HomeMy WebLinkAbout2814 Jacaranda Ave; ; 77-6171; PermitI
t
MODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADOR [! $
281' II ad, \:A
LOT NO, BLK
1 ~~;~~-11
TRACT (Qscc ATTACHCD SH[f.TI
OWN(" ll P PHO NC
2
ASSESSOR'S
PARCEL NUMBER
B PAGE PAR.
CITY LIC. NO.
3 ... 1
A"CHITCCT OR OESII.NC:R MAIL .A00ACS5 PHONE LICENSE NO.
ENGINE(R
5
C0MPE'.NSATl0N INS, CARRIE'.R
6 •
USC or BUILDING
7 NO. BDRMS NO. BATHS
8 Class of work: l!l NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE
9 Describe work: ,. 'Z
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE$ I ... PERMIT FEE$
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const Group -..
s,ze of Bldg. ..-No. Of Max.
(Total) Sq. F~5 i:)<j Stories 0cc. Load
APPLICATION ACCEPTED BY
Fire ,,, Use / I Fire Sprinklers
Zone Required Zone OYes □No APPROVED ~OR liANCE BY
1------..,....<=----lr-O-F_F_S_T_R_E_E_T_P_A_RJ...K-IN_G..JS'-P-A_C_E_S_: --------1
I No of
DATE .....,__. _ _. T..,,/,'f/...,., Dwelling Units No. // No. , " I IJ Covered Sq. Ft. 7 • Open
Sp,.cial Approvals Required Received Not Required
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 READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TD 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.
f_ /U/, /Ja.,j._J L ,/
SIGNATUJllt. 0,-CONTllU,CTO" OJI AU1'H0111%CD AGENT (DATE)
DATE)
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
P~AN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CASH
\
I TOTAL FEES$_~) ___ / ___ ..,,,._
--..
◄
---
LOT M
.ifty~a,,_
BUI DING
FOOTINGS
FOUNDATION tf-,
., REINFORCED STEEL
◄ -
--
•
---·----...
--..
---..
...
-..
-..
-..
•
-
--...
NASONRY
GUNITE OR GROUT
SHEATHING /¢-,lzz Z..r' .
FRAME P?/21 ,V
INSULATION / -c:26 -7 Y GJ>
EXTERIOR LATH
INTERIOR LATH & DRYWALI;
PLUMBING
_SE~W~E~R.;_-=.;A~N~D~P~L~/~c~o __ -+WATER ___ _
PLUMBING UNDERGROUN
COPPER
TUB AND SHOWER ,1~/22 t;-:7.
7
GAS TEST µ/4;2./2 7 u,/7
/ . 7
ELECTRICAL
UNDERGROUND
· ROUGH
. CEILING HEAT
BONDING
MECHANICAL
"DUCT.& PLEM, REF •
HEAT--AIR
PIPINGfpiM
VENTILATING SYSTEMS
FINAL:_....:;(,~~'-",,6,<--L,,C-Y.:::.e.¥;.___. __ _
---~-------------~~.,.
PLUMBING PERMIT APPLICATION e~•?lll,.a•• -'•• B.~o
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No 7 )-7Y .,..
JOB ADDI' ESS
_,, /J-/,41 ../ /y ~,;
LE.AL I 1 D<SC~. I '""CT) V/ -#/, /-1/Jl" "(. _It
OWN(." M,\JL A00111tSS ltP -
2 , , ' t1. 11~ ,-;,. /-: / I'
PMONE , 1-Y.-7/-'/
CON T"AC TOIII
3
MAIL _,ADDAtss .
'/ (///({,, /;,, ...
PMON[ STATE LIC. NO.
{' J <-
AIIICHIT[CT Oft 0£.51GN£111 MAIL AOORCSS PMON E LIC[N$£ NO.
4
[NGIN[[ft MAIL AOOA[SS PHONE LICENSE NO.
5
COMPENSATION (NS. CARRIER
6
MAIL •oo•tss
, j ' , ..ft )•,t,/J'l ,_ ---F/(/
l!UtANCH
USE 0,-BVILOI_Jr,IG ;
7 / )/
8 Class of work: DNEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
SPECIAL CONDITIONS·
APPLICATION ACCEPTED BY PLANS CHECKED BY APP'IOVEO FOR ISSUANCE SY
DATE
NOTICE
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS,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 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 TD V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONST.RUCTION.
/
.SIGNATU"t,b, CONTRAC:TOllt 0 ,. AUTHOAIZCO A,tNT (OATC)
(OATE)
PERMIT FEES
Type of Fixture or Item
WATER CLOSET (TOILET)
I BATHTUB
LAVATORY (WASH BASIN)
I SHOWER
I KITCHEN SINK & OISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER , WATER HEATER
URINAL
DRINKING FOUNTAIN
_,..·;..., f't'Oe'fil-SINK OR DRAIN . SLOP SINK , GAS SYSTEMS NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM ,
j SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT 1-----i----
ROO F 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.
INC.PFr"TOR
-
CITY LIC, NO.
-.
Fee
$ / -'--./
J ~v
'l ~·
I •
I "
/ )
./
I ('
~-·
,
. ' I
s a, ..
CASH
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces on y. Phone 7 29-1181 Perm it No.
JOB ADDRESS
I LOT NO, LEGAL 1 DESCR,
OWNER
2
I 8LK. I TRACT
MAIL ADDRESS
0 :--· ~----(OSEE ATTACHED SHEET)
ZIP PHONE
alley
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO.
3
ARCHITECT OR DESIGNER MAIL ADDRESS
4
ENGINEER MAIL ADDRESS
5
COMPENSATION INS CARRI ER MAIL ADDRESS
6
USE Of BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
,
Al''LICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BV
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 ANO EXAMINED THIS 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT f' (DATE)
!>!GNAT RE n~ nwN~R fr:' OWNER 8UI LDER OAT►
•
PHONE LICENSE NO,
PHONE LICENSE NO.
BRANCH
•
0 REPAIR
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
PERMIT FEES
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH, '.i
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
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
ISSUANCE FEE
TOTAL FEES
No.
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,
Each Fee
2 00
CASH
MECHANICAL PERMIT APPLICATI O N~'-1?z
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADOIII t 55 , ---.
LOT NO, Im I m,cr (UC£.. o\TTACHED SHCtT) LEGAL I --rl.v 1 DUC~. . -
OWNCJI MAIL A.0011CS5 21 p PHONE
2 " .,.,_ • • nto Vall . Ste. .' -· ~.) ,,, ~
CONT"ACTO" MAIL A0Ofll£$5 PHON C STATE LIC. NO, CITY LIC, NO,
3 -Inc. ~65 B/C 92 .1 177? • • • . -
A"CHIT[CT 0111 DCSIGNCflll MAIL A.00111[95 PHONE LICEN5[ NO,
4
E.NGINEC" ~AIL AOD,.t55 PHONC L ICCNSC NO.
5
L ENDUt MAIL AOOPtC55 BIIIANCH
6
use OP' I UILOIN(;
7
8 Class of work: □-NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ting
Type of Fuel. Oil D Nat. Gas 0 LPG. 0
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. 00
APPLICATION ACCEPTEO BY PLANS CHECl(EO BY APPROVED FOR ISSUANCE BY 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 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 ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR THE GRANTING OF A PERMIT DOES NOT NOT, PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
Incinerator
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
() r' k l \'
' SIGNATUfl[ 0,. CONTflACTOfl 0" AUTHO"-llltO AGENT COATE)
ISSUANCE FEE s ' -
•1C.N..,,."lll:lt OP' OWJr,1:IEIII IP' OWN ltfl ■U ILD[III) DA.Tit) TOTAL FEES s ··, ~
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O . CASH
11.,rn rTn