HomeMy WebLinkAbout2845 Luciernaga St; ; 77-4762; PermitMODEL NO. ____ ]..._.J~4..._J __ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ~
Applicant to complete numbered spaces only Phone 7 29-1181 Per~ It J~~ 76 n('
JO& AOOA ESS ASSESSOR'S ~L/$' Luciernaga Street PARCEL NUMBER
LOT NO. I ... j £;;' Costa fl!cc ATTA CH£0 SHCCTI
BOO>< PAGE I PAR,
ctCAc f J77 Meadows Unit 1 0£HA.
OWNC.R MAIL AODAE55 ZIP PMONC
2 NEWPOR:r SHORES BUILDERS .Drawer A. Huntington Beach,CA 92646 (714) 962 668J
CONT,.ACTOA MAIL AOORCSS PHONE STATE LIC, NO, CITY LIC. NO.
3 same Ul 16700.5 1J224
ARCHITECT OR OC.SICNCA MAIL ADDRESS PHONE LICENSE NO,
4 Lynn Maudlin,21671 Seaside Lane, Huntington Beach,CA 92646 (714) 962 17J4
CNGINEEA MAIL AOO~ESS PHON C LICENSE NO,
5 same
COMPENSATION INS, CARRIER MAIL AODlltCSS BIIIIIANCH
6 Atnea
USE or 81.JILOINC
7 residence NO. BORMS J NO. BATHS 2
8 Class of work: :gNEW 0 ADD ITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
/'I
9 Describe work: single family residen ce/semi attached ,~✓ ,-?, ,,., " (~v~ -x3, I
Elevation C
-r I .
10 Change of use from
Change of use to
11 Valuation of work: $ ~l.\ ()L\S Co~. oo_L \ ?D, Ob
) PLAN CHECK FEES I PERMIT FEE $
SPECIAL CONDITIONS: / MICRO FILM FEE Type of Y-N Occupancy
Const Group 1-::r
s,ze of Bldg 1J4J No. Of 1 MaM.
(Total) SQ. Ft. Stories 0cc. Load
Fire use l<-2-Fire Sprinklers APPLICATION ACCEPTEO BY PLANS CHECKEO BY APPROVED FOR ISSUANCE SY Zone 3 Zone Required DYes □No
No. of OFFSTREET PARKING SPACES: 1 No. 2 Sq, Ft. 418 JNo. DATE DATE Dwelling Units Covered Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT,
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. 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
CONS~.,TION OR THE PERFORMANCE OF CONSTRUCTION. , , /, <-u_ . s ~ :)J-7)
SIGN.i'Tu"r; o, CONrACTOrt 0111 AU,.H011t1Z£0 AGENT (OAT£)
SIGNATUll':C Of' OWNUI ,, OWNCrt 8UILD£fll} (OATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$ \ C\. <; · 00
f
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only
r,~~1t
Permit No I ,
JOB ADDA £$5 <;f-l~ 4c;--L\ '1 uA Ci:~
LOT NO. I ILK I T•AC T !iv') I LEGAL I ~77 r.) ~)')v AD ~ 1 otsc•.
OWNUI I MAIL AOOIIICSS . ... PHONt
2 L, LA< -f -~e~ ~ J1Uf'V -
CON Tfil>C TOIII Pl& M A IL ADOfll[S5 nJFIRIJ PHONE STATE LIC. NO. CITY LIC. NO.
3 ~ /I , ' \000 , , 'I ,. ,.
A"CHITECT 0111 DE51GNtlll , MAIL AOOIIIC5S PHONE Ll([NSE NO.
4
,
f:N GIN EE Fl MAIL AOOAESS PHONE LICENSE NO.
5
COMPENSATION (NS. C,ARRI ER MAIL AOOIIJ[S.S IUIANCH
6 -
ust o, BUILDING
7 ,..
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee -$ SPECIAL CONDITIONS WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN ) .,) ..,
' SHOWER _., \
I KITCHEN SINK & OISP
I DISHWASHER I ....,
APPLICATION ACCEPTED av PLANS CHEC~EO av APP~OVEO FOR •SSUANCE BY LAUNDRY TRAY
I CLOTHES WASHER '
DATE I WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. I GAS SYSTEMS: N D.OUTLETS I ,
' I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO '3E TRUE ANO CORRECT, WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO O RDINANCES 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 TO VIOLATE OR CAN CEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, LAWN SPRINKLER SYSTEM
' SEWER NUMBER CLEANOUTS 1,
CESSPOOL
--, 1· .e -) . SEPTIC TANK & PIT
JJ ROOF DRAINS ' . .
SIGNATUAE OF CONT,.ACTO" OA AUTHOlltlZ.lD AGt NT (OAT£)
ISSUANCE FEE $
SIGN.-,TU"[ OP' OWNE" I,. OWN[A 9UILOEJII) (OAT C) TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
. -
I I \ I'
MECHANICAL PERMIT APPLICATION -
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit NZl--9 )f _s
JOl!I ADDIII ES$
2E 7
LtG:AL I 1 ouco.
LOT NO.
377
OWN[llt MAIL AOOAESS
2 PO --
CON TfltAC TOlllt MAIL •DOAESS
3 y:,;..... :r A1r O:ntltfm:ID£
AIIICHITtCT 0 111 DESI GN(" MAIL AOOIIIESS
4
[NGINttlll MAIL ADDIIIESS
5
LENDt.JI MAIL AOOIIIESS
6
USE 0,-8UILOING
7 nta
8 Class of work : 'iNEW 0 ADDITION 0 ALTERATION
9 Describe work: install f'xrnaces
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
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 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.
, I t t re r(. -. /
SIGNATU"E o, co\.!"A:JO" Ofll AUTHOttlZ!.0 AGENT (DATE>
tlC.M.A.Tt1(1111~ o, OWNlR 11' OWNt,t ■UIL0£ft lOATU
-tOscc ATTACHED SH£tTI
21 p PHONE
PHON [ STATE LIC. NO.
PHONE LICENSE NO.
PHONE LICENSE NO,
SIU.NCH
0 REPAIR
Type of Fuel. 011 0 Nat. Gas D LPG. 0
PERMIT FEES
No. Type of Equipment
Air Cond. Units H.P. Ea.
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A .C. Units-Tonnage Ea.
2 Forced Air Systems-B.T.U. AA M Ea.
Gravity Systems-B.T.U.
Floor Furnaces-B.T.U. M
Wall Heaterl-B.T.U. M
Unit Heaters B.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit C.F.M.
Incinerator
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
CITY LIC. NO.
l.Z09J
Fee
$
R rtf
$ ~ f11\
$ 11. rv,
CASH
ELECTRICAL PERMIT APPLICATl0N a7.00
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB ADDRESS
,........,.·.a;
LOT NO, I BLK. I TRACT <OSEE ATTACHED SHEET) LEGAL I 1 DESCR, ::ta ---•
OWNER MAIL ADDRESS ZIP PHONE
2 AYraa 1 Ctr:"r • 1970 E1. Ci :r i-• --I
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO. C ITV LIC. NO.
3 lee ~ll 'la "--" .nbad --
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRI ER MAIL AODRESS BRANCH
6 ··.t1.t'!ft Ge~ __ .. _ ·-M .• ---
USE Of BUILDING
7 • -· .
8 Class of work: □IIIEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: R'IA.n ~~,..l vi.rinn
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al''LICATION ACCEPTED IV PLANS CHECKED BV APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 100 as 2r . ., j O)
D ATE NEW SERVICE ON EXISTING BLDG.
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 AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND 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.
/) H , If~ '/Y?_
TEMP. SERVICE OVER 200 AMP.
,. JI !78 PER 100
., ' I . -
SIGNAJURt'Of CONT'ftACTOR OR AUTHORIZEP A<.EN~.,-• (DATE) V .I ISSUANCE FEE .
TOTAL FEES
c; GMATURE nF" OWNE:R IF' OWfrrilER eu1TDER) DAE
WHEN PROPERLY VALIDATED (IN THIS SPACE! THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
FOOTINGS
REINFORCED STEEL
MASONRY .
GUNITE· OR GROUT _________________ ,,
SHEA'rHING 7 , / i · 7 I b/4
-\J:SULATI011 0
~TERIOR LATH' f• !,l) •~ \fvna
J INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO({,/<(. 7f WATER
PLUMBING UNDERGROUND Jo• II· 7 J M
TOP OUT
TUB AND
GAS TEST
ELECTRICAL
'UNDERGROUND
ROUGH g'·/U-7! h/4
CEILING HEAT
· BONDING
MECHANICAL
~ DUCT & PLEM, REF. PIP ING <[-16"· "1 y htic
.. ·. HEAT--AIR
VENTILATING SYSTEMS
FINAL: 1,11-n~-