HomeMy WebLinkAbout2813 Jacaranda Ave; ; 77-6170; PermitJ
MODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
tO sct ATTACHED SHtc.T1
2
3
4
5
7 NO. BDRMS
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
ASSESSOR'S
PARCEL NUMBER
B K PAR,
11 Valuation of work: $ PLAN CHECK FEE$ /!'./~ ... PERMIT FEE $
f-CS:....P...:E:....C:....I_A...:L_C_.:..O_N_D_I_T_IO_N_S_· --------------------t Type of
Const ; -Occupancy
Group
1---------------------------------1 S,ze of Bldg. ,.I\ 3 N o of (Total) Sq. Ftc,,/,C./ / Stories
_____________________________ __. Fire
APPLICATION ACCEPTEO BY PLANS CHECKEO BY APPROVEO FOR ISSUANCE BY Zone
use
Zone
MICRO FILM FEE
Ma><
0cc. Load
F ire Sprinklers
I Required OYes DNo
No. of
Dwelling Units I OFFSTREET PARKING SPACES,
CATE CATE
N OTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB•
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TI0N 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 LL l <.~ ,r
SIC:NAT\Jflt 01' CONT,iACTOfll Ofl AUTHOfllZED AGENT
SIGNAT " 0,. OWH£fl ,,. OWNC" 8UILDt" DATCJ
Special Approvals
PLANNING DEPT.
HEALTH DEPT
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT,
No. Covered
Required
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
Sq, Ft.
Received
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
No. Open
Not Required
CASH
TOTAL FEES $ _ ___;=......;/,__--'7 ___ -_
INSPECTOR'
LOT 7'/0 . · .
: _-1,--=~"--•"'-f:.,_,/J""'-~~"'"'-=v: .... · ..,.4~-2...,.4._· ~"-"-~_...-.,<'._ ------------_ ...
------
..
-..
-
• .. -.. -----..
BUILDING
FOOTINGS
'.FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SHEATHING~ Z2 29°
FRAME f1
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO WATER -----~----+ -----
PLUMBING UNDERGROUND
COPPER
ELECTRICAL
UNDERGROUND
. ROUGH
· CEILING HEAT
BONDING
ME(;HANICAL
DUCT & PLEM, REF, PIPING 4~/2t'. t'Y
HEAT--AIR
VENTILATING SYSTtMS
FINAL: -~1bL@ . 7
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 . --1: .... 7,_~:3!, ~,;/'-~
Applicant to complete numbered spaces only Phone 729-1181 Perm it No / / Y ~
JOB AOOR ESS
LtOAL I 1 DtsCO.
I TOAC T
OWN ti' MAIL A.O0111£.$S II p
2 /;,, /,l;uJ.,J~1 c I ·7,;i//4✓ / !'·· r I
CONTfllACTOfll
3
,UtCHITECT o-. OC.SIGN CA r
4
CNGINCEfll
5
COMPENSATION INS. CARRIER
6 ,1 f •
-I
use o, 8()1L011'; p
7 • .f ,I.,. J /,, :..;/
8 Class of work: [J,NEW 0 ADDITION 0 ALTERATION
9 Describe work: _/ iftt /,IP/,;,,· o/
SPECIAL CONDITIONS·
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE 0 J:QR ISSUANC( 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 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 N OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE O R LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I
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I
51GHATUfltE P" CONTIIIAC TON 0 .. AUTMO,-IZEO A.GEJrr.lT IDA TE I
SlGNATUIII[ O" OWNCi. IIF OWN£." 9UILOCRJ (DATE)
STATE LIC. NO.
_;;;; /"/
LIC[NSt NO.
PHOM[ LICENSE NO,
8AANCH
I ~-
0 REPAIR
PERMIT FEES
Np, Type of Fixture or Item
l WATER CLOSET (TOILET)
IJ BATHTUB
LAVATORY (WASH BASIN)
'· SHOWER
I KITCHEN SINK & OISP
DISHWASHER
LAUNDRY TRAY
! CLOTHES WASHER
I WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
. SLOP SINK
I GASSYSTEMS NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS . LAWN SPRINKLER SYSTEM
l 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
' 'J
CITY LIC. NO.
$ ·,
I _,t.1
,I :50
$
$
CASH
ELECTRICAL PERMIT APP[ICATION
~~~ J -.... --. ?.VJ"' .. ,c:-,, 77-JI)( ~, Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No
JOB ADDRESS
!7nt, ~_,. •., ..... _
LOT HO, I BLK, I TRACT <OsEE ATTACHED SHEET) LEGAL I -. 1 DESCR, .
OWNER MAIL ADDRESS ZIP PHONE
2 t 1 il ., • •
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, HO, CITY LIC, NO,
3 1 7 -•
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENG !HEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 1 • • .
USE OF BUILDING ...
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
/ I
/ l PERMIT FEES
.J: No. Each Fee
SPECIAL CONDITIONS: _.,I[ SWIMMING POOL WIRING, 1:,
/ NO INCREASE IN SERVICE
I
I .
NEW CONSTRUCTION, FOR EACH
ArPLICA TION ACCEPTEO ev PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER 1 I~ 25
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 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 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.
u //,,,,/ TEMP. SERVICE OVER 200 AMP. ~ PER 100 --~ /"~/,/,7 ~ ,·
' :i I l' "' 'I!,,-SIGH,-'TURE OF CONT RAC O OR AUTHORl°1ED AGENT• (DATE) I ISSUANCE FEE
TOTAL FEES i,
SIGNA1'URE OF' OWNER IF OWNER BUI DER (DATE
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 APPLICATi6N t~' -i
2
Tr**'""*
L
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI ADDllt ESS
~ ,.._ r> j ~ -•
LOT NO. I &LK I T"ACT ' LEGAL I -,l(;J•t~ :~TACHED SHEET I 1 DUC"• . -p ...... t .,
OWNUI MAIL A.O0,.E.SS ZIP PHONE
2 ---sto. . ' ~ ··'•'V~ .. • • l·.a.~..v • . I -. .. .
CON TIIAC TOllll MAIL ADDRESS PHON C STATE LIC. NO. CITY LIC, NO.
3 '_1 __ ·.·. . L'.f1te8, Inc • -. . ' 296S 8/c ~ • J-1??: ]t l'? 1· (,
AfllCHITICT 0111 OCSIGNUt MAIL ADDIIIC5S PHONE LICENSE NO,
4
CHGINE.£.1111 MAIL AODR CSS PHONC LICENSE NO,
5
LC.NOC" MAIL A0O11tC$5 fHtANCH
6
USC o, IUI LDING
7 . o~i
8 Class of work: CT'NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: .. ~--n.~ ,.._"Cl
Type of Fuel Oil D 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.
l. Forced Air Systems-B.T.U. j ·1:7 M Ea. . ;
APPLICATION ACCEPTEO BY PLANS CHECI\ED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heateri.-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 120 DAYS.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 ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINPNCES 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 STAT!:; OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
( (J J... ,t V
, ,.-.... '-')
SIGNATU"t: o, tONT,.ACTOR 0111 AUTHO,.IZED Apr.NT \DA Tl)
ISSUANCE FEE s i..;
TOTAL FEES s ' a ...... T ,..-nl' OWNUlt 1, OWHt.fll aulLOl(III DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR