HomeMy WebLinkAbout2726 GALICIA WAY; ; 77-2711; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION " J City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces onl y Phone 7 29-1181 Perm it No
J08 A OOA ESS ASSESSOR'S
( 1 '\ l 1<.. ,y P ARCEL NUMB ER
LOT NO. I OL K I TRACT BvvK PAGE I PAR,
L COAL ! Ll.v,r .,,;.,.y5CC ATTACHED SH([TI 1 OC5CR. ,I;.. ) .. 7 4 ~u. T ,._..
OWN£11t l.,,lr;,,.1-. MAIL AODACSS ZIP P~OUC -, (h 2 fill,_'-I .f' •,~ iv'-I~ 17'.-i I .; I ,,.> , , .. " CONTRACTOR .uu1.. ,~,u MAIL AOORCSS PMON £ STATE LIC. NO, CITY LIC, NO,
3 .. -,~~7 ,• .. I -lo I JI 'J -i . . -' '""\ tr C I 1'7tJ -· -J -A .. CHI T CCT OR CC.SIGNER MAIL AODRCSS PHON C LIC[NSE NO,
4 V I 1,. 4 C.I~ ,,.. r J.. I,. -4 , ~. -~,
ENG IN CCR MA.IL. ADDRESS P t10N[ LIC(NSE NO.
5
C OM PEN SATI ON INS. C ARRI E R MAIL 4QDjll:CSS BIIU .NCH
6
use O F BUILDING (/ 7 r .,. .1.. . . NO. BORMS NO. BATHS
8 Class of work: •NEW 0 ADDI TION 0 ALTERATION 0 REPAIR 0 MOVE 0 REM OVE
9 Describe work:
10 Change of use from
Change of use to
.
.JG.. l,/( ( c~ PLAN CH~CK FEES //}/\ ~, ( 0 11 Valuation of work: $ PERMIT FEE S I --
SPECIA L CONDIT IONS: < ill MICRO FILM FEE Type of ~ Occupancy J --Const Group
Size of Bldg. ;?~7-l N o. of I Ma)(.
(Total) SQ. F . Stories 0 cc. Load
Fire -j U se ,.I ✓ F ire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOA ISSUANCE BY Zone Zone ReQuired •Yes •No
No. o f O FFST REE~ PARKl~SPACES·
Dwelling U nits No 0( 9 31No. DATE D ATE Co~ered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENT ILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUT HORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FI RE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT A N Y TIME AFTE R WORK IS COM-
MENCE D. OTHER (Specify)
I H EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGIN EERING DEPT. APPLICATION ANO KNO W T HE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GO VERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED H EREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL ATE OR CANCEL THE
PROVISIONS OF A NY OTHER S~TE:•OR LOCAL L AW REGULATING
CONSTRUCTION OR THE PE FORMANCE _OF CONS1'RUCTION.
_. I , ,. -,,., ,
S IGN ATURE o, CONTIIU~CTOIII OA AU THOA IZEO AGENT IOA'fC )
5 1GNATUft[ 0~ OWN[ft fl ,-OWN [Jll I U IL O[III) (OAT C)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA SH
> __;r..,.· I TOTAL FEES$ ________ _
INSPECTOR
INSPECTION RECORD 77,. ;l,71 {
1 1 ✓ '81 REQUEST FOR ::3-· I D f !! r&I_ INSPECTION T IME , ·~
Inspector .... ~ ... t.1.QIT. .... r.~.: ......................... Permit No.·················-·········· Date ... f =~ .. 37
Owner __ \:)~\ c.~\L_J&\.--=--"d--~..........:\JV~\ \,:.__\ l........=:.~~5:::____------,--,-_ ~ ((
FOUNOAl
SET --
TREI --
REif\ --FOU
WEA Address ..
CONCRET
Insulation ................. D .................................. D ................................ D Pen urn & Ducts ....... D
FRAMING Drywall .................... D Gas .......................... D Pool Bonding .......... D Porch ........................ D
Fdn. Forms .............. D Water Heater ............ D Temp Pole .............. D Patio ........................ D
INT. LAn Steel ........................ D Sewer ................ O ................... D Driveway .................. O
Sheathing ................ D Undergrnd. Plbg ....... D Underground .......... O Sign .......................... 0
EXT. LAT
MASONR,
FINAL
Lath .......................... O Undergrnd. Water .... • Ceil Heat .............. O Wall .......................... O
Frame ...................... Rough ...................... Ro gh ................... O Fence ...................... D
~-··········· .. ······· ina I ......... ....... ... Grading ................... O
::;.:~"::~:.'.:::_~ ___ =:1g·;;;~:.----;if #;t;f /_~:=7zy
Requested by ........ ~ .. ~~·~····
Phone number ........ ::-:.I:S.3.:~ ... :.1iXP.JJf ::: ... . Person Taking Report: ··~···························
USE SPACE OCLVYT rurr TYVTr->, r<.n.Lvrrvr, r r '-'·
5-13-77 Fdn. Forms: O.K. B. Nelson
5-13-77 Pour: O.K. B. NElson
6-17-77 Rough Sheathing: No ... no ladder . Mer
6-20-77 Sheathing: O.K. Mer --------
ECTOR
(J· (
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No
Joe A.00111 Ess
' --·~· (T ,lt;.j --/ :.. / 4
LOT NO. I I LK I T"AC T
LEGAL I -~2 f os,4 So., r 1--, l/A,,J// 1 DESC•. -,, ;
--1
OWNE,. MAIL ADDRESS ?IP PHOM[
2 . I dL.1-,/ .ar;,_,--f,{)#'". ;_.: ~b~ >Ah /,f.i / r4!' "1..2 -,, t.../ ~/, ..5· aS:/'-1
CONTfU,CTOfl MAIL ADDRESS , PHONlt LICENSE NO. STATE CIT Y
3 ~c:r1AJ i!,/C/ i. c .. ,.,...,--r, -' . , __ ---,; ~.-, ---
AJIICH/TECT 0111: OtSIGNCPI MAIL A00 fll£5S PHONE L ICENSE NO.
4
ENGINEER MAIL AO0fll[5S PHONE LICENSE NO,
5
COMPENSATION (NS. CARRIER MAIL AO0 fllE5S 9,_ANCH
6
USC. OF' BUILDING b 7 I
8 Class of work: O NEW 0 ADDITION 0 ALTERATI ON 0 REPAIR
'l Describe work:
PERMIT FEES
No, Type of Fixture or Item Fee
SPECIA L CONDITIONS: ) WATER CLOSET (TOILET) $ . ( ,-: ...
-I BATHTUB
_,, LAVATORY (WASH BASIN) ,,
I SHOWER I .,,,
l KITCHEN SINK & OISP / Jr'
f DISHWASHER / \
.-PPLICA TION ACCEPTE O ev PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
I .,;i.
l/ I CLOTHES WASHER
DATE I WATER HEATER ,/ Sc
NOTICE URINAL ,-
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF I FtetYR SINK OR DRAIN I .,/ I') 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 / 156 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO ee TRUE ANO 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 G IVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I LAWN SPRINKLER SYSTEM i ; I")
I SEWER ~ ?' ,.,
{:.At.l,L~ CESSPOOL
' ,w~/77 SEPTIC TANK & PIT
~ -~-ROOF DRAINS -51GNATURt tr..,-CONT"ACTOft OR A,UTHO,.tZED AGLNT , 10,.r-1
PERMIT $ -/ ~D
SIGNATUJII' o, OWN[" IF OW~[JI IIUILD[RI IOATEJ TOTAL FEE $ J .>O
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
5-3-77 Cleanout and underground Plbg. O.K. B. Nelson
-' 0 ( ,>
ELECTRICAL PERMIT APPLICATION 5
City of CARLSBAD, CALIFORNIA 92008
Applicantto complete numbered spaces only Phone 7 29-1181 Perm it No
JO a A.00111 [55 . , _, (~ bALl I • ~--V--•T" I LOT NO. I OLK I TUCT f .1... Qsr.t ATTACHf.0 7•n1 LEGAL
.J(~A s(l .. ·, f• 1or.sc,-. . ,..:_ ')__ AJ.,.. '"-
OWNUt MAIL A0Ofll lt9S 21P PHONt
2 '/11. , • L J,,_~, AP-1 S . ~ ·-; r".,u ;,< ~~ ~,u(: "'/) : 9'D2r.l / -, '1 .I '.I'
CONTIIIACTO" /A, J)i,, MAIL AOO•tss . PHONf. L!CCNS[ NO. STATE CITY
3·---rr,-7 ~•U ~ r1 itJ ._,, ....... .,\ _ ~ 1£..KJ.rrR /J..:. l" -· , --__ ,..L7/ ..,
Afll:CHI TltCT Oflt DESIGNE.Plil MAIL ADD,.ESS PHONE LICENSE NO.
4
I.NGIN[ltJlt MAIL ADDfltESS PHONE LICE.NS[ NO,
5
COMPENSATION INS CARRIER MAIL ADD .. [SS BIIIANCH
6
USE o, BUILDINC.
7 )
8 Class of work: •NEW 0 ADDITION •ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT ;i ~,,
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTEO 8Y PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
I~ FUSE OR BREAKER ~ ... JI )5 ..> •.
L J I DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INC:REASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYl, 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 T HE 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 ANO INCLUD· /-· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ,,,,,., (j.) PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. :;, CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
C ~-11 I IL ~/;9/7/ TEMP. SERVICE OVER 200 AMP. -PER 100
~ ' /, .tA --SIO:N•'TuflC OP' CONT"ACTOfl 0111 AUTH0fll11:0 AGl:NT , (OA'ftl
PERMIT FEE 3%. lS
•1.-.u T11•r "" t'liWw.," 1, 0WNC111 •UILDC" DATr.J
WHEN PROPEF.L Y VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O . CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
,
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
5-3-77 Temp. elec. O.K. B. Nelson
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 ._ Permit No
JOI AOOllt [55
.-: f-J ,)_(;, (-u:l • IC ., .A
ILK
LEGAL -. I LOT MO.
loEsc". ., G::> ~
OWNtlll MAIL AODRE55
2
CONTIIIACTOllt
1, -
ARCHITECT Olli DCSIC.N[llt • MAIL ADOIIIES5
4
CNGINl:£111
5
L (NOC" MAIL AOOJlll[55
6
U5t. 0" •UILO_ING
7 J\
8 Class of work: [] NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS.
APPLICATION ACCEPTEO,r PLANS CHECKEO BY APPROVED FOR tSSUANCE BY
/ _,IJ/.
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 D.4YS,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 ANO 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 O R LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATUJIE OP' COHTIIU,CTOllt 0111 AUTHO .. IZCD AGENT
OP' OWM£PI IP' OWHltll aUILDltll) IOAT[
ZIP PMONC
PHO,.,,t STATE LIC. NO.
PHONE LICENSE NO,
PHONE LICENSE NO,
&"ANCH
0 REPAIR
Type of Fuel. Oil D Nat. Gas D LPG. 0
PERMIT FEES
No. Type of Equipment
Air Cond. Un1ts-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. I/ 0 M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Well Heaters.-B.T .U. M
Unit He&ters-B.T.U. M
Evaporative Coolers
I Clothes Dryers
I Ventilation Fan
✓ Range Hood
' Air Handling Unit-C.F.M.
Incinerator
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY LIC, NO.
~ ;:ip 1 i',.1
Fee
s
-00 • 0 t) -~ ..... t>c•
s / Cr'
CASH
INTERDEUR'.ft-1EN"f''i\~l N--f:-OR_MATI ON SHEET
DEPARTM7 ,
ADD REls:
j BUILDING
' RECEIVED
DATE:
.'!-!'IL DING
J MAR 2 1977 -.. •··------·-·--------' =.:::=~~a,.,,_ __ _jCl:ll li..fJ.E.CARLSB,4.0-
-:-----========-=-=-=-==-------_ ---~=-=-=-=-=-=-=1~B=ui=~=inP ilep.m:tmenL
c;,0 /
J -) 7)
~ ... ,.,. _,...,.r,2.,.,._;_,..1 __ -,.., ..... ....,,._ ... ·--I/) OC~ t:-1 f . ·
-r.cmtt:_.:-( f ;-:·:_~-.-_j-LOT SIZE //_.., 7{_---;e_' ~,I_
m;~r s ALLO WED __ // / -LJ::~•T::t~~D::T 1/~H
FAR K(N G ~PACE S REQUIRED -!J;;7-L-~z~· ---------
• t1 ______ PROVIDED C L _
% CO VE RAG E ALLOWED '[) I ~--,.'-------______ _,__:_,.0 P RO VI DE D l) (
BUILDING HEIGHT ALLOWED ·( (f!7 . -----1....£ ___ . ------) 7-PROVIDED __ t;i~',('<:'"· _______ _
SIDE SETBAC K· --i r q
-·i&vJ c)
__ 7./k!x;,x I Z~~
COMMENT S : I J \
J~RONT_ SETBA CK:
ALLOW~D _7t,/ W
PROVI DED __ "V2 . ...2L
INTRUS IONS _J__ /.. _ ·
LAND ~CAPi & I RRIGA TJ ON PLAN
--~tJ.---,. _____ •~1'..!L~
AD1n •;;;-;~:~L~c~o~M~N~E;N~T~s~:-------.:.._ ______ -:----::::=-------_J~_l[lS
A'll
~K -;O I SEU t /4'~:;~~-~t:?~5l zvfli~•~di:, t~----=~---~-j~,:-:-:-------Z:&~U~
(..., .
oK To IssuE: rA.Jl, DATE ¢eb7 Pwr ~ oK To FINA1f:A)_t, DATE 6-~,..7 l
FIRE DEPARTMENT
• SJ'Rit;KLING SYSTEM· FIRE PROTECTION EQUIP. ------------------
FIRE ALARMS EXITS ______________ _
~ · FIRE ::Yb RAN'tS L0CATION ------------------
ADD IT ION AL COMMENTS
OK TO IS S UE : DATE OK TO FINAL DATE __ _ ------------------
WA TER DEPARTMENT
~EQUI REMENTS OF APPROPRIA1~
' I
I' \
D1S8 MET ________ DATE _______ _
0
\
•
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Owner's Name: _.::B_,_i -=c:.:k 1.:..:e:::rc_:a::.n:.:d:._:.:W:..:.i _,_1 _,_1 _,_i a=mc=s=-------------Phone No.
Mailing Address: P.O. Box 565
Encinitas
Service Ariciress: 2726 Galicia Way
Tr~ct Description: Lot 262 La Costa South Unit#4
753-9394
Type of Building: Single Family No. Units Connection Charge $600.00
Lateral Size: 4" 6" 8"
Extra footage: ___ @ $ __ _
Extra depth: ____ @ $ __ _
---
Saddle:
Easement Connection ---
Lateral Charge
Total $600. 00
The application must be signed by the owner (or his authorized representative) of the
property to be served. The total charges must be paid to the District at the time the
application is submitted.
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that part of the sewer system that extends from the
main collection line in the street (or easement) to the point in the street (at or near
the applicant's property line) where the service lateral is connected to the applicant's
building sewer. The applicanti is responsible for the construction, at the applicant,s
expense, of the sewer pipeline (building sewer) from the applicant's plumbing to the
point in the street (or easement) where a connection is made to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be made
by the applicant at his expense. The connection must be made in conformity with the
District's specifications, rules and regulations; and IT MUST BE INSPECTED AND APPROVED
BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT. THE APPLICANT, OR
HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE TIME INSPECTION IS DESIRED.
ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLECTION LINE WITHOUT PRIOR APPROVAL AND
INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED.
After connection is complete, the property described above is subject to a monthly
sewer service charge, billed bi-monthly in advance. The rate will be governed by the
use of the property, single family, multiple dwelling or commercial.. Non-payment of
the sewer service charge is subject to a 5% penalty per month, plus disconnection if
necessary.
the above information given is correct and agrees to
~ 6577
Account No.