HomeMy WebLinkAbout2780 GALICIA WAY; ; 79-1887; PermitMODEL NO. _________ _
BUILD1NG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 7/03/1917 ,J
Applicantto complete numbered spaces only Phone 729-1181 Permit No Zclt'f J
Joe AOOR ESS
I LOT NO Lt GAL 1 D£5CA. ~ ~ q,
OWNC.A
2
OLK
MAIL A.OOA[S5
ASSESSOR'S
PARCEL NUMBER
PAGE I
.oo
PAR.
CONT,-AC TOA MAIL AOOAESS Pl-40N t STATE LIC. NO. CITY LIC. NO,
AACHITtCT OR OESICNCA
4
ENGINttA MAIL AOOAESS PHONE LICENSE NO,
COMPENSATION INS, CARRI ER MAIL AOOl'l(SS ~ / ~, ,1 All ----
BIIIANCH
6
USE Of" BUH .. OING V r ,-'"
NO. BDRMS NO. BATHS
8 Class of work: _)f NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : 3 /;Y"' / ,,,,.,._, /'f I A/' (J-p ~ti/.. ~ S /-"A
10 Change of use from
Change of use to (I
11 Valuation of work: $ ) tJ tJ t.J ~ PLAN CHECK FEE$ ()..~ I PERMIT FEE$ Lfyrt;!,,
~S_P_E_C_I_A_L_C_O_N_D_IT_IO_N_S_: ---------------------tTypeof
Const
t-------------------------------t s,ze of Bldg. (Total) Sq Ft
Occupancy
Group
No. Of
Stories
MICRO FILM FEE
Max.
0cc. Load
1------------,.---------------------i Fire use Fire Sprinklers APPLICATION ACCEPTED av PLANS CHECKED ev APP'efOvEDI R ,ssuANCE av zone zone Required DYes DNo
77k, 0 0 1-----------+--0-F_F_S_T_R_E_E_T_P_A_R_K_I_N_G_S~P-A_C_E_S--------1
VJ jJA1_ No. o f
DA E /, tf) -DATE /, 7, 'f Dwelling U nits ~~~ered Sq. Ft. l~ien
1 1 ' NOTICE 'Jlt,a, 1/?.. Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRlt?:(L,.PLlJ!v'fB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND 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 SO IL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· ~ --t---· ---·------->-----------1 MENCED. OTHER (Specify)
~,Wf..~!2:t, 0cJ'l~6YKi~~ \~tflJE Rll~E'i~iJ ~~~ 1tJR Rl~!f. 1--EN_G_1 N_E_E_R_IN_G_D_E_P_T_. --------------+--------i
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED 1---------+-------+-------+--------1 HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL rHE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE ~FORMANCE OF CONSTRUCTION.
~..t'..: 1 ~~ ~ .... _,. ~---c'/Jl 9/? :51'
SICNATUFI[ or CONTfl~ 0" AUTHOIIIIZtO AC.ENT / (D-,t)
SIGNATU III[ 01' OWNE" (IF OWN[" 1UILD£fl) DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$
~b 1J--'~
BP
MODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 71 11
Applicant to complete numbered spaces on y. Phone 7 29-1181 Perm it No
JOB ADDA [S5
; /./ ., .-I '-,
OWN(II MAIL AOO .. ESS 21 P
2
CON TRAC TO,-MAIL ADDRESS PMON[
3 -4 J. ·' I
AACHITtCT OR ocsar;N[R MAJ\. AOOAESS PHONE
4
tNG IN[CJII: MAIL .400A[5S PHONE
5 J t: 7 l· d. ! /. YAJ."J'Z. ~ ~---.. -~
COMPENSATION I NS. CARRIER / MAIL AQOIIC5S
6
·-J~ .,~
USC 0,. IUJILOING ,. ; ,-.. --
7 NO. BDRMS
<Oscc ATTACHED sHctr1
J ,,., ,
PHONE
.•
ASSESSOR'S
PARCEL NUMBER
BOOK PAGE I PAR.
STATE LIC. NO. CITY LIC. NO.
--,:'. ; ,i-
1..ICENSE NO,
LIC ENS E r,,iO.
• ~ &-2-1; 1~ -~&,c., ?Ii ~?'
8Jll:ANCH
NO. BATHS
8 Class of work: QJ NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ., ..:; , A
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE $
~S~P~E~C~l~A~L~C~O~N~D_IT_IO~N_S.;;_: ------------------~Type of
Const
~-------------------------------t Soze of Bldg. (Total) SQ. Ft
1-~~~~~~~~--,.~~~~~~~~~.....-~~~~~~~~~~Fire APPLICA TOON ACCEPTED BY PLANS CHECKEO BY APPROVEO FOR ISSUANCE DY Zone
,,, f • 1/A I DATE -, I .rr:rLL.,~ DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING, HEATING, VENTILATING OR A IR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
T>ON 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 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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.
S IGNATURE o, CONT .. AC.TO" 0111 AVTHOftl?[D AGCNT
51GHATUA[ o, OWNt.111 l l r OWN£ .. 8Ult.01t,t) DAT[)
No. o f
Dwe111ng Units
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
i ;l. ~ I PERMIT FEE $
,
, I I .,,,.
Occupancy
Group
No. of
Stories
MICRO FILM FEE
Max.
0cc. Load
use Fire Sprinklers
zone Required D Yes 0No
OFFSTREET PARKING SPACES·
No. Covered
Required
Sq. Ft.
Received
I No. Open
Not Required
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
:;h ~ TOTAL FEES$ ________ _
INSPECTOR
p
•
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL 8c
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY ---
--~
FINAL ~/ I~~ I/ -----( -
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
-------------------------------------------
-----------------------------
-----------------------------------
-------------------------------------------
------------------------------~--------
PLUMBING PERMIT APPLICATION n I 1.1.1.J
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No 7 9-l!f?'
JO a ADOfl c,s
_.,. , 'V
L [GAL I 1 ocs c•.
LOT NO.
OWNtf'
2 //() /,-
CON TflAC TOIII MAil. AOO,t[S5
3 -,
Allt(HIT[CT Oft 0 £5tCNEllt MAIL ADDfl[~S
4
(NG INE[JII: MAIL A OO .. [SS
5 .. ~£ .... , C /)1., ,J.. ....
COMPENSATION (NS. CARRIER MAIL ADOfH.55
6
US[ or BUil.DiNG
7
8 Class of work: O NEW 0 ADDITION 0 ALTERATION
9 0 escribe work:
SPECIAL CONDITIONS
APPLICATION ACCEPTEO BY PLANS CHECKED BY APPJlOVE O FO<l ISSUANCE BY
DATE
NOTICE
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 C ERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICAT ION AND KNOW THE S A ME TO SE TRUE AND C ORRECT.
ALL PROVISIONS OF LAWS ANO O RDINANCES GOVERNING THIS TYPE O F WORK WILL BE CO MPLIED WITH WHET HER SPECIFIED HEREIN OR NOT, T HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTH ORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Ill (DATE)
/
llP ... -PHON[
PHONE. STATE LIC. NO,
PHONE LICENSE NO.
PMON[ LICENSE NO,
/7~/;.._ . ~ I '> ; ,. f"I.-
9fltANC"1
0 REPAIR
No.
PERMIT FEES
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
.
CITY LIC. NO.
,: -~ -
; /ff....,.,-.
Fee
$
ISSUANCE FEE $
.SI CiNATUN[ 0" OWN[I' (If' OWNCIII 9UIL0£11tJ {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. CASH
INSPECTOR
OP
/
110 ... /1] 73{1
ELECTRICAL PERMIT APPLICATION 1.00 p
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. '7-/r ---JOB ADDRESS
-/ r ) ,, .I , , ' LOT NO, I BLK. I TRACT <O sEE ATTACHED SHEET) LEGAL I 1 DESCR, -I: i' ,J ~.,,..,,,, ,-r./ ~A \ , r .. , . ') .... ~ ~.
OWNER MAIL ADDRESS ZIP PHONE
2 //t!'.,Jr ,,. i' .,.,} 'VJ/!1-/ •"'.j f ?c -~ ' ., , ...
CONTRACTOR MA IL ADDRESS PHONE STATE LIC. NO. CITY LIC, NO.
3 I .... _., f' ....,, • 't.; t..'. , , {'I ' ' -
ARCHITECT OR DES IGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 <..' ,.. . , ,1 /I.A, ,• . •, ) ~"'~ ~-f t:./~ lit: II. ., .. •/)
COMPENSATION INS CARRIER MAIL ADD~ESS BRANCH
6
USE or BUILDING
7 ) '
8 Class of work: 0NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: .. <4, .""' ""· .1..J / __ ,f:.,~ I z <t:".,. .p" fJ.5'"'
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
/ -{ ~ V
-NEW CONSTRUCTION, FOR EACH
.V"LICATION ACCEnEo BY '°LANS CHECKEO BY APPROVED FOF! ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
:A,/-,~ ~ 7///jf ,,,. 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
'At4li .. ~l'ff10CJl}.il6YKJ~!\~t::~E\1)A~E~~?i€~~~liJfRl~!r.
INCREASE
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.
TEMP. SERVICE OVER 200 AMP.
A? PER 100
! /.: ., . ·"" .. ,,
SIGNATURE or CO\TRACTOR OR AUTHORIZED AGENT ; (DATE) --ISSUANCE FEE • ' ..
TOTAL FEES ? ~~ SIGNATURE or OWNER !IF OWNER BUI DER TDATEl
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
ltJ4-DJ:C'TOR
I INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS, d ??rJ.~~W';},,
~09-c?.W?4~#d!4 ? ~ .
PLANNING DEPARTMENT
DATEJhl,.....--..---~----nECEIVEo
. ILJL 2 1979
CITY, ~F CARLSBAD P11•,rmg r'lcp" ..
• J· m nt
UNITS ALLOWED_~--~~-----UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED __________ PROVIDED __________ _
PROVIDED -------------% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED -~-------!!-~ __ PROVIDED
SIDE SETB1 CK: FRONT SETBACK:
ALLOWED -------
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PiAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: \
SCBQQT FEES · DISTRICT· \ )
ADDITIONAL COMMENTS: \J
REAR SETBACK :
AMOUNT:
OK TO ISSUE, ~J, 0, DATE 1/);)'\ OK TO FINAL _______ DATE ____ _
ENGINEERING DEPARTMENT )fl(., l} / I
R. 0. W. rx/ T/ 1 1 INDUSTRIAL WASTE NA IMPROVEMENT s___._/J~A;....::.L._ ___ _
_ ____.~ _____ DRIVEWAY LOCATIONS~=1~r_._ ________ _
GRADING PERMIT EASEMENTS _ __.JJL....-~fr':....,_ _____ DRAINAGE __ V_A __ _
SEWER CONNECTION
LEGAL DESCRIPTION ). 7 .:/Q 6 ~ h-?J-r ;}6'7' L
ADDITIONAL COMMENTS --------------~-----~-
OK TO ISSUE: ~If/: DATE ?-1--rf PWI OK TO FINAL DATE ------------
FIRE DEPARTMENT
SPRit~KLING SYSTEM FIRE PROTECTION EQUIP·--------
F IRE ALARMS EXITS _______________ _
'FIRE HYDRANTS __ ~ _______ LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE __ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _