HomeMy WebLinkAbout2763 LA GRAN VIA; ; 78-3975; Permit11
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS
A.4 CA / , -
LOT NO. I BLK. I TRACT <OsEE ATTACHED SHEET) LEGAL I 1 DESCR.
OWNER MAIL ADDRESS ZIP PHONE
2 ).. ,1 &-·~ u,. --;, . ,; --\ J:,.S,, U1\l/lll /(. <.X, ~ / -l I ... ' ..
CONTRACTOR ) MAIL ADDRESS '7:21 ~c, PHONE STATE LIC. NO. CITY LIC. NO.
3 :)rl .b (4 j ,,,,. &v,11 I~ (' )-<(# 'i-1 / -.. ..
ARCHITtCT OR DESIGNER MAIL ADDRESS -PHONE L ICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
1
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: LAs"r A I l-~ I (.;..A 0 I-Sr::>rA
'
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE I s ~(>
NEW CONSTRUCTION, FOR EACH
AN'LICATION ACCEHEO BY 'LAN$ CHECKED BY APPROVED ~.OR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
I) I {,"" ~.,,-,,., ~/2//1/ DATE 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 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 ANO 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.
~ TEMP. SERVICE OVER 200 AMP. ___.,,...,;;.,? / ~1 78.
PER 100 ,,
,,-SIG'HATURE of' CONTRACTOR OR AUTHORIZED AGENT
• -(DATE) O' ,,, ISSUANCE FEE
TOTAL FEES 7 --!IIGHATURE Of OWNER IF OWNER 8UILDER 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
.. .
....
PLUMBING PERMIT APPLICATION -,-
City of CARLSBAD, CALIFORNIA 92008
t: •• -~ • c,.
Applicant to complete numbered spaces only Phone 729-1181 ' Permit No 7J
JO& AOOllt E.$S .... h -r-1-{ rt I, .a 0
LOT NO, I OLK I T•Ac T
LE~AL I 1 ouc•.
OWNCfl MAIL A00,-ESS ti. PHONC
2 J" .... nJ\ ,l I' 92 (0 -) J... ,J, f,..1,4 V\ t ~ , . ' CON TftAC TOIIII MAIL A0O,-CS5 ( _L ~, I y;' PMOP,1£ y, I .... STATE LIC, NO.
3 I,, Jv.-1 d /7) /.};> 5 I un C ~ '\ "( -
Afl(HITECT Ollt OESICNtfl MAIL AOO,t[95 PHONE LICENSE NO,
4
tNGINEEA MAIL AOClll(SS PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER Jr,,AAIL AOOlll:£55 IUIANCH
6
USE 0,. &VIL..OJNG
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: Ld.:,,:,. ''"'TI u~ t')~ SoA-
I
A) L ,rv -PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER . KITCHEN SINK & OISP
DISHWASHER
.APPLICATION ACCEPTEf BY PLANS CHECKED BY APPROVED F9R •SSUANCE BY LAUNDRY TRAY / s f, ~. Ill ,:/4,h/ CLOTHES WASHER ,;L CATE J WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. I GAS SYSTEMS• NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. f WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE I VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
J ..,. CESSPOOL
, ~/ SEPTIC TANK & PIT :,...,--'., ,,. (I ( /z5/ --ROOF DRAINS
$fGNATUA[ OF CONTAACTOIIII Oft AUTHOIIIIIZ.£0 AGtNT (DAT[) ,-
1/ ISSUANCE FEE
"'-!GNAT IU 01' 0WN(ft tr OWN[II 8U11..0Cfl (DATE) 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
$
_,., ft..,)
.;, 1, ( -,
' -'~
--= ir (-:,
$ :=
$ II ( ()
CASH
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
\ \ '\
~'\~~ ,~
~. ,· USE SPACE BELOW FOR NOTES, F LOW-UP, ETC. ~~
,.
INTERDEPARTMENTAL IN ORMATION SHEET RECEIVED
•· BUILDING DEPARTMENT V DA TE = ---J ... uttrrqi-29-oA-4'19H7R--8
BUILDING ADD RES s: __;;,Z_"7;_:~_:,""--_.Je.L""--"'0-."------'~~· ..:::..::IA--,,__:::c.,,,.....1,l,:,,¼a,'.A:l...,,,.:r;""'L_ _________ _
PLANNING DEPARTMENT
CITY OF CARLSBAD
Building Bepartment
ZONE _________ L.OT SIZE ___ ---I _____ LOT WIDTH ________ _
UNITS ALLOWED ___________ UN,TS
PARKING SPACES REQUIRED PROVIDED -----------
PROVIDED ____________ _
% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED
'
FRONT SETBACK: SIDE SE~BACK: REAR SETBACK:
ALLOWED ______ _
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: ~! / A-,---\S. .tJ , \--\
OK TO ISSUE: ____ DATE. ____ OK TO FINAL ________ .DATE. ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONSr,-__________ _
GRADING PERMIT _______ .EASEMENTS Yes-A:lo7 .s}.) c..,,. .. 15RAINAGE. ____ _
LEGAL DESCRIPTION lo-f-{, ,. { [,. Co#{Q .tcoi~~;•'
ADDITIONAL COMMENTS __ g~f!-~•=--------·-----.----.------Ho ,,, .. ..,.,,, oA«l'jC I~ J,::s,~ .. -A ~4DIJ/tt .from I[ 11,t~o.,r c.'4ok,~, fl.r,, en,.91-re,,.j,
OK TO ISSUE: D44 DATE t./2..o/713 PWI ____ OK TO FINAL #lk DATE ___ _
T I "
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 ________ _