HomeMy WebLinkAbout2809 Jacaranda Ave; ; 77-6168; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant co complete numbered spaces only. Phone 7 29-1181 Permit No .
2
tOscc ATTACMtO SMCCT)
PMON( •
ASSESSOR'S
PARCEL NUMB ER
B
CON TRAC TOA STATE LIC, NO,
3
4
5
COMPENSATION INS. CARRIER
6
7 NO. BDRMS '
8 Class of work: □f.lEW 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 ,I PERMIT FEE s ~ (//
PAA.
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I O_N_S_: --------------------i Type of
Const
MICRO FILM FEE
APPLICATION ACCEPTED BY PLANS CHECKED BY
CATE
,/
Size of Bldg. oi5Dct (Total) Sq. Ft
Fire _;5 Zone
No. of
Dwe11,ng Units I
Occupancy
Group
No. of
Stories
use
Zone
r
' )
Max.
0cc. Load
Fire Sprinklers
Required Oves
OFFSTREET PARKING SPACES:
No. Covered Sq. Ft.
0 No
NOTICE Special Approvals Required Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUM8-
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 O R WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM•
MENCED
I HEREBY CERTIFY THAT I HAVE READ ANO 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 V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
StGNATUlllt o, CONTlltACTOlllt OR AlJTMO"lZ.[D AGENT (DATC)
11::-NAT ft[ Of' OWN[" ,,. OWN[" autLOERJ OAT£)
PLANNING DEPT.
HEALTH DEPT.
Fl RE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M.O.
TOTAL FEES $
INSPECTOR
CASH
...
.. LOT_!fff
• .. · .c2f}J 9 ;e✓-d-<14'~~
BUIL
FOOTINGS -.. FOUNDATION
-REINFORCED STEEL -MASONRY -GUNITE OR GROUT ' .. .:, --SHEATHING ,6}¥:z .eY' --.. EXTERIOR LATH / -,;2 -INTERIOR LATH -PLUMBING -
.. SEWER AND PL/CO WATER ___ _
"" PLUMBING UNDERGROUND q -( 3 ~ --------..
--.. .. -.. ..
•
COPPER
TOP OUT
TUB AND SHOWER 41:P 1 ~
ELECTRICAL
. UNDERGROUND
· ROUGH
. CEILING HEAT
BONDING
MECHANICAL
·oucT .& PLEM, REF. PIPING 0~1 u
HEAT--AIR
VENTILATING SYSTEMS
FINAL :---'J""--r-)-'-~-'/..,,_/_7;.._f'__,_,(p __ 7 7
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ..
Applicant to complete numbered spaces only Phone 729-1181
Joa ADD" CSS
LE GAL . , I LOT NO -
1 ouc•. , / • J
OWH Ut
2
PHONt
5kJ
CONT,.ACTO" M AIL ADD,-:£SS ,. PHON [. STATE LIC. NO.
3 J,
I I/ // /tt',fo ;,/ d/fi'_/( '7/:.;,Nh . t
A"CHITCCT Ollt OlSIGN[Jt , MAIL AODllt[~S ,,-PHOM( L IC(NS[ NO
4
[NGINC[llt ~AIL AOOlllf.55 PHONC: LIC[N5t NO.
5
COMPENSATION fNS. CARRIER MAIL ADOR[SS a.-ANCH
G '41, .fthO!.. /d"';, •/-f'/ _h,1,~ ef!J':_ ·-· , u ✓IL,,/Ji ti ✓dt1tf'~)J/t'/th/._, .
U.S[ OF 8 UtLOINC
1 lf ✓I' I(... ✓,, -:./
8 Class of work : lB NEW 0 AD DITION 0 ALTER ATION
9 0 escribe work: , ✓f/ /11.)/K,-, .,
SPECIAL CONDITIONS
APPLICATION ACCEPTED ev PLANS CHECKEO ev APPROVED FOR 1SSUANC[ 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 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.
0 REPAIR
PERMIT FEES
Type of Fixture or Item
WATER CLOSET (TOILET)
I BATHTUB
LAVATORY (WASH BASIN )
SHOWER
I KITCHEN SINK & OISP
D ISHWASHER
I LAUNDRY TRAY
I CLOTHES WASHER
' WATER HEATE R
U RINAL
DRINKING FOUNTAIN
FC~SINK OR DRAIN
SLOP SINK
,_~/~-+--G_A_SSYSTEMS. NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SP RINKLER SYSTEM
I SEWER NUMBER CLEAN0UTS
CESSPOOL
• ,,... , ,I' /J / ,I'
'(/ 0 .
51GNATU111l O CONTlitACTOtlll 01111 AVTHO .. 11[0 AGENT (DATE)
SEPT IC TANK & PIT
ROOF DRAINS
ISSUANCE FEE
SIGNATtJIIU'. 01' OWN(" I,. OWHE.llt 8UIL0Cllt DATE) TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLA N CHECK VALIDATION CK. 1111,0. CAS H PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY LIC, NO,
,I
I ~{)
JW
/ ('
/ ,,
I o;;;/1
) qJ
~c,.
$ .! -,
$ t;,iiil • ,
CASH
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
A /" tt I t b dspcesonly Phone7291181 P pp1can o compe enum ere a -. N erm1t o.
J08 ADDRESS , -•
LOT NO. I 8LK. I TRACT. (QsEE ATTACHED SHEET) LEGAL I Dnn~--1 OESCR. .
OWNER MAIL ADDRESS ZIP PHONE
2 1 1 y '
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC. NO.
3 tr ea. 1 )2
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER M-'IL -'ODRESS 8R-'NCH
6 1 • 71 • E •
USE OF BUILDING
1
r 8 Class of work: □NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS. SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AHLICATION ACCE,TEO ■Y 'LANS CHECKED BY APPROIIEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, 1 ,~. 25 00 FUSE OR BREAKER
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 AND EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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 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.
lJ. v' "'~~-I ✓.~kA TEMP. SERVICE OVER 200 AMP.
7>._. PER 100 .
• _,,A• .. , . ' , 5_J")
SIGN-'TURE OF CONTRACTOR OR AUTHORIZED -'GENT (D-'TE) • lG ISSUANCE FEE 2
TOTAL FEES 21 lil ~ lr..NATURF nF OWN£R ,F OWNER BUI DER lDATE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
,. .
MECHANICAL PERMIT APPLICAT10N
City of CARLSBAD, CALIFORNIA 92008
;..A~p~p:..:.:lic::a::.:n.;..t .:,:tO:...:C::O::..:m:.!.p:.:.:le:.:t.:.e.:..:n.:.um~be:.:r.:.ed::.....:!:sp=a:.::.ce:.:s~o:..:..n:.:..!ly:...:.· ____ P_h_o:.._n...::e __ 7_2___:9_-_1...:1...:8:._1..:_ _______ ____cPc_:e::.:.r:..:.:m~it:....:N..=:o:::..:·===}==-=)==/,=,===--..:.} ..;)-
.1011 ADO" C.55
LC GAL ~ I LOT NO.
1 0UC~. .l.•-1
OWN(fll MAIL ADOJIICSS
2 -
CONT'IACTOlll MAIL AOD,.tSS
3 , .... -.. •.
AIIICHITIECT 0111 DCSIG:Nl" ~AIL AODll':CSS
4
ENGIN(t,i MAIL AODIIICSS
5
LlNOUI MAIL AOOIIICSS
6
use 0" eulLOING
8 Class of work: D NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS.
.
A"LICATION ACCEPTEO BY PLANS CHECKEO BY APPROVE O 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 AND EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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.
\ ) -, .,
SIGNATu,u. o, CONTflACTOft Ofl: A\,ITHO"1%1l0 AGE.NT (OATtl
DA.Tl
I l'H¥l
ZIP PHONE
. Ste. Z-I
PHON[ STATE LIC. NO,
LICENSE NO.
PHONE LIC[NSC NO,
IIIIIANCH
0 REPAIR
Type of Fuel Oil D Nat. Gas O LPG. D
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 BTU. .LU~ M Ea.
Gravity Systems B.T.U. M Ea.
Floor Furnaces B.T.U. M
Wall Heater~-B.T.U. M
Unit He&ters-B.T.U. M
E vaporattve Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M
Incinerator
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
( ..
CITY LIC. NO.
L
Fee
$
s -s ,
CASH