HomeMy WebLinkAbout2805 Jacaranda Ave; ; 77-6166; PermitMODEL NO. __________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicantto complete numbered spaces only Phone 729-1181 Permit No
JOB AODR ES5 ASSESSOR'S
PARCEL NUMBER
' ,
i..or NO. I OLK I mtT e~~K PAGE I PAR,
UCAL I 'm~~ -tO:stt ATTACHtO SHE(TJ 1 DC5C 111,
OWN£~ MAIL AODAESS tiP PHONE
2 --• .I! ,, . niP~, ·• 7 . • 4 . ,
CONTltACTOf\ MAIL .400f\£5S PHONE STATE LIC, HO, CITY LIC, HO,
3 )t. ~ ! -
AfllCttl'TtCT OR 0[51(;N[III MAIL .400111£55 PHON C LICtNSt NO.
4 tl: -~ -t. IZ'IS., . ,~;;.~.-,~ . '~ . , • I -~
[NGIN(ER Jri,,U.IL ADDRESS PHONE LICENSE. NO.
5 . 'Ill "!!n • l• 7 , .. -
COMPENSATION INS, CARRIER ,,,,U.IL AO0"[SS 81'ANCH
6 . . ~ """'·•-mU,~ . -:r~ ·l .. . -,. , . , -, .. . --VS£ OF BUILDING
BATHS ~ _} 7 i . y ,·,u.~c ,er NO. BDRMS ' NO.
8 Class of work : ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE n/
9 Describe work: Res1~n'1 ~ t:odel 274D [\ / n -, C0' {\cl;:-i.. ~
•f,) ,,r4' I 10 Change of use from
I
\I\ .,
Change of use to
11 Valuation of work: $ (_/ x.f 1/ ----//, -,.> I 'II PLAN CHECK FEE s I PERMIT FEE s
SPECIAL CONDITIONS: I MICRO FILM FEE Type of ~ Occupancy -Const Group ,., .__
s,ze of Bldg. /971/ No. of Max. ,__.
(Total) Sq. Ft. Stories 0cc. Load
Fire Use J .J J Fire Sprinklers
APPLICATION ACCEPTED av PLANS CHEC~ED av APPROll(D FOR J~UANCE BY Zone ...;:, Zone Reau ired 0Yes □No J~,'1 No. of OFFSTREET PARKING SPAC§_S.
Dwelling Units ~gvered c--I No. CATE DATE Sq. Ft, • Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMa-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH 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 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ENGINEERING DEPT.
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 AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
N, ~ , ,,,,
(SIC:NATUJU; Or CONTIIIU,CTO" o,ii AUTHO"IZED AG~NT I0ATEJ
!'IIC.NATLJltE o, OWNCllt 1r OWN[" evlLDEJII:) DAT[)
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 $ __ -,,!_A._~~"'7 ___ -__
INSPECTOR
• -...
---------...
--.. ..
--
... --..
-... ..
..
...
..
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LOT_. 1/&) ..
·.;2,12.~ :~
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SHEATHING ~lzz ;;)?
FRAME ¥'0z ~£
INSULATION
EXTERIOR LATH \
INTERIOR LATH & DRYWAL
PLUMBING
SEWER AND l'L/CO j'-~R
'PLUMBING UNDERGROUND '[f J;.lt,,...,,'
COPPER
TUB ANP sFioWER cpy(7,, d .
GAs TEST c...:;3/7 2 ;;,p'
ELECTRICAL
'ONDERGROUND
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPING /.:yfrZV
HE1. r--AIR .
VENTILATING SYSTEMS
FINAL: c..:?/!1 b r r;p· --~7-r----r-1 ---~----
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181
JOII AOOllt tss
/J .J .• ~/lt"l//r..li ~✓-Y ~ /Jh,-)t 7H ,
LOT NO. I BL• I TPIACT r
LEGAL I 1 Dtst•. ~., Jo
OWNCl't MAIL A00 .. t55 d /'i-; ,,✓ ;~,. .
.,. PHONC 2 ,L ~ ~.,UJ ,.&), '/( " ~/ --., '~
CONTftACTOfll ,, MAIL ADORtSS
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7
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PHOH[ STATE L IC. NO. CITY LIC. NO, ]/ . a 3 , ,. I //1'0//y I _, . I r.rJ, ..,, .· ~ /
A.III CHITECT OR 0E51CiNCfll MAIL ADDRESS r PHON[ LIC[NSt NO.
4
ENGIN[tfll MAIL AOOfH.SS PHOM[ LICCNSC HO,
5
COMPENSATION (NS. CARRIER l••U~IL AOOlltt55 .
fl,> 7'6._
llltAHCH
6 _1.r// 4'/ . ~ 1/! -/.1 te a,-1 /J/d1t1 !/1
,,
. -,I . --· . °/()</IP/
use o, flUILOINC . r
7 '" /,,-_ ~ ..>I I
8 Class of work : []NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ,// / .u ,/.;_,<I·,.. ' , ,,.
PERMIT FEES
N~) Type of Fixture or Item j ee
SPECIAL CONDITIONS -WATER CLOSET (TOILET) $// .
~ h BATHTUB /
"t:,f LAVATORY (WASH BASIN) ,.. ✓-
..:2.. SHOWER ' I KITCHEN SINK & DISP / ,IJ
DISHWASHER
APPLICATION ACCEPTED ev PLANS CHECt<ED ev APPROVED FOR ISSUANC[ BY LAUNDRY TRAY
l CLOTHES WASHER ! ,. , ,,
DATE I WATER HEATER J ,,.
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR-SINK QA DRAIN
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK
MENCED. I GAS SYSTEMS: NO. OUTLETS I , .. 0 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 SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO G IVE 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 ~ 1, .,j#, CESSPOOL
J / . ✓) ti"' J SEPTIC TANK & PIT
, I~ , . ._ ", . _ ,.ry ROOF DRAINS I 41GNATU"[ 0,-tJNTPfACTO" 0111 AUTHQpt\ZCD AGCHT (DA TE)
ISSUANCE FEE $ 'I ....
SIGNA,TllPft or OWN£" 1,-OWNER BUILOtAI (OATt) TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M,O. CASH PERMIT VALIDATION CK. M .Q, CASH
INSPECTOR
1.
ELECTRICAL PERMIT APPLICATION
Perm it No. ______ _ City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only.
JO■ ADO" r.ss
1 ~~=~~. 420 I LOT NO.
OWNUI
2 ro &J"""n.., ··--10 51
Phone 729-1181
I TJIIACT •, o ;:_ .. ~r
MAIL AOOJIIUIS
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ZIP
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tOst:r. ATTACHED aHEET)
PHOHI
75 -JI
CONT,.ACTO" MAIL AODflESI PHONI. LIC[NS£ NO,
3 , L sconrlJfih o~n?? , .. -ifiS2
A"CHITECT 0" DtSIGNC,t MAIL ADDflt.SS PHONE LIC£NSE NO,
4
I.NG INl.£ft MAIL ADD,.ESS PHONE LICENSE NO,
5
LINDE,. MAIL ADDIIIIESS BlltANCH
6
use OP' ■UILOING
7
8 Class of work: ;.i;JNEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : 1 • iring of • •
PERMIT FEES
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
Ii
NEW CONSTRUCTION, FOR EACH
~,.,,--,L-,c-,.-=-T~,o-N-,.-c~ce~,-=-Te~o'."'e'."'v'.'"'"'l~,-LA~NS~c~H~Ec'."',c~e~o-=-a:":'v ---~,.~,,~R~o'."'v-=-eo::-:-:FO~R'."'1-=-ss'."'u'."'A~Nc~e'."'8'."'v~ AMP ER ES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER
L _______ __. _______ __. _______ -4 NEW SERVICE ON EXISTING BLDG .
.,.. FOR EA. AMPERE OF INCREASE NOTICE
THIS PERMIT BECOMES NULL AND VOi DI F 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 EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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.
•IGNATURE or CONT,.AC TOtt Otl AUTHO"l'Zl.0 AGENT (DAT£» )
., ar OP' OWNlt.fl ilP' OWHUI aulLDI.") DA.Tl.
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
MINIMUM PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK,
INSPECTOR
1
No. Each
M,O.
0 "'O c5 (I) :t .. ... z 3 le ~ It > 0 r+ 0 "' z "' .. 0 .. .
Fee
2 00
2
CASH
MECHANICAL PERMIT APPLICATION c "'!12,1•• "'.,.• I
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB AODfll ESS
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LEI.AL I 1 DUCft,
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All'l:CHITCCT 0 11'1: DE.SIGNE"
[NGIN CC"
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USC 0 ,. au!LOING
MAIL A0Df'IC55
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MAIL ADDRESS
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MAIL ADOfllE.SS
MAIL A ODft[SS
MAIL A0Dllt[SS
8 Class of work: G NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED ev APPROVED FOR ISSUANCE av
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 ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINPNCES 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.
\)
SIGNATUfll: OP' CONT"ACTOfl Ofl AUTHOIIIIZl'.b AGENT
•tc:N 1911[ 0,-OWNUI llP' OWNE.fl 8UILDE."
l r
I
(DATC)
DATI
21P PHONE
,'t't-• St • / .. . <
PHON [ STATE LIC, NO,
·8-1'1'1?
PHOM£ L ICENSE: NO,
PHONE LICENSE NO,
8 1O,NCH
0 REPAIR
Type of Fuel. Oil 0 Nat. Gas O LPG. 0
PERMIT FEES
No. Type of Equipment
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.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U . M
Wall Heateri.-B.T.U. M
Unit Heoters-B.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
I ncineratDr
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
C": .r -55) -
CITY LIC, NO.
Fee
s
:.; 00
s
s
CASH