HomeMy WebLinkAbout2803 Jacaranda Ave; ; 77-6165; PermitMODEL NO. __ ~---'-----
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 f 7.:.. &:;/ (c5"'
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOO •oo• cs• ASSESSOR'S PARCEL NUMBER
B K PAGE PAR.
tOscc ATTACMro .s~tt.TI
2
CONTIIIACTO,.
3
4 s
5
6
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE s //JL .J PERMIT FEE S
MICRO FILM FEE
SPECIAL CONDITIONS: Type of Occupancy
Const. Group ....
s,ze of Bldg. No. of I Max. -
APPLICATION ACCEPTED BY PLANS CHE CKE OBY APPROVED FOR ISSUANCE BY
DATE DATE
(Total) Sq. Ft.
Fire
zone
No. of
Dwelling Units
't). --
./
Stories 0cc. Load
use J-J Fire Sprinklers
Zone Required 0Yes
OFFSTREET PARKING SPACES:
No. Covered Sq. Ft.
No. Open
□No
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
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 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.
,r I
(OAT£)
51GNATU,-_ or OWNUII 1,-OWN[llt 8UIL0Cllt) DAT£)
PLANNING DEPT.
HEALTH DEPT.
Fl RE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
TOTAL FEES$
INSPECTOR'
CASH
..
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L01' V/
.;;!h, :rJ?,;~4
ILDING
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
sHEATHING q,,l;(-z.z 1Y
FRFLME
INSULATION
EXTERIOR LATH
INTERIOR LATH &DRY~
PLUMBING
SEWER AND PL/CO 'J ~z-~TER
PLUMBING UNDERGROUNJ -j -f' ~
TOP OUT ,✓#z ;_;t7
TUB AND SHOWER /-,d.& d
GAS TEST #,z#'.
ELECTRICAL
UNDERGROUND
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF, PIPING /J0f11/,#
HEAT--AIR
VENTILATING SYSTEMS
I .,
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 7 29-1181 It , :?1:ztiY·~~-Applicant to complete numbered spaces only. Permit No.
Joa •0011 css
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LOT NO. , ■LK I
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1.J11/j; ( / -sz-LEGAL I ~f.?I ,,112/4.d louco. I ./l~
OWNUI .! MAIL AOOfll!C.S.9 "I' f,r(. PHONC
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CONf"ACTOR
mb(.-ifc, /o """'L •<><>••s• d PHONE STATE LIC, NO, C ITV LIC. NO.
3, I .5:-1h I ~-/, • ., lll ltU ~. .. 1-,t.~:Jb • ( ,i lJ / ~-,
AIIICHIT[CT OR OE.SIGNER , MAIL AODfl[.9S.,. PHONE. LIC ENS[ NO,
4
ENC INC.EN MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION (NS. CARRIER MAIL •oo•css
/~o/ .-6',( '&
8111:ANCH
6 --/.~A~ ) l.rAv~ )11 l.f;/l / ~ ~ I 1/°'7,/ • ~ ----> _,
USC or-,-BUILDIMC ' I,
7 J 1;/ .. ~hf.I
I
8 Class of work: f.YNEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: , JUt n1 /;)t,°;r,
, If ,
PERMIT FEES
Nu,," Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
{j BATHTUB
~ LAVATORY (WASH BASIN)
/ SHOWER
KITCHEN SINK & DISP ·' /.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE O FOR ISSUANCE SY LAUNDRY TRAY .
' C LOTHES WASHER / .· (
DATE ·' WATER HEATER I i
NOTICE URINAL
THIS PERMIT BECOMES NULL AND 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. GASSYSTEMS NO.OUTLETS / J() I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO 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
SEWER NUMBER CLEANOUTS
1/~ CESSPOOL
~ ✓, ~,,a/7; SEPTIC TANK & PIT L ~ ROOF DRAINS
51GNATUfltt OT CONT .. ACTOII O,t AUTHORIZED AGtMT (CATE)
ISSUANCE FEE $ I
SIGNATVAE OP' OWNEJll I,. OWNER ■VILOtR) OATC) 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
3
0 ...
~ 0
% .. ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA "' >
' "' 0
0
) "'
Applicant to complete numbered spaces only. "' -,. ,.
JOB AODfll ESS
Jl C r.· oil •
l.OT NO, I OLK I TRACT\ Ost£ ATTACHED SHEET)
LEGAL I 1 DlSCA. J .i.:. nd .-1
OWN£fll MAIL ADOl'tSS ZIP P~OHE
2 ... .::roan K.,. •. 10. J . -·, I, .lcy Rd. t 1 J I 4 I .)_,,.,-,' .,
CON TfllACTOR MAIL ADDAESS PHONE LICENSt NO,
3 . 1 "'• 188', u , ~ l . ., .. onaid ..., . '~
AfllCHITtCT OR DESIGNltfll MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
LENDER MAIL ADDRESS BfllANCH
6
USE o, BUILDING
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 1 c. 1rln n Uy •
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: Total
RECEPTACLE Outlets
LIGHT
SWITCH
Total
LIGHTING Fixtures
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY FIXTURES
" RANGES CLO.DRYER WTR. HTR.
NOTICE GARBAGE OISP. STA. COOK TOP
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DISH. WASH. CLOTHES WASH.
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SPACE HTR. STA. APPL.¼ H.P. MAX.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. MOTORS: H.P. I HEREBY CERTIFY THAT I HAVE READ AND 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 NO. TRANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NO. LAMPS
TEMP. POWER UPOLE □uNDGO.
SERVICE 0·200A
/ .! / J i ' 201·400A ') -I
I 7 £l NEW 401·600A
SIGNATURE o, CONTRACTO .. 0" AUTHO .. IZED AC.ENT (DATEI , 0 CHANGE OVER 600A
PERMIT ISSUING FEE $
TOTAL FEE $ 'I SIGNATU"I: OP' OWNEft If' OWNEft IUILDEft) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
AUDIT
Form 100.3 9-69 fltOlll:DE.111: FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e 80 SO. LOS lll:OIL£S e PASADENA., CA.Llfl'ONNIA 9110 1
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI AODflll tSS ., -.. _, •
LOT NO. I 9LK I r •ACT lQ$EE. ,i'TTACMEO SMEET} LtGAL I --~ 1 ouc•. • . ... -
OWNUI MAIL A DDlll:(55 11 P PHONE
2 )83 ♦T---f ~. ·ento y .. .," ~ . 1to. . --.. --
CONTlltACTOflll MAIL ADOflttSS PHONf. ST ATE LIC. MO. CITY LIC. NO.
3 ~cs. Inc. 5 B/C 92 4J}FJ-17?, I -(
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MICMITtCT 0 .. 0£.SIGNCIIII MAIL ADDJl[SS PHON £ LICtNSE NO.
4
lNGINClllt MAIL AOOllt[5$ PHONC LICCNS[ NO.
5
LtNOltllt ,,,.O.IL A.00111[55 BlltANCH
6
uat or I UILOINC.
7
8 Class of work: O t.lEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: --. ':ni, .
\ Type of Fuel. Oil D Nat. Gas D LPG. D
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Un1ts-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 ACCEPTEO BY PLANS CHECKEO BY APPROVEO FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U . M
Wall Heater:. 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 AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES 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.
( \t k \ \} . . ,
.SIGNATU9'1l 0,. CONTIIACTO", oi AUTHOfUZID AG[.NT (DA.Tit)
ISSUANCE FEE s
TOTAL FEES s ..
•• .. u y111111r OP' OWNIJI 1 P' OWN £111 •u IL.OE.JI IDATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR