HomeMy WebLinkAbout2815 Jacaranda Ave; ; 77-6172; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No.
JOB ADO~ ES$
tOSEC ATTA(MtO SHt[Tt
ZIP PHON[
2
ASSESSOR'S
PARCEL NUMBER
B K PAGE PAR.
MAIL A0O~ES5 STATE LIC, NO, CITY L IC, NO,
3 •
MAIL AOORtss PMON [
4
5
COMPENSATION INS, CARRI E R
6 I
7 NO. BORMS
8 Class of work: t!I NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work :
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE$/ PERMIT FEE $
f--S;_P_E_C_I_A-=L--'C--'O:...N_D_IT_I_O_N_S_: _________________ ~ Type of
Const /-Occupancy
Group 1
s,ze of Bldg 'l ~ No. of
(Total) SQ. Fb,C:J-"D7 Stories
5
MaK.
0cc. Load
Fire Sprinklers f----------...... -----------.,---------~ Fire
APPLICATION ACCEPTED BY PLANS CHECi<ED BY AOPAPTAO,V ~EDF ,0:ISS~CE DV ::n:f
use
Zone Reouored DYes 0No
DATE t;J./tf I 1~ Dwelling Units /
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 READ ANO 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 TD G IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
A'IIC:NATIJ .. l. o, CONTlltACTOIII 0111 AUTHOIIIZ.1:0 •Gt.NT
IGNAT ,u o, OWNl:lt ,,-OWHt:111: 8UILOE1') DATE)
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT,
OFFSTREET PARKING SPACES:
No. ~6 No. Covered So. Ft. Open
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ ___ t_...,_/ __ ~ __
,., rnrr
• ..
l ...
LOT~.--
c21J.) ~~ <
BUILDING
FOOTINGS
FOUNDATION -4-
-REINFORCED STEEL
MASONRY ..
GUNI'rE OR GROUT • ..
FRAME f /pr Z-ii°
.. INSULATION
... ...
• ' ..
---
. -, ...
--..
• -• •
...
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
_SE_WE_R_A_N_D_P_L~/C_O __ ~WATER ___ _
PLUMBING UNDERGROUND
COPPER
TUB AND SHOWER /4b2' z;-/'
ELECTRICAL
l30NDI~G .
Nl3CHANlCAL
DUCT & PLEM., REF. PIPING vq,4t 1;,,)t1
liEA'l' .... ~!R
\l'ENTILAT:l:NG SYSTEMS
PLUMBING PERMIT APPLICATION .......
City of CARLSBAD, CALIFORNIA 92008 -
Phone 729-1181 Applicant to complete numbered spaces only
~ l!-qr,7 • ". ".?Q
))-7</5 _~ Permll No
JOB AOOIII ESS
4
~;, ' t:l/1£/..11£4 ~ I,· c::,/y'C/ ,
LOT NO, I ILK , T.ACT
1-?Jltei A
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OWNEflt
I/ ,?C,L~/}t,t✓ /t?/ MAIL AOOfltCSS tip PHONE
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J~//0/Jl~/4) 7
MAIL A.00111£5$ t/.,t✓ IL,. A I i
PHONE STATE LIC, NO. CITY LIC, NO.
3 .,1. • 'r~.J)lz> '7, / / / ,,, ·f . ,,
Afll:CHITECT Ollt OESIGNCII , , ,,.u.i L. •00111cs l PHONE l..lC(NSC NO,
4
[NCINE[.flt MAIL AODl't[S5 PHO NC LICENSE NO,
5
CO!-IPENSATION (NS, CARRIER MAIL AOOlltESS
1:J/~1 .dt,u ?/."
BlltANCH
/// 76'74 6 .,_, ., .. __ ,/1 A) ) .J/1.(:5/t/~ . ·--a••
use or 'UILDINl. t-
7 I /_ /✓ ~H..nl ✓
8 Class of work : cYNEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : / ..IV/ /,1/ b/1/,,,,; , ,F
I PERMIT FEES
No-;] Type of Fixture or Item fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $ T (..
BATHTUB /
LAVATORY (WASH BASIN) '
SHOWER / I KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTED BV PU\NS CHEC~EO BY APPROVE O FOR 1ssu .. NCE BY I : . LAUNDRY TRA Y
I CLOTHES WASHER ,·
CATE I WATER HEATER / ,.
'
NOTICE URINAL
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF -✓ F't..~SINK OR ORAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A ... t
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCEO. I GAS SYSTEMS NO. OUTLETS .I _J I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRAN TING OF A PERMIT OOES N OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL,J--AW REGULATING CONSTRUCTION OR THE PERFORMANCE O CONSTRUCTION. LAWN SPRINKLER SYSTEM -..
I SEWER NUMBER CLEANOUTS -;, c.,r•
1-!~ / CESSPOOL
,) I ~ ~./ ,S,;, SEPTIC TANK&. PIT
~;
, '/ ROOF DRAINS
SIGNATUillt o, CONTRACTOlit OR AUTHORIZED AGENT (CA TE I
ISSUANCE FEE $ . / _,)(
5 I GNATU AE Off" OWNCIII I,. OWNER &UH.DER) IOATE) TOTAL FEES $ _,, ri..n
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CASH
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 e -·!!.. ·" z~~ ~ 'µ 1
Applicanttocomptetenumberedspacesonty Phone 729-1181 Permit No 77 -7 -·· · i
JOB ADDRESS
5 • LOT NO, 18LK, I TRACT (0SEE ATTACHED SHEET) LEGAL I -1 OESCR, rv<•----
OWNER MAIL ADDRESS ZIP PHONE
2 • , . ,, 1 -lUGy 1Rd. .o, .
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 fiCA? r ,__, C .... ,i,.r.-,
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
1
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
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED 8Y PLANS CHECKED ev APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 1 I ;::J ~~
DAT E NEW SERVICE ON EXISTING BLOG.
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 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 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 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.
~ I~/ II J TEMP. SERVICE OVER 200 AMP.
PER 100
.. ' ·1•:t.,;c. ·'l'..C'-:# I ( 'i 1 z
SIGNATURE OF CONTRACTOR OR AUTHORl1ZED AGENT (CATI!')~ 2 ISSUANCE FEE
TOTAL FEES 21 s GNATURE of' OWNER (IF' OWNER 9UI 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
.f'
t
ME<C ANICAL PERMIT APPLICATl'ON s!
1~2•
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI AOOft £SS
~ '~ .. , ..
LOT NO. I ILK I mer ·nt(□S~t ATTACHC0 SHUT) L£GAL I -1 DtsClt, , .• .,u ..
OWNl:llt MAIL AODfllCSS ZIP PHONE
2 --& u ...... ; f'. ste. ' -•. • {) , ,..1 _r. -I , .l"" ' -,,..i:; ,,. "'---, • ✓ ,i, :, ,
CON TIU,C TOllt MA IL ADOlltESS PHON C STATE LIC, NO. CITY LIC, NO.
3 l _;h(J, :cnc. " . ,.,96:S we 920 -•1?17 3..;, .. 11 '( .. • , • • ! •
AlltCHIT(CT 0 .. OE.SIGNC,t MAIL AODlltCSS PHONE LICENSE NO.
4
[NGINCE.Jlt MAIL AOO"-l55 PHONE LICCNS[ NO,
5
L lNOC" M41L AOOJlt[SS l,t,4NCH
6
USt o, BUILDING
7 . ·,lt . , •·
8 Class of work: 0:"EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : r~+.ln.'!
Type of Fuel. Oil D Nat. Gas D 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. 1.--:-1 M Ea. ~ uu
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heaters-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. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS Air Handling Unit-C.F.M.
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 STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
r r \ ,.
') ' . I
SIGNATUIII£ o, CONTftACTO" 0111 ~UTH0i.lZ£D AC.ltNT (DA.TC)
ISSUANCE FEE s J -I
,..._T "r. o, OWMUIJ ll' OWNE.,-IUILDIUI DATE) TOTAL FEES s '(' 1( •
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH