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HomeMy WebLinkAbout2784 Galicia Way; ; 77-7187; PermitMOD EL NO. _. __:;_/_.:,...:...:n:;_o=--"'-.L.:'C,"'---· BUILDrNG PERMIT APPLICATION ,c::I -City of CARLSBAD, CALIFORNIA 92008 ., " ~ 7 5'"'6* "c-11 --; --7 J ') -, Applicant to complete numbered spaces only Phone 7 29-1181 Permit No -/ JO"io1".f4 ASSESSOR 'S ,.!_/ ~ PARCEL NUMBER .__ ., _,_._) &• - LOT NO. l9 "' I TRACT 6vvK 7'J'8'E I PAR. 1 ~~;~~--(nSEE A T TACHED S11EETI 1 Ti ., I l . . , ., OWN[jq MAIL AOOR[SS ll p PHONE 2 J ----~~3 l. ' 9 7 (.. -v• J • • -. • ... ~ . CONTRACTOR MAIL AOORCSS PHONE STATE LIC. NO. CITY LIC. NO. 3 ,c.:::.: ~ in Co~. 903 J r:i. • 7S5-1 .. • I . ARCHIT[(T OR OC51(;N(III MAIL A OORCSS -,:r .. ,n PHON [ LICENSE NO 4 ... s 75S-3, -':' • , __ ,~ • -,. ,. • • - tNGINE[R MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS. CARRIER MAil ADDRESS &,U ,NCH 6 USE OF BUILDING 7 ,.:.;_;_ ,~c. NO. BDRMS 3 NO. BATH' i 8 Class of work: GNEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE I ~r (\ 9 Describe work: L.l~\, , \ tYl&A_ l l} N\Ol,,Q ( .1-v\. .......... '> \, / i,~L.i>. rt.. J ~~v~ ..._\, V 1\1 . 1 \I iv ~ ~ y I I ~ IQ 10 Change of use from Change of use to 11 Valuation of work: $ J) ,t./1 -I ~, -PLAN CHECK FEE S / PERMIT FEE S SPECIAL CONDITIONS: MICRO FILM FEE Type of ,J Occupancy Const Group l"J Sile of Bldg. No. of I Max. (T otalJ SQ. Ft. <j I) Stories 0cc. Load Fire use I Fire Sprinklers -· APPLICATION ACCEPTEO BV PLANS CHECKEO BY APPROVED fOA ISSUANCE ev zone .J Zone Required 0 Yes 0No No. of OFFSTREET PARKING SPACES: R· '< Dwelling U nits No. I No. DATE DATE Covered Sq. Ft. I Open NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CON DITI ONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· T ION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF F l RE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT. HEREIN OR NOT, THE GRANTING OF A PERMIT DOES N OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER S1ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 51CNATURt or CONTAACTOIII OA AUTHOAIZtD ACENT (DATE) SIGNATU III[ O' OWNER (If' O WN[III 9U ILOEIII) IOAT[) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ., ( TOTAL FEES$~~-=-)_/:.._~,/~--~ l I r ~t., ELECTRICAL PERMIT APPLICATION-:- City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No '? 7-f y~ JOB ADDRESS f ~ c:::.!> '· ~ '' LOT NO. I BLK. I TRACT (QSEE ATTACHED SHEET) LEGAL I C 1 DESCR. OWNER MAIL ADDRESS ZIP PHONE 2 .,~r...,o, A ~\Z,;4.! CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO. 3 • l '~ .... _ 1· \' 1 ·--~ ARCHITECT OR DES IG HER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS CARRIER MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWI MMING POOL WIRING, NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH Al'l'LICATION ACCEPTED av PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, /t'V FUSE OR BREAKER 'i/1)1,~ (. .s ,, _.-, . I DATE NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE!> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ;;$" PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. II .I TEMP. SERVICE OVER 200 AMP. PER 100 ,. 4'. ·" ,z SIGNATURE OF CON'fRACTOR OR AUTHORIZED AGENT (DATE) ,:;,. ISSUANCE FEE - TOTAL FEES $,J. SluNATURt OF OWNER CIF OWNER BUILDER) OATF' WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ---. ' PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 Permit No Joe ADO ft ($S '~14S. (.!AL,lC.I ~ LOT NO. LEGAL I 1 D£SC•. 210 I OL K OWNEfll MA.IL AODJltESS 2 Sc.A~t:)<~ Cu,-z.r=>. CONTftACTOR MAIL AODR£5S 3 AJltCHITCCT OR O[SIGNE.111 MAIL A.001111[55 4 EN, IN££11t MAIL AODRlSS 5 COMPENSATION (NS. CARRIER MAIL AOOlll.(55 6 USE or BUILDING 7 8 Class of work : CJ-NEW 0 ADDITION 0 ALTERATION 9 Describe work : IQoo rz SPECIAL CONDITIONS ·' ,, APPLICATION ACCEPTED av PLANS CHECKED BY APPROVE O FOR 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 CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO 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 .JJ1 J! I _,, • / l_ /.7/ ( IL •-__ __. S1 GNATU91tt or CONTR'ACTOIII OR AUTHOAIZED AGENT S1GNAT11f1S' OP' OWHEJI II" OWNER 9UILOtft) IOATE} ZIP PMON[ PHON t STATE LIC. NO. PHONE LICtNSE NO. PHON[ LICENSE HO, 0 REPAIR PERMIT FEES No. Type of Fixture or Item 2. WATER CLOSET (TOILET) I BATHTUB 1' "'J LAVATORY (WASH BASIN) .... SHOWER • KITCHEN SINK & OISP I DISHWASHER LAUNDRY TRAY ' CLOTHES WASHER • WATER HEATER l URINAL DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK I GASSYSTEMS NO.OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM ' SEWER NUMBER CLEANOUTS t CESSPOOL SEPTIC TANK&. PIT ROOF DRAINS ISSUANCE FEE TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR CITY LIC. NO. Fee $ .> I'. l) / ~ ,") .,/ ( ,...., I / ) I V :, C / . ::) I ":.v $ $ CASH MECHANICAL PERMIT APPLICATION :; City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No L. ' ~ ·-4 <.::i LOT NO. LECAL I 1 OUCR, ..::..10 I BLK I TRACT OWNC .. f' 2 :Sc~,..,,o, ~~-· MAIL. AODl'IESS CON Tll':AC TO"' MAIL ADDRESS 3 ,,Q"' 1-,,~ Ai.CHITECT 01'1 DESIC.NC" MAIL A00"ESS 4 ENGINEEl'I 5 L[NOUI 6 USE 0,. I UILOINC 7 8 Class of work: ONEW 0 ADDITION 0 ALTERATION 9 Describe work : SPECIAL CONDITIONS. ~ -(/ - APPLICATION ACCEPTED IIY PLANS CHECKED BY J~ I) NOTICE ' /V//J /.,. APPROVED FOR ISSUANCE BY 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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO 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. I ~ - SIGNATUl'lt Or CONTllf:CTOfll Otlt AUTHOIIIZ.l:D AGENT • (DATE) ~l~NATUfl .. OP' OWNElll ,,. ow,u:lll autLO[fl OAT£ tOscc ATTACMCD SHE.CTI ZIP PHONE PHON C STATE LIC, NO, PHONE LICENSE NO. PHONE LICENSE NO. Bl'IANCH 0 REPAIR Type of Fuel: Oil 0 Nat. Gas D LPG. D PERMIT FEES No. Type of Equipment Air Cond. Units-H.P. Ea 16 Refrigeration Units-H.P. Ea. Boilers-H.P. Ea. Gas Fired A.C. Units-Tonnage Ea. I Forced Air Systems-8.T.U. M Ea. Gravity Systems-8.T.U. M Ea. Floor Furnaces B.T.U. M Wall Heater~-8.T.U. M Unit Heaters B.T.U. M Evaporative Coolers , Clothes Dryers r Ventilation Fan ,/ Range Hood Air Handling Unit-C.F.M. Incinerator ISSUANCE FEE TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR .. " CITY LIC, NO. Fee $ 4. - z. - z. - 2. - CASH 1 ,J) ~/ ( ~ ,1 i ' -INSULATION CERTIFICATION ... • This is to certify that insulation has been installed in conformance with the current energy regulations, California Administrative Code, Title 25, State of California, in the building SITE ADDREss,,<,,z ,t-~'7() -/M 6a /,·c. -·c,, / k@.?2;,, { 7 , EXTERIOR WALLS ~ Man u fact u re r{.)(,<1~£ (jzvz,,,. 1 CEILINGS /fJ Manufacture~6H,£~~~ Manufacturer / Blown: -~------- efz t, Thickness/Type I J,- / {( Thickness/Type U --~----- Thickness/Type _______ _ Wt./Bag ______ _ Sq. Ft. Covered ___________ _ FLOORS Manufacturer ----~-------Thickness/Type _______ _ SLAB ON GRADE Manufacturer ------------Thickness/Type _______ _ Width of Insulation Inches ------- FOUNDATION WALLS Manufacturer ------------Thickness/Type. _______ _ R-Value /(' R-Value /,? R-Value --- R-Value __ _ R-Value __ _ R-Value --- R-Value --- GENERAL CONTRACTOR LICENSE# ______ _ BY TITLE DA-TE ----- ::~ LICENSE# 325251 C2 DATE 711eJ&1 TITLE~.,E,~~c....~- .. -LOT ;) 70 ;}74£ BUILDHlG FOOTINGS FOUNDAT I ON REINFORCED MASONRY GUNITE OR GROUT SHEATHING ujto/zz ttl! FR.n_ME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL UNDERGROUND 'f .. f' ~ TOP OUT TU B AND SHOWER GAS TEST ELECTRICAL UND ERGROUND ~-C},... n ~ ROUGH CEILING HEAT BONDING MECHANICAL DUCT & PLEM , REF . PIPING HEAT--AIR VENTILATING SYSTEMS FINAL: MODEL NO, _________ _ BUILD NG PERMIT APPLIC TION City of CARLSBAD, CALIFORNIA 92008 " _--, ""7 -/J ~~ P --1 Y.-:i 1;/r Applicant to complete numbered spaces only Phone 7 29-1181 Permit No Joe AODA £~S " ASSESSOR'S • ~ (-:,t\L.tt\l y PARCEL NUMBER LOT NO. I BLK I TRACT BOOK PAGE I PAR, L[ CAL I ~<IU 7 4-1D•tc ATTAC><to s><ttTJ I DESC~. L fC;.:. .-,.r f\ OWNER :, MAIL ADDRESS ZIP F>MONE -.... , 2 VP\ l ,AL. '~ c... -"'"-t.:::!" ., CON Tl'U,C TOA -MAIL AOOAESS \\\ \ .. ,ol'.. PHON £ $TATE LIC. NO. CITY LIC. NO. 3 ' \ \ -'\/ '-t,.,\ ·A .., ""~ -ARCHI TECT OR OtSIGN[llli MAIL AOOAESS PHONE LICENSE NO. 4 t.NGINEEA MAIL AOO~[SS PHONE LICENSE NO. 5 COMPENSATION INS, CARRIER MAIL AOOlllESS 8AANCH 6 - USE OF BVILOING 7 .., NO. BORMS NO. BATHS 8 Class of work:~ 0 ADDITION DA~ OREPAIR O MOVE 0 REMOVE 9 Describe {ark: ,I \~ .. o L -4 i~/J __) ... '--::: 10 Change of use from Change of use to 11 Valuation of work: $ Ct J ll /, tu :J £> ,-I PERMIT FEE $ ' I ~ (1) PLAN CHECK FEES I SPECIAL CONDITIONS: MICRO FILM FEE Type Of Occupancy Const. Group s,ze of Bldg. No. of Max. (Total) Sq. Ft Stories 0cc. Load Fire use Fire Sprinklers APPLICATION ACCEPTED 8 V PLANS CHECKED ev APPROVED FOR ISSUANCE ev Zone Zone Required 0Yes DNo ' I I No of OFFSTREET PARKING SPACES, I • I' JNo . /•I CATE /'J/ Dwell,ng Units No. CATE 'I .r Covered Sq. Ft. Open NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· 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 SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR THE GRANTING OF A PERMIT DOES NOT NOT, PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE·OR LOCAL LAW REGULATING CONSTRUCTION OR 'THE PERFO~MANCE OF CONSTRUCTION. T " I ~ , .SIGNATUIII[ 0,. CONTR:ACTOR: OR: AVTHOlll:IZlD AC.!.NT IDATEI . SIGNAT1Jfll' 0,. 0WN£fll If' OWNCII IUIL.O!R:) 1DAT(} WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH - f.r (. • C -·t., TOTAL FEES$ ________ _ INSPECTOR INSPECTION RECORD FOUNDATIONS: SETBACK ~--~~_,,,~~~~---l~~~~~~~~~~~~~~~~t--~~- TRE REI FOl WEJ CONCRE" FRAM INC INT. LAl EXT. LA' MASO NF FINAL USE SPAC <ttitp of <ttarl.u&ab REQUEST FOR INSPECTION RECORD TIME: ____ _ INSPECTOR~,b1t, .: ... I'\ PERMIT NO. _________ DATE: ll:•1JJ ez-- OWNER ___ ---=---rT-----------------------------~ ADDRESS ~~lf ~tnAL-1~ REQUESTEDBY PHONENO. ------------- BUILDING FOUNDATION REINFORCING STEEL MASONRY GROUT -GUNITE FLOOR AND CEILING SUB FRAME n SHEATHING O ROOF D SHEAR n FRAME EXTERIOR LATH K')\(_ [J INSULATION V 112. INTERIOR LATH OR DRYWALL ty • FINAL PLUM BING 1 UNDERGROUND PLUMBING U SEWER AND PUCO l l TOP OUT PLUMBING [ TUB OR SHOWER PAN GAS TEST WATER HEATER kLARWATER /' ,NAL PERSON TAKING REPORT ____ _ ELECTRICAL [ TEMPORARY SERVICE l UFFER GROUND ELECTRIC UNDERGROUND ROUGH ELECTRIC POOL BONDING -) ELECTRIC SERVICE / FINAL MISCELLANEOUS CONDITIONED AIR SYSTEMS SOLAR HEAT P TIO OOL GN LJ GRADING DRIVEWAY [ FINAL SPA SPECIAL INSTRUCTIONS ___________________________ _ ----------------------------------~ Ready For Inspection: D Monday ~ A.M. D P.M. D Tuesday D Wednesday n Thursday 0 Friday J. INTERDEPARTMENTAL INFORMATION SHEET .. BUILDING DEPARTMENT BUILDING ADDRESS: OF CARLSBAD Building Department PLANNING DEPARTMENT UNITS ALLOWED~~~~-------UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED __________ PROVIDED __________ _ PROVIDED -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED __________ PROVIDED FRONT SETBACK: ALLOWED PROVIDED ------- '_INTRUSIONS SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: REAR SETBACK: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMM~TS•~~~~~~~~7J~~~~~~~~~~~~~~~~~~ OK TO ISSUE: tw DATE /dpi(zf OK TO FINAL _______ DATE ____ _ ENGINEERING DEPARTMENT R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION DRIVEWAY LOC~IONS GRADING PERMIT ~------EASEMENT~({t~ DRAINAGE ____ _ LEGAL DESCRIPTION--1o:.:...=.:::_~-==="'"------------------------ ADDITIONAL FIRE DEPARTMENT SPRn;KLING SYSTEM FIRE PROTECTION EQUIP ·-------- FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS __________ LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: WATER DEPARTMENT REQUI,EMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _