HomeMy WebLinkAbout2702 MATEO PL; ; 77-8135; PermitMODEt. •NO.~---------
BUILDfNG PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm,t-No-
77-?/35 .
.JO& AOOlt ['!IS -ASSESSOR'S 42,,.tu'Z ~T~ 0 ~ PARCEL NUMBER
LOT NO. I BLK IT~' ~f-~ .... --:,(,)_,.,.~+ BvvK PAGE I PAR .
LCGAL I 4-2.'S' tOsrc ATTACHED SHCETI 1 ocsc•. \.)t,,,h..,-(o tA,~ tt>bo '-f
OWN[ft ~ th.vu:& ADDAES5
ZIP P'HOtlE . 2 M/:-"::) to~ t \t. tl,Mt:.r ,tvr~S . '( . .
CON TIit AC TO,. MAIL AOOACSS PHOM£ STATE LIC, NO, C ITV LIC, NO,
3 ,,.. r\ IOt •. .'~ ~~ ~ e,,i:,. l~, 1'{, --1., 'Z-
. ·""
A,.CHITECT OR 0C51GNCR MAIL AOORC.SS PHONE LIC[N5C NO,
4
CNGINC[R MAIL •oo~css PHONE LICCNSC NO.
5 -
COMPENSATION INS. CARRI ER MAIL ADDRESS a,U,NCl-1
6
USE 0,. BVILDING
7 NO. BORMS NO. BATHS
8 Class of work: tJ-:filEW 0 ADDITION 0 A LTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ~,N\t,V..1"16, t""O(.)\...-'l ffJ
10 Change of use from
Change of use to
-
( . Yrl" /' I --/,r ..::-1 PERMIT FEE $
~ 11 Valuation of work: $ ,,
-> J -PLAN CHECK FEE$ , -
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
S,ze of Bldg. No. of Max.
(Total) Sq Ft Stories 0cc. Load
.,.-·, --. Fire Sprinklers Fire use
APPL1C .. T1ON ACCEPT,8V PLANS CHECKED evr APPROVED FOR ISSUANCE BY Zone Zone Required 0 Yes □No
I~ , ~1
! ~ 9-/f. No. of OFFSTREET PARKING SPACES
_A •" Owell1n9 Units No. 'No. DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMl'fS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTI LATING OR AIR CONDITIONING HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR I F 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 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT.
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 CON STRUCTION.
' -\ . ...A-...,),-<--~ ~o, --..... q. I ' SIONATUfllt o, CONTflACTOJII O" AUTHOfllZ.E.0 AGt.N\, (DATC)
SIGNATUJIC 011" OWN[fl llf" OWNCfl IUILDEIIIJ [DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CASH
~ y -TOTAL FEES$ ____ .,,> _____ _
INSPECTOR
;;_;;,_S-REQUEST FOR INSPECTION TIME: ___ _
INSP'ECTOR ___ 1l_\_""Yr"-______ PERMIT NO. _______ DATE: _ __,_/ _-_S--_-_1_()=-
OWNER ___ ~-=.....:;;....,1<.-,;;,...=....;;=----~---------------------
ADDREss __ 'J-~~---\,,lt)_.....2: _ __,_~__,_._..~ ............. .........__..__½t......___ _______ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
D MASONRY
D GROUT · GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
D EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING tJ/
D ELECTRIC SERVICE //EIJ!
0 CEILING HEAT I; S/ 1
O G.F.1. .y
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY □WEDNESDAY D THURSDAY 'I-FRIDAY
REQUESTED BY_--=-><...:..>="---"':\---'--O_o_\....::...5_· _____ PHONE NO. 1 Y: \-{ ~ q J
PERSON TAKING REPORT ___ _,CJl,=-f----
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181
JOB AOOII' £55
t ,~-z. M~1(...o
LOT NO. I OLK I Ti.:·~T ( ~f»' ~ LW,L I 1 ouc~. 4-z.' ufJ,, . AJ.(\() .ooh
O~N£PI MAIL AOOPI C.SS 11. PHON£
2 "(,,.l;'l;\1-,.....> p f6Q)C;.\Z:, lu0l l ';(lltvl,.:;-, e.,...:c ,<J , .. ~ 7--=::, ?) -:.4,1.J ~
CON TPIAC TOPI MAIL ADOJH;ss PHONC STATE LIC. NO. CITY LIC. NO.
3 ~s ' 'A -.,.,. 1'-'\-\ '.'.i-t
, (, . '· ·t.-, ~ ./j.;,',.. \ .. <..,.< ' d~ 1t:..c...~C.(T~ .# --
Aflll CMITCCl 0,. OCSIGN[ft MAIL A00AESS PHONE LIC[NS[ NO.
4
tN,INE£11t ~AIL ADOIU.ss PHONE LIC £NS£ N O.
5
COMPENSATION rNs. CARRIER MAIL A001111[$5 8 11U,N CM
6
USC o, 9UIL OINC
7
8 Class of work: []'NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ::u)•Mf'A•~ ~(.,'
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: W ATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
-KITCHEN SINK & DISP
/ 1 --DISHWASHER
APPLICATION ACC/~\ PLANS CHECKEQ'e"-/ ) APPROVE O FQ~ ISSUANCE BY LAUNDRY TRAY
)} jAft,,f : . -l-/c, CLOTHES WASHER ., ~ J WATER HEATER I ) DATE
NOTICE URINAL
THIS PERMI T BECbMES NULL AND VOID IF WORK OR CONSTRUC DRINKING 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. / GASSYSTEMS:NO.OUTLETS , ,j \ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO 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 W ILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE QA CANCEL THE I VACUUM BREAKERS ~ (' <.J PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
(l CESSPOOL
•"A~lr• -1 L \ :11
SEPT IC TANK & PIT -) ROOF DRAINS
SIGNATtilllE 0,-CONTNACTO" 0" AUTHOIIIIIl.D AGEN'TJ (OATt I .
ISSUANCE FEE $
5ICNA TUfll£ 0,-OWN[III (I,-OWNtlll BlllLDt.111) OATE) TOTAL FEES $ .. ~ 1.-
WHEN PROPERLY VALIDATED (IN THIS SPACEI T HIS IS YOUR PERMIT .,
PLAN CHECK VALIDATION CK . M.0. CA SH 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 Permit No
JOB ADDRESS R-t--·· f-,..,:2. M~ t_.( )
I LOT NO. l BLK, I t'}tC~I). s.>uT\,-\ 1 LEGAL 4 "? ~ <OsEE ATTACHED SHEET)
DESCR. :;;J> .,,-Jr, u, Mr:IJ 0&6,
OWNER Pao~ MAIL ADDRESS ZIP PHONE
2 I ~ ~ ' ...\,)) \ -..,M~ ~1'-(!_jj ,'"'7:F:::, 1,; :>. SLt...tk
' I
CONTRACTOR MAIL AOORESS PHONE STAT~ LIC. NO. CITY LIC. NO.
3 I ~ ~ go--:~,-· -UC..frA tf, Ht-r~S' . h,_,.::.,. •-~.,.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRI ER MAIL ADDRESS BRANCH
6
USE OF BU ILOING
7
8 Class of work: LI NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: S(A)1M M, I',) G,. f'D04-
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE ' . . ;, • "T -
~ NEW CONSTRUCTION, FOR EACH
-'"LICATION ACCEPTEQ av PLANS CHECKED IV :1; J APPROVED FOR ISSUANCE ev AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
1--~ ,.... , .,..~ •
DATE <t-/i NEW SERVICE ON EXISTING BLOG.
NOTICE FOR EA, AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOi DI F WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDON ED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MENCED, IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS AND OROINANCE5. 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 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,
ro----~ '11· c_ h1 TEMP, SERVICE OVER 200 AMP.
_ __.,~~ PER 100
SIGNATURE OF CONTRACTOR OR AUTHORIZED AclENT (DATE)
ISSUANCE FEE ,,
TOTAL FEES 7 . ~
s IGNATURE oF OWNER IF OWNER BUILDER IDATE --WHEN PROPERLY VALIDATED ON THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O, CASH PERMIT VALIDATION CK. M.O, CASH
INSPECTOR
/
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
B'\JILDING ADDRESS:
PLANNING DEPARTMENT
I
RECEIVED
DATE: SEP14l977
CITY OF CARLSBAD
Bulldlng Department
7.0NE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED __________ _
.% COVERAGE ALLOWED PROVIDED ------------------------
BP IL DING HEIGHT ALLOWED PROVIDED __________ _
FRONT SETBACK: SIDE SETBACK:
,
ALLOWED -------
PROVIDED -------
INTRUSIONS _____ _
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
~DDITIONAL COMMENTS:
\
REAR SETBACK:
--------------------------------------
<ff< TO ISSUE: ____ DATE ____ OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION · DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT -~=====---EASEMENTs-'-'JJ~o~11..!--.:e.~--..---DRAINAGE ____ _
_ LEGAL DESCRIPTION ~T 42-5! ~. cf', 5:0. =it-..~
ADDITIONAL COMMENTS ----------------------
-\..-------------------------------------
OK TO IssuE: OIL DATE 9-lzY2 PWI ____ oK TO FINAL ____ DATE ___ _
>~--------------
FJ:RE DEPARTMENT
SPRI~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 ________ _
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PREPARED FOR: M~ ~ ?-J'.R"'-1 0N\ 'f?.c~v-s.€:
STREIT 'l-107..-1-,AA.TSO ?\-CiTY u,Rl-'SP..,o.."O
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L.
RES. PHONE 7':'>~--.:,.-"'4la BUS. PHONE _______ Map Bk. Ref. i_::; '=,\
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rz.' hlOTE
i , ADO pr Ep<.P..A.N s ~ U E-
.SCJ U-OSSIG-N --ffCEND
&®
Filttr
cQ ~
Pump E,tv. Pt.
Rth,:n
4 g ® ®
Hcse thb (Ice. Mttcr C;s Mttcr Achnt~:
~ Gra!>
Riil
I "I / --✓l t +0 \I f (J .
Slim-Ey•-Vat. Fti. C!tiner I.Jr l1;;t.l
1:w bi:I St...ab ln1ector
GENERAL SPEC!::ICK-.'.ONS
Stu \(q ~0 ~Volume ____ Cnnons
SLrlac-e ~o Square Feet, Pcrrmeter ___e_i.,_ Ffft
Depths.: Minimum 'a Feet. Maximum 8 Fut
EXCAVATION • Etevat,on at ~.l,i;, ;...-:, c; LJ'=e r:
___________ Grading -Hrs.
Oebn~ ________ o,rt __________ _
Trees _________ Oeep End Ro:ml)_;-~-----
Access _____ -=,----'O:.her __ ......: _______ _
STEEL • Soec1ul e=:,;.st-,...?,, ,Jr;: R 8 Seam :::,--
PLUM~ING • Pipe Size'. ~ct~n 2 I\ R!tu~:is _?.,_,__ __ _
F,lt" E,,.'£?,:,(. 4:3 ,.-E;: P..mp 'R l • ·• < -Z. H P.
Heater -~A.tJPP."-: .1pJ QCX:) BTU Vent by ~
F~I Ur:e ~ Ft. Skimmer \ )~:?::, :___l___
Gas hne by CM. t'Po, !?: Ler.i?h _____ rt.
Backwash to ____________ Stub: D Yes O No
Spa~ t::ooett': D:i:A.1\) 1,.,c.tb:
Spec;:,f •
----Seats ___ _
Special ------------,,---,-----
TILE • ----~-~,--Soec,al v,;.·.:,j-µ :1'l .. ..::,-;. .
ELECTRICAL • By C/S-U f RY}•_;;, Up To ____ Ft
. Lghts B::n ~ S.7!-;;: k Wan ~ ~ i Tirr.~ Clock '2'Z;;O l/Q1JT S~ial _______ _
-DECKING • By ~"Ji°'·Zc U;; to ____ SQ. rt
Coler _________ Texture ________ _
Si:icc1.il ___________________ _
FENCE • By _ _._,.,,,,....., ... >"--------To Meet Local Code
PLASTER
• SPECIAL NO'l'(S •
Pool Cleaner \LJ'2.?eQ < J t?: ~ Ad1ust. Ret. ___ _
Chlonnator _....::=-----------;h,ls ____ _ Oi\tin5 Board ___________________ _
Slide
Notes:
Lo• 4?.S U... C-,.-.,'T'.:,.. <cur.-\
\J"-' rr <o \'-1\1>.~ (.. ~ C 4
tC~OAfEI ORA~H a
Vs"==1 j~/\"'l,11 l<\4-o I $CLO.,
EAhiFDRrilA PDD~S
OWNER: To determine apprcx. el~vation of pool on da; of
excavation. To wet dcNn concrete shell at least twice daily
for seven days.
OWNER: Approves plan, pool and equipment locations.
·)
Signed ~, .,,,, /-,,,,1 'r/a ✓~V Date C, -/ ,,-. ']'/