HomeMy WebLinkAbout2721 La Golondrina St; ; 77-4989; Permit-BUILDING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ' --;7.,,<19N Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOI! ADDRESS ASSESSOR'S
PARCEL NUMBER 2721 Ia. Golondina Street
1..0T NO. I '" I ;;:illo Estates
BOOK PAGE I PAR,
LEGAL I (□SEE ATTACHED SHE:ETI 1 DESCR, 16
OWNER MAIL ADDRESS "' PHONE
2 Panderosa Hanes, 140 Marine View Ave. , Solana Beal:Jh ca. 92075 755-9756
CONTRACTOR MAIi.. ADDRESS PHONE LICENSE NO. ST ATE CITY
3 as above
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICE:NSE NO,
4 Jim Pandolfi, 901 Dove ·st., ~ Beach, ca. 752-1411 C6725
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5 Rick Enaineerinn. 5620 Friars Rd •• S.D. 92110 291-0707 K:E94l6
COMPENSATION INS, CARRIER MAIL AOOll:E;ss .lll'IANCH
6 The . s Self Insurance. 4050 Wilshire Blvd.-L.A. 90051
USE or BUILDINI,
7 sinqle familv w, .:? -tJG;o _i, /3,1}7lf-
8 Class of work: S( NEW 0 A00ITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE ,
9 Describe work: residential frame _Ii)
M:>del 102 B A O ;.l)/; tr, /'/ ,7 '
'-" ~ B" ' ,v
10 Change of use from Li,,
I
Change of use to
11 Valuation of work: $ ~. I~,<;? ~
PLAN CHECK FEE$ ~ee. PERMIT FEE$ 0-9' ~
SPECIAL CONDITIONS, / MICRO FILM FEE
Type of :rz: /V Occupancy J 7:J --Const. --Group
Size of Bldg. //03 No. of I Max. -(Total) Sq. Ft. Stories 0cc. Load
Fire "? u,e te--1 Fire Sprlnklers -~
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required DYes □No
No. of OFFSTREET PARKING SPACES:
DATE DATE Dwelling Units I ~~Vered -:) Sq. Ft .,c;{') ~ ~gen
NOTICE Special Approvals Required ReceiveO Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING. HEATING, VENTILATING OR AIR CONDrTIONfNG. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-OTHER (Specify) MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR THE GRANTING OF A PERMIT DOES NOT NOT, PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROV~A~HER STATE OR LOCAL LAW REGULATING CONSTRUCT ON OR HE PERFORMANCE OF CONSTRUCTION .
.. -L --t/4d/2-,
SIGNA7 CONTRACTOA OR AUTHOAIZEO AGENT / IDA'""E)
SIGtO,TUAE OF OWNER IF OWNER IIUILOER) OA TE)
WHEN PROPERLY VALIDATED (IN THIS SPACE! THfS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
..
, .. .. .. ..
LOT_~/_(?_
BUILDING
FOOTINGS
FOUNDATION
"" REINFORCED STEEL .. MASONRY -GUNITE OR GROUT ..
SHEATHING ?· ]> / • 7 -..
-INSULATION .....
• ..
... ...
-..
-...
--.. ... ..
EXTERIOR LATH
INTERIOR LATH
PLUMBING
SEWER AND PL/CO 1•9': 77WATER
PLUMBING UNDERGROUND 7·S, 77 '-· f
COPPER 7' 7· 77
TOP OUT \
TUB AND SHOWER Cf'/1/))J .,/411.
GAS TEST I
ELECTRICAL
UNDERGROUND
ROUGH
CEILING HEAT
.. BONDING
• MECHANICAL .. DUCT & PLEM, REF. -HEAT--AIR ..
VENTILATING SYSTEMS ... ..
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ,
Applicant to complete numbered spaces only Phone 729-1181 Permit No -
JOB ACOR CSS
I I l.~ .)D ~ ' t<L I:;.;-\-1....A~ 10-:>-
LOT NO. ,~ 1 •L• I TOACT' M&t/o.-L !z L [ GAL I -~ 1 Dcsc•. I
OWNt-N
MAIL ADD.CSS ~/v.Li-i ~ ~Ip 'h~,/:. PHONC , . ~
2 lj,✓.,..( "'1/r? ).~ __,, r/? ,I
CON T'-AC TOR j MAIL ADD•css tl//4 // /4 PHONt STATE LIC. NO. CITY LIC. NO.
3 /Jrfry,4/j u! 5 fl()
AACHITCCT 0,-OCSICNCR , MA.IL •00.-css PHONE LIC[NS[ NO.
4
CNGIN[CA t.AAIL AOO .. CSS PHONE LICENSE NO.
5
COMPENSATION (NS, CARRIER MAIL AOOIICSS d~✓ 81U,NCH
6
; ,
~/f&~-~ 5,b6.35 • --,,------~y ;, ,,_
.i ,,_ -.. ,Lr/ ,r,. -
use OF BUILDING ..
7 6, J,,✓ _,,,/ ./
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ILl/,/A /
I'
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: I, WATER CLOSET (TOILET! $
~ BATHTUB c.,
,-LAVATORY (WASH BASIN) l t.
SHOWER (, '
KITCHEN SINK & DISP _J-l '
DISHWASHER 7 )
APPLICATION ACCEPTED BY PLANS CHECKEO BY APPROVE O FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER /
OATE ,.· WATER HEATER ·,t:
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. GAS SYSTEMS, NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS .
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS AND 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 VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM -SEWER NUMBER CLEANOUTS
,/ CESSPOOL
• I ./ ,
'// SEPTIC TANK & PIT ~ ,/ ROOF DRAINS " -
SIGNATUA[ Of CONT .. ACTOIII 0,t AUTHOflt!Zl:0 AC!;M,.l (OATC.)
ISSUANCE FEE $
SIC:.NATUftt 0,. OWH(.111 ll,. OWNEIII BUILDC.R) (OAT[) TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACEI 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
JOB ADDRESS
... 21 La Cc. ll .1.na .·J {.' ''t.
LOT NO, I BLK. I TRACT (Qs~ ATTACHED SHEET) LEGAL I carr1.llo uoi..a...,· 1 DESCR, 16
OWNER MAIL ADDRESS ZIP PHONE
2 J'1"1ic,oii -1 --Vallev Rt. ~ .. -
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, C ITV LIC. NO.
3 trtc. ~-~s Ave. E ~s-2 . ' -. I
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 .u-...
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 1ectrlc 1 g'b & ini
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACCEPTED IV l'LANS CHECKED 8'1' APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 100 .25 25
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE 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 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 AND INCLUD-PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONST RUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
_/ PER 100 ,,
I !,I'
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATt)
ISSUANCE FEE .
TOTAL FEES 27 [,
<IGNATURE OF' OWNER IF OWNER BUILDER) DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 ~'J-/,... r"" ,.,
Permit No t, ~'.i,Y<
JOB A.D0111 £55
I LOT NO,
LC GAL louc~. /f.:,
OWN~
Jd1J-.OJ 1, d1
(Q SEE ATTA.CH£0 SHECT)
MAIL A.0O111£55 "p PHONE
2 /1./tJ ;,-Jcou, 7._,,) J. ("" , . I"\..,.'.,··:---
3
4
5
6
7
8
9
COHT1'ACTO,-
t
I I
MAIL AOORCSS. ' PHONE ,_ l'J~ifittJtd ,!J2j::,.~, Jr ., ,n1K1 >rl /4r,. J t/:
,UICHITtCT 0111. o,ys1(HU.R MAIL A.00,.£55 , PHONE
ENGINCCllt MAIL AOOIIICSS PHONC
LCN Ot,it MAI L A00"[SS
uac 0,. BUILDING h , ,·1!11 L/1~.I'/,
\. ' J?/fr .
t /
Class of work: ~EW 0 ADDITION 0 ALTERATION 0 REPAIR
Describe work : U)(Jh r.£.; 80 () nD lJtiL J./1 lj_,J
( ,r
Type of Fuel Oil D
STATE LIC. NO.
1 t r/
LICENSE NO,
LICENSE NO.
IUIANCH
Nat. Gas D LPG. D
PERMIT FEES
SPECIAL CONDITIONS No. Type of Equipment
APPLICATION ACCEPTEO ev PLANS CHECKEO 8V APPROVEO FOR ISSUANCE 8V
NOTICE
THIS ~ERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 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.
--) 1/4 / 1 I
SIGNATU.)t\ OP' CONTRACTOR Ofll AUTHORIZCD AGCNT tDATI)
•1c.H.&Tu1u: OP' OWNUI If' OWNI" autLOt:JI DATE)
I
Air Cond. Units H.P. Ea
Refrigeration Units-H .P . Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
Forced Air Systems-B.T.U. ('. /) M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T .U. M
Wall Heateri-B.T.U. M
Unit He&ters-8.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY LIC. NO.
/2_ /'l1/
Fee
$
.../ -
s
s '? ·-·
CASH