HomeMy WebLinkAbout2278 PLAZUELA ST; ; 79-5113; PermitMODEL NO.~---------
BUILDING PERMIT APPLICATION '796793
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. 79-5"//3
JOB A.DOR £.5 S ASSESSOR"S [Y 1.;tl 8 Pl o.:zue. la.. ..S+-Co.rls be2d PARCEL NUMBER V X. ><
1 LEGAL ,~LO:f 1 I •L• fACT 7:2-:2 + BOOK ;:;;1 PAR.
DE.SCA. ,□scr. A.TTACHtO 5H[tTI
;2.. I lo o'-/
X. OWN CR
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ZIP ~;:;a,-79~0~ 2 L. €. .. 5-J-9~i
CONTIIIACTOJI\ MAIL AOOA[SS P1"40Nt .......___ STATE LIC. NO. CITY LIC. NO_}
3 /}/UJ_.,~
AR CHITECT OR OESIGNCA MAIL AOORCSS PHONE LICENSE NO,
4
t.NGIHC(R MAIL •ooqcss PHONE LIC[,.,St NO,
5
COMPENSATION INS. CARRIER MAIL AOOJIC.$S 8111A.NCM
6
use Of' BUILDING
7 NO. BORMS NO. BATHS
8 Class of work: □NEW □ ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work : Ir,_sf-o .. ,J /Q.,·f-/ oh 0-F ..spo__.
10 Change of use from >n? 0-/
-V Change of use to ....
11 Valuation of work: $ hl/M~ PLAN CHECK FEES 1~1 PERMIT FEE $ I~~
SPECIAL CONDITIONS: Type of MICRO FILM FEE Occupancy
Const. G roup
Size Of Bldg. No of Max.
I (Total) Sq. Ft. Stories Dec. Load
-'f\C( Fire use Fire Sprinklers
AP:Jt~' CETO BY
PLANS CHECKED BY APPR°PR rt•l'fCE BY Zone Zone Required 0 Yes □No
}111 No. of OFFSTREET PARKING SPACES
D E f ,,1 DATE //} D we11,n9 Un,ts No. !No. Covered SQ. Ft. Open
I I NOTICE / I Sp,,cial Approvals Required Received Not Required
SEPAR ATE PERMITS ARE REOUI RED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION A UTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE 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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO 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 PROV ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
-
51CNA7Rt o, CONTFIACTO" fR AUTMO"IZ[D AGENT !DATE)
K/4"•·~·. (~, 7n 11-t-~7q
fll:1ifNATUfU o, OWNCR f'/OWNE,t 9UILDEIII) DAT CJ
y
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ -'2--"-'-/-~----
/
/
I
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH .
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
-..... -~\
FINAL
~~.-. ~ ~ t:._ ~\ --·
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
.. .. ..
PLUMBING PERMIT APPLICATIQ~7 City of CARLSBAD, CALIFORNIA 92008 p
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOO A01f.~S
I i}
o~cl, c.. ii c:{ ~00~ :,~ -t, i fa. ~u. C:: I .. . ► '
.., . i
LOT NO, I OLK I me/ ; --:>... '-I L[GAC I ,. 1 OESC~. lJ' .. ,
OWN [.1111 ~ C.,\
MAIL AODIIJESS ZIP PHONE .,. 2 '\,. "''1\\..n itl:;)._Lo." \c:.. St .-0~ -
CONT"ACTOIIJ MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC, NO,
3 ;i>,(_
AIIICMI TCCT 0 111 OCSIGNEIIII MAIL A00AE5S PHON[ LICtNSC NO.
4
[H(;INCI.A ""441L ADDRESS PHONE LICENSE NO.
5
COMPENSATION (NS, CARRIER MAIL -'DD"ESS BIIIANCM
6
USE or &VILOING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: l"' s-\ ~ \ \(4, i-, ori o'\-5.-p ~
PERMIT FEES
No. Ty pe of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET> $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
! 11.f\t DISHWASHER
APPLICATION ACCEPTED BV PLANS CHEC~E D BY APPROVED FOi\ lif"-'CE BY LAUNDRY TRAY
//Jt.i//f C LOTHES WASHER f':
OATE / WATER HEATER ),r -NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC-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 -~ ....-v..., J,,,
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ~ APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. / WATER PIPING & TREATING EQUIP. "' -, ... --ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEb WITH WHETHER SPECIFIED WASTE INTERCEPTOR / HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE o,-CONT"ACTO" 0111: AUTHO•llt[O AGtNl (DAT[J
/ ,; J J, I · 7 't ISSUANCE FEE $ A -.I ... y -~ I '1
? d'~~ e.1GNAT•1J1tr or OWN[,-11,.-OWNCflt 9Ull.D[Aj (OATC.) 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
· -USE BALL POINT PEN AND PRESS FIRMLY
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
App/icanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB ADDRESS
I LOT NO, LEGAL 1 DESCR,
OWNER
2
I BLK, I TRACT (QSEE ATTACHED SHEET)
MAIL ADDRESS ZIP PHONE
CONTRACTOR MAIL AOORESS PHONE STATE LIC. NO,
3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENG !NEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARR1ER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
SPECIAL CONDITIONS:
AP'LICATION ACCEPTED av PLANS CHECKEO BY APPROVED FOR ISSUANCE BY
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 CONSTRUCTIO N .
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
~H~NATURE OF WNER If OWNER euftDER DATE
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE. SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH , FUSE
OR BREAKER
REMODEL, AL TERA Tl ON. 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 SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O . CASH PERMIT VALIDATION CK.
No.
M.O .
CITY LIC, NO,
Each Fee
CASH
BLOG DEPT ( WHITE) APPLICANT ( PINK) TEMP. FILE (GOLD) INSPECTOR ( MANILLA HARD COPY)
~ r ~ ~;';.::::TMENTAL INFORMATION SHEET
.,BUILDING DEPARTMENT Dfl£CEJV£D
\
BUILDING ADDRESS: ,:? ,;? 21' ~~
CITY OF CARLSBAD
PLANNING DEPARTMENT Building Department
ZONE __________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ___________ _
% COVERAGE ALLOWED PROVIDED -----------
BU IL DING HEIGHT ALLOWED PROVIDED -----------------------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
4itb;~ ADDITIONAL COMMENTS·
OK TO ISSUE: ,2;-· DATE /t(?,/27 OK TO FINAL _______ DATE ___ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT EASEMENTS __________ DRAINAGE ____ _
LEGAL DESCRIPTION ______ ------1,-A:..._~~-+---------------------
ADDITIONAL COMMENTS ______ CY=_t~C--='---------------------
OK TO ISSUE:~ DATE
' I ~ qc, 11-(),/ z; PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _