HomeMy WebLinkAbout2717 LUCIERNAGA ST; ; 79-971; PermitMODEL NO. ________ _
BUILDTNG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No 1f-f 7/
Joe ADDRESS ASSESSOR'S I "J.717 I-u. e,1;=1v ff 9 RR PARCEL NUMBER
LOT NO. I"' l ~ /, -1,u m. --J.
B...,...,K PAGE l PAR.
LEGAL I o<.Jll
h (qSEE ATTACHED SH[ETI l 0uc111. -. y :2,..
OWNER MAIL AOOIIIESS '" PHONE
2 Ntck I< /:l'/20/...'1 1717 L v "·,:;",a q Rf:l 'i38-~3 croc,
CON TIIIAC TOIII T MAIL ADDRESS e t~AJ'#PHONE STATE LIC, NO. CITY LIC, NO,
3 FLoo,,;..1 Oool5 /1./2. 7 CJ~ ... "" ...... OR. J./1/q .. , 7q :'! C:..S3-Jl'li8'f / .1'-/ I,, q
ARCHITECT OR DES\GNEIII MAIL ,1,00RESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICE"ISE NO,
5
6 co~;;;:: ~Ns;:;7.:~_ UMf~
MAIL AOOIIIESS BRANCH
US"E Of' BUILDING ,
7 Bu ,v,r1=. Swt"" •· ,ft.,. Po,,I NO. BDRMS NO. BATHS .
8 Class of work: llilNEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: f;v,1.11T~ ~WIM • Po<>L .L/;20 Li:[ /lA,/••A
V
10 Change of use from
Change of use to
11 Valuation of work: $ -6_ S-c.J.)... ' PLAN CHECK FEE$ // I PERMIT FEE $ 3?
SPECIAL CONDITIONS, MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) SQ. Ft. Stories 0cc. Load
Fire u,e Fire Sprinklers
APPLICATION ACCEPTED BV PLANS CHECKED BY AP~OR ISSUANCV· zone Zone ReQuired Oves □No .,?-.,.L~N. OFFSTREET PARKING SPACES:
DATE ~/,1./Ji No. of I No. Dwelling Units No,
DATE • Covered SQ. Ft. Open
NOTICE / , Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT,
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUC·
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 REAO ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND 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 S"TATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
1-. P. tu)..~ '3-~ -1'1
SIGNATURE 0,-CONTJIACTOJI OJI AUTHORIZED AGENT (DA TE l
SIGNAT JI[ 0,-OWNEA IF OWNEA IIUILOEJI) !DA TE)
WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $_...,£;..c..-,,1/. __ , ___ _
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
' I
FINAL ~ I)\® x~/
I \J "./
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
~, ; ,
PLUMBING PERM IT APPLICATION ' I I 11.uu
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No 71-97.J..
JOB AOOA CSS
J.-vc jk I TOACT ~/lt.b-k /IJ<...
OWM£11t MAIL A 00 .. CS5 ZIP PHOHC
2 )!,/; (V fJ Cl. {<f;. .
CON TAAC TOA MAIL ADOA£5S Pl-jONe .,-STATE LIC. NO,
3 "' '-' (.J tJ ,;_ f.)/2 i.ner·~
Alll:CHITCCT Ofll 0£51GNtllt MAIL AO0fll[S5 PHONE L.ICCN:SE NO,
4
t.N GIN[Cllt MAIL AOOA£5$ PHONC LICENSE NO.
5
COMPENSATION CNS. CARRIER~ ""'AIL AOOACSS
6 /LA_
use or BUILDIN G
7
8 Class of work: O ~EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: f 11. I.. . "' ·~ 1 0 t )(.l ,L
.. .,
SPECIAL COND ITIONS.
I 1 µ1;_
No.
PERMIT FEES
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN )
SHOWER
KITCHEN SINK & OISP
DISHWASHER
CITY LIC. NO.
Fee
$
APPLICATION ACCEPTED BY PLANS CHECKEO BY APPFIOVEO ~OFI •SSUANCE BYJ· LAUNDRY TRAY >~----,1--------------------------li---4-----l
C f, OATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION DR 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 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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
r
.SIGNATURE or CONTRACTOR OR AUTHO"IZCO AGCNT (OAT£)
CLOTH ES WASHER
WATER HEATER ,,,...
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GASSYSTEMS NO.OUTLETS -·
/ WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
,/ VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE $
51GNATIIRC o, OWNCR 1, OWN[." auH..OCR) OA'TC) TOTAL FEES $ ,'
WHEN PROPERLY VALIDATED (I N THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA LIDATI ON CK. M.O. CAS H
INSPECTOR
BP
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 1.0 BF
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDRESS
.., ...... J: fV A "] "' FJ i:i C' o !>..,. A
LOT NO, .... I 8LK, I TRACT tO .~EE ATTACHED SHEET) LEGAL I ~ 1 ii " fr L 1 0ESCR,
.
OWNER MAIL ADDRESS I ZIP PHONE
2 1 l -,, u rJ q ft'(:,. . 9
CONTRACTOR MAIL ADDRESS f -P~NE ,., STATE LIC, NO, CITY LIC. NO,
3 ' Uc.>'-~ l "'~f! O il . 1 c;, "3 ' t ---
ARCHITECT OR DESIGNER MAIL ADDRESS '1 PHONE LICENSE NO,
4
,.
~
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENS,.TION INS CARR ER MAIL ADDRESS BRANCH
6 ~ __ . _ 11...wr~ 1o+ ..,..
USE 0~ BUILDING
1
8 Clau of work: □NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work: £I.~~-.,.. Q ,c. /.... u <• rJ c., /> io r,) .I 1\-t I) M 11'f t>R-.. ,._ -., Irr-: ...
,: I,} I\., ~~, ..... µ\ I ,V fol 1:>o~L -PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE l!----I 5' ~
NEW CONSTRUCTION, FOR EACH
...rPllCATION ACCf,TEO ev ,lANS CHECKED BY APPROVED FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
'-?.J ·• D AT E ,//J{ NEW SERVICE ON EXISTING BLOG.
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 ANO 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.
TEMP. SERVICE OVER 200 AMP. .... -A PER 100 • 19 . j
(DATE) .• • SIGNATURE Of' CONTRACTOR OR AUTHORIZED AGENT .,,,,. ISSUANCE FEE , _,,..
,
TOTAL FEES '? .,,,,,,,.
SIGNA ·uRE o oWNEH IF OWNER BUI DER IDA E
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INTERDEPARTMENTAL INFORMATION SHEET
RECEIVED BUILDING DEPARTMENT DATE: ---------
BUILDING ADDREss, c:?717 ,L1,1c/t.ntL"!""tt MAR201979
CITY OF CARLSBAD ~ (P~ .,M:lfl _ d'.4-,?/4~Q£Duilding Deparlmt.11
PLANNING DEPARTMENT
ZONE __________ LOT SIZE _________ LOT WIDTH _________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ___________ _
% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED --------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN CO
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEE:
ADDITIONAL COMMENTS:
OK ,0 ,s,os, ~OA~g ,0
ENGINEERING DEPARTMENT
REAR SETBACK:
AMOUNT:
FINAL ________ DATE ____ _
R . 0 . W . ~ -k,(J.:;:/7J<,6 INDUSTRIAL WASTE ----"~~H.<._ ____ I MP RO V EME NT S_~;r.,;~:,y~, Jr.~~~..-4~---
S EWER CONNE C ~·ON , _ __,,/t/'.:.:::.,_,,f:..,_ ____ DR I VEWA Y LU CA Tl ON S __ _...,fk~/'l,c_ _______ _
GRADING PERMIT --~/k:=-clf-CL-. ___ EASEMENTS ,1/~/1/1£ ,.,.//,.,,,_dE,..,ORAINAGE ,tv/J
LEGAL DESCRIPTION _ _.,,,~~,:~m.,_,.a,__~,4C!:.<~'---';4'-.:.,_,,;6;;:,~~v,#..._ _________________ _
ADDITIONAL COMMENTS _____________________________ _
OK TO ISSUE: 1<,o/ly DATE ~-,;,e.--z1 PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPPiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARHS EXITS ________________ _
FIRE HYDRANTS ___________ LOCATION __________________ _
ADDITIONAL COMMENTS ______________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL _______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET _________ DATE ________ _