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HomeMy WebLinkAbout2746 GALICIA WAY; ; 79-1614; Permit1 ... ""10DEL 1-1'0. I 11 'fl BUILD NG PERMIT APPLICATIO~ ' 11 q City of CARLSBAD, CALIFORNIA 92008 7 0.,. // .,,¢ ..Applicanttocompletenumberedspacesony. Phone 729-1181 Permit No. / JOI ADDA r:ss L[GAL I l ocsc•. 2 OWNCflt I I CONTRACTOR 3 ~ALI( Frz ""'l/(:. Afl':CHITECT OR OCSl(;NCA 4 ENCtNttR • 5 --· r; 'II. I '1/ I. .-., ll.../e;.lr-t. MAIL AOOAC.SS .,. ,, . /~~t.{I, r,c,1/ _, / ' MAIL A 00A(SS MAIL AOORC.SS IL '-"J ~1 PHONE '\t/0 .,/ - PHON E. PHONE ASSESSOR'S PARCEL NUMBER BOOK PAGE I STATE LIC, ND, , ' I I( LICENSE NO. L IC[M5E NO. PAR. COMPENSATION INS. CARRIER MAIL ADD•tss iJ,.. 1JF"...., ,.,,iii· G • f ~.NA.0· .. --. U U~.lll"f'-.f.?,71<1 "7&) f 2./8✓ 8 fU,NCt1 USC 0,-BUILDING , 7 NO. BDRMS NO. BATHS 8 Class of work : CfNEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work : 10 Change of use from Change of use to 11 Valuation of work: $ lf/o a PLAN CHECK FEE$ t--S_P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S_: --------------------i Type of Const 1-------------------------------i S,ze o f Bldg. (Total) Sq. Ft. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,QR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED. I H EREBY 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 V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 1THE PERFORMANCE O F CONSTR_UCTION. r SICNA¥"u111t o,-CONTIIIACTOl'I o " AUTHOflllZtD AG(NT (DAT CJ SIGHATUIII£ 0~ OWNtllll IF OWNCIII IUILDCJII IDATCJ Special Approvals PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT WATER DEPT. Occupancy Group No. of Stories use z one I PERMIT FEE s MICRO F ILM FEE ~5o X Max. 0cc. Load Fire Sprinklers Required 0Yes 0No OFFSTREET PARKING SPACES No. I No. Covered Sq. Ft. Open Required Received Not Required WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M.O. CASH 2(/---TOTAL FEES$ ________ _ INSPECTOR TL DATE FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING . CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL /ff/4 / / USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. INSPECTION RECORD REMARKS . - - , I INSPECTOR ~ ~ ------------------------- ---------- PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Appllcant to complete numbered spaces only Phone 729-1181 Permit No Joa A DOlt [$5 1 J 1 ' { LC GAL I 1 ouco. LOT NO,_?,!, t./ I OLK OWNCIII 2 , :.,(., I MA.IL AO011l(SS ZI p PHONC , -i, . ' 71 .'l 7 j-J(,1,S- . /J' ,..) MA IL A.00"£55 f PMON C STATE LIC. NO. ? 3 ~-, -n ' -; . .I I ~~•rr, .. ,, (T ... ,.q~ya, ,r,~ CITY LIC. NO. J, ~ ., .. ,.,., '/S/ AIIICHITCCT 0111 OCSICNER MAIL A0O1tC~5 4 CHGIHCClll MAIL ADDRESS 5 COMPENSATION INS. CARRIER 6 --u•c Of' BUJILOINC , 7 ' .& ,, ~ . 8 Class of work: O NEW •ADDITION 0 ALTERATION 9 Describe work: , SPECIAL CONDITIONS. APPLICATION ACCEPTEO av PLANS CHECKED BY APPROVED FOR ISSU ANCE BY I I .Y D ATE 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 AND KNOW THE SAME TO 9E TRUE AND CORRECT, ALL PRO VIS IONS OF LAWS ANO O RDINANCES GOVERNING THIS TYPE O F WORK WIL L 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. t SIGN-A-T(f"lltt o, CONTIIA2'+o:Zo.-AUTHOfllllZCD AGENT (0ATCJ .. . - PHONE ~ LICCN.St NO. PMONC LICENSE. NO. I 0 REPAIR PERMIT FEES No, Type of Fixture or Item WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & OISP DISHWASHER LAUNDRY TRAY CLOTHES 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 CLEAN0UTS CESSPOOL SEPTIC TANK & PIT ROOF DRAINS ISSUANCE FEE $ S IGNA.TUJtt o, OWN[llt (a,· OWNtfll 8UIL.0lA) (OATC) TOTAL FEES $ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M,O. CASH PECTOR Fee .- ' - ;.1 t J/797 i 7e00 t ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No 7f-/(,/t J083fJ9't 6A • ./ ... I .1.f /1., 'I I LOT NO, y LEGAL 1 DESCR. ::z t, 18LK. I ZT /\ G$7)Ll ?~Ltr/4 #-y'(OSEE ATTACHED SHEET) OWNER /4 r;t~,1-115 MAIL ADDRESS ZIP PHONE 2 / '/2.. IP 7'1'1> a,AL It:. / ,4 'l,,lO~ ,,:; 7;;a JiJS' 3 CO.JjJ~/ ~///~7~/~C. J&/s. MAIL ADCRESS PHONE STATE LIC, NO. CITY LIC, Na 1/e5 Ce;,1,:,mt,, ,,,.,-~.,, c -r e,77/ J('/0 3/7~2.. ., =Jt:, ARC'klTECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO, 4 1/ ENG !NEER MAIL ADDRESS PHONE LICENSE NO, 5 CO~J;;NSA T10N lNS CARRIER MAIL ADDRESS BRANCH 6 / • Y7Za.b< .. 't-11 --. ~77i"rM1"!..t:17.. -:"!.,.2.u (/A/l~l41n./ ~o ~l/U..; USE OF t UILDING . r 7 /.. <... ,, 'O . -t::::-"rl ;!'"71-,• 8 Class of work: ~EW ~OOITION 0 ALTERATION 0 REPAIR 9 Describe work: ~~ C~t::Z:-7";1 II' A(.... h7t ~t:r /;,tll .1 b/4-,.,,c"-, , ., PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWIMMING POOL WIRING, NO INCREASE IN SERVICE ~II 5" / NEW CONSTRUCTION, FOR EACH AP,LICA11q,< ACCEPTEO BY PLANS CHECKEO 8Y APPROVEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER . ,~ ·• t \,Y DATE L// 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 APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. INCREASE 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. J/01,1?'~-----TEMP. SERVICE OVER 200 AMP. ~ <,j/?1 PER 100 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ,' --ISSUANCE FEE --- TOTAL FEES -, SIGNATURE Of" OWNER IF OWNER BUILDER 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 .. r INSPECTION REPOR TS -- DATE ITEM R EMARKS INSPECTOR -- ------ --- -·· -- ----- --·-----+------- -- -- -- USE SPACE BELOW FOR NO IE~, rOLLOW-UP, ETC. ~ ' ,<. , .. - INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT PLANNING DEPARTMENT "',. C. "iRLSr D -l... -1 Oepar•11 ., ZONE __________ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED ____________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED ___________ _ % COVERAGE ALLOWED PROVIDED BUILDING HEIGHT ALLOWED PROVIDED ----------- FRONT SETBACK: SIDE SETBACK: ALLOWED ------- PROVIDED ------- INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS : ENVIRONMENTAL PROTECTION ....5 c.~ r £ E . - ADDITIONAL COMMENTS : REAR SETBACK: OK TO ISSUE: -+--'--"""--DATE 6-(-J;J OK TO FINAL _______ DATE. ____ _ ENGINEERING DEPARTMENT /j )--cl~;!:!!-- R.O.W. INDUSTRIAL WASTE IMPROVEMENTS --------------------- SEWER CONNECTION DRIVEWAY LOCATIONS ____________ _ GRADING PERMIT -------E-A-SEMENTS ~~~ DRAINAGE. ____ _ LEGAL DESCRIPTION4a..,..,..~~___:::------------=tf' ______________ _ ADDITIONAL COMM TS~---------------------------- • DATE &-f-?9 PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SP RiliKLING 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 ________ _