HomeMy WebLinkAbout2772 Galicia Way; ; 77-1028; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only
JOB AODR ESS
LOT NO, OLK
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OWN CR
Phone 7 29-1181
TRACl V I
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MAIL ADDRESS
-?-11 Permit No
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ZI P PHONE
ASSESSOR'S
PARCEL NUMBER
BOOK PAGE I PAR.
2 T, /J. ELLL Or El_ (1 i4 m I n J o de I IV cJ le. -fez. 7S C:,-::>. ,i,,,.,, ~
CON TRAC TOR MAIL ADOAESS PHON [ STATE LIC. NO.
3~ 55>?9
C CITY LIC. t!O,,_-
/ ~/ cnJ 3
AA(HITCCT OR OCSIGNtR MAIL AOOR[SS PHONE L IC [NS[ 1110,
4
[NGlN[(R MAIL A.OORCSS PHONE L ICEN SE. NO.
5
COMPENSATION INS. CARRI ER MAIL ADDRESS BA:A NCH
6 /_
NO. BDRMS ~ NO. BAT:?-
7 ef
I
8 Class of work: ~ NEW 0 ADDITION 0 ALTERATION 0 REPAIR DMOVE 0 REMOVE .
9 Describe work:("~ ..kt_ 1 k ;;_ --!!_
I ,, V
10 Change of use from
Change of use to ' ~-,
11 Valuation of work: $ ~! /ol •" PLAN CH ECK FEE S PERMIT FEE S ~11-
1-S_P_E_C_I A_L_C_O_N_D_IT_I O_N_S_: ------------------~ Type of --;7' A J Occupancy
Const. _)1..:-/V Group
/-.J'-MICRO FILM FEE,,...--+---
1-----------------------------~ Size of Bldg . ..-,,./ I .. I No. of
(Total) Sq. r=;,,t-¥, t,R<.J~storles
Max
0cc. Load
._-..,...~---=---~-----~-----.-----,¥-A----~ Fire APPLICATION ACCEPTEO BY PLANS C ... ECKEO BY :;f?PPROEVE A ISSUANCE BY Zone
No. of
OAT E Dwelling Unit, I
NOTICE Special Approval:!
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING, HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO 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
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTH ER (Specify)
Use[< / Fire Sprinklers
Zon -Required Oves
DFFST~ET PARK~ SPA CES:
No -·d !No. Co;,ered Sq. F u· Open
Required Received Not Required
hrptf l!l10CJ'l1;[,YKJ~: \~tt:JE R,.~A~E 'i~~l~~~ 'fJR R l~~ ~EN_G_I N_E_E_R_I N_G..:.....:D:..cE:..cP_T-+-------+-------+--------t
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNIN G THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIF IED ~--------+--------+-------+--------l HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISI ONS OF ANY OTHER STATE. OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ~o~ l%f!j1frkm' /0143.fbb
SIGNA'ril,tE Or' OWN[,t II" OWN[llt IUILO[II') DATE}
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTA L FEES $-.!f.~/4_;:&_So __ _
/'11 . 'lf;"~ REQUEST FOR -;; ~
. I ~ -o · INSPECTION TIME A~ O ~ /,\ J/f
Inspec~or ··········-~---~·-································ Permit No.·················-·········· Date ..... 6-.. -J: .. G..:JJ
I
Address ••
BCJILOING PLUMBING ELECTRICAL ELLANEOUS
Insulation ................. O .............................. .I. 0 I Drywall .................... O Gas .......................... O
.: .............................. 0
Pool Bonding .......... 0
Plenum & Ducts ....... 0
Porch ........................ 0
Fdn. Forms .............. O Water Heater ............ O Temp Pole .............. 0 Patio ........................ 0
Steel ........................ O Sewer ................ O ................... 0 Driveway .................. 0
Sheathing ................ O Undergrnd. Plbg ....... 0 Underground .. . . . . . . .. 0 Sign .......................... 0
Lath .......................... O Undergrnd. Water .... O
Fra~ ...................... D Ro h ...................... D
~'>-=-----Ready for Inspection -
Ceil Heat .............. O
Rou h .................... 0
Wa ll .......................... o
Fence ...................... 0
G-ading .................... 0
PL MBING PERMIT APPLICATION .
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbere'a spaces only Phone 129-1181 Perm it No .
JO& ADD" CSS ('t., ... ~7;,J. ({''l;t::~ .S&r'J.O t'4, ;i 7? 2. 0At1'c1l:I tu1-1y. ,<A.
LOT NO. I BLK I T"4CT L£UL I :Jl:a7 1 D£5C".
OWNEflt ' MAIL A0D11tt55 ll p 4}! ~ /7' 7~
J~
2 -,{J);? E L t 10 r :-:,JS:So (i)/1')1,t iJ l>Et. ltofl£
CONTIIIACTOflt MAIL AD0"E5S PHON C STATE LIC. NO. CITY LIC. NO.
3 ~ I ?~/J/119/lu(, :;,,,(.; 2 ~I i#.9uc ~'3ll fot' 3 ;J (.J')2.. 13 2.3<> '\ ~ f ')
AIIICHI TCCT OJI: O CSIGNCR MAIL ADD11tC5S PMON [ LICENSE NO.
4
t.HGINttllt MAIL ADDllt[SS PHONE LICE.NS£ NO.
5 ,r -1' J
COMP?.SATION 7~RIER/ /tL AODUS~ ~ IIIIANCH
6 / . //,/ '/ :-/ 7~ { --·---1" ..,,t:._ /;"
usc,lo, I Ui L.OINC. ,
7
8 Class of work: cfNEW D ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: 3. WATER CLOSET (TOILET) $ ""I ':50
l. BATHTUB ~ o"
M _l 11H-&t I \J <-Q LAVATORY (WASH BASIN) " ()0
SHOWER
I . KITCHEN SINK & OISP. I .,; l!J
I DISHWASHER I ._>O
APPLICATION ACC~,.TE O 8 Y PLANS CHECKED BY APP'IOVEO FOR ISSUANCE BY. I LAUNDRY TRAY / -)
~ ,
1/~./IJ I l CLOTHES WASHER I ,~ ... I ., I I • ,.;I" DATE •' WATER HEATER ..,, t.
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORI ZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF ) n:.ocrR-SINK OR DRAIN I _o CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK .
MEN CED. I GAS SYSTEMS: NO.OUTLETS / ....>( I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TAUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO O AOINANCES GOV EANING 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 AUTHOAITY TO VIOLATE OR CANCEL THE VACUUM BREAKEAS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM .
I SEWER NUMBER CLEANOUTS _, ou
G CESSPOOL -( /i~0) SEPTIC TANK & PIT
~ ROOF DRAINS
SIGNATURE 0,. CONTfltACTO" OR AUTMORt,ZtO AGENT
I. I
ISSUANCE FEE $ 7 ..,I(,
SIGNATU .. fr 0~ OWN[.flt 1, OWN[R 9UIL O[R OAT•t) TOTAL FEES $ _,.-:; O ~>
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
5-25-77 Gas and rough: O.K. B. Nelson
. ...
"
REMARKS INSPECTOR
ELECTRICAL PERMIT APPLICATIO~c 1 663 •• ••38.25
City of CARLSBAD, CALIFORNIA 92008 I J -/ ....,
Applicant to complete numbered spaces only Phone 729-1181 Permit No {J JO
J09 ADD .. ll5S .. Jr _1 ! ' :x ll~ (. l/lfL-.I '/11 ~ I
LCGAL I L0~,0 ·1 r LK I T/T C'~So ~¥ Qst.£ ATTACHED SHt[T)
1 DUCII,
0>«.11.f!-b MAIL ADDflt!.SS ZIP Pt40NE 7 ;'.-.,..,,_
/_I/ 10-/f-/ ,:5/) f;; ,
2 I. I ./ /)/,).~//( ., 1/, 1. y J,1 -~
CON TPtAC TOflt MAIL ADD"csa PHONt LICCNSll NO. STATE CITY
3 I ./\ ( t .)
j I I....__./_•'(
A .. CHIT£CT O" DE.SIC.NU• MAIL AOD"ESS PHONE L1C£NS1[ NO,
4
ENGINEl:.R: MAIL A00"£5S PHONE LICENSE HO,
5
COMPENSATION INS. CARRIER MAIL AOOfltESS BIIIANCH
6
7 UH 0~ ·:LOIN:)
8 Class of work: ).LNEW 0 ADDITION 0 ALTERATION 0 REPAIR .
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT b(:l1 :J -
" ( NEW CONSTRUCTION, FOR EAC.r. l;'-AMPERES OF MAIN SERVICE, SWITC , ~
APl'LICATION ACCEPTED BY: PLANS CHECKED BY ::7'~"·=" FUSE OR BREAKER ,,;" c; }',. ~P~/ •'7c f..J ~
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 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS co~:
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. •~ ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS -TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED I/ HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD-' ro PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE A ,-
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. , 1, ..?-' CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 0
I
TEMP. SERVICE OVER 200 AMP . . J PER 100 , .., ,; /?z I a
91GNATU"I. OP' COMTflACTO" 011 AUTHOIIIIZCO AGENT (DATIi ;
PERMIT FEE 0 s· lJ '.::) .--1~
.1•a., .......... OI' owNUI UP' o wNt." •utLDE" DA.Tl.
WHEN PROPEFILY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
5-25-77 Rough Elec: It> B. Nelson
5-31-77 Rough elec: O.K. B. Nelson
Applicant to complete numbered spaces only
MECHANICAL PERMIT APPLICATION~ .. ~.0,, .• i •••• 1uoo
City of CARLSBAD, CALIFORNIA 92008 -. t ~ ~ ..
Phone 729-1181 Permit No 27-/1_3/
JOI AOOflll E..$5 Jr, _/ t,,e;_""-~ 1.tU~ ~--7 /,<.,
LOT NO. I ILK I TRACL (' s: # ,,If <O scc ATTACHCD SHtET) L [ GAL I ,:~i7 1 OUCR.
OWN~.j) MAIL ADOflt[SS ll p PHONE ,·~·
2 I . / F l 1r1 r-" :J _;_; t') L./ //;,/n:h /'If de/ /.,r,/; 7..,,;6-JYY 7
CON TflllAC TOflll MAIL ADDRESS PHONE STATE LIC. NO, CITY LIC. NO.
3 I I 'c /1._f L-I ' ~ l Yv<;' / J}'
AflllCHITCCT Oflll DESIGN[flll MAU.. AOOll:ES S PHONE LICENSE NO,
4
CNGINE.E.flll MAIL AODflllESS PHONE LICENSE NO,
5
L~NDUI MAIL AODIIUSS 8flllANCH
6
7
US[ or BUILDING .0 5 ·-.1-. ;,
8 Class of work: ~ 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
Type of Fuel: Oil D Nat. Gas D LPG. 0
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Units-H.P. Ea. $
Refrigeration Units-H.P. Ea.
Boilers-H .P. Ea . . Gas Fired A.C. Units-Tonnage Ea.
A ~ Forced Air Systems-B.T.U. M Ea. ,,c-G,/C,J
APPLICATION ACCEPTEO BY PLANS CHECKED BY ·:·71·-~" ~ Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T .U . M
Wall Heaters.-B.T.U. M
NOTICE Unit He&ters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-I,, Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN l20DAYS,OR IF I Clothes Dryers .., c:.'C, CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-/. Ventilation Fan ~ Oelt
MENCED. / Range Hood 2 c..c, 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 Air Handling Unit-C.F.M.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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 CE>NSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
\
/( i /I ' u 4 i-1,f I c..~ ~/.J, /
SIGNATUllltE OP' CONTftACTO" Ofll AUTHO .. _izr.o AGE.N T (DATl)II'
ISSUANCE FEE s $ ~C"
•1r..w..aTufU. OP' OWNER IIP' OWN£1111 8UILOl:II) DAT[) TOTAL FEES s l"I ()C
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
6-20-77 Heat rough: O.K. Mer
INTERDEPARTMENTAL INFORMATION SHEET
BUH.RING DEPARTMENT .
PLANNING DEPARTMENT /10
LOT SIZE ___________ .J,.OT WIDTH ___ --"-l, ____ _
UNITS PROVIDED------,,----=~"'"' LLOWED ____ PRKG. SPACES PROVIDED ___ --.AS
% OF COVERAGE ./ ALLOWED BLDG. HEIGHT __ / ___ ALLOWED ___ _
FRONT SETBACK t ~ SIDE YARD / REAR YARD ___ ~ __ INTRUSIONS_-___ _
ENVIRON MENTAL PROTECTl~N REO'T~-A------,---1---LAN DSCAPE PLAN_~/tl'"'"-'--....;..l~,---
ADDITIONAL COMMENTS ,, ~ .::_~ ' 1,0 ~,,
ISSU~E PER
' ENGINEERING DEPARTMENT ex,~r. R.0.W. _____________ _
IMPROVEMENTS _~-'--S-~_1
------·
DR,vEwAY LocAT10Ns___,.,Kz~M~w""""-'N __________ _
EASEMENTS, ___________________ DRAINAGE SOC)f:dQ ~-
LEGAL DESCRIPTION~~~~~~-1~,~~~~~~~~~·~J~~-f~~~µ~o~,~~~,~· ~~~~~~D~-~~~~~~~~
ADDITIONAL COMMENTS __ ,..___ _ __;~;_t{_~--=--:...---=~:__.o __ &___.:...~___:___~_.,..~_-=--------------
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________________________ _
FIRE PROTECTION EOUIPMENT ___________ FIRE ALARMS ________ _
EXITS-------------~------------------~
FIRE HYDRANTS ___________ _ LOCATION ____________ _
ADDITIONAL COMMENTS--------------------------~
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE ____ _
WATER DEPARTMENT ,
M W D ________ CARLSBAD ____ OLIVENHAIN ____ SAN MARCOS ___ _
.,
SENT TO ENG. DEPT. -------
RETURNED Tp BLDG. DEPT. ----
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Owner's Name: Tom Elliot Phone No. 756-3497 ~~~~~~~--~---~--~-~-~-~-~~
Mailing Address: 2550 El Camino Del Norte
Olivenhain
Service Adciress ~ 2772 Galicia WayCarlsbad
Tr~ct Description: lot 267 La Costa South #4
Type of Building: single family No, Units ---Connection Charge $500.00
Lateral Size: 4" 6" 8" Saddle:
Extra footage: ___ @ $ __ _ Easement Connection ---
Extra depth: ____ @ $ __ _ Lateral Charge
Total $500.00
The application must be signed by the owner (or his authorized representative) of the
property to be served. The total charges must be paid to the District at the time the
application is submitted.
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that part of the sewer system that extends. froin the
main collection line in the street (or easement) to the point in the street (at or near
the applicant's property line) where the service lateral is connected,to the applicant's
building sewer. The applican!l. is responsible for the construction, at the applicant ,s
expense, of the sewer pipeline (building sewer) from the applicant's plumbing to the
point in the street (or easement) where a connection is made to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be made
by the applicant at his expense. The connection must be made in conformity with the
District's specifications, rules and regulations; and IT MUST BE INSPECTED AND APPROVED
BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT. THE APPLICANT, OR
HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE TIME INSPECTION IS DESIRED.
ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLECTION LINE WITHOUT PRIOR APPROVAL AND
INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED,
After connection is complete, the property descrihed above is subject to a monthly
sewer service charge, billed bi-monthly in advance. The rate will be governed by the
use of the property, single family, multiple dwelling or commercial •. Non-payment of
the sewer service charge is subject to a 5% penalty per month, plus disconnection if
necessary.
the above information given is correct and agrees to
6167
. Owner's Sig ~e Account No.