HomeMy WebLinkAbout2756 GALICIA WAY; ; 79-1105; PermitMOOEL NO. _________ _
BUILDING PERMIT APPLICATIObln93974 ;,n,rJo BP
City of CARLSBAD CALIFORNIA 92008' C 13971.i l lCILi 17'1 Ju...QO TL
Applicant to complete numbered spaces only Phone
7
729-1181 Permit No / f-/ / tJ _,5
JOB ADDA CSS d ASSESSOR'S
....2 7->~-t:AV'r/;1 k/y PARCEL NUMBER
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LEGAL (Q.Sc:C ATTACH[O SHEE.T) 1 DUCA, _j L ~ I LI./ A S774-
OWN CR -f!Av MAIL AOOR[SS ZIP
";)3~ -10~/ 2 /1,i~ f=A..r/L. ;>7<C-<5A/J ~l/1' ~" CON TR4C TOR , MAIL ADDRESS Pt.fON E STATE LIC. NO, CITY LIC. NO,
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ARCHITECT OR DESIC:N[R MAIL ADDRESS / PHONE LICCN5£ NO.
4
CNGINCC." MAIL ADDRESS PHONE LICENSE NO.
5 (l
6co~t;~~;ER
MAIL ADDRESS 811tANCH
USC OF &Ul,OINC: e-x t s t 7 ,g F.D NO. BDRMS NO. BATHS
8 Class of work: 0 NEW ~OOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : Pvr-S't~~
10 Change of use from t:: /,) ZZ1 -
Change of use to
11 Valuation of work: $ 7~
,,,,.-I PERMIT FEE $ ~~ PLAN CH ECK FEE S
SPECIAL CONDITIONS: MICRO FILM FEE
Type Of Occupancy
Const. Group
s,ze of Bldg. No. of Ma~.
(Total) SQ. Ft. Stories 0cc. Load
// Fire use Fire Sprinklers
APPLIC~;EP(p BY PLANS CHECKED BY ~A ISSUANCE BY Zone Zone ReQulred 0Yes 0No
o!l j, No. of OFFSTREET PARKING SPACES:
'o~"---....... Dwelling Units No. 'No. ./ 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 ANO 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 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 NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PR~:F ANY OTHER STATE OR LOCAL LAW REGULATONG
CONSTR I ON ~; PERFORMANCE ;_~T7~ION.
sTG.,ATl.lAE 0~ CONTAACTO( AUTHO"IZED AGENT -(DATE)
51C.NATUl'tE 0,. OWNER ll'r OWN£" IIUILOt .. ) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .,,,,--
TOTAL FEES $ _.;2.a""--_..""------
'M<; DEL ~O~---------
BU I LD NG PERMIT APPLICATION n
City of CARLSBAD, CALIFORNIA 92008 I ., TL
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB AOOA ES5 ASSESSOR'S
.L/.5b-< 11:-~t! .I'/'/ 1 /u PARCEL NUMBER
LOT NO,
1 ···
I TOACT , i, f, BuuK F'AGE I PAR.
LEG.t.S I tOstt ATTACHED stttt.TJ 1 DE,CR. _']~~ .:-_.;J)S>A
OWN[llt ft.Av MAIL AOOIIICSS ll p PHONE Q 2 F"11~A... ' .;G -<5AII t:,;, ,I ·/~ -.I ''.c -1'
CON TIii.AC TOA .. MA IL •ooA [SS PH00N E STATE LJC. ND • C JTY LIC, NO.
3 1k 4"7--} , -'-1,t. 'I<,_,. ... /)3·· _.),-#'J,Y ,· ._ / 'L . ,i I
ARCHITECT OR DESIGN£ .. MAIL AOOR[SS I' PHON £ LICENSE NO.
4
[NGIN£[fll MAIL AODR£5S PHONE LICENSE. NO.
5
COMF>ENSATION INS, CARRIER MAIL ADOtlttSS 8JltANCH
6
ust o, 8 ;Jl\..OINCi
7 c n E r' I r NO. BORMS NO. BATHS
I
8 Class of work: 0 NEW D .---~J......,.UIIIUN --nA Un~ ~~N, 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: (1·;1, 5PA )
~ ~ "-..::
10 Change of use from
-~;=, /1 a,
' ,,· .
Change of use to
~ ,,. l ~&
___.
11 Valuation of work : $ 7 PLAN CHECK FEES PERMIT FEE $ '
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
s,ze of Bldg No. of Ma><.
(Total) Sq. Ft Stories 0cc. Load ,,, Fire use Fire Sprinklers
APPLICATION ACCEPTE O ev PLANS CHECKED ev APPRQV/OR ISSUANCE BV Zone Zone Required DYes DNo
No. of OFFSTREET PARKING SPACES
c~• 1 • 'I. p .ft Owell,ng Units No. 'No. DATE DATE ...... -...... 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 CONDITION ING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE OEPT
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 ENGINEERING DEPT APPLICATION AND KNOW THE SAME TD BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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 VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
... '
. £'. , .,
sfGNATU"lt Or CONT,tACTOIII ,C:; AUTHOIIIIIltO AGl[NT (DAT[)
$1GNA,TU"[ 01' OWH[,t t1, OWN(,. eulLO(lll) DAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
~
TOTAL FEES $ _~_/._'l ____ _
INc;PECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
J I
FINAL \~~ I \ \f'J\'
\ '' \ I
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
-.. (l I •
ELECTRICAL PERMIT APPLICATION
Permit No?,f /~, 1 City of CARLSBAD, CALIFORNIA 92008
Applicant to complete Jumbered spaces only. Phone 7 29-1181
I 179 97t.i
JO& ADO,t ESS
LEGAL I 1 ouc: ...
2
LOT NO.
..
CONT .. ACl'O"
3
.O("CHITECf"O" DESIGNE"
4
ENGtNE.Efll
5
LENOt:R
6
uac 0,. IUI LDING
7
8 Class of work: D NEW l~DOITION
--.:
Qst.a: ATTACHED SHEIT)
ZIP! PHONE
PHONE LICtNSE NO, I
/,;,~
MAIL AD0"!:S9 PHOM E p
MAIL AOO"tss PHONE
MAIL ADD .. tSS 8"AHCH
D ALTERATION 0 REPAIR
2 ' -...J-1CJ V11L..,-A,ur~~C' if. /.'LI-L /&;/~ _,,,.~~~~~~~-t?-!!t-~~..:;;.z~,IL_-=-__JC...:,Jlla.1-.~..L.~~"~..:i<.l.:lo...~~~~,~~~-;..:.£....U..;;._~_J;,,,:::;,i~..,z./.LJ~~~~~~~
9 Describe work:
c~ ,, -Y.4 . ,~ PERMIT FEES
0 :t z
"' "
No. Each Fee
SPECIAL CONDITIONS:
; /I
APPLICATION ACCEPTEO ev, PLANS CHECKEO ev,
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 ANO KNOW THE SAME TO BE TRUE ANO 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 OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
•t•NATUIU OP' CON't .. ACTO")III AUTH01112'.ED AGl!:NT
///
•1r.. ... ••<Jal' 0,. OWNIUI UP' OWNE" aUILDE.11
(OATI:)"
COAT£!
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH , FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
MINIMUM PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK.
INSPECTOR
-
M.O. CASH
-0 0 (0 • 3 > " ;:;:
" " z .. .. p ..
...... ...
0 ). d 11
I /I 17
PLUMBING PERMIT APPLICATION
Perm it No./}~! t_ f ~ City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces onl y.
JOB ADOPI ES!S
LOT NO.
LEGAL I 1 0£SCft, _1,S-
OWN Eflt
2 '
CONT .. ACTOPI
3
AfflCHITECT O'l DESICNtPI
4 ... ., ......
£.NGINt:["
5 Iv/A,
LEN 0£"
6 NIA-
USE OF' BUILLDINC.
1 ~,: {{
8 Class of work: ONEW
9 Describe work: C ii~
L ).,,/
wl ADDITION
, I 11//Nt'NO LA~ -~-r-. I Tft,t,CT ..S' /)/.,17/1 Osu HUCH~O SHUTJ
')
MAIL ADDIU:.ss ~ ZIP PHONE
, :~--~"~ t"
MAIL AOOPIES9 PHON E LICENSE. NO.
. 17..JYv I
MAIL ADD"ESS ,., PHONE L ICENSE NO.
MAIL ADD .. £55 PHONE LICENSE NO.
MAIL AD011t£5S 8 .. ANCH
0 ALTERATI ON 0 REPAIR
OIJ ii
~ PERMIT FEES
0 '-" 1 0 (I)
z ID 3 fT1 )> ,..._:o c o 2 .. 0 • :0 0
fT1 .. "' ~
Ii..
~ I•
M 1,
1-I•, . I~
~ 1, -.f~
1---...-----------------------'---r-----f Fee
SPECIAL CONDITIONS'.
.APPLICATION ACCEPTED BV. PLANS CHECKED BV APPROVED FOR ISSUANCE BV
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 ANO KNOW THE SAME TO BE TRUE ANO 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 V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
D.\
No.
1
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
GAS SYSTEMS: NO. OUTLETS /
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT
SIC NATUIIII:£ 0,. OWNER ,,. OWNER 9U l\.0ER 10,t,TE) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
$
,_ / n
$
$
CASH
INTERDEPARTMENTAL INFORMATION SHEET
I A>..: .
BUILDING DEPARTMENT
.,..
D
BUILDING ADDRESS: .,
~CV
C'T I OF CARLSBAD .t..or ;zc,S-.. .. 't~ ~J .. ,.:..:tment
PLANNING DEPARTMENT
UNITS ALLOWED UNITS PROVIDED --------------------------
PROVIDED PARKING SPACES REQUIRED ----------------------
_____________ PROVIDED % COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
----------
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
~VIRONMENTAL PROTECTION REQ:
~OOL FEE : DISTRICT :
1' ADDITIONAL COMMENTS:
PROVIDED
REAR SETBACK:
AMOUNT:
OK TO ISSUE: ____ DATE ____ OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS ---------------
________ DRIVEWAY LOCATIONS ____________ _ -SEWER CONNECTION
GRADING PERMIT EASEMENTS /I,/~ DRAINAGE -----------~~L------------
LEGAL DESCRIPTION_~S'=-......::'9~'1'/:...:.!....!£~'-~;9-.=-=S:;____:~~'8.~~~y-.~~~,-----------------
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: 14/W DATE "i-l/-79 PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING 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 ________ _