HomeMy WebLinkAbout2704 LA GOLONDRINA ST; ; 78-2558; PermitMQDEL NO. _________ _
BUILDING PERMIT APPLICATION ·
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
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LA (__ l.)LON (..J~INA
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MAIL AOOAtSS PHONE
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ASSESSOR'S
PARCEL NUMBER
B<.>OK PAGE I
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PAR.
CONTPIAC TOPI MAIL ADDRESS PHONE
I
STATE LIC. NO. CITY LIC. NO.
3 • I
' WOlS J,'J Jn.1A tv'f
ARCHITECT OR DtSIGNCR MAIL AODR[SS
4
£NGIN CCR MAIL ACOR [55
5
COMPENSATION INS. CARRIER MAIL AODfltESS
6 -I -
US£ Or 8iJILOING
7 < \,t) II ) t'Y\I i\1(-i-{)OL
1522--"l(. . 4 . . ,, ,·
PHONC LIC(NS[ NO.
PHONt LICENSE NO.
8PIANCH
NO. BDRMS NO . BATHS
8 Class of work: D<NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ 7 ' -PLAN CHECK FEE S
-1-'S::...P...:E::...C::...l...:A...:L::.....:.C.=O...:N...:D::...I_T_l.::.O_N...:S_: __________________ ~ Type of
Const
1--------------------------------1 Sile of Bldg (Total) Sq. Ft.
1-----------.-----------,...-----------1 Fire APPLICATION ACCen,D BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone
DATE I J )" a..f ·\11,,' DATE. ~h,/, y
NOTICE
N o. o f
Dwelling Units
Special Approvals
PLANNING DEPT.
.) i:_,,
(
-, . I ✓ I . -PERMIT FEE $
11 -
Occupancy
Group
No. of
Stories
use
Zone
MICRO FILM FEE
Ma~
0cc. Load
Fire Sprinklers
Required 0Yes 0No
OFFSTREET PARKING SPACES
No.
Covered
Required
Sq, Fl.
Received '
No. Open
Not Required
SEPARATE PERMITS ARE 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
HEALTH~O_E_P_T_--4-------1-------+-------~
FIRE OEPT
I HEREBY CERTIFY THAT I HAVE REAO AND 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 CONSTR1.,JCT;40N.
' I JI. I • , ., -SIGNA'l;Ullll o, CONTlltACTO" Ollt AUTHO1111!0 A.Gt:NT lDATr,,/
SIGNATUJ1t£ o, OWN!;,_ 1,: OWN[III ■UtLOE.111) {DA.Tl.)
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT.
WHEN PROPERLY VALIDATED UN THIS SPACE! THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH ( () -
.:. TOTAL FEES $ ___ / __ / __ _
INSPECTOR
INSPECTION RECORD
DATE REMARKS ,,.. OR
FOUNDATIONS·
SET BACK
TRI -
RE
FO
WE
REQUEST FOR INSPECTION TIME: ______ _
INSPECTOR /~ PERMIT NO. _______ DATE:
OWNER ________________________________ _
coNCRE ADDREss~2-J-1---=-0__,_c/?_----'--.£A--'W,-~---~--"-------------
FRAMIN
INT. LA'
EXT. UI
MASON!
FINAL
USE SPA1
BUILDING
0 FOUNDATION
n REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
[J FLOOR AND CEILING FRAME
0 SHEATHING
C FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
Cl UNDERGROUND PLUMBING
Cl 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
~ FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
~-FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
-~ FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY □WEDNESDAY )(rHURSDAY D FRIDAY
)5.A,M. 41
D P.M. l
SPECIAL INSTRUCTIONS _________ __..,__ _______________ _
REQUESTED BY __ Jc~o_i_1.Nv-_
1
__ C\_j_~--~---------PHONE NO•-----,-----,,---
PE RSON TAKING REPORT _ _..,JA,)/1)"--'-__ ..--___ _
PLUMBING PERMIT APPLICATIGN . ,. I ..... , -~
A pp ,cane o comp e e num ere p ce y. -erm 1 o. ,..., -I t
City of CARLSBAD, CALIFORNIA 92008
Phone 729 1181 b d s a son/ p IN 7J
JOB AOOft CSS
/ "7(}4 LA f OUJt\JD· I >J·'· --LOT tijO. I OLK
I T "AC T
J~r, > ~J~ LEGAL I 1 DESCO. ' --. ~-,:,
OWH[llt MAIL A.ODfll[.SS Z1 p PHOHC
2 -, ' u -:f'O$F-rH 4 t.OLDIJD '<.IN-'' OJd ,, 9 L. • I I ' -! ' ..
CONT"AC TOIi! MAIL ADDRESS (µf PHONE STATE LIC. NO. CITY LIC. NO.
3 L t..,. . )OLS 2 I,, fl<". _,A /lC; 1)22.-It:. ,'( ~4 --Afl!CMIT[C T Ofl Dt.SI CNCfll MAIL AOOIIIC55 l PHONC LICCNSC NO,
4
(NG IN CCIII M AIL ADDRESS PHONE L ICCHSC NO.
5
COMPENSATION (NS. CARRIER ""'4AIL A OOR[SS BIIU,NCH
6 V r· •i &
use OF BUILOtN(;
7
8 Class of work: ~EW 0 ADDITION □ALTERATION 0 REPAIR
9 Describe work: GAS l-lNE r::-01:-,::00L t-1 F _A 71?,"--F / '-L,,
LIN~ /:OIL PooL-
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET> $
BATHTUB
LAVATORY (WASH BASIN )
SHOWER
KITCHEN SINK & D ISP
DISHWASHER
APPLICATION ACCEPTED ev PLANS CHECKEO ev APPROVED FOfl ISSUANCE 8V LAUNDRY TRAY
j ,. ,,-CLOTHES WASHER I ) f. \A,,, I, DATE L/_/4 .hi I WATER HEATER / 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. y GAS SYSTEMS. NO.OUTLETS I I ; '--"' I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TAUE ANO CORRECT. ,
' WATER PIPING & TREATING EQUIP. I :., u 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 V VACUUM BREAKERS ' PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ; LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
1/7b& CESSPOOL r /) I SEPTIC TANK a. PIT
{.J/ ~ . A./ ROOF DRAINS " . -51GN.,T\/Jlt"t. o, CONTlltACTO'I 0" AUTHORlltD AG£NT 10•/r /I • ISSUANCE FEE $
51GNAT ftt OP' 0¥wNlllt 1,-OWN£" BUILDf.1111 (OAT(I TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT V ALIDATION 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 AD~R;s,s _ 4 . -"( H' -' ~ '· ' ... u, ._, ut-u,'lv ' r<..J ~AA L I .._.---~ ~ ..,
LDT NO. I BLK, I TRAC~ ':;A/lutf tOSEE "):1TACHEp SHEET) LEGAL I g 1 DESCR. •
OWNER 7V~E-fr MAIL ADDRESS ZIP PHONE
2 --V ':,()l(JrV DRl/t.·' -{ t. -1~41 ... ' ' I IJ ti,.. -c,~
CO~TRACTOR MAIL ADDf!ES~ C,.iY PHONE STATE LIC, NO, CITY L IC, NO,
3 I 1 .. .J '~S ' -·t --Jr '4 ,~~ -· I I . ,·--z2 '· ' . .... ..
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 ,; ;= llfE-
USE 0~ BUILDING
1
8 Class of work: Mew 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: <z/,e c. tr, c.c.-I -f--or tpoof fJUW1i? S ~ All<. 13 LO WEit-
: V t .,
~ POrJL LJ C, /1 'S
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE ~, I ,..
...)
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTfiD ev nANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
/ ../ f r -' ,, ..t/4./2,r DAT E 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
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 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 OR THE PERFORMANCE OF CONSTRUCTION.
OA J 4/J,/;, TEMP. SERVICE OVER 200 AMP. "-PER 100 t~ _/ V
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT i(oATt) ISSUANCE FEE
TOTAL FEES
s TURE of' OWNER IF OWNER BUI DER IDA E
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
1
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT
BUILDING ADDRESS:
,,f' A DATE: t270(f~L/d~ A¥>R7 1978
> CITY OF/ CARLSBAD
Building Department
. L)'jl._!;1,ING DEPARJ;MENT ._i,..,~
ZONE ___ ....,_~ ______ LOT SIZE _________ 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: ____ DATE ___ -'-OK TO FINAL ________ ,DATE, ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT"" EASEMENTs.A,b.,,e,. DRAINAGE
LEGAL DESCRIPTION tt.-f-~. Ca Dc.::.,:,..;;;/4.c..o'-_--=;i;:::._-~-..,-------,
ADDITIONAL COMMENTS ____________________________ _
FIRE DEPARTMENT
SPRINKLING 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 ________ _