HomeMy WebLinkAbout2649 Galicia Way; ; 78-4291; Permit"10PEL.NO. ----------
BU I LD NG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 J8-
App1icant to complete numbered spaces only Phone 729-1181 Permit No .
JOB ADDA £!5 ASSESSOR'S .26Q9 r-.. 1 ,.,., .• aJ PARCEL NUMBER
LO'T NO. I OLK I TRAC~~ 2 ,r
BvvK PAGE I PAR.
Ltm I 10sec. ATTACHED SH[t.TJ 1 OCSCA. ,1 -·-S"_ ... ,.
OWN[JI MAI l. A0Dllt£55 ZI p Pl"f0Nt
2 --.ll~ann -..,;• 2..; J-~9U 7~1:-i:, &&£.
CONTRACTOR MAIL ADDRESS PHON £ STATE LIC. NO. CIJY Ll',,,'jO.
3 ·.;:e· ,Si. lliclta 741..;u,::; IIS!.L, .
Alllt:CHIT£CT OR OE51GNCR MAIL AOORCSS PHONE LICENSE NO.
4
CNGINCCA MAIL ADDRESS PM ONE LICENSE NO,
5
COMPENSATION INS, CARRIER MAIL ADDRESS BRANCM
6
use OF 9VILOING ,
1 I ---·'qi ~1 ,1 NO. BDRMS NO. BATHS
8 Class of work: EINEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: /7? 'I-' ..
10 Change of use from
Change of use to
11 Valuation of work: $ /0 </It./ .,.o ,_;,I/ -1 5l -PLAN CHECK FEE$ PERMIT FEE $ •
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
Sile of Bldg. No. of Max.
(Total) Sq. Ft Stories 0cc. Load
Fire Use Fire Sprinl<lers
APPLICA\ON ACCEPTEO ev PLANS CHECKEO BV APPROVEO roR ISSUANCE ev Zone Zone Required 0Yes 0 N o J'( ~ OFFSTREET PARKING SPACES, ' ' ;/4/11 No. of
JNo. Dwelling Units No. DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING OEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH 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 ANO CORRECT ENGINEERING DEPT
ALL PROVISIONS OF LAWS AND 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.
SIGNATUflE. o,-CONT,-ACTOfl Ofl AUT.-iO,.IIEO AGtHT tOAT[)
SIGNATll,t[ 0,-OWHE.llt ,,. OWNC" IUILDE") (DAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA SH (}
'o I TOTAL FEES$ ________ _
-
INSPECTOR
INSPECTION RECORD
DAT£ REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
I "' '
FINAL r Ai\ .\JJ2i
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
-----------------------~--
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...
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181
JOB ADD" C.$5
..:;,.Q ('.b'ft. I'_ -~ r,
LOT NO, I OLK I T~AC T I
L[GAL I 1 DCSC~. ,H l tL 2 !_ f':J,1 :·, ..
O~N£11: MAIL A.00111:(55 ZIP PHONE
2
·"'" -:,, -l"h-r,,:-,,i r:u ' .•
CON TlltAC TOIII: -MAIL A0O"CSS Pt-40N[ STATE LIC. NO. CITY LIC. NO.
3 i Dl"t'."11 ft 4'}1, .•, · .-.f+n 11 ,·J ·' _8.;' ,, ' --AIICHITCCT Ofll OCSIGNCR MAIL A001t[SS PHONE L.ICCNSE NO,
4 f,
[NGIN£tA MAI L AOOlll:£55 PHONE " LIC[N5C NO.
5
COMPENSATION rNs. CARRI ER MAIL A.0O111:ESS BIIIANCl-4
6 ·.
use OF BUILDING
7 ~ 'r~ ,, -,~ -
8 Class of work: £NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: .-V,'ll • "':r,,-, .
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
,. K ITCHEN SINK & DISP
""' DISHWASHER
APPU\l'TION ACCEPTEO BY I PLANS C><ECKE OBY APP'IOVEO FQ)IJSSUANCE BY LAUNDRY TRAY Y\ ,' !\) CLOTHES WASHER
DATE 1//117/ ' WATER HEATER J
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINK ING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK QA DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. , GAS SYSTEMS: NO.OUTLETS ~ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS -~
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. I WATER PIPING & TREATING EQUIP. ,✓• ( ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CDMPLIE.0 WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE y VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE QA LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATUfl[ 0,. CONTJIACTOJI o" AUTl-tO,ttzto AGENT (OAT[)
ISSUANCE FEE $ .i
TOTAL FEES $ ...
~IGhAT ,u: or OWN[IIII 1, OWNEJII BUILO!.fll) (OAT CJ
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS
Ida' QI:,
LOT NO. I BLK. I TRACT (QSEE ATTACHED SHEET) LEGAL I -1DESCR. 2 •
OWNER MAIL ADDRESS ZIP PHONE
2 ~· .:~ .. .,-;,..-,_ \ti"· w
CONTRACTOR MAIL ADDRESS PHONE ST ATE LIC. NO.
,s Lf lt') 3 .ola 503. "· ,. ~-1-U
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE L ICENSE NO.
5
6
COmTION_fNS 9'ARRI ER MAIL ADDRESS BRANCH
USE OF BUILDlt,j<)
7
8 Class of work: •NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: Pool -. ,_.;&.Ua
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE 5 (\ ---
NEW CONSTRUCTION, FOR EACH
APl'LICATION ACCEPTED BY Tf'"S CHECKED BY APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER ,;
11.,. ?P I
DATE 7//f/JY 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 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 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 TD 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.
PER 100
p -. ,
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE .::7
TOTAL FEES II
SIGNATURE oF oWNt.R IF OWNER BUILDER! 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
INTERDEP~~FORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
G-o/1 I e.) 19::
RECEIVED
DATE: ---------
JtJL 19 1978
CIT'( OF CARLSBAD
Butldmg Department
ZONE _________ LOT SI ZE _________ 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:
ADDITIONAL COMMENTS:
OK TO ISSUE: p;z· DATE 1--t'f-78 OK TO FINAL WIA DATE ___ _
I
1 ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE ------_______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT _______ __,.,EASEMENTSfip-,t.,~ DRAINA~E ____ _
LEGAL DESCRIPTIO~~b..91L--d.:&~-~c~Lla.,;li<L~;;:,..~fu1~~-1/~~t;/__l__~~~~~-=--lz-si~SLllti~AJd.4Li£t;_j_) __ _
ADDITIONAL COMMENTS __________________________ _
OK TO ISSUE ?fi;2 DATE 1 -!'i-7 f PWI OK TO ----FINALJl})/J
I
DATE ___ _
FIRE DEPARTMENT
SPBI~KLING 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 ________ DATE ________ _