HomeMy WebLinkAbout2801 Jacaranda Ave; ; 77-6164; PermitMOOEL NO. _________ _
BUILDING PERMIT APPLICATION ✓
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm 1t No 17-&l b Y
JOIS ,t.OOA f.4• ", ASSESSOR'S -' .,. ··-' PARCEL NUMBER ·-' ' LO""f NO. Im , ,•ACT Bvv~ PAGE I P AR,
LEGAL I . . t0sc£ ATTACH[O SHCt.T) 1 DESCR, . ,_
OWNC.R MAIL A00111[55 ZIP PHONE
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CON TftACTOft MAU. AOOAESS PHONE STATE LIC, NO. CITY LIC, NO.
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AIIICHITCCT O R DC.51GNU I MAIL AOOIIIESS PHON t LIC[NSt NO,
4 -" --. 1 01 121s. z ~~11-j .~-, ... __ r•.•. • • I ... ' ........ ----.
CNGINCCIII MAIL AOORl:55 PHONE LIC[NS£ NO,
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COMPENSATION INS, CARRI ER MAIL AOOIIICSS IUIANCH
6 f ; ___ l<-.,..41,n. rn,"'1 --• CA • -~ " J ,, ~ ...
USE o ,r IVILOING
7 ' y • 0Ll~··•t~;, ! NO. BDRMS 4 NO. BATH,:ii 2
8 Class of wo rk: L:l NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE .J .
,i' 9 Describe work: ll.'em+.1 f,1 ---· ---12 {) l ~A~~ • l.rtr"Uf'1II
V jJ ' <.,\ I ' ~
10 Change of use from
"\ ., .
Change of use to
~~ 35/ti , )(",& l PERMIT FEE $
//a 11 Valuation of work: $ --PLAN CHECK FEE s
SPECIAL CONDITIONS: MICRO FILM FEE Type of / \\ Occupancy -•
Const. Group J
Soze of Bldg. -, No. of I Ma><
(Total) Sq. Ft. ) , Stories 0cc. Load
Fire Use j Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED ev ~·:::VE°g};~BV• Zone .,; Zone Required Oves 0No
No. of OFFSTREET PARKING SPA CES:
Dwelling Units No. /INo. DATE Covered, Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING O R AIR CONDITIONING. HEAL'TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED W ITHIN 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---
MENCEO. 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 NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHO.RITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHe:R STATE OR LOCAL LAW REGULATING
CON STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
X .. 1,-•. r~ ~ ,,
51GNATUl!t[ Or COHTJll:ACTOfl 09111 AUTHOflllZ!O AG[NT /' IDAT£1
SIGNATUflE 0,-OWNUt (Ir OWN[" BUILD!") OAT[.)
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 $ __ t:>f"' __ r_C:-__ _
INSPECTOR'
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BUILDING
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GllNITE OR GROUT
SHEATHrnG ~;;;
FRAME 4? ~
INSULATION / -/ ,;l.. -]f CJ'
EXTERIOR LATH
INTERIOR LATH
PLUMBING
SEWER AND P.L/CO '.}:::f:'.~
'
PLUMBING UNDERGROUND 'i-Y'. rl<,..-
·COPPER
TOP OUT /#z :c/
ELECTRICAL
'UNDERGROUND
ROUGH
• C£ILING HEAT
BONDING ..
--...
•
MECHANICAL
DUCT & PLEM, REF. PIPINGtppz ~
HEAT--AIR
VENTILATING SYSTEMS
PLUMBING PERMIT APP LICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181
Joa ADD" els
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MAIL Acysllt[SS ;> llP p , PHONC /O"l -2 / I, I -r:,,;' 1, ;r/; tAz.fe,__? j, , -, /4~/'ZJd .,.."(_£-, I
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co~ T"AC T9flll //l.t-1 /llPp { ft, MAIL AOOA[SS . ,, PHONI. -STATE LIC. NO. CITY LIC. NO.
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ARCHITECT 0111 OCSIGNCIIJ / MA IL A00Jt[5S I PHONC LICCNSC ~0
4
t:NGIN[CJt M A IL ADDA [SS PHON[ LICEMSC NO.
5
COMPENSATION (NS. CARRIER MAIL AOOIIIIC55 •111tANCH
6 ,11.u/41,0 /l?n'µ/f "1lft✓~ ,/ '-,.,,YJ-? @i~✓~ 1jq4/ ..-,/441-/,7 ,Jf~A 9PYc.v -L --'.:
7
USC Of flVILOING
(/4~,/,7'7;; I
8 Class of work di-N EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : 1 bi //tb/,,, /~ , /
PERMIT FEES
No, Type of Fixture or Item F.ee
SPECIAL CONDITIONS WATER CLOSE T (TOILET) $
~
/ BATHTUB . ·-' & LAVATORY (WASH BASIN) .,I (,.. -
I, SHOWER J ~ (
I KITCHEN SINK & DISP 'I '
DISHWASHER
APPLICATION ACCEPTED BV PLANS CHEC .. EO BY APPROVE O FOR iSSUANC( 8Y LAUN ORY TRAY
I CLOTHES WASHER I ';;>H
I WATER HEATER I ' DATE
NOTICE URINAL
T HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS N OT COMMENCED WITHIN 120 D AYS.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 / 5,( I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TR.EATING 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 VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION LAWN SPRINKLER SYSTEM .
I SEWER NUMBER CLEANOUTS ~ ,, ~
itt1t1,, J
CESSPOO L
/ 1)A.A
, q,1. I SEPTIC TANK a. PIT
: 7 ROOF DRAINS
.SIGNATUIII[ 01" COhTIIACTO" 0" AUTHO"11£0 AGCNT (OAT£) .
ISSUANCE FEE s
TOTAL FEES $ SIG"'ATIJIIC o, OWNf.lll u, OWN[" aulLOC"I (OAT() I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT t
PLAN CHECK VALIDATION CK . M .O. CASH PERMIT VA LIDATION CK. M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
Joe ADDIII £55
LI.GAL I 1 DUC.,
OWNE"
LOT NO.
2 •, , ro
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1
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TRACT
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MAIL ADD,.ES5 ...
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PHONt ,,r
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CON Tft.ACTO" MAIL ADDRESS PHONE
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LICENSE NO, .,-~y
3 ..J . L • 7 .~.~•Jill
A"-CHITCCT OR DE51GN£fl MAIL ADDRESS
4
ENGIN£CA MAIL ADDRESS
5
L£N0Cfl M AIL AODflESS
6
use or IIUILDINC.
7
8 Class of work: □NEW □ ADDITION 0 ALTERATION
9 Describe work: .......... -
tlir1n:, of' ttousae
SPECIAL CONDITIONS:
PHONE
PHONE
0 REPAIR
RECEPTACLE
LIGHT
SWITCH
LIGHTING
LICENSE NO.
LICENSE NO,
B"-ANCH
PERMIT FEES
Total
Outlets
Total
Fixtures
No.
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY, FIXTURES
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 EXAM INED 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.
SI GNATUftlt OP' CONTftACTOft Oft AUTHOftlZ.E.O AGE.NT
•IGM.&T ftF OP' OWNUt 11,-, OWNEft 8UILOE.111
' I
(DAT£!
DA.Tit}
' 7,
RANGES CLO.DRYER WTR.HTR.
GARBAGE OISP. STA. COOK TOP
DISH. WASH. CLOTHES WASH.
SPACE HTR. STA. APPL.½ H .P. MAX.
MOTORS: H.P.
NO. TRANS.
SIGNS NO. LAMPS
TEMP. POWER UPOLE D uNDGD.
SERVICE 0·200A
l 201·400A
LI NEW 401·600A
D CHANGE OVER 600A
PERMIT ISSUING FEE
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Each
$
$
3
0 ~ z "' ll
Fee
-·
I•
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
AUDIT
R O"D£ft f'ftOM: INTERNATIONAL CONFERENCE OF B UILDING OFFICIALS e !SO SO. LOS IIIOBL E.S e PASADENA, CALl,.ORNIA il 10 1
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MECHANICAL PERMIT APPLICAT10N '-~~1239• .,.. * I
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 . Permit No
,I
JOB AOO,ill [55
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LOT HO, Im •CC: I TUCT LCGAL I --t~CE ATTACHED SH[CTI 1 ouc~.
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OWNEIII MAIL A0011E5S 2 IP eHONC ,. --2 ., H.-.•n.-_.., ,_ • • ,~IIU· Vall . .. -.
CON TIIIIAC TO" MAIL ADOIIIESS PHOM t STATE LIC. NO, CITY LIC. NO,
3 -Inc .. 2965 B/C 92 17?? • .. • . • . -A"CHITCCT 0 " DtSIGMtll MAIL AOOIICS!i PHON C LICENSE NO,
4
lNGIN[Cllt MAIL AOO .. CSS PHONE LIC[NSE NO.
5
LENOUt !IAAtL AOOJIES!i 8ftlANCH
6
!', ,..
ust 0,. IUILDIHC Ii"
7 ~j ... , .
8 Class of work: 0-NEW 0 ADDITION 0 ALTERATION 0 REPAIR .
9 Describe work: iieat.lng
~
Type of Fuel: Oil D Nat. Gas 0 LPG. D
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.
Forced Air Systems B.T.U. M Ea. .
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heaterl.-B.T .U. M
NOTICE Unit He&ters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO OROIN,<>NCES GOVERNING THIS
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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATU,tl OP' CONT,.ACTO" O,t AUTHOlltllCD AGENT {OAT£)
ISSUANCE FEE s ;
•tGNAT"fllt OP' OWNEIII fl P' OWNIIII eu,LDC" DATt) TOTAL FEES s
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR