HomeMy WebLinkAbout2712 La Golondrina St; ; 77-4993; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 'i'N ?1··77
Applicant to complete numbered spaces only. Phone 7 29-1181 Perm ii No.
Joa ADOR ESS
2712 La Golandrina St.
LOT NO.
54 I '" I ~illo Estates (□SEE ATTACHED SHEET)
OWNER MAIL AOORESS ".
ASSESSOR'S
PARCEL NUMBER
BOvK PAGE I
2 Ponderosa Hares, 140 Marine View Ave., #104, Solana Beach, Ca-92075 755-9756
PAR,
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY L1C. NO.
3 as above
ARCHITECT OR DESIGNER MAIL ADDRESS PHO'I E LICENSE NO.
4 Jim Pandolfi, 901 Dove St., Newport Beach, Ca. 752-1411 C6725
ENGINEER lvUdL ADDRESS PHONE LICENSE NO.
5 Rick Engineering, 4620 Friars Pd. , s .D. 92110 291-0707 OCE:9416
COMPENSATION INS, CARRIER MAIL ADORES$ &RANCH
6 The El:!ployers Self Insurance, 4050 Wilshire Blvd., L.A. 90051
USE 01'" &UILOl"IG
7 sinale family w./ garage NO. BDRMS 3 NO. BATHS 2
8 Class of work: S{ NEW □ ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: residentila frane • • l /J_ I ,,
Model 1103 B \-Y
10 Change of use from I
Change of use to :z '? J ? o/ /4 ~ /4.:2-, =.:::-~ ~ PLAN CHECK FEE$ ~ PERMIT FEE$ •====~• 11 Valuation of work: $
~s:P:E:c::1 A::L:c:o:N::0:1:T:1 o::N:s:,::::::::::~~---------·-·_-_-_-_-_-_-_-_-__ --1,4..T_y_p-,-◊-,-Jt---_--A-/~occupancy /-7 ,--r--Ml c RO Fl LM FEE _
Const. /// Group / -
Size of Bldg .. -'l,at'l
(Total) Sq. F~
f-------=-----,,----------~---------1 Fire APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone 3
DATE DATE
NOTICE
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· MENCEO.
l HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND 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
CONSTRU TION OR THE PERFORMANCE OF CONSTRUCTION.
"7 ..d Ac -/ t/4.s//2,
SIG,. __ u E OF CONTRACTOR 0111 AUTHORIZED .t.~£NT ;' IOATE)
5"N.liTUl'IE 0,-OWNER IF' OWNEl'I IIUILOE.,_) DA TE)
No. of
Dwelling Units I
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
Fl RE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEER/NG DEPT.
WATER DEPT.
No. of
Stories
Use
Zone
I
P-J
Max.
0cc. Load ,,,,,..-
Fire Sprinklers V
Required Oves CJ'N';;"
OFFSTREET PARKl1/G~ ACES:
No. '") No.
Covered o<.. Sq. Ft. ~en
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
-...
4 -.. ..
4
-...
-...
...
:..
--... ...
... -...
... J
LOT S$L-
·2712.· a:z1o10-1~
BUILDING
FOOTINGS 7,
FOUNDATION 7, 7)
REINFORCED STEEL .
t-!ASONRY
GUNITE OR GROUT
SHEATHING
FRAME Io · I, • J 7 h<.£
INSULATION / cJ -;2tJ -' 7 7 (;p
EXTERIOR LATH (}.
INTERIOR LATH
PLUMBING
SEWER AND PL/co7-3.77 WATER ____ _
PLUMBING UNDERGROUND?S', 7) }1._,_f
w
OP OUT
UB AND SHOWER
~ ~GAS TEST
-'\:j ELECTRICAL
... . UNDERGROUND --...
-----.. ..
ROUGH Jt) · (,. '7 7
'
CEILING HEAT
BONDING
MECHANICAL
DUCT /O·lr7?
& PLEM, REF. PIPING
HEAT--AIR
VENTILATING SYSTEMS
FINAL: _ __,A.::._~/4"---~-0_,_/'---"?_7.L-_,C/-.. _-_
/ I
. _,... ________ ..,...,....,._.,... _____ _
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No/) -~ oS I Applicant to complete numbered spaces only
JOI ADOR tss -~(.:\ ::,, fJ~ ,T H . ...ftN ll o2. lt-1 _o ~
LOT NO. I I LK I T~ACT r11t//?J~ ~ L£UL I 5LI '.J
, 1 D£5C~. lj ' OWNCft u~$/m.1 noA MAIL AODRJSS , &// Jim,,;, ti. , PHONE ....,
2 J I ,,,-/ </6.A f ' CON TAAC TOR A'
{¥_,,dSf,~ MAIL ADfAESS ,,,J;/Jd ///« PHON I; STATE LIC. NO. CITY LIC. NO.
3 , ~5::IJtJ .,,
' . ,; . --
AfltCHl"TtCT OR OESIGHCIII (/ MA1L AOORESS . PHONE LICENSE. NO.
4
tHGINCER ._,.AIL AOORCSS PMONC LICE.NS[ NO •
5
C0"1PENSATION (NS. CARRIER MAIL Aoo,-css lftalt~ /4//,JhA
BIIIIAHCH
6 I './LJ'.,, '·--.. -( _ _:lM~t ~ -r,. • ~ ---. .
use 0,. l!IUl l.OING t{ ,, Mi~.:/
.
7
8 Class of work: □ NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: dun~/ ,
PERMIT FEES
No. -Type of Fixture or Item Fe,
SPECIAL CONDITIONS. WATER CLOSET !TOILET) $
·' BATHTUB I' ' ~
1:7" LAVATORY (WASH BASIN) )
/ SHOWER /
,.. ')
/ ' KITCHEN SINK & OISP ..-i
I DISHWASHER I
APPLICATION ACCEPTEO BY PLANS CHEC~EO BY APPAOVE0 FQ~ ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
., ,,
OATE . , WATER HEATER
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. GASSYSTEMS NO.OUTLETS ,
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS . ' -APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
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 O R CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
J/ CESSPOOL
I I ';r t I 177
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE or CONTRACTOfll OR Aunloii1zco AGENY {DA TE}
ISSUANCE FEE $
TOTAL FEES $ , ..
~IGNATU .. £ OP' OWN[.flt ti ,. 0WNEIIII IUILO[fl) (CA.TC) ' 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 Permit No. it',llt~ .,!_» ?<;
JOB ADDRESS
2 7 .i.2 La. Go1.-c__: . r""'"' ru ',. -~
LOT NO. I BLK. TRACT (OSEE ATTACHED SHEET) LEGAL I 1 DESCR. 54 l Esta~ .:il
OWNER MAIL ADDRESS ZIP PHONE
2 • I." . :,sa ~ 109S1 t ·, :er I.,.;_ v·u.i.ey t iE san -1 .., & ;,. .. ' ,_
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 ric. 1tnc. 21 _ ,· .:; Avo . &l,LII;; -,l • I . J l
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7 ( 1r-,
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: El cttical ~n inisb
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
A""LICATION ACCE,TEO BY nANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, lOC .25 25 o, FUSE OR BREAKER
DATE 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 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 AND KNOW THE SAME TO BE TRUE AND 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 TO 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
.?
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE 2 00
TOTAL FEES .t. I J~
~IC.NATURE nF OWNFR IF OWNER BUILDER! DA •
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
..,,. . . ~~-
'
•r ,
• MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI ADD" [55
,> I ... / Jtrf:_4-')l.r1.J ... ,t._ ~
LOT NO, Im I T"AO l[JSEE ATTACHED SHE(T) LlGAL I _,/ ,hJi.f~ ~1.,·! 1 DlSC"• ,
J/
OWNCIII MAIL AO0AC55 ZI • PHONE
2 /1 , ... /i_ /tu , )l t1 I 1...',.,,.f, ,r ~ /., I, '{! I.J) /({ L . .I I
coj T,u,c TOIII ' MAIL AOORCSS . PMONt STATE LIC, NO,
3 / 1 ,, ,..,_?,1 •-S3 ' V./l'tl'i f.J~ f _"') 7/.._ • le., . ' ...
ARCHI TECT 0"-0£..SICNEIII . MAIL ADDA[~'$ PHON E LICENSE NO •
4
CNGH-,[EA MAIL AOOACS5 PHONE LICENSE NO,
5
LEM DC9' MAIL AODAESS 91'1:ANCH
6
USE 0,-IUILDING
7 I, ~ .... 11', ~ .I....,,, ,.-/~ • .A --• -' I
8 Class of work: 9"NEW □ ADDITION □ ALTERATION □ REPAIR
9 Describe work : ... :-J,r J.f?t (' f ~ x,.., /). {"'\ ~/-"/.I .k'11, J
(
Type of Fuel. 011 □ Nat. Gas D LPG.□
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment
Air Cond. Units H.P. Ea.
Refrigeration Units-H .P Ea.
Boilers-H.P. Ea.
Gas Fired A.C Units-Tonnage Ea.
I Forced Air Systems-B.T.U. }J~o M Ea.
.. P,uC,UION ACCEPTED ev PL .. NS CHECKED BV APPROVED FOR ISSU•NCE BV Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heaterr. B.T.U. M
NOTICE Unit He&ters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 MENCEO. Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO 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.
r .,I. ( /! 7/1..-/1-1 ' I ~
SIGNATU"lt 0,-CON'T"ACTOIII 0(111 AUTHO,t1zr:0 AGENT (CATIE)
ISSUANCE FEE
•fcHATllftr o, OWNUt 1, OWNEIII 9UILOr:i. OATCJ 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
s
s J
CASH