HomeMy WebLinkAbout2746 GALICIA WAY; ; 79-1614; Permit1 ...
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BUILD NG PERMIT APPLICATIO~ ' 11
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City of CARLSBAD, CALIFORNIA 92008 7 0.,. // .,,¢
..Applicanttocompletenumberedspacesony. Phone 729-1181 Permit No. /
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CONTRACTOR
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Afl':CHITECT OR OCSl(;NCA
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MAIL A 00A(SS
MAIL AOORC.SS
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PHON E.
PHONE
ASSESSOR'S
PARCEL NUMBER
BOOK PAGE I
STATE LIC, ND,
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LICENSE NO.
L IC[M5E NO.
PAR.
COMPENSATION INS. CARRIER MAIL ADD•tss iJ,.. 1JF"...., ,.,,iii·
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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.
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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
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-------------------------
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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
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MA.IL AO011l(SS ZI p PHONC , -i, . '
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MA IL A.00"£55 f PMON C STATE LIC. NO.
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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.
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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 ________ _