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HomeMy WebLinkAbout290 CARLSBAD BLVD; ; 79-1486; PermitMODEL NO.5/16/796^60 BUILDING PERMIT APPLICATOR ™» <* City of CARLSBAD, CALIFORNIA 92008 ,Q, Phone 729-1181 Permit N. /T^/^fe TL JOB ADDfl ESS LOT NO. ILK . LEGAL 1 DESCR. OWNEJ7 / 5k jf — - 2 _^<^ fl o ^~T&JJ f y3"2£CL^ j?Z^ 4 ENGINEER 5 COMPENSATION INS. CARRIER — . USE OF BUILDING IT 7 ¥ 8 Class of work: D NEW ^ADDITION 9 Describe work: ,— . /I - ASSESSOR'Srj< // ff PARCEL NUMBER/cJ-c-^-^C • TRACT BOOK PAOE PAR. (1~~)SEE ATTACHED SHEtTI ^ — _J **J^> i t &*t <>> / (0 MAIL ADDRESS ZIP PHONE / )£^*-a-o«- J MAIL ADDHESS ^^ niingr STATE LIC, NO. CITY LIC. HO. '.— \~? ^~"7 /& 7s\ ^.y 9 y 7^*~ f7^ & *7 MAIL ADDRESS PHONE LICENSE NO. MAIL ADDRESS BRANCH NO. BDRMS Nfl. RATH* D ALTERATION D REPAIR D MOVE D REMOVE uT/-^^7 jW&tM^- fc-fj^v L&*i c^Tnf » l£s2t*t& 'i 10 Change of use from ' Change of use to 11 Valuation of work: $ SPECIAL CONDITIONS: x-^ \ °** 1 r» £"& Ctf^C'-^ ~~ J PLAN CHECK FEE S £ xj n APPLICATION /CCEPTED BY PLANS CHECKED BY <%C^ / //, DATE 5 JAJL NOTICE/ SEPARATE PERMITS ARE REQUIRED FOR E ING, HEATING, VENTILATING OR AIR CONDI THIS PERMIT BECOMES NULL AND VOID IF V TION AUTHORIZED IS NOT COMMENCED WM CONSTRUCTION OR WORK IS SUSPENDED OR PERIOD OF 120 DAYS AT ANY TIME AF MENCED. t HEREBY CERTIFY THAT 1 HAVE READ A APPLICATION AND KNOW THE SAME TO BE 1 ALL. PROVISIONS OF LAWS AND ORQlNANCTYPE OF WORK WILL BE COMPLIED WITH V HEREIN OR NOT, THE GRANTING OF APRESUME TO GIVE AUTHORITY TO VIOLA PROVISIONS OF ANY OTHER STATE OR LOCA CONSTRUCTION OR THE^ELR^ORMANCE inFNATgRE or CONTRACTOR W*jTHORiyo ASENT SIGNATURE OF OWNER (IF OWNER BUILDER) APPROVED FOR ISSUANCE BY ^ C'fl'tn LECTRICAL, PLUMI/ HONING. ifORK OR CONSTRUC- FHIN 120 DAYS, OR IF ABANDONED FOR A FER WORK IS COM- ND EXAMINED THISRUE AND CORRECT. ES GOVERNING THIS VHETHER SPECIFIED PERMIT DOES NOT TE OR CANCEL THEL LAW REGULATINGOF CONSTRUCTION. c~ — /</- "7^ (DATE) (DATE» S dt&PERMIT FEE S X . i -* MICRO FILM FEE Type of Occupancy Const. Group Size of Bids. No. of Max. (Total) Sq. Ft. Stories Occ. Load Fire Use Fire Sprinklers Zone Zone Required Qves DNO TNO of OFFSTREET Dwelling Units No^^ Special Approvals Required PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. PARKING SPACES: Sq. Ft. |Open Received Not Required WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH TOTAL FEES $_ MODEL v ( BUILDIN5J>ERM ^^ ^Clty ofCARLbbAD, \ Applicant to complete numbered spaces only. PhOIlC 7 IT APPLICATION -- - CALIFORNIA 92008 ^ *£* 29*1181 Permit Nn 7 f~ '/^ffr JOBJtfDBESE 3^?o f-^.^/^^j /V,-./. 1 L.OT NO. BLK TRACT j- A .r» AA P \ C°*<Me'W>yr/V|**(fl^ ,-' MA,UAOD«.. -"2 • -^/U $Mq#«4< .:-•-. ) >p ^ ^? ^ - 15t^ PX CONTRACTOR jj ,rf^ MAIL ADDRESS ._-— •""""""* •MOW* ENGINEER MAIL ADtTRESS/ PHONE 5 COMPENSATION INS. CARRIER y MAIL ADDRESS R ' « / S^/uXl^-i^V •"*> Ijjkt-- USE OF BUILDING p 7 **NO. BDRMS 8 Class of work: D NEW ADDITION D ALTERATION D REPAIR D 9 Describe work: . ^~^ {^f.;.£ }^ jfc^E^f 10 Change of use from ^ f^^"^ ASSESSOR'S PARCEL NUMBER BOOK PAGE PAR. ^77/ '? "' / 1*T * * ' PHONt STATE LIC. HO. CITY LIC. NO. *"" LICENSE NO. f A/ y * Pf » ^..^^^ ^f f-O y T' f LICENSE NO. / BRANCH NO. BATHS MOVE D REMOVE • ~ * i ~~?X' / .if -*—^^^ ~~~*^j^ * "t^^^^^fco^" * ^^ Change of use to 1 1 Valuation of work: $ / •*') 'j,,^~"~' SPECIAL CONDITIONS: - ' ">' ' ' APPLI^nON^fcCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY <".*'"'"'* ; -> • ' i ., ^'f ' DATE' .''DATE' ^ NOTICE *^** S"V»t SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMff 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. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE^EpVORMANCE OF CONSTRUCTION. X"l jf jfl \f fjf - SltNATUPtl OP COMTHACTOM SUf^ *j THOU 1 2fd AGENT (DATE) SIGNATURE OP OWNER (IP OWNER •UILDCM) (DATE) PLAN CHECK FEE S Type of Const. Size of Bldg (Total) Sq. Ft. Fir* Zone iNo. of Dwelling Units Special Approvals PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. _> PERMIT FEE S X .^~^"**^ £ii& MICRO FILM FEEOccupancy Group No. of Max. Stories Occ. Load Use Fire Sprinklers Zone Required [^Yes DNO OFFSTREET PARKING SPACES: No. „ , |No.Covered Sq. Ft. |Open Required Received Not Required 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 S J^ INSPECTOR •. r- MECHANICAL PERMIT City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. PrlORC 7 29*1181 Tt Permit No.. JOBADDRE39 « LEGAL. ] DESCfl. _ .(LJS.EE ATTACHED SHEET) MAIL ADDRESS MAIL ADDRESS LICENSE NO. MAIL ADDRESS 8 Cltssofwork: j^ DDITION D ALTERATION D REPAIR 9 Discribework: TvpeofFuel: Oil D Nat. Gas D LPG. D PERMIT FEES SPECIAL CONDITIONS:No.Type of Equipment Air Cond. Units-H.P. Ea. Refrigeration Units-H.P. Ea. f~ 3 Boilers-H.P. Ea. Gas Fired A.C. Units-Tonnage Ea. Forced Air Systems— B.T.U.M Ea. APPLICATION ACCEPTED BY PLANS CHECKED BV Gravity Systems- B.T.U.M Ea.. Floor Furnaces-B.T.U.M Wall Heateri B.T.U.M 5—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. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BB COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. UnitHefaters-B.T.U.M Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit-C.F.M. Incinerator •(•NATURE Of CONTRACTOR ON AUTHORIZED ACCWT ISSUANCE FEEx-' -•I«N*T^R« or OWHCR <ir OWNKR mit-OERi -f "*^"TOTAL FEES WMfN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH INSPECTOR . Tl ELECTRICAL PERMIT APPLICATION City of CARLSBAD, GAUFORNIA92008 Applicant to complete numbered spaces onl^ PhORG 7 29-1181 "—^ perm it No. JOB ADDRESS •LEGAL IDESCR. {QSEE ATTACHED SHEET) MAIL ADDRESS 177*.? CONTRACTOR MAIL ADDRESS STATE LIC. NO.CITY LIC. NO. ARCHITECT OR DESI3HEH MAIL ADDRESS LICENSE NO. MAIL ADDRESS PHONE LICENSE NO. COMPENSATIBJM INS (ARRIE MAIL ADDRESS BRANCH it- USE OF BUILDING 8 CiMiofwork: D NEW D ADDITION ^ALTERATION D REPAIR 9 Describe work:A tie PERMIT FEES SPECIAL CONDITIONS:SWIWwIING POOL WIRING, NO INCREASE IN SERVICE No. Each Fee AMtfpXlWN ACCEPTED «Y:PLANS CHECKED BY APPROVED FOR ISSUANCE BV N EW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER 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 AND 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 REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 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 CH) TEMP. SERVICE UP TO AND INCLUD-ING 200 AMP. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT TEMP. SERVICE OVER 200 AMP. PER 100 ISSUANCE FEE QWNEB MF OWNER BUlLDERF TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERM IT VALIDATION CK. INSPECTOR INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: 3 DATE Bll/D. ZONE UNITS ALLOWED UNITS PROVIDED PARKING SPACES REQUIRED % COVERAGE ALLOWED "7 BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED PROVIDED _PROVIDED_ _PROVIDED PROVIDED SIDE SETBACK: INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: REAR SETBACK:_IQ! T*& ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: R.O.W. SEWER CONNECTION GRADING PERMIT ^ DRIVEWAY LOCATIONS fife^ LEGAL DESCRIPTION ^O( DRAINAGE, <r--o&> -/ ADDITIONAL COMMENTS ^ j /.c Wr-Jc OK TO ISSUED , ? 0 DATE /£/&/? *! _^ ^ u^_*^«fC OK TO FINAL .>>V/ DATE / " FIRE DEPARTMENT SPRINKLING SYSTEM FIRE ALARMS "FIRE HYDRANTS /ADDITIONAL COMMENT FIRE PROTECTION EQUIP EXITS OCATION OK TO OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE CITY OF CARLSBAD BUILDING DEPARTMENT (714) 729-1181 CERTIFICATION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. If, after making this certificate, I become subject to the workers' compensation pro- visions of the California Labor Code, I will forthwith comply with Section 3700 of the Labor Code. I understand that if I fail to comply with the workers' compensation laws, this permit shall be deemed revoked. I further certify that if I should contract or subcontract with any person, including any firm or company, to do all or part of the work for which this permit is issued, I shall assure compliance by that contractor or subcontractor with Section 3800 of Aie California Labor Code. SIGNE PRINT NAME AND TITLE JOB ADDRESS: DATED: