HomeMy WebLinkAbout2122 PLACIDO CT; ; 78-6053; Permit' .
G PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Ph 729 1181 one -Permit No. "J
JOB ADO~ t5S ASSESSOR'S
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LOT NO. ,-~~j I
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LEGAL I '< / ·7 (□set ATTACHED SH(CTJ 1 DE5C~. ~.,,, J r ••" J -
OWNUI: " MAIL AO0111£55 21. PHO NC
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CON'Ul:ACTOR M A IL AOOAESS PNON E STATE LIC. HO. CITY LIC. HO,
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AlllCMITCCT OR DCSIG,..tR -MA17,ts5 PHONE L IC£N5£ NO.
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ENGINEER ,J"AIL AOD~ESS -PMONt LIC(NSE NO. "' 5
COMPENSATION I NS. CARRI ER / MAIL AQQ,tE.55 BRANCH ....
6 -, , -
use OF BUILDING
7 11"' /4) NO. BDRMS NO. BATHS
8 Class of work: □NEW .-, ,...-·--••~EPAIR □MOVE 0 REMOVE ::::;:,...;.;---MLJUIIIUN U/'\LIL
9 Descr~ /.,,. /2t:J()1,.. ~s~A ~.,-~
~
10 Change of use from
Change of use to
Valuation of work: $ ; ;ti I~ ~ 1'1 'J\./ (~ I PERMIT FEE $
.,, I'). 11 . J -PLAN CHECK FEE s
SPECIAL CONDITIONS: , MICRO FILM FEE Type of Occupancy
Const Group
Soze of Bldg. No. of Ma><.
(Total) Sq. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
A.PPUCATION ACCEPTED ev PLANS CMECl<EO BY APPROVED FOR ISSUANCE BV Zone Zone Required OYes ONo fA ;J_,, )/"
DATE /-..i./)1 N o. of OFFSTREET PARKING SPACES
DATE/ ~ Dwelling un,ts No. JNo. Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH 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 APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT ENGINEERING DEPT.
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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. .. '
SIGNATuii.t o, CONTIU,CTOllt Ollt AUTHO .. IZlD AGCNT (DATCI
~IGNATUlltE 01" OW,.,Ut (II" OWNCIII 8UILOlftl DATE)
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 $ __ _,I_...:/ ____ _ ,
INSPECTOR
INSPECTION !RECORD
. ')
DATE REMARKS 11eCTOR -FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING •
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL !\\,~~ ~\) '\' ,~ --,,..
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
---------------------------------------
a c► Y•7 ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No .. '
__ ...
Joa ADOIII t55
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LOT NO, Im I T"At T Kn@SC,I. ATTACHED SH[CT) L[GAL I lS1 1 DUCII, -iell
OWNE.JI MAIL AOOftCSS ~IP PMONl
2 ,,..,.. .:--; ~ n An. f'O~T"t.t!. -:~•n, ,_
CONTIIIACTOfl MAIL ADORCSS PHONE LICENSE NO, ST ... TE CITY
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AJICHITCCT OJI DESIGNER -MAIL AODRESS PH0Nl LICCNSC NO,
4 ~-~ ..
llNGINE.[JI ~ MAIL ADOIIICSS PHONE. LICENSE. NO,
5
COMPENS"'TION INS CARRIER MAIL AODJIESS 8JIANCH
6 1]'.-, ,,......, r--_ t .. r~nntc~ M f'-.r?.t I';' .« a.,,~"t-.,..,.2o69 . ,_ ·-----~ USE. o, &UILOING
7 '"'Tt ">::=. ···-"'---. -.. .. u,
8 Class of work: □ NEW 0 ADDITION □ AL TE RATION 0 REPAIR
9 Describe work: it'rll~Ln '"!' P"n 1 q C:: ,,,l"P A (,.so 41
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT I Q ,..D -
NEW CONSTRUCTION, FOR EACH
APPLICATION AC9EPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
)
I _/v ,c, -, u '/1/J/ NEW SERVICE ON EXISTING BLDG. DATE FOR EA. AMPERE OF INCREASE
NOTICE IN MAIN SERVICE, SWITCH , FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS cor.: REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TD 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. .. ,_
"-~ I
TEMP. -SERV.S& OVER' 200 AMP. I s· ~1)
PER 100 .:.--
al•N.t.TU"lt OP' CONTIIIACTOIII OJI AUTHO,tlZCD AGltNT IDATt) ~
PERMIT FEE 7 1.--
r . -• 111• nP' nwwrfl ,. OWNU, aulLOI" -OATlt
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CIC M.O. CASH PERMIT VALIDATION CK, M.Q. CASH
INSPECTOR
1"''17
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No 7)-App!,cant to complete numbered spaces only -
JOB ACOR ESS
,
~ J!)~ A;-~Adh ,. I •L0,.110. . -1 ·~"" -rUCT 1 ~~;~~-,r I 7 (""',.A t. ·~ ,...J ,,~A, L ,,_. ' k ' t ,;.
OWNC. .. MAIL AOD,-ESS',,. ~, p PHONt
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CON TIIIAC TOfll MAIL A0011t(SS PHONt STATE LIC. NO. CITY LIC. NO.
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AltCHITECT 0111 OE51GNER MAIL ADDIIIC.55 -. c PMONC LICCN5C NO,
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CNOINEtJI! MAI L AOOAC55 PHONE LICENSE NO.
5
COMPENSATION fNS. CARRIER MAIL AOOll':£55 HIANCH
6 ., ., I ·-..
use o, aUfLOIN<.
7 --
8 Class of work: □ NEW 0 ADDITION □ ALTERATION 0 REPAIR
9 Describe work: Pu-r -'°.r)A. <f ~ Y-1 t: ', 0 ~
-~~
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCEPTEO eY PL4NS CHEC~EO BY APPROVED FOR •SSUANCE BY LAUNDRY TRAY
) CLOTHES WASHER
I },;, I DAiE ~,kA/ ;) ~ I I WATER HEATER . C,0
NOTICE { URINAL
THIS PERMIT BECOMES NULL AND VOID JF 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. ~ GAS SYSTEMS NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ' ~
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. / WATER PIPING & TREATING EQUIP. ~' ,"'I ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO . WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE I VACUUM BREAKERS ~--PROVIS IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
/) IJl/;::J,L CESSPOOL
ll-~-7f!._
SEPTIC TANK .. PIT
ROOF DRAINS
s1cNATu 111; o,. CONT"AcTOfl 0 111 AuT~o,iU."1:0 AGCNT (DATE)
ISSUANCE FEE $ '1' ',~·.
51CNATUflr 0,-OWN[ft 1,-OWNCJI 9 VIL0C" DATE> TOTAL FEES $ J'
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
p
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11
...
INTERDEPARTMENTAL INFORMATION SHEET
• BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
dl;):;i_ $.~/c/4 (Z/.
;eg.,,_&~
RECEIVED
DATE: DEC S 1978 ---------
CI TY OE CARI SBAD
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:
SCHOOL DISTRICT FEES: STRI CT: AMOUNT:
OK TO ISSUE: ,...,_,'--__ DATE /3/h/7f OK TO FINA1 ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCAT~NS----=-,-----------
GRADING PERMIT EASEMENTS u:1ea J'Lg ~ ~ DRAINAGE ____ _
LEGAL DESCRIPTIONh?d ;~-; t] 2s:---,2 V ~
ADDITIONAL COMMENTS -----------------------------
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 ___ _
~ATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
/---------~----------------~~----------