HomeMy WebLinkAbout2758 La Costa Ave; ; 78-4755; PermitMODEL :.·o. __________ _
' . BUILDING PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDA £5S . ,._,, ' ASSESSOR'S
PARCEL NUMBER
LEGAL I 1 DtSCA.
LOT NO, I TRACT s -10sec ATTACHED SH([TJ
Buu" PAGE I PAR,
OWNC,t MAIL A0O11tt5S l IP PHONE
2 ---,l'll'""I ·-·
P'HON E STATE LIC, NO, CITY LIC, NO,
3 •
AACHITECT OR O[SICNCJlt
4 ( c.__ LIC[NSE NO,
tNGINE£1111 ~IL AODAE55 LICENSE NO.
5
COMPENSATION INS. CARRIER
6 t MAIL AOOlltE 55
J BfllANCH
U.SC OF 81JIL01NC.
7 --NO. BDRMS NO. BATHS
8 Class of work: ,,.,;o'Mvv 0 ADDITION 0 ALTERATION ~IR □MOVE 0 REMOVE
9 Describe {rk:
~.::::::::::====================-
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CH ECK FEE $
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: __________________ -t Type of
Const
1--------------------------------~ Sile Of Bldg. (Total) Sq. Ft
1-----------.-----------..... ----------1 Fire APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOil ISSUANCE BY Zone
/ DATE /,1,1
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,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED
No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify) '
r J
I
C
~ --PERMIT FEE $
MICRO FILM Occupancy FEE
Group
No. of Max.
Stories 0cc. Load
Use Fire Sprinklers
Zone Required 0Yes □No
OFFSTREET PARKING SPACES,
No. Covered
Required
Sa. Ft.
Received
'
No. Open
Nol Required
~tPt~Jfl1lJ'l~t/KJ~~ \~tflJE Rll~E~~~l~~~ 1~~ Rl~~~ t-EN_G_1 N-E_ER_I_N_G_D_E_P_T-t--------t---------1---------1
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED 1---------+-------+---------i---------1 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.
SIGNATURt. o, CONT,..C'TOJI O" AUTl10"1Z.CD -.Gg,,.,T (DAT[)
51GNAT "E o, OWN[II 1, OWN£" IUILDEllt) lDAT[)
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$ ___ / __ -___ _
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL 8i
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY -
---
-~t -\jJ -f---
FINAL ~
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
--~-----------------
.. PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181
Joa ADON css
J.7 'i.a L.;1 1•~•"'• Ava.
LOT NO.
1 ;~;~~--15..L 'ILK
I TOCT
~J
OWNUI MAIL AOOIIIC5S
2 .
-1v --.. _.;_. , _
CONTJIIIAC TOIII MAIL ADDRESS
3 .l ~,.. ~-rl•M'PTI "-~ . -
AIIICHITCCT 0111 OCSIGNCA ,._.AIL AO01111[55
4
CNGINttllt MAIL A 00111[5S
5
COMPENSATION (NS, CARRI ER MAIL AOO"-t5S
6 ~ ~ _, ., ,._ I' A
use o, BUILDING I -
7 '. . ...
8 Class of work: tlNEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS.
APPLICATION ACCEPTED ev
I k.,
PLANS CHEC~E0 BY I, rt )Y
NOTICE
APPROVED FOR ISSUANCE. BY
DATE
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 Bf TAUE AND CORRECT,
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
H EREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLAT E OR CANCEL. THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Q_ .. ' 51C:NATU"l o, CONTftACTOft Oft AUTHOfll ltEO A(;tNT (DATE)
SICN.a.TUIIU' 0" OWN[ft ,r OWH[" 8Ull.Ol.RI OAT(}
11 P PHONE
m:
PHONE STATE LIC. NO.
7Cii1-. ..
PHONE LICENSE NO.
PHO NC LICENSE NO,
BIIIANCM
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
I WATER HEATER
URINAL
DRINKING FOUNTAIN
F LOOR-SINK OR DRAIN
SLOP SINK
/ GAS SYSTEMS NO. OUTLETS
J WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
, VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC TANK a. PIT
ROOF DRAINS
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
CITY LIC, NO,
Fee
$
_..I. I • ')
e (;)
·-
$
$
CASH
. .
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181
JOB ADDRESS
. . n tC!I. f".-:0! . ·:'. .
LOT HO. 16LK. l TRACT (OSEE ATTACHED SHEET) LEGAL 1 1 DESCR. '.h. n . {~-.
OWNER MAIL ADDRESS ZIP PHONE
2 ~S.1' 'f.rl _;i ~"' -. -,.
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, HO. CITY LIC. HO.
3 !&;"~ /t -l::"." .. >', . , 1 . .--• -·
ARCHITECT OR DESIGNER MAIL A00RESS PHONE LICENSE HO.
4
ENG !NEER MAIL ADDRESS PHONE LICENSE NO.
5 -COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 -,, , V
-
.,,
USE Of BUILDING ,
7
8 Class of work: □NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work: pool cm.st -, ~
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE I 5 6/J -
NEW CONSTRUCTION, FOR EACH
Al'PLICATION ACCE'1EO IIY PLANS CHECKED ev APPROVED fOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
/_) J C ATE .!lhnY 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 AND CORRECT. ALL PROVISIONS OF LAWS AND 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.
l1~ TEMP. SERVICE OVER 200 AMP.
J ..J---~ A ,..-, o.l PER 100 --
SIGNATURE Of CONTRACTOR OR AUTHORIZED AG~T (0ATE)
' ISSUANCE FEE c;
TOTAL FEES 1• i SIC.NATUR nF OWNER ,,-r OWNER BUILDER 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
RECEIVED
INTERDEPARTMENTAL INFORMATION SHEET
•
/BUILDING DEPARTMENT
AUG 4 1978 DATE: ________ _
"BUILDING ADDRESS: ~ CIJJid?~ ?e~::i.~~D
PLANNING DEPARTMENT
ZONE LOT SIZE -LOT WIDTH -----------------------------
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ____ ~------
% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED __________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: ____ DATE ____ OK TO FINAL ________ DATE. ____ _
,) ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS __ ~~--------
GRADING PERMIT _______ EASEMENTS lo' A,-q,.-,. .. ,e Ei.J1Z.,.e,lDRAINAGE ____ _
LEGAL DESCRIPTION_.J:!.~~!!;_--=":"']r==~=~r====7 =:====----===,-
ADDITIONAL
ATE ¥'(7/79 PWI ____ OK TO FINAL....L.,L(t--'----_D.ATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _ 1 ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _