HomeMy WebLinkAbout2738 LA COSTA AVE; ; 79-2026; PermitMO[?Et NO.--'----------
BUILD NG PERMIT APPLIC TIONn
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm II No
JOB ADO .. c,s ,11 ASSESSOR'S
~ lJ (.) '-"' "'vff:)l)v£ PARCEL NUMBER ....
LOT:34-7 1'
9
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2 DWN[Ai.~ UL t.vE~t=. MAIL AD0111(5.S zi• PHONE 4 -· -·-·' -.. ¢,,. -Cl
CONTfU,C TOIII I 1-t;o,1.,5 ~AIL ADDRESS ~ PHONE STATE LIC, NO. CITY LIC, NO,
3 i'(' 7 /~~~ -.., 4 . , / 4· :4 ..... .
AIIICMITCC T OA 0 E51 CNC .. MAIL ADDRESS PHONE L1CC.N5C NQI
4
ENCINtC.R M AIL AOOIIIESS PHONE LIC(N5E NO.
5 • COMPENSATIO~ INS. CARRIER "" LJi UM;L A00"'5S
l!U~A.NCH
6 .. '1 /:IL/Jr
use o, IVll.OING , .,
7 . {jµ 17 t:= Pc,oL F, S//l NO. BORMS NO. BATHS
8 Class of work: 13'NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ( 5183/'&,-> ~l)A.)1T£_ ~<-
10 Change of use from
Change of use to 1..t' J -·
~7i5
,.. :,A~ I PERMIT FEE $ t/tJ ~ 11 Valuation of work: $ PLAN CHECK FEE$
SPECIAL CONDITIONS MICRO FILM FEE
Type of Occupancy
Const Group
s ,ze Of Bldg No. Of Ma><.
(Total) SQ. Ft Storie, 0cc. Load .
.I\ f.1\ Fire use Fire Sprinklers ,Pl ~IION ACCEPTED BY PLANS CHECKED BY APPROVED fOR 'fjl-"NCE BY Zone Zone Required 0Ye, 0No .
No. of OFFSTREET PARKING SPACES,
DATE 'l1 tuA . Dwelling Units No. !No. CATE 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 CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.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· ---MENCED OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ENGINEERING DEPT
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 V IOLATE OR CAN CEL THE
PROVISIONS OF ANY OTHER ST ATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION .
" ,-v·l' /// /'/
SIC.N1\Jflllt 0,-CONT,.ACTOlll Oflt AUTHOflllZtD AGE.NT (DAT[I
'IGHATIIIIII" 0,-OWN[llt ,,-OWN[llt IUILOE:ft) (DATE.)
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
M.O. lPr/'Y
TOTAL FEES$ ________ _
INSPECTOR
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 If;, 3/74 I~~-)
I r ----v "<._./
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
PLUMBING PERMIT APPLICATION·
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only
I 119 uJ.:.1 Q_ ?L]
Permit No / / · ..,,
Joa ADDI' ESS
:,( J '\: i.e._ CtJ<.. -lv-P . ,, /s b o.. J
LOT NO. I BL•
-l TOACT L<OAL I 1 ocsc•.
OWN[IIII MAIL A00JltC55 ZIP PMONt
2 --f..l Ol.LJO..J til ., "J " 4, 1(, I I. ,,r/ 5~ i);p } 1-//.r'J F '1 /-/.:.,c,}...Q --n,_
CONTJIIAC TO" ; MAIL AO0RESS , ' PHONt STATE LIC . NO, CITY ~IC, NO.
3 I) .. p J ~( .,. L; ''-"' -I""· '/.., '-I il -lw,, /.-,/ b;u-: •.. 1.c,3 _1,,.,,,,s~ -Y.:S I?',,,/' I) "I .., ( J ,
A"CHITCCT OA OC51CNER U , ~ MAil. A00At55 / , PMON( LICENSE NO
4
ENCIN[EA MAIL AOOA[SS PHONE LICENSE /'ilO.
5
COMPENSATION rNs. CARRIER MAIL AOO .. tss l"ANCH
6 ✓ • J, J,.,.!..Jr '..,;,.(.... 't !J 5 s 6, h , ; I, .,., {'\,., I 111; ,, _5,,.,.~ ,.,. b;ec:,I:') ----. " US£ OF l!IUll_QJNG {;a.I r J 0 7 ;;l
8 Class of w ork: □ NEW □ ADDITION □ ALTERATION ~EPAIR
re roiJ-1e.. /;,, e -,-0~~ ' .I? 9 Describe work: s~wer a_ A .l'J-~ -~--~ ---ir,;., -\ __,,,,,,,. _.., ---., d~
PERMIT FEES
No. Type of Fixture or Item .. , Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
APPLICATION A<;C£fTE D BY PLANS CHECKED BY APPR0VE8 FOR' 1SSUANCE BY LAUNDRY TRAY
) 11--,·
'1 CLOTHES WASHER ~ .. /-~ OAT!! ~ WATER HEATER
~I NOTICE URINAL
T HIS 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
J/ji / CESSPOOL _.,,...,-1 -• I SEPTIC TANK & PIT ~ '~ , , ; ,, ~ ( 11 ROOF DRAINS
/'Gtl•<fu,.,c o, CONTIIIACTOflt OR AUTHOftlZ[O .-.GENT {DAT E)
ISSUANCE FEE $
51GNATUJIC o, OWt-fEIII llf' OWNCII 8UILOEA) (OATC I TOTAL FEES $ ~ -WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ...
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O. CA SH
INSPECTOR
J'
"
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No ' JOB A OOIII £$:S LA 2 73f> ..,o,,..,µ f1t11 E tt) ti:;,.. --LCOA< I 1 ouca. <030~ 7 IVN~ ITaACT u (!' ().!;, 7,,1/ ~a,rr#
OWN[llt MAIL AODIIICSS ZIP PMON[
2 "",;,JUl WE/<.L~ < -;,.,,,, ,;;
CONT"ACTO" MAIL AOOfttSS PHON l STATE LIC, NO, CITY LIC, NO,
3 L 'I\.W'-o>J tboLS <//1·'~22 :?-po :J?, :,J I:?'-~ f-A◄ t _
,t.,t(HITCCT OR OCSICNUl MA.IL A00"(5S PHONE. LICCNS£ NO. f
4
£NGIN[£" MAIL A OORC5S PHO NC L1(£Jrr,j5£ NO,
5
COMPENSATION CNS, CARRIER MAIL A.OOJl[SS l"ANCl-4
6 C.-uv C It-€-.ro.J ·,h ~.tu
7 US[ or 8Ull.OING PooL...-... ,.
8 Class of work: ~EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ~~5 (.;/lf/6 fr"O/£. f ooc. µ F/1'7t,E!--
1/rf C (/ v 111 b~£,1~~
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET) s
BATHTUB
LAVATORY (WASH BASIN)
I SHOWER
KITCHEN SINK & OISP.
DISHWASHER
~i~~AiCE;:
PLANS CHEC~eo ev APPl!Oveo /Ol''f "CE ev LAUNDRY T RAY
// ' CLOTHES WASHER
DATE j "L WATER HEATER ....
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINK ING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR I F FLOOR-SINK OR DRAIN CON STRUCTION O R 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 ANO KNOW T HE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ,,,.,. ALL PROVISIONS OF LAWS ANO 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 a_/) CESSPOOL
(', ii./ ) 17-?/ SEPTIC TANK & PIT J:9-I'·( ~"---ROOF DRAIN S
stG.WATUAE or CONTRAC TOfl Ofl AUTHORIZ.£0 AGENT {DA TE)'' • I/ ISSUANCE FEE $ -
SIGNATUAI' 0,-OWN(" 1,-OWNC.R BUIL.OCA IOATE) TOTAL FEES s //
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 1 ,.u&J
City of CARLSBAD, CALIFORNIA 92008 'll /
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No 77 -:J-,o ),-
p
JOB ADDRESS LA c.0:,1-1 A J FtJV E., ;27:;e I LOT NO, LEGAL
1 DESCR, ".34-7 r VIV,-,
1
TRACT s-L, J t., ( g'TA ,r--o,.r ... 1/ <OsEE ATTACHED SHEET)
OWN~8 W €1-t.,G MAIL ADDRESS ZIP PHONE
2 ~AV'-1/1 -.. :::;..
CONTRACTOR MAIL ADDRESS PHONE
2A5"7~ ;w,iJ+A 3 i/i :<J~0tJ Pt:Ql s 7✓1 1-2 2 (IJ..
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. t
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS
CAC/Rl ~~J tt MAIL ADDRESS BRANCH
6 (-.. v .~
USE OF BUILDING V I~ ' 1
8 Class of work: Mew 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: l;:~c7klC {.::a~ /JV~ll ?'S £ I,, I G l-/r ,ro~ r "t.,o L I
•·-PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE 5 / -·
' 'HJ NEW CONSTRUCTION, FOR EACH
A""L!CAttON f.CCEPTEO Bq 'LANS CHECl<EO BY APPROVED FOfl~t-l;cE av AMPERES OF MAIN SERVICE, SWITCH,
/ f I FUSE OR BREAKER
,t 1 nc11 ; 7 ,,7 • 1
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
PERIOD OF 120 DAYS 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 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 DR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
~/;o f_/ .:!J_ ~ TEMP. SERVICE OVER 200 AMP.
?-/~1/ PER 100 t. ,'?(,,,✓,.. (
SIGNtil;tJRE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ' ,,,,
ISSUANCE FEE ~ ...
TOTAL FEES --? !, ~ S IGNATU~E O WNER IF OWNER BUI DER 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
•
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
··-'""lj,.ILDING ADDRESS:
PLANNING DEPARTMENT
ZONE _________ LOT SIZE _________ LOT WIDTH. ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED __________ _
% COVERAGE ALLOWED _____________ PROVIJ)ED __________ _
BUILDING HEIGHT ALLOWED PROVIDED __________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ______ _
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
FEES:
ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE
SEWER CONNECTION
GRADING PERMIT
LEGAL DESCRIPTION
ADDITIONAL
FIRE DEPARTMENT
DATE /(3/cj
AMOUN'r:
_______ IMPROVEMENTS _______ _
DRAINAGE ___ ~ , ', ~ .(ft~~,,,,,~
PWI ____ OK TO FINAL ____ DATE ___ _
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXI TS ______________ ___c__
F!RE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _