~,t_·.,
LAVATORY (WASH BASIN) ·I
SHOWER r
KITCHEN SINK & DISP. /• ~~ /
DISHWASHER /, 50 I
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
GASSYSTEMS NO.OUTLETS
WATER PIPING & TREATING EQUIP. ' WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER I
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
PERMIT
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION CK. M.O CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
12-6-76 Soil line and Underground Plunb.-Okay B. :•Telson.
2-15-77 Rough Plumb.-Okay B. Nelson.
4-8-77 Gas and rough: O.K . B. Nelson
INSPECTOR
O· 0
ELECTRICAL PERMIT APPLICATION -72 ~ a-n••57.C
City of CARLSBAD, CALIFORNIA 92008 {
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No fi --5/{t-:
:0.
JOI ADO" CSS ., C .tHt. w / ,?// at:',...,_
LOT NO. rLK I TU.CT (•SEE. ATTACHtD SHI.ET) LlGAL I ?:? 1 ouc•. C017A -,
OWNUI MAIL ADDN:C-!li5 %1 p PMONC
2 :tJOSl'rk/ /'/L' / z . ~r ., /
CONTflACTOlilll MAIL AOOIIICSS PHONE LICENSE NO, STATE CITY
3 r/10//~~y,-r ,,4, )/(/',, ~Ir/ .)
A"CHITECT OJII OUSIGNUI MAIL A00,.ESS PHONE LICENSE. NO,
4 I /t<./C~ -....
E.HGINEEfl .... AIL AODflESS FIHONE L.IC~NSI NO,
5
COMPENSATION INS CARRI ER MAIL ADDJll:CSS ' 9fllANCH
6
USE. OP' •UILOING
7 -:-,,/ R.r-r
8 Class of work: Ill NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: /vnv ti'" c" c C IF~tf"//c' /.IVC.
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
.._,i
NEW CONSTRUCTION, FOR EACH ,,
APPLICATION ACCEPTEO 8'1' PLANS CHECKEO BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, !]1; FUSE OR BREAKER t ,, DAT E / ;J./:J/) NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INr.REASE
NOTICE IN MAIN SERVICE, SWITCH , FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAY!> AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL. PROVISIONS OF LAWS AND ORDINANCE!> GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN DR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD-I PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE 6 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. (
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Ir
/J / p /;•7 TEMP. SERVICE OVER 200 AMP. a ~~i',✓ a /A ;;, ~ PER 100
' 'A..
81CINATUllllt 0,-CONT .. ACTO" 01'1 AUTH4Rl1&:D AGC:NT / (DATE) q ~ 1,
:.,/" ~r( PERMIT FEE ;-7 f. . fl..L:l' ' f' ~ .._), (
• ...... Tllfllt nr O'J1W'MER ,,. OWMUI au1LOIUI (DATI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
12-7-7 6 Temp . ~lee.-Okay B. Nelson.
4-21-77 Rough Elec . O.K. B. Nelson
MECHAWcAL PERMIT APPLQATION 0 '-~ 0
City of CARLSBAD, CALIFORNIA 92008 z DJ
"' )>
Permit No. ;o 0
Applicant to complete numbered spaces only. Phone 729-1181 -/A l 0 --, "Y_ ;o
"' JOII ADOllt [SS ~ .,.... -._c? "' "'
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/_J ,A.,. LAl'1,., r -A r LOT NO.
-._, ,-.,. lmr I TIUCT -. -;, -
LE.GAL l0S£E ATTACHED SHEET) 1 ouc~. , / ~
OWNE,. MAIL A00fllESS 11 P PHONE
2 -• J)-? /), -._,., ~-l. [,, ~ ,,,, . ~
CONT,.ACTOJI: _, .....,..__,,_.._ ---·.: --MA l L ADOfll £S9 ~ ·--.. ~· PMONL < LICENS[ NO,
3
...-'"l,c .. •1,J .t.1-.... .,,_,r' ~.,, ~L ~--· -.:--~ J ,.. ~ ~Ii 4 0 /{, _.::, .. .. ·----~ .,-.
ARCH11"ECT OA 0E.SIGN£fll • --~ -, ...----.. MAIL ,t.t)ptll!S'S-....-..-·-..,r,r .,..._ r FIHON., ",.,__, '•·--'-·"I.ICENU MD. f' I'._.,
4 ✓ -0 ct>
ENGINEER MAIL AOOR:E.SS PHONE LICENSE. NO. 3 -5 -:z
L ltNDE.fll MAil. AOO,.t:SS 9fllANCH '."'
6
USE 0,-IIUIL.01NG
7
8 Class of work: •NEW 0 ADDITION 0 ALTERATION 0 REPAIR ,
9 Describe work: ) / -· ,, / /_ _/_ .,, _I' .A .
~::,,0---~---...... ~ ...... -_.. ~. .__.(1 .~-----~ ---• . -
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 A.C. Units-Tonnage Ea.
Forced Air Systems B.T.U. ,, .,... £\. M Ea. I ~ r J/1
APPLICAllON ACCEPTEO ev, PLANS CHECKEO BV APPROVEO FOR ISSUANCE BV Gravity Systems-B.T.U. , .............. -.,,..: M Ea. ,-
,k Floor Furnaces-B.T.U. M
.,,I Wall Heater~-B.T.U. M
NOTICE Unit Heaters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND 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.
?, f (.,
A .-i/ }; ~
~IG~ATUfll. 0,. CONT .. ACTO'-OPI AUTHOIIIIZEO AGtH"T.,.__. ....,... ' (DATl:I r ,r
-,; I PERMIT s
TOTAL FEE $ , [oh...-;. i,•
~IGN.&.TI ,-;ir. o, OWNE:fl "" OWNE.fl aulLDt:ft) (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
INSPECTION REPORTS
DATE ITEM
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
2-15-77 Duct. -Okay B. Nelson.
1-21-77 Duct s : O.K.
REMARKS INSPECTOR
INTERDEPARTMENTAL INFORMATION SHEET
DATE: ------DING DEPARTMENT /2/
""-'' LOI NG ADDRESS:_~2:.::......:&~t/__:_f------.--,0,£...:/Ja~~~~~~~~_,L..I---R-E_C_E_I_V_E_D_
NOV 51976
CITY OF CARLSBAD
PLANNING DEPARTMENT Building Departmer
LOT SIZE _____ -+-( ______ LOT WIDTH, _________ ZONF {_: 1-1
UNITS PROVIDED _____ J .LLOWED _____ PRKG. SPACES PROVIDED ~EQ. __ _ ----% OF COVERAG ____ ALLOWED _____ ~G. HEIGHT ---
ONT SETBACK ___ ---J..,1SIDE YARD __ ·-------~·~ ~~YARD _,__.-
_1\JVIRONMENTAL PROTECTION REO'TS. .Y LANDSCAPE PLAN-1-1'---J'"-l'-----
ADDITI0NAL
ALLOWED ____ _
ENGINEERING DEPARTMENT
R.0.W. __ __..E--=:;.-,X:.r.=r../ ........ <t::::;;.J..L-/'_,7---=-#--=G:-=------' NDUSTR IAL WASTE ~
IMPROVEMENTS (5=,q-s-nuG SEWER CONNECTION ~'. /) -
)RIVEWAY LOCATIONS_-"'O;.,.,c,c.~_,,,__ ____________ GRADING PERMIT ~,t6f
:ASEMENTs Alo ,,v IS' DRAINAGE SK'1~
.EGAL DESCRIPTION <-OT 9 3 ~ · C, S'c> -j#:-/ '---'--L---'--'--/-,-----==---__;::-""'-..::..,_:;-----------------
ADDITIONAL COMMENTS. ___________________________ _
ISSUE PERMIT __ ~~----DATE 8A/0JIY~ OCCUPANCY fW )17 DATE 2s.:ru1..77
FIRE DEPARTMENT
SPRINKLING SYSTEM ____________________________ _
FIRE PROTECTION EOUIPMENT ____________ FIRE ALARMS. ________ _
EXITS _________________________________ _
FIRE HYDRANTS ___________ _ LOCATION, ____________ _
ADDITIONAL COMMENTS ___________________________ _
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE ____ _
.V ATER DEPARTMENT
-MWD __ _
ADDITIONAL CO
JE PERM
t TO PLANNING ______ .........
RNED TO BLDG. -------RETURNED TO BLDG. DEPT. ___ _
Owner's Name:
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
R. Dragojlovic
-------------------------
Mailing Address: 2352 Altisma Wy #6
Carlsbad, Calif 92008
~ervice Address: 2649 Galicaia Way
lot 93 La Costa South unit 1 TrRct Description: _____________________ _
l
Phone No.
Type of Building: single family No, Units $500.00 Connection Charge ___ · __ _
Lateral Size: 4" 6" 8" Saddle:
Extra footage: ___ @ $ __ _ Easement Connection
Extra depth: @$ __
Amount Rec'd$ 500.00
How PaidCk#l62
Date P aid-.1"1'-2"'3'--,.-6----,
Rec'd bv G. FRanKlln
---
Lateral Charge
Total $500.00
The application must be signed by the owner (or his authorized representative) of the
property to be served. The total charges must be paid to the District at the time the
application•is submitted.
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that part of the sewer system that extends_ froin the
main collection line in the street (or easement) to the point in the street (at or near
the applicant's property line) where the service lateral is connected to the applicant's
building sewer. The applicant. is responsible for the construction, at the applicant,s
expense, of the sewer pipeline (building sewer) from the applicant's plumbing to the
point in the street (or easement) where a connection is made to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be made
by the applicant at his expense. The connection must be made in conformity with the
District's specifications, rules and regulations; and IT MUST BE INSPECTED AND APPROVED
BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT. THE APPLICANT, OR
HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE TIME INSPECTION IS DESIRED.
ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLECTION LINE WITHOUT PRIOR APPROVAL AND
INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED.
After connection is complete, the property described above is subject to a monthly
sewer service charge, billed bi-monthly in advance. The rate will be governed by the
use of the property, single family, multiple dwelling or commercial •. Non-payment of
the sewer service charge is subject to a 5% penalty per month, plus disconnection if
necessary.
The undersigned
~ions as
Owner's
rees that the above information given is correct and agrees to
11-23-6 5675
Date Account No.