HomeMy WebLinkAbout2712 MATEO PL; ; 79-135; PermitMODEL NO.___________ ,
BUILD1NG PERMIT APPLICATION
c·t of CARLSBAD CALIFORNIA 92008 BP ,y ' I /19/789?99-/~4.01;
Applicant to complete numbered spaces only. Phone 729-1181 Perm 11 No.
JOI! AOOR ESS
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;_-/2-LR-PARCEL NUMBER
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BOOK PAGE I PAR,
1 ~i~~~. (OSEE ATTACHED SHtETI
OWNE1'1 ' ?7 ~•~oo,~ f>sT,.,...--. Y\._ l
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CONT RAC TOR
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MAIL ADDl'l(SS ~ /4;;;:~ R-i~ATE LlC. NO, CITY LIC. NO,
3 'P./,' -/.-? -to~'-7. -Zo7.3_s-1 ~ T? ' iE~tOA.}
ARCHITECT OR 0ESIGNEl'I . MAIL ADDRESS , PHONE , l.lCENS( ,(o.
4 J7Cf63
ENGINEER M.-llL .l00RESS PHONE LICENSE NO.
5
6 COMP;,S~ION;:!:-l?7-,
MAIL .-l00l'IESS Bl'l.&.NCH
1
USE OF BUILDING E ~s I NO. BORMS NO. BATHS
8 Class of work: &f:NEw □ ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: -1/v:-;-, ~ ... r -4.-l'.>od:z
10 Change of use from
Change of use to
11 Valuation of work: $ tf', -;_t.f-D. u" PLAN CHECK FEE$/ '8, tJ?} I PERMIT FEE$ ~ (,,. c/7)
MICRO FtLM FEE
SPECIAL CONDITIONS, Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) SQ. Ft. Stories 0cc. Load
Fire USO Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED SY APPROVED R ISSUANCE BY Zone Zone Requned Oves □No
DATE ///:th9 No. of OFFSTREET PARKING SPACES:
Dwelling Units No. 1,No.
DATE Covered Sq. Ft. Open
1-11-'1'11fc NOTICE / / Special Approvals Required Received Not Required
SEPARATE PER ITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE 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 ENGINEERING DEPT.
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WI~ BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, li GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE T~~ TY TO VIOLATE OR CANCEL THE a~-,• IONS OrY TH R st ATE OR LOCAL LAW REGULATING 1 ONST R.UCTIOr OR TH PEI., FORMA E OF CONSTRUCTION.
~ ...,....._ ' \~ ' -1-1 7, 79
51\GN TURE 0"lVC0NTl'IAl!(0llt 01'1 AUTHORIZED .-lG[NT !D.-lTEf I
SIGN.-lTUl'IE 0,-OWNER 1,-OWNER IIUILOER) DA TE)
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$ at/-. trf}
REQUEST FOR INSPECTION TIME_· ______ _
.--· -? ., / ---2 /::,~ DATE: INSPECTOR = ~ ~ERMIT NO 6 _ _;; _.,-_ ?'l
OWNER_7,~'b'-----~•~:;>Cu.· __ ~_. k __ J--t__._J,_.?_~----------------
ADDRESS ____ ---,,J,,,___,7~/ ,~)._ __ -_f'Y1_12_· ·_-r._e.V_·_f_'f)_O/t_..lL--_____ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
D MASONRY
D GROUT· GUNITE
D FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY
DA.M. f\ DP.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC of< 0 POOL BONDING
0 ELECTRIC SERVICE 1/j' 0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
✓
( ,,0~/J P£vK r.,-,v•
t,.n 7 /1 ,;.X ;tJ ~ I'd MIT 1
MISCELLANEOUS /
l?t'9' µ11' (J, ' 0 PLENUM AND DUCTS/_,, ,If ,(l,;I~
0 COMBUSTION AIR /
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
-· D WVIE~D>rNiiiE~S;[D>JAI\Yfr:□hl'ttl-RSQ!A Y D FRI DAY
REQUESTED BY~1?E~=~~--}~(1M~_"l✓, __ v__,,@'-"~'-"--:,,,=c__1
____ PHONE NO. _______ _
PERSON TAKING REPORT _______ _
..... ·--···---
.
PLUMBING PERMIT APPLICATIOt>i ,
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No lo/ -1
JO & A00 " CSS
·'Al',. IA fiu<..T'lt
LOT NO,
LCCiAL I 1 cue•.
I TUCT ! ,, .. -<.-rA <v:
MAIL A.001111 CSS 21 p PNONC O~NCft
2 -~Tc.=.-o It,
CON TfllAC TOfll MAIL A DOACSS ti PHONE STATE LIC. NO.
3 __ /;<'.,( ,£1 II I
Af':CHI TEC T OJI 0 £51GNC,. ., MAIL AOOfltC~S
4
tHGINECIII MAIL AOORC55
5
COMl"ENSATION (NS. CARRleR
6 • ,, •. ~ ~ MAIL A DOlllESS
use OF 8UILDINC
7 I
8 Class of work: □NEW 0 ADDITION 0 ALTERATION
9 Describe work:
,
I 1, ''" ,-:1.~,·" e r r:: ,4 <.. I I ,.__, , --;-
;-) f .. -r.
SPECIAL CONDITIONS
APPLICATION ACCEPTEO BY PLANS CHECKED BY APP~OVEO~fOR ISSUANCE 8V
NOTICE
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.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION A N D KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMl"LIED 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 CONSTRUCTIO N OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATiiPtt a, CONTfU.tT0911 f)IIII AU TH0 .. 11£0 AG[Nl IOATC)
SIGNATUfllt. OP' O'WNUII ll" OWN[Pt IIUII..DtPt) (DAT £)
PHON t LICCN.SE NO.
PHONC LICCHSC NO.
BIIIANCH
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
I WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
_i GAS SYSTEMS: N O. OUTLETS
/ WATER PIP ING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK&, 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
$
LJ
::;. ,fb
...l • .,
$ J·
$ I/. i
CASH
OP
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181
. , ..
Permit No ? /37 1
•
0
"
OF
J08 ADDRESS I ' /~, -S T"A , in.,-;_-,. I 1-Ae..L . '-· '•
LOT NO, I 8LK, I :;ACT ~ < ~ (OSEE ATTACHED SHEET) LEGAL I 1 DESCR, /./ 'I'.., D"'N /J ,,
OWNER I t.J1'JJ1t'l...;,.._A t'{' .
MAIL ADDRESS ·~fA-r-eo -ZIP PHONE
2 ,, 1--L , /?~-6 .J
. ' . . , . '': l: • /.·
CONTRACTOR
f \ , 'A.I
-, MAIL ADDRESS 1i,{'(1t,,v
~ PHONE Ft:. STATE LIC. NO. CITY LIC. NO,
3 /,.c J::,, ... J '5 -,I :.r ?. . ; . , -, ~ C, i~• ,· .,. i , .
ARCHITECT OR DESIGNER ,, MAIL ADDRESS PHONE . LICENSE N0.f
4 I -_. .,
ENG !NEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER---~• MAIL ADDRESS 8RANCH
6 I-, //
USE OF BUILDING I
1 l -
8 Class of work: □NEW ~ ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: fJ'/2<1 &_j,,.e;~,G -1-(j c" -. I .rr I 1-~L-
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE .
\ 5 u'l
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACCEPTED ev PL.ANS CHECKED 8Y APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
DATE //2,Ar; NEW SERVICE ON EXISTING BLDG.
I , I I . ~ NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BEC MES 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 AND EXAMINED THIS INCREASE
APPLICATION AND 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 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.
\:t-t /( 0 TEMP. SERVICE OVER 200 AMP.
PER 100 --.... t
' SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) , ISSUANCE FEE ....
TOTAL FEES ... /
~ •TURE nr OWNER F OWNER BUil 0ER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
-\
• I
,,/ .
~NTEIDEPARTMENTAL INFORMATION SHEET
DATE: REC EI \'' -~ D BUILDING DEPARTMENT
BUILDING ADDRESS: '.d-11 'd-M ~ f\_ ~ JAN 1 7 1919
f ·~RLSBAD '± ff'v ~-1 ~ 8ulldlRJ Oepartmeot
PLANNING DEPARTMENT
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
SCHOOL DISTRICT FEES: ,
ADDITIONAL COMMENTS:
AMOUNT:
OK TO ISSUE: DATE J-/J-79 OK TO FINAL _______ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS __ ~---------
_______ EASEMENT)? /0 1 Wu.W /;f,:.~,..,,.f DRAINAGE. ____ _ .,, .,. "f;.., II# J,o.,~J..y .
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 _______ _