HomeMy WebLinkAbout2652 LA GRAN VIA; ; 77-9621; Permit.. ....
MODEL ·NO. _________ _
BUILD NG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Ph 729 1181 Applicant to complete numbered spaces only. one -Perm~t-No. .• ,., :
JOit ADDR C.-S ASSESSOR'S
;_ \OJ£. l-~ I ...... --PARCEL NUMBER
LOT NO l"LK 1 r••cr BVV1' PAGE I PAR. LW.L I tOsct •TTACMEO SHCt:TJ 1 D£SCR.
OWN CR MAIL AD0"C95 ll p PHONE 1'3 2 -,_ ,l~t:;.. 2..(, :,,C!A f,...) iJ, p,,. ('"l,?,-w~~ -\ -
CONTRACTOR MAIL AOORCSS PHON E STATE LIC. HO, CITV LIC. NO.
3 ~
AR(HI TCC T O" D£51GNCIIII: MAIL ADORCSS PHONE LICC.N5C NO.
4
ENG IN CCR MAIL ADDRESS PMONC LICCN 5C NO.
5
COMPENSATION INS, CARRIER MAIL AOOIH.55 8RANCM ,
6 ......
USE Or IUILOING
7 ,;,0:5=" ")(/c ~ --· NO. BDRMS NO. BATHS
8 Class of work: 0 NEW 0 ADDITION 0ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: C:: fY'()Vt! (.,.'-.t,' I}.) I ,)r::,r>L v -<.,)(It:£ I...., J (" '"'flA.JO '5 I f. (,D 1 'l5 H tJ ft::~ !:l, FO ,.._.,,
z. ~> r-:ee-... ,_, .... ~r.t.
10 Change of use from
Change of use to
11 Valuation of work: $ '5oo ,_-
PLAN CHECK FEE s ) "Ll? I PERMI T FEE $ ✓
,_
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
co,,st Group
Sile of Bldg No. of Max
(Total) Sq. Ft Stories 0cc. Load
/} Fire use Fire Sprinklers
APPLICATION ACCEPTEO 8Y PLANS CH~CKE D ev APPRAISSUANCE ev Zone Zone Required OYes ONo
No. of OFFSTREET PARKING SPACES·
Dwelling U nits No. I No. DATE OA"I. Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, V ENTILATING OR AIR CONDITIONING. HEAL TH OEPT.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE OEPT.
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 REAO AND 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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. -\
'--SIGNATUI'[ o, CONTftAC TOIII Ofll AUTHOlllltC.O A(i[NT , IDATC)
~
~ ~l >1
•IGNATUl't 0" OWN(.ft If' OWNEfll BUILOtlff (OA T[)
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
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUN I TE
D FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 lf)lil'ERIOR LATH OR
[1;?""" FINAL
PLUMBING
DRYWALL
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
: ::"" ~""iiJ;J;J' ;Jjl'tiJt"
SPECIAL INSTRUCTIONS __ □_P_.M_._f_,~rn~_· ____ a&:a~~~~~-~=•~~--~\-·~/_-~_-, __
READY FOR INSPECTION:
z REQUESTED BY __________________ PHONE NO·-----,~lio"I'..,..._ __
PERSON TAKING REPORT _______ _
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 1"' ": ~ 7 :na ~~ ; -:,.r 'J
Applicant to complete numbered spaces only. Phone 729-1181 Permit No 7-1~✓
JOB ADD" C$5
LOT NO.
C[G4• I 1 ocsco.
I TUCT
OWN[" MAIL AOD .. [SS
2
CONTIIIACTO" MAIL ADO,tCSS
3 -( _)
MAIL AOOIIU:55
4
ENGIN[[III MAIL AOOfH.5S
5
MAIL AOO .. E55 COMPENSATION (NS. CARRIER s I
6 ••
use o, BUil.DiNG
7 J·. . ...,.
8 Class of work: ~NEW 0 ADDITION 0 ALTERATION
.....
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED1~0R ,ss.\!ANCE BY
CATE /,-~
NOTICE
THIS PERMIT BECOMES NULL AND VOI D 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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.
SIGNATU"E or CONTJIACTOIII o-. AUTHO,tllED AG[NT lDATCI
tOATCI
PMON[
PHONE STATE LIC. NO.
P~ONC LIC[NSC NO.
PHONE LICCNSC NO,
l!UIANCH
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
"3,." WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
I GAS SYSTEMS. NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
U'<WN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC T ANK a. PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY LIC. NO.
..
Fee
$
I '$0
$
$ , ., -~
CASH
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008Perm·it No t ~J'o//?12"
Applicant to complete numbered spaces only Phone 7 29-1181 'ii f"'
JOB ADDRESS I
LL""• C. , vtr -
LEGAL 1 DESCR,
I LOT NO. I BLK. I TRACT <OsEE ATTACHED SHEET)
OWNER b6e-4---MAIL ADDRESS ZIP 4-HO~
J./ '' 1 2 ,...-. "' I l ' r.,/1 I• t/10 ,.~..>1.18 ..
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC, NO,
3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENG !NEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 . ' --
USE Of BUILDING
7
8 Clau of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
.
9 Describe work: >--€.M ,ctJ..c,l al k..-tc VT-<,.__
PERMIT FEES
No. Each Fee
SPECIAL. CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
. -
NEW CONSTRUCTION, FOR EACH
AnLICA TION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUAr,jl:E BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
D ATE _/i ~ NEW SERVICE ON EXISTING BLOG. FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR ~RE.AKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, A-LTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM C, j ' MENCED. IN SERVICE, FOR EA. AMPERE OF c; 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 OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INC LUO· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION DR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
PER 100
-•
SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT (DATE) -~ .,..
;l ISSUANCE FEE ~ .,. "'!,,:L_-Ji;; )t l ' , E,.;,. . I TOTAL FEES ' C.IRNATURE nF nwNER IF' OWNER BUI DER 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