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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 ________ _