HomeMy WebLinkAbout2816 Jacaranda Ave; ; 77-6174; Permitt
MODEL, NO. _________ _
BUILD NG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDA ESS
• CA
Tl'U1oCT
ll 10sr:c ATTJrt.CHCO !514(£.TI
OWN CR M AIL AODIIIESS ... PMONt
2
-,
ASSESSOR'S
P ARCEL NUMB ER
B K PAGE P A R.
CON TIIIAC TOR MAil. AOOAESS STAT E LIC, NO. CITY LIC, NO.
1 ...... 3
ARC .. I TtCT OR OESIGNER M AIL A00A(55 PM ON E
4
5
COMPEN SATION INS. C ARRI ER
6
7 l. NO. BDRMS NO. BATHS
8 Class of work : ONEW 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$ I/. PERMIT FEE S /J
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: ___________________ Type of
Const /
1-------------------------------" s ,ze of Bldg (Total) Sq. Ft.
1-----------,..-----------..------------1 Fire APPLICATION ACCEPTED av PLANS CHECKED 8'1'
DATE
NOT ICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTILATING OR AIR CON DITIONING.
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.
Zone
No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
Fl RE DEPT.
SOIL REPORT
OTHER (Specify)
,
I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN ED 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.
ENGINEERING DEPT.
WATER DEPT.
s1"c-NATUIIC or CONTIIIACTOIII OJI AUTHOIIIIZED AG[NT
911.:N.&.T JI: or OWN£" ,,-OWN[lt BUILDClt OA.TC)
Occu pancy
Group
No. of
Stories
u se
Zone
J l
MICRO FILM FEE
MaK.
0cc. Load
Fire Sprinklers
Required DYes ONo
OFFSTREET PARK ING SPACES.
No. Covered
Required
So. Ft.
Received
No. Open
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
5/7 .> _:. TOTAL FEES$ ____ ....:;. ___ _
INSPECTOR'
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
A pl ca t t co plet Phone 729 1181 p I n 0 m e num -erm, 0.4-• ,,., bered spaces only p
Joe ADDfll [$5
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l.OT NO. I BL• I TN ACT r
LtOAL I . I' l , J/ t•I rl 1-A;; ,,. 7 1 DES CO. ,/,(_
OWNtflt 'h1.,.,,, MAIL. .a.OOfllt.SS t<P PHON(
2 l"(J A".I /tl:61 !6~ I&,./ //ti I/.,// -.. f ,J /
CONT"ACTOl'I
~/ )»/,,;/ Jt',, ft,
M AIL ADOltESS ; lit~, PHONE STATE LIC. NO. CITY LIC, NO.
3 J .J ,/// ( ///:> I : .. -AfllCH/T[Cl 011 OC51GN[ft I' MAIL. AOD"l[.SS , PHON(. LIC[N9t NO.
4
(HGIN[[R MAIL AOOIH.SS PHONE LICENSE NO.
5
COMPENSATION (NS. CARRIER MAIL AOOfllE.55 8JIANCH
6 --/.-?} J --VY/4• ' :: ,,,,1· t // ,',1 ., ~ .,,, / ,.I /'(,,/ -• ----use o, IIUILOING ,
7 /f ff, J?r,,. ,-6/
8 Class of work: 0 NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work: ·(/ / ,/ I/_ ,,,J/ ,I//,
PERMIT FEES
No; Type of Fixture or Item f7ee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ '!
BATHTUB .,.. LAVATORY (WASH BASIN) " I SHOWER ) J
I KITCHEN SINK & DISP ',
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED 8V APPAOVE:0 FOR ISSUANCE SY LAUNDRY TRAY ,
CLOTHES WASHER I , WATER HEATER ,r • !.o CATE
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR-SINK OR DRAIN
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED, GAS SYSTEMS, NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T O VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
J SEWER NUMBER CLEANOUTS ·, r
CESSPOOL J , I / / ? SEPTIC TANK & PIT
ROOF DRAINS
51CNATUAE OF CONTRACl'filll 0111 AUTHORIZ.£0 AGENT (OA Tt) ..
ISSUANCE FEE $ J .
'"'ICNATUR[ 0,-OWNCfl II,-OWNCfl l!IUll.OCRJ IOAT[J 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
ELECTRICAL PERMIT APPLICATION~
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS
-2816 ,:t --~
LOT NO. I BLK. I TRACT LEGAL I 12 1 DESCR.
(QSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 . ' -1 ··-• •
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO.
3 -ric ea. ,trt.n tee
ARCHITECT OR OESfGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 do V • • r
USE OF BUILDING
7 {.
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
i-:SP:.:....::E:..:C:..:.IA:...:..::L;..:C;;..;O;;..;N..:..O::....;._IT_l..:..O_N_S_: _________________ --f SWIMMING POOL WIRING,
1-----------------------------t NO INCREASE lN SERVICE
I
A"LICATION ACCEPTEO BY 'LANS CHECKED BY APPROIIEO 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.
__. I
• ,.. l • -a;» :;,78
SIGNATURE OF OWNER IF' OWNER Sul .oER COATE)
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH , 1
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
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
No.
M.O.
CITY L IC. NO.
Each Fee
25 00
CASH
•
I .. ; • -~!."·. • • *
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDIII E5S
v, . -'&!14a .
LOT NO, I OLK I aACT -L[GAL I 1[:;J;5cc ATTACHED SHEET) 1 DUCII, . ,Cbo Pondero\~ . 1·
OWN£,-MAIL A.0O1'1£55 21 p PHONE
2 ~aa i'" ... t.a.c. . -rento Valle_ :>te • 'J t . • • --
CONTIIIACTOJI MAIL A.0O111£55 PHONC STATE LIC. NO, CITV LIC, NO.
3 • ~es, Inc. . . 965 B/C 92 3-117', -' Aflt(HIT[CT 0111 0£51GN£,i MAIL A0011t£5S PHONE LICCNSt NO,
4
[NGINtl.1' MAIL AOO,.CSS PHONE LICCNSC NO,
5
LENOtllll MAIL AOOIIIESS 11111.A.NCH
6 -
USE 0,-IUILDING
7 . ,
8 Class of work: □~EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : H ting
Type of Fuel: Oil D Nat. Gas CJ 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.
1. Forced Air Systems-8.T.U. IT' M Ea. .~:
APPLICATION ACCEPTED BV PLANS CHECKED BV APPROVED FOR ISSUANCE BV Gravity Systems-8.T.U. M Ea.
Floor Furnaces-8 .T.U. M
Wall Heater~-8.T .U . M
NOTICE Unit He&ters-8 .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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT. A ir Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO OROINPNCES 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 STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
( I \ (' )\ L-
~ ► -~ .
SIGNA.Tu•t 0,. CONTtlACTO,-011 AUTHOflllZ.t:D AGENT (OATC)
ISSUANCE FEE s
TOTAL FEES s '.
• C.W.&.T Rr o, OWME.fll: I,. OWNER au1LOl:llll OAT()
WHEN PROPERLY VALIDATED UN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
., -. -•
... ---------
•
--... ...
. -..
-
-...
--
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SHEATHING q;q,6,,2 M
FRAME j4lirP
INSULATION
EXTERIOR LATH
INTERIOR LATH &
PLUMBING
SEWER AND PL/CO WATER -----~---..... -----
PLUMBING UNDERGROUND
COPPER
TOP OUT 0/j ?/j 1 z/
TUB AND SHOWER ,q/2(,7 if
ELECTRICAL
. UNDERGROUND
ROUGH
· CEILING HEAT
• BONDING
• MECHANICAL ..
• ..
. -..
... -
DUCT & PLEM, REF . PIPING ~;;yu .v
VENTILATING SYSTEMS
· FINAL:_-~.,,,,.t;--4..,...,./.__-"'-b __ ,___