HomeMy WebLinkAbout2758 LA COSTA AVE; ; 77-6457; PermitMODEL NO. _________ _ • BUILDING PERMIT APPLICATION , . ..
City of CARLSBAD, CALIFORNIA 92008 77-~1/57 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB AODA CS5 ASSESSOR'S
k"7S'J LA-(l}St--A' RU:: PARCEL NUMBER
L.OT NO, I OLK I
TIIIAC T BOOK PAGE I PAR,
Lt GAL I # ...;'; ~ 7P ' (□SEC ATTACHED 5MC£.T) 1 Dt>C"• ("r, I'
OWN[ill: MAIL AODIU:ss 21. PH0Nt
2 I(/...~ { L I " fh , I/ ... I ;-I.. ' ~ •
CONTlll:ACTOIII MAIL ADOACSS P)1ON[ STATE LIC, NO, CITY LIC. NO,
3 '. ~ I I ,, , I
-
A,.CHITCCT OA CCSIGNCIII MAU. ADtUU:ss PHONE LICENSE NO.
4 rl' ,. ,y // --• ,, ' . . .
CNGINECfll MAIL A00R[55 PHONE LICENSE NO.
5
COMPENSATION INS, CARRIER MAIL A00111ESS 8,i!:ANCH
6
USC o, IUILOING -r 7 ,1 f r NO. BDRMS NO. BAj{HS
8 Class of work: t3NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE \\
9 Describe work: C 011.s TIU/d ..$1 ~lfL(3 r-fe rn, Uf .. ~ ebt Ve.A l., e. cv,_f r\
6--f+~r:se: .... \\ C\~. ~Lu ~'b
10 Change of use from ,J ; ... \'\ \ t-1~ f /.
Change of use to >/+ ~ \ '} --fjfl
11 Valuation of work: $ 7~. )loOOE (;' I PERMIT FEE $ ).t/ .) (
PLAN CHECK FEES -
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy --J Const Group -
S,ze of Bldg. ;J.,/::;f,{:;;, No. of 2 Ma,c. .,,,,,,,,,, .
(Total) Sq. Ft. Stories 0cc. Load
-Fire use ' Fire Sprinklers
APPUCA TION ACCEPTEO 8V PLANS CHECKEO 8V APPROVED f OR ISSUANCt BV Zone Zone Required DYes □No ·~ ✓ OFFSTREET PARKING SPACES:
DATE 'k-1-77 No. of
Sq. Ft • .s-st.smgen Dwelling Units I No. DATE Covered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUI RED FOR ELECTRICAL, PLUMB• PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH 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 ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO OROINANCES 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.
~ ' 1 •
SIGMA.TUR[. o,-CONT,.ACTO!lt 01111 AUTHOJUZ.CD AGlNT \fATEI
!SIC.NATUIIIE o, OWN[R 11, OWN£" aulLO['I) IDATEJ
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
p JV!' I -TOTAL FEES $ _______ _
INSPECTOR'
REQUEST FOR INSPECTION
INSPECTOR z4L
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
D FLOOR AND CEI LING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 ~ERIOR LATH OR DRYWALL
rz(' FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 ~R HEATER
_9"' FINAL
TIME: ______ _
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 S~ DETECTOR
LI" FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D j3.a-FER PIPING
irf'" FINAL
READY FOR INSPECTION: ~ONDAY D TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
D A .M.
0 P.M. , 1
SPECIAL I NSTRUCTIONS--------w-~-'-"--"""7:_._;;_1,-.,--1 __ !'-----cJ_____._;/_-~2'---='-r _....,,CJ?----1'1--
REQUESTED BY __________________ PHONE NO. _______ _
PERSON TAKING REPORT _______ _
'---;::;=====================-~~~~--~~--=-=-=-=-=-=-=-==:::===--
..
.. ""
~ PLUMBING PERMIT APP LICATION-
city of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spacvs q_nfy Phone 729-1181 Permit No
JOB AOOA (SS
LEGAL l cue•. I
LOT NO. Im I TOACT
..
OWN U I MAIL •ooi.tss Z.IP ~ PHON[
2 ,. 'l/;f/rGu,11.l.L ~.:;""c. ~ A6G cl~/ <' -;d-1,,,/ Cc... y~cot· 1,. i . : -,..,., -.i Y;.L__
CNCIMttA hAAIL A DOR C.SS ... PHONE LICENSE NO,
5 • I __ ---~'~
C0t.1PENSATION (NS, CAR~R
6 . 0 V /.//<..-
MAIL .ADDIIIIE55 B,.ANCM
use o, 9UIL.OtNG
1 51 .l'-"J" / <. £) Jv e,// ,-,7 /Yo~ ~ • .
8 Class of work: CltNEW 0 ADDITION 0 ALTER ATI ON 0 REPAIR .. .
9 Describe work:
, " , --
PERMIT FEES L".----,----------------------.-----1 , No. Type of Fixture or Item Fee ' -',.;"
SPECIAL CONDIT IONS· ., .$ WATER CLOSET (TOILET) Is--,-~-0
.. 1 BA THTUB 4 l<'°n 1,
• LAVATORY(WASH_B_A_S_I_N~)-----,-...,....---1-,~~~<--f <j l-'10 . SHOWER
/ Kl TCHEN SINK ;-D_I_S_P----.,,----,------t---t--,::----, I ~o
/ DISHWASHER / 1<n
APPLICATION ACCEPTED BY PLANSCHECl(EO BY APPIIOVEDFO~ ISSUANCE BY / LAUNDRY TRAY 1--~~--=:...:..::..:.=.:..:.~..:..:...:...:.---------+-L--l
, CLOTHES WASHER
J 1.:"'~
J IC..--'\
DATE ., WATER HEATER
NOTICE
THIS PERMI T BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORlZED IS NOT COMMENC!::O WITHIN 1'.20 D AYS.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 REAO ANO EXAMINED THIS
APPLICATION AND K N OW 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 TD VIOLATE DR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
DRINKING FOUNTAIN ,_,,
1----1--,..F-i::boR-slNK cm o~A)N • --...
SLOP SINK
/ GAS SYSTEMS NO.OUTLETS 7
WATER PIPli!"G & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKL E R SYSTEM
, -
/ SEWE R X ->/, (.. NUMBER CLEANOUTS 7
CESSPOO L
~-,_;lJ-·77
SEPT IC TANK & PIT
ROOF DRAINS
51GNATVAt OF' (ONTflACTOft Oy__,.-oTHOftt:tED AGENT {DATtl ,~
' , ,_ ISSUANCE FEE
SIGNATUJII[ 01' 0WN£Jlt {II' OWNER 8UILDCA) (OAT CJ TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACEI T HIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
J ,,.,
.
/ O'\
S 7 uO
CA SH
0
...
ELECTRICAL PERMIT APPLICATI ON~·1 .:.5
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS
LA r ►, , '
LOT NO. I BLK. I TRACT <OsEE ATTACHED SHEET) LEGAL l So 1 DESCR, :> , "'''l" :5,,.,.,., '
OWNER MAIL ADDRESS ZIP PHONE .
2 I' \C e; "'ll..E l_ C, ' :·'.iul... l A I -.
CONTRACTOR MAIL ADDRESS PHONE '1~'9-o ,STATE LIC, NO, CITY LIC, NO,
3 e: But. ' Em: ~ .. rr s 1",~
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENG !MEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 '
USE OF BUILDING 0-~ 1 , ,:: I. "• I . , .. ,,.. •-
8 Clau of work: □NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work: ( o tJ.S Tttv c. r,o,J o,: ,.Je\.~ 5,-.Jf, ( ► f..,1n I /(,, •t f2-cSt l)e:."1CE o,J
\JAc /hJT to--r
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'f'LICA TION ACCErTEO BY 'LAN$ CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
I. • 'l.S 31
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE 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 REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. AL.I.. PROVISIONS OF 1..AWS ANO ORDINANCE!> GOVERNING THIS
TYPE OF WORK WII..I.. BE COMPL.IED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOL.ATE OR CANCEL. THE PROVISIONS OF ANY OTHER STATE OR L.OCAL LAW REGULATING ING 200 AMP. 5,o,;:. I <:i, CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/J TEMP. SERVICE OVER 200 AMP.
~ ,., PER 100
-,7
SIGNATURE OF CON1RACTOR OR AUTHORIZED AGENT (DATEI ISSUANCE FEE
TOTAL FEES d .u.
SIGNATURE of' nwNe'R I~ f'IWNER BUI OER 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
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDI' 1:55
·<'J ; >j -/ .. ) .
LC GAL 1 DUCA. I L.OT NO,
OWMUl
2
,, -~/.~ I TAACT t0S£E ATTACHED SH[ETI
PHONE
CON TlltAC TO" PHONE STATE LIC, NO. CITY LIC, NO.
3 ., ;/
AlltCHITC.CT O" 0£SIC.N£fl MAIL A0011l[SS
4
MAIL A00 .. £55
5
LCNOUI MAIL AOD"ESS
6
uat 0,. BU.,Jt.QA NG
1 ~ ,,,.. _;,., ,r-
8 Class of work: 0 ADDITION 0 ALTERATION
9 Describe work: ~;d"'# ~
SPECIAL CONDITIONS:
APPLICATION ACCEPTEO/IY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
,
l JJ
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 ANO 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.
/;J///J ., ' . . t . ./
51GNATUt1l 01' CONTIIIIACTO"-011 AVTHOfllZ(O AGENT (OAT[)
/ t
•1.e.HAT IIIJI' o, OWNEIII: (IP' OWNUI autLOllll) (DA.Tl)
PHON[ LICENSE NO,
PHONE LICCNSC NO,
B"ANCH
0 REPAIR
Type of Fuel. Oil D Nat. Gas D LPG. 0
PERMIT FEES
No. Type of Equipment
Air Cond. Units-H.P. Ea.
Refrigeration Units-H.P. Ea.
Boilers-H .P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
Forced Air Systems B.T.U. /,.,.,/,I).\., Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-8.T.U. M
Wall Heatert B.T.U. M
Unit He&ters-8.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
/ Range Hood
Air Handli111if Unit-C.F.M.
Incinerator
.
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
/. ,_ .,;./.2
Fee
$
</ .. /.I
s
s
CASH
\
\
f NTt:RDEl'i\ltTME:·lTJ\l. UlFOlZ'lATI ON SHEET
-·-4 -·-------------·•·---------·-· -·---· ·--r· r __ ,_.,j ___ · -~~ .... ~ ·•--·• .,----,.._. p· I ,.., -·"' ~ L·•· -f.' _ __________ __ ________ a .. ',_ • .!--'-:..l---~Lu.'-1....!. ! __ ,. .t_,
l1u:iJi:1g Ot>p.11·~·11.~ .. ~
PLA NN I NG IJEPARTM.ENT
----''-----_LOT SIZE_, __________ LOT \HDT!l
UN l TS ALLOWED ___ _
PA RKH:0 SPACES REQUIRE D
% COV ERAGE ALLOWED
BUIL DING llEICilT ALLOWED
FRO NT SETBACK :
AT.T.O\~l.rn
PROVIDED
INTRUSIONS
UNTT S PROVIDED I __,:__ _________ , __ _
.. ' PROVIDED -1
~·/ -------~---!--------_///) PROVIDED / {_,,
(_
-----=-=:· •_,;#~-----_-_----~~==r RO VI DE D ___ \ ____ _
SIDE SET)3ACK : ---~r-" ' ' /
/ K ./ '
REAR S ETB'AC K:
°' I -
I
I
\ /\
LANDSCAPE & IRRIGATI ON PLAN COMMENTS :
FIRF: DEPARTMEll!T ------
SP , rr; K f. I NG S Y S TE M
FIRE ALAR~[S
FIRE HYD RANTS -----
,ADDI TIONAL COMMENTS
FIRE ---
EXITS
LOCATI ON