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
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JOB ADDfl ESS
LOT NO. ILK
. LEGAL
1 DESCR.
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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
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MAIL ADDRESS ZIP PHONE
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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
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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 £
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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
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1 L.OT NO. BLK TRACT
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CONTRACTOR jj ,rf^ MAIL ADDRESS ._-— •""""""* •MOW*
ENGINEER MAIL ADtTRESS/ PHONE
5
COMPENSATION INS. CARRIER y MAIL ADDRESS
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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: