HomeMy WebLinkAbout2817 Jacaranda Ave; ; 77-6173; Permit,,
MODEL t-io. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocomplete numberedspacesonly. Phone 729-1181 Permit No.
-, -!o/13
2
3
4
5
USE o, 81JILOING
7 1 .-
8 Class of work: □NEW 0 ADDITION
9 Describe work: ..
10 Change of use from
Change of use to
(05E£ A TTACHED SHE.[TI
PHONC
NO. BORMS
0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
ASSESSOR"$
PARCEL NUMBER
B K
z
11 Valuation of work: $ 9/ --PLAN CH ECK FEE $ v~-PERMIT FEE S
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: __________________ --1 Type of
Const. ? ) Occupancy
Group
1-------------------------------i s,ze of Bldg. // / ,('"-::, No. of (Total) Sq. Ft. "'1 -,J ..J Stories
MICRO FILM FEE
' -
Max.
0cc. Load
-
1-----------,..-----------..---------~ Fire APPLICATION ACCEPTED av PLANS CHECKED ev APPROVED FOR ISSUAN£E ev Zone
Use J ,/ Fire Sprinklers
Zone Required 0Yes O N o
DA.TE DATE
No. of
Dwelling Units I OFFSTRE ET PARKING SPACES
~~~ered / Sq. Ft. 1/ s.6, ~~en
N OTICE Sp ecial Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATIN G, VENTILATING OR AIR CONDIT IONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WI THIN 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 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 CONSTPUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/
SIGNATUftt 0,-CONTftACTO"t Oft AUTHOft!?EO AGlNT
SI NATUJI.[ 0,. OWN[" ,,. OW"t[III autLD[ftJ DATE
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION CK. M.O
TOTAL FEES$
INSPECTOR'
CASH
.. LOT~ .. .. ;::xrL2:J?~~<
BUILDING ..
FOOTINGS ---FOUNDATION
-REINFORCED STEEL
MASONRY -GUNITE OR GROUT ...
--SHEATHING ~46? ?.J°
-
• INSULATION -EXTERIOR LATH ...
INTERIOR LATH & DRYWALL
. -
PLUMBING -
-SEWER AND PL/CO WATER ----
... PLUMBING UNDERGROUND -/c:3 --
. ----.. ---..
..
• .. --..
... ..
. COPPER
TOP OUT /.:2 &JD? V 7
TUB AND SHOWER #y Z.:/
ELECTRICAL
UNDERGROUND
· ROUGH
· CEILING HEAT
BONDING
MECHANICAL
"DUCT & PLEM, REF, PIPING ~¥( z,Y
HEAT--AIR
VENTILATING SYSTEMS
FINAL: _-;a~.,..../4-t>/4~. 7/.__l¥'---'---" ___ _
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181
JOI ADDA £$S
/'id Jo ~e~ .1ll'a,,1 /4~.,, .... ,. ,
LOT NO. I aL• 1 T•AtT ;/✓,,.'/,. --y·· LCOAL I I~ :.c'Jll"/' £ ' 1 ouc•. -?t'L, -
OWN £11t .//4 .M-/ /d)
MAIL AOO,t[55 ZI p PHONt. 2 I(.) /fl J ff'1'vti'll6 /~ , )/_;}/ 5 -~
CON l ".AC TOA ¼, . MA.IL •oo,.tss / PHON[ -,, ST,\TE LIC. NO, CITY LIC. NO, 3 'LIPP/Ii¥: ( tJ •' /·_ . I lrlulll'ttLJ 7/) l.:1b / Y, AACHITCCT 0111 OCSIGNCA / MA IL AODRt~S , PHOM C LICENSE NO,
4
[NGIN CEA MAIL AOOIIIC5S PHO"fC LICENSE NO. 5
COMPENSATION (NS, CARRIER MAIL AOOllltE55 /4,,l'r. ;;I,,
9lltANCH
6 _//,~, ,/ -~ (1/l t le,. rJr11r/ /II c.,,it.}t't'I/ -.. -----., -~ USC OF &Ul,l.OJ NG V
7 ' ~ ~/✓ ',/
I
8 Class of work: c1NEW □ AD DITION □ ALTERATION □ REPAIR
9 Describe work: / (////J/.l/,;'r.
r
PERMIT FEES
N?, Ty pe of Fixture or Item fiee
SPECIAL CONDITIONS· WATER CLOSET (TOILET) $
' BAT HTUB
l. LAVATORY (WASH BASIN) ~,
I SHOWER ' I
I K ITCHEN SINK & OISP / ,,
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHEC><EO BY APPqOVE O FOR ISSUANCE BY LAUNDRY TRAY
I' CLOTHES WASHER
DATE I WATER HEATER I ,,
NOTICE URIN A L
THIS PERM IT BECOMES NULL A N D VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
T ION AUTHORIZED IS N OT COM MENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION O R WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· I SLOP SINK ., M EN CED. . I GAS SYSTEMS NO.OUTLETS I ., I HERESY CERTIFY THAT I HAVE READ ANO EXAMINED THIS A PPLICATION ANO K NOW THE SAME TO BE TRUE AND CORRECT, WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS T YPE OF WORK WILL BE COMPLIE.D WITH WH ETHER SPECIFIED WASTE INTERCEPTOR H EREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE O R 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 _) J
) J CESSPOOL V~, j I -~ I 77 SEPT IC TANK & PIT
j ROOF DRAINS
51GNATUflU ~, CONT .. ACTO .. OR AUTHO,.IZ.£0 AGENT IOATE I
ISSUANCE FEE $ j
51C.NAT ,it[ 0" OWN£,. (i, OWNER IIUILOCR) OATEI TOTAL FEES $ .. I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDAT ION CK. M .O, CASH PERMIT VALIDATION CK, M.O. CA SH
"
INSPECTOR
, '
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDRESS .
2 ......
LOT NO. 18LK, I TRACT <OSEE ATTACHED SHEET) LEGAL I 1DESCR. 14 10 ·~ .
OWNER MAIL ADDRESS ZIP PHONE
2 i1:ldarosa .. • 1 D U1"lllay C::, ?121
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC1 NO,
3 tt £lac. 1007 I '~-2
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENG !NEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 ?19 Ct •• 92025
USE OF BUILDING
7
8 Clau 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
A"'LICATION ACCEPTEO av PLANS CHECKEO av APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 1 I ,J 20 DO
' 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 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.
(/ /_J/ £1.. TEMP. SERVICE OVER 200 AMP. --PER 100
~ ~ ---/ ,' -, /) I ,/ , ~~ /')✓·,·"")
SUINA'l'URE 01' C"ON'l'RAC1"0R OR AUTHORIZED AGENT , (Dl)ltEY' /
ISSUANCE FEE
TOTAL FEES 7 [i
S IGNATURt:. OF NER It' OWNER 8U1LDER) {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 APPLICATION ~&: i231•·-~ ., ,
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phon 729 1181 e -Permit No. -~1.., 7) /
JOB ADDIII CSS
'.!r&Dda .
LOT NO, I 9L• I T"At T t (Qs!.,E.-ATTACHEO SHCET) LlGAL I l ,ho Pond 1 DUC"•
OWNC,. MAIL AOOR[55 11. PHONE
2 Hom~c., rento Vall ~ .
.I, • -• -
CONT,.ACTOIII: MAIL ADO,.CSS PHON[ STATE LIC. NO. CITY LIC, NO.
3 ~es, Inc. .65 E/C 9~ ..i. ~-17? I • ' . ·•
A"CHITEC:T 01111 DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
lNGINll" ~it.IL ADDRESS PHONE LICENSE NO,
5
L.l:NOUI MAIL A00,.[55 BRANCH
6 •
USE 0" I UILOUH#
7 ~,
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ting
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. M Ea. ' C'
APPLICATION ACCEPTED BY PLANS CHECKEO BY APPROVE O FQR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heater~-B.T.U. M
NOTICE Unit He1,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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND OROINPNCES 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 ( d V -,
SIGNATURC o, CONT"ACTOfl 0~ AUTHOlllllZCO AGCNT {OATCI
ISSUANCE FEE $
.,,....., T t•r 01' OWNltlll tP' OWNC" aUILOlfl OAT[ 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