HomeMy WebLinkAbout2807 Jacaranda Ave; ; 77-6167; PermitMODE~ NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicantrocompletenumberedspacesonly. Phone 729-1181 Permit No. 7 / -& /0 7
JOB ADDA t~ S ASSESSOR'S
PARCEL NUMBER
ILK
Qstl ATTACHED SMCCT)
B K P AGE PA~.
PHONE
2
CON TRAC TOA
3
4
5
COMPENSATION INS, CARRI ER SIU.NCH
6
USI: or fHHLOINC
7 NO. BDRMS
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ 7/ --PLAN CHECK FEE $
1-S:..P..,;E:..C:..I_A..,;L::.....::.C..:.O_N_D_I_T_IO_N_S_: __________________ --4 Type of ./ Const.
1------------------------------i Soze of Bldg, /~ (Total) Sq. Ft./7J.:;;>
DATE DATE
NOTICE
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 REAO AND EXAMINED THIS APPLICATION ANO 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 .
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(OAT[)
!GNAT pt[ ,-OWNER ,,-OWN[,t I UILOE,t) OAT()
N o. of
Dwellong un,ts
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT.
Occupancy
Group
No. of
Stories
Use
Zone
,;
PERMIT FEE s
MICRO FILM FEE
Max.
0cc. Load
Fire Sprinklers
Required O ves D No
OFFSTREET PARKING SPACES,
No. / I No. Covered Sq. Ft. 7 Pen
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
,::::::1,,/', ,,. TOTAL FEES $ ________ _
nc
◄
-. ~
BUILDING ..
FOOTINGS --• FOUNDATION
-REINFORCED STEEL --
--
. -----
. -----...
. -
. ---------..
... -
.. ..
MASONRY
GUNITE OR GROUT
SHEATHING /#z ~
FRAME /-3/1ht if
INSULATION /-· /c2~ /$7 (
INTERIOR LATH & DRYWALL
PLUMBING
p-QV·
SEWER AND PL/CO 'f-Y WATER ----
PLUMBING UNDERGROUND 9-f' ~
· COPPER Cf-Jf ),....u.._
TOP OUT Aftllpz .;:.I'.
TUB AND SHOWER t1'7«z/ eY
GAS TEST 45Jyfz t}:J
ELECTRICAL
. UNDERGROUND
. CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPING 17/;fUl V
HEAT--AIR
VENTILATING SYSTEMS
-FINAL:___..:.s::::::...·.,k../2_~+--/_z'--L~@....._--,--7-; .
....
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB AOOII' t$S ,,
I J2 ('ltfi.iUi .,.,
LOT NO.
LEGAL [ ;119 1 otsc•.
OWNtlll:
/'/t,Y.}t1(_-..~,I
t,,u~tL ADOIIIES.$ Z.IP PHON£
2 , ·,/,,; 1/tt~ J I (· (
COH,,.ACT0'4 MAI L AOOIU.55 PHON t
Y ~-,! -.,,//.,; Writ i?I ;; . ,. JJJb
STATE LIC, NO. , ,
r, 3 ., · / ( ,' , '
A"CHITECT OR OtSIGNtR r M A IL A00"[55 #'
4
[NGINE[R t..4AIL AOOlll[5S
5
USC or e'tJILDlf"4G ' C,'
1 I~ -;-~· _/
8 Class of work: 0 ADD ITION 0 ALTERATI ON
9 Describe work:
SPl:CIAL CONDITIONS:
... PLICATION ACCEPTEO ev PLANS CHECKED ev APPFIOVE O FOR ISSUANCE SY
DATE
NOT ICE
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
PE RIOD 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 Bf TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK W ILL 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.
1.L.1 )
~ J I
t 1 1
b1GNATUR! "iii COHTRACTOIII OR A.U THOIIIIZEO AGiNT (DATE)
~IGNATUIU 0,-OWN[lll: 11, OWNCR 8UILOE11 ID.ATE)
i.lCENSE NO.
PHONt L I CENSE NO.
0 REPAIR
PERMIT FEES
No~ Type of Fixture or Item
WATER CLOSET (TOILET)
BAT HTUB : LAVATORY (WASH BASIN)
/, SHOWER
I
I
f ,
KITCH EN SINK & OISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINA L
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP S INK
GAS SYSTEMS, NO.OUTLETS
WATER PIPING & TREAT ING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC T ANK & PIT
ROOF DRAINS
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 .
"
.
CITY LIC, NO,
~ee
$
')
•, ,,
J i)
/ <,/'
-,i,, \
$ /
$ 'J /'
CASH
ELECTRICAL PERMIT APPLICATION
A r -·,~ ,~r ~ b d
City of CARLSBAD, CALIFORNIA 92008
Phone 729 1181 pp ,cant to compete num ere spaces on y. -Permit No. !I
JOB ADDRESS
,i...
LOT NO, l BLK, l TRACT (QSEE ATTACHED SHEET) LEGAL I -1 DESCR, ...... ,.. . .
OWNER MAIL ADDRESS ZIP PtiONE
2 • 1 ., ·1190 ,.
I
CONTRACTOR MAIL ADDRESS 111.1.,...i• PHONE STATE LIC, NO. CITY LIC. NO.
3 t tr ..
ARCHITECT OR DESIGNER 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: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
!' . PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
'
I
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 1 -.1·-
l CATE 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE:lo 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 ANO INC LUO· 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.
() r/ _ _, I ~ y,, /, TEMP. SERVICE OVER 200 AMP.
PER 100 -,_ '11 l ~,,,~ '_377 t r C-
(DATE) . SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ISSUANCE FEE ~
TOTAL FEES ~: 12'? '·'
~IGN.&.TURF OF OWNER IF OWNER eufLt)ERl DATE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASl1 PERMIT VALIDATION CK. M,O. CASl1
,,.
,,/I
INSPECTOR
J..
MECHANICAL PERMIT APPLICATION 5
~~ .. ·t?l5•U 1'•• ' l
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI ADOft E.SS
LEGAL I 1 DUC~.
LOT NO, I I LK I TOACT --~ ,. :t.□$':_£...,.TTACHCO SHt(T)
OWNCflll MAIL A00Jlt[SS Zt. PHONE
2 ..' . nto 11' •
CON TIIIAC TOIII MAIL A0Dfllt5S PHONt STATE LIC, NO,
3 ~os, Inc. 2965 E/C 9202.i. lffl
AflllCHITCCT Oflll OCSIGNCIII MAIL AO0"£55
4
ENGIN£Eflll MAIL AOOflll ESS
5
L[NOUt MAIL AOOflll[SS
6
use o, IUILOING
7
8 Class of work: o'NEW □ ADDITION 0 ALTERATION
9 Describe work: ~ ·--·-·--~
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 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.
V
SIGNATU"E o, CONT"ACTO" °" AUTH0"1ZE0 AGtNT (OAT£)
S1C.NATUIH. o, OWNUI (I~ OWNUI 8UILOE" DATE)
PHONE L ICCNS( NO.
PHONE LICENSC NO,
ISfllANCH
□ 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 .
.1 Forced Air Systems-B.T.U. M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heaterl-B.T .U. M
Unit He&ters-B.T.U. M
Evaporative Coolers
Clothes Dryers
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.
r,,-
CITY LIC, NO,
Fee
$
Ii. 00
$
$
CASH