HomeMy WebLinkAbout2057 PLAYA RD; ; 76-2280; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
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2 -4 /vi ~'/VI --., ...... MAIL AOORC55 lJ p PM ONE
ASSESSOR 'S
PARCEL NUMBER
Bv-.,K PAGE I PAR.
CONTA.J-CTOR hAAIL, A00RE55 PHONE STATE LIC, NO. CITY LIC. NO.
3
ARCMIT[CT 0111 DCSIC"i(A
4
Pt;tONE LIC(N$E NO~ ~Sl
£NG IN C.tA MAIL AOORE55 PHONE Ll([J,,j5£ NO.
5
COMPENSATION INS, CARRIER MAIL AQO,t(~S 8RANCM
6
USC OF l!IUILOINC. .,.-~ 1 I ) -NO. BORMS NO. BATHS
8 Class of work: □ NEW ~OOITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: /..AVNO/l.,)'
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE s
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_· __________________ ___, Type of
Const.
1---------------------------------1 Size o f Bldg.
(Total) Sq. Ft.
1-.,----.,--=-----.------------.----------~ Fire APPLICATION ACCEPTED BY PLANS CHECKED 8Y APPROVED •OR ISSUANCE BY Zone
DATE / DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO 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 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.
SIGNATUIII( 0" CONTllllACTOIII 0111 AUTHOlltlllO AGCNT (DATE)
5IGNATUl't( OP' OWNCIII (I,-OWNEJI IIUILDEfllj DATE)
No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
Fl RE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
Occupancy
Group
No. of
Stories
use
Zone
I PERMIT FEE s
M ICRO FILM FEE
Max.
0cc. Load
Fire Sprinklers
Required 0 Yes DNo
OFFSTREET PARKING SPACES:
No. Covered
Required
Sq. Ft.
Received
INo. Open
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 $----''-=:~:,,'---_... __ _
INSPECTOR
• '1'-PLUMBING PERMIT APP LICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only 7/.,-Perm1t No
JOa•oo3~c7 (~/./'~~ <~ -LOf""NO.·-I LK (l I T••c T )
LCOAL I 1 cue•.
OWN[." /7 Jv MAIL A.O011:[SS 21 p PHONE
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3 CONTRACTDR,/T p MAIL A00R£$S PMONt STATE LIC. NO. CITY LIC. NO.
A"CH ITCC'T O" DCSICNt.fll I ""4AIL A00R[55 PHON [ LICENSE NO.
4
CNGINEER MAIL AOOfllCSS PHON[ LICtNSC NO.
5
COMPENSATION fNS. CARRIER MAIL ADOA£55 IIUIANCH
6
USE or ftVILOING
7
8 Class of work: 0 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
KITCHEN SINK & DISP
/1 DISHWASHER
APPLICATION ACCEPTEO BY PLANS CHEC~ED BY 9:;·~~· LAUNDRY TRAY
/ CLOTHES WASHER -z ~-G-
t!, 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. GASSYSTEMS NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE Tl'lUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WIL L BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR H EREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T O 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
r<t·7~ SEPTIC TANK & PIT . , .. ,L .Life r: · --' '· 'f""(_ -,l ROOF DRAINS
SIGNATURE OF CONT.ACTOR OR AUTHORIZED AGENT u IOATEJ
ISSUANCE FEE $ / 1-c
SICNATUlt£ 01" OWN[,-IP' OWNEft 8UIL0CR) OAT() TOTAL FEES $ 5' or
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDAT ION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR