HomeMy WebLinkAbout2811 Jacaranda Ave; ; 77-6169; Permitl
MODEL.NO.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ACOR E:55
• CA.
TRACT (0sec ATTACHCO SHCl£.Tj
OWN(llt MAIL ADDA £$5 21P PMONC
2
CON TRAC TOA
3
AIIICHHCCT OA OCSIGiNtR
4
5
COMPENSATION INS, CARRI ER
6
USE Of IS..JILDINGi
7 NO. BDRMS
8 Class of work: LJNEW □ ADDITION □ ALTERATION □ REPAIR □ MOVE
9 Describe work:
10 Change of use from
Change of use to
7 /..
ASSESSOR'S
PARCEL NUMBER
8 OK PAGE
11 Valuation of work: $ L./9 PLAN CH ECK FEE s PERMIT FEE s
PAR.
SPECIAL CONDITIONS· ,
Occupancy
Group
. MICRO FILM FEE 1------------------------------~ Type of Const.
~-----------------------------f S,ze of Bldg. ')-(Total) Sq. Ft, I
-----------------------------~ Fire Zone ::J" APPLICATION ACCEPTED 8 Y PLANS CHECKED ev APPROVED FOR ISSUANCE BY
DATE DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTILATING OR AIR CONDITIONING.
No. of
Dwelling Unit.
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
~o. of
Stories
use
zone
-
,
I I
Max.
0cc. Load
Fire Sprinklers
Required 0Ye,
OFFSTREET PARKING SPACES:
No. Covered ..
Required
Sq, Ft.
Received
, No. Open
Not Required
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.
SOIL REPORT ----~-------+-------+-------!
I HEREBY CERTIFY THAT I HAVE READ ANO 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.
SIGNATU!ltlt o, CONT"ACTO!lt Ott AUTHOlltlllD AGENT iOATC)
SIGNATUII[ OP' OWN£" I,. OWNC.1' ■UILOl:lltJ DAT CJ
OTHER (Speclly)
ENGINEERING DEPT
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
M.O. CASH
◄ ... ' . -...
FOOTINGS
-""
'FOUNDATION
.. REINFORCED STEEL
.. MASONRY .. GUNITE OR GROUT -... SHEATHING ./# /,¥'
-..
... EXTERIOR LATH \.(_ / -2 ,Y-7, -INTERIOR LATH & DRYWALL
. -
PLUMBING ..
• SEWER AND PL/CO WATER -----
-PLUMBING UNDERGROUND -<3 ~ .. COPPER -TOP OUT ..
TUB AND -
• GAS TEST
• ELECTRICAL ..
• ..
..
.. ..
--
.. .. -
. UNDERGROUND
· ROUGH
. CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPING ¥rzz if
HEAT--AIR
VENTILATING SYSTEMS
FINAL:___c:;._5,:......<½c.=IJ':;....:./~/_7_r-'-(J!J=----,J J
'PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 _i'ir>
Permit No. •· Joa ADO .. ESS
.1)/411 /t;;1Y
LCGAL I 1 o t sc•.
L.OT NO.
~,11 ,~
' J(
MAIL AOOIIIIC55 ZIP PHOM£
2 I . ~ U:J'{6.-, id,' .
,, J ..)
CON T"l:AC TOIIII
3 MAIL •ooRESS t//4. ,I'/ Ci PHON [ STATE LIC. NO.
, S/J'°V
ARCHITECT ON Ot51GN(R MAIL A0011t£5S
4
tNGINt[A MAIL A00Fl£55
5
COMPENSATION (NS. CARRIER
6 ,
use or BUILDING
7
8 Class of work . 0 ADDITION 0 Al TERATIDN
9 Describe work:
r
SPECIAL CONDITIONS.
APPLICATION ACCEPTED BY PLANS CHEC~ED BY APPROVED FOR 1SSUANCE BY
OATE
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 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 PERFOf;!MANCE OF CONSTRUCTION.
J,, '. / } .' ' '" ( ' '
s 1GNATuRa: or tONT11tAcro111 ollll AUTHO"-ltto Alt.NT (DATE)
SIGNATU,.t o, OWNE,. {I,. OWN£.,. 9Ull0CR) OATEI
PHONE 1..ICCN5E NO.
PHON( LIC£N5C NO.
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
/ BATHTUB
LAVATORY (WASH BASIN)
/ SHOWER
I KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
/ CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GASSYSTEMS NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
' SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC TANK & 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.
INSPECTOR
-
CITY LIC. NO.
.• -
fee
s .. . , -
::; (. ,·
I -
I ~J
, . _.(
/
' .
$
s _::>;_
CASH
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181
JOB ADDRESS .
IL
LOT NO. I BLK. I TRACT <OsEE ATTACHED SHEET) LEGAL I 1 DESCR, r
OWNER MAIL ADDRESS ZIP PHONE
2 .. 1 ·-----J •
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO. C ITV LIC, NO,
3 ,_ 1Pf\7 ~-... _ c.?n77 :?
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 119 • tG:
USE OF BUILDING
1
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
A,,.LICATION ACCEPTEO BV PLANS CHECKED 8 V APPROVED FOR ISSUANCE ev AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 1 I.Am 2~
D AT E 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 ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO 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 AND INCLUD· 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.
(/ tl ~/ TEMP. SERVICE OVER 200 AMP. .. / I-PER 100 -J# i· . f " J. , / /-27
SIGNATURE OF 'CONTRACTOR oR' AuTAoR1tED AGENT (DAfE) ISSUANCE FEE
TOTAL FEES .
5 IGNATURE OF WNER IIF OWNER BUILDER DATF
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
.......
INSPECTOR
MECHANICAL PERMIT APPLICATION ~!.
City of CARLSBAD, CALIFORNIA 92008
A I' pp ,can o comp e e num ere a n t t I t b dsp ceso /y Phone 729-1181 p . N erm1t o. -,' )7 / l,.j) /
JOB A.00111 [SS
~ '°\1'11a"' '''i !"I. .
LOT NO. I BL• I TftACT
LUAL I .. l°t9s~ _..TTACHto sH[C.T) 1 DUCft, .chop ! , ....
OWNC,-MAIL A0Oflll£5S 21. PHONE
2 IL"Osa H~• -... 1. ~--_ ento Voll.( . s/D 9: -►
CON TJIIAC TOJI M A IL AOOllltSS PHON[ STATE LIC. NO. CITY L IC, NO,
3 ~ Inc,. 96S n,lc 9 '"] 1;1}6-1??i . --. . . .
AfltCHITCCT Oflll OCSIGNEIII MAIL AOOlfllC55 PHON C LICCNS[ NO,
4
CNGIN[lt .. MAIL AODJIU.5$ PHONE LICENSE NO,
5
LCNOC" MAIL A.O0111[55 BJIANCH
6
USC 01" 8UI LOING
7 -l.
8 Class of work : □NEW □ ADDITION 0 ALTERATION □ REPAIR
9 Describe work: -,,, .. •nn -
Type of Fuel. Oil □ 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 ACCEPTEO ev PLANS CHECKEO ev APPROVED FOR ISSUANCE ev 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 T IME AFTER WORK IS COM-Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO 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 H EREIN 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 / \ \ \}
' I
SIGHATUfllll OP' COHT .. ACTOtl Otl AUTHOfllZCO AGCHT (DA.TE)
ISSUANCE FEE $
SIGHATU"t or OWNE.tl 1 P' OWHttl ■U ILOCtl DATE 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