HomeMy WebLinkAbout2729 LA GRAN VIA; ; 77-4286; PermitMODEL .NO. _________ _
' BUILDING PERMIT APPLIC TION . 1
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 7 29-1181 77-1/~S'b
Permit No
JOB AOOR [5 5 ASSESSOR'S ,.., //f ' J ,. 'K't<;fWl PARCEL NUMBER
LOT NO, I BLK I , ... CT {~J✓✓A tOscc ATTACHtO .SHCC.TI
BOOK PAGE I PAR.
LEGAL I 2 ;; 1 Dtsc•.
OWNUt
,Vci,117e ~,J"
MAIL ADDPI £55 ~~ iZ,.o ... PHONE.
2 2€ -'?-"-,~ I
CON TftAC TOPI
~9//,6,1.I l~< MAIL ADDRESS~ C, PHON t STATE LIC. NO. CITY LIC, NO.
3 ,• fj 7'""'°"' /If!; -.., -.
AlltCHITCCT OJI! DCSIC.NCA MAIL AO0111 CS 5 PHON £ LIC£.N5t NO.
4
[N GIN£.[A MAIL AOOAESS PHONE LICC,..SC NO.
5
COMPENS.O.TION INS. C ARRIER MAIL AOOPl:£$5 811';ANCH
6
USC OF IVI\..OINC
7 ~ NO. BDRMS NO. BATHS
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
~
9 Describe work: ' -"' \ ~ ~o 4 7<:; IP'
10 Change of use from
Change of use to -~ ,~ " 0 I PERMIT FEE $
t""O
Valuation of work: $ :},.) -11 ::>, j ,l -PLAN CHECK FEES
SPECIAL CONDITIONS. -MICRO FILM FEE
Type o! Occupancy
Const. Group
Sile of Bldg. No. of Max
(Total) Sq. Ft Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANSCHECl<E0 BY APPROVED FOR ISSUANCE BY Zone zone Required Oves 0No
V -l..·7 No. of OFFSTREET PARKING SPACES
Dwelling Units No. JNO•
DATE DATE 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. HEAL TH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED 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 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WII ... L BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRES~ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P.ROV SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
<:ONSTRUCTIOl'j OR THE PERFORMANCE OF CONS1RUCTION.
1 Jl'l'>' , ~ ~ ...::
SIGNATUJIU. o, CO"ITIIIACTOIII 0111 AUTHOflllC:0 AGlNT (DAT[)
'IIC.NATU,tl' t,,-OWN[ .. (1r OWN[fl 8UILDCIII) DA Tl)
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 $ __ ._J ___ / __ -_
INSPECTOR'
INSPECTION RECORD
-,--REMARKS :NSPECTOR DATE
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
REQUEST FOR FRAMING
~ tJ INSPECTION TIME INT. LAT!
JO -IJ~)) EXT. LAl Inspector ...................... . ................................ Permit No .................. -.......... Date ........ -................
Owner \ ,\... ~ I , V <""'" -""-"':~-----) MASONR' ~} :z 9 J ~/' .'l l ] Address .•
.I I,._
BUILDING PLUMBING ELECTRICAL MISCELLANEOUS Insulation ................. O D ·········· .. ············• ......... □ ································ Plenum & Ducts ....... O Drywall .................... O Gas .......................... □ Pool Bonding ......... □ Porch ....................... 0 FINAL Fdn. Forms .............. □ Water Heater ............ O Temp Pole . . . . . . . . . . . . . □ Patio ················•···· ... □ Steel ························ Sewer ················ ··················· Drivewa ······• ... , ...... USE SPACJ
□ Sheathing ................ O
l.ath ... .i .................... □
Frame ..................... O
Final ... , ... __ .. '."',8
°Reaay or Inspection --
Special Instructions --
□ □ y . □ Undergrnd. Plbg ....... O Underground .......... O Sign .......................... O
Undergrnd. Water .... □ Ceil Heat .............. O Wall .......................... O
Rough ...................... O Rough .... . . . . . . . . . .. . . .. . O Fence ...................... O
Final ........ .. ....... O Final ...................... O Grading .................... O
-·-foe,: .. w:·;;~·:/;';£~ .,
................................. ,.................................. . ............................................................................................ .
I" "'-, ) D. ,-... Requested by ....... . .... ...,.... . .................. ~.
Phone number .... if;j];;.-::.:.~f:,.?,-0 ................ Person Taking ~port: ..................... :. ..•.......•
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB AOOR C$5
.) L A f&, ,1
LEGAL I 1 OESC~.
LOT NO. l TO C~.
OWN[,.
2 & ),c,.f'l<:7 Al, I J
MAIL A00 .. CSS ~ . r.~ t... I -
ll P PMONC
CONTRACT01' MAIL ADORC55 PHONE. STATE LIC, NO, CITY LIC. NO.
3
AflJCHITCCT o,-0£.SIGNCfll MAIL AOOlltt5S PHONE , L ICtNSC NO.
4
[NCINCCN M AIL A00ft[S5 PMONt LICENSE NO.
5
COMPENSATION (NS. CARRIER MAIL A00,-[55 BfllAHCH
6
USC 0,-BU ~LOINC.
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: -• ,~,. ,., .... ,c.. l • ~-
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR •SSUANCE BY LAUNDRY TRAY
CLOTHES WASHER /1---,;t------------------------t---1---
/ WATER HEATER 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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 9E 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE o, CONTftACTO" OR AUTHOJitllf;D ~GENT (OATEJ
•IC:NATUIU' o, OWN[ft 1, OWN[lll aull.DCR (OAT[I
URINAL
DRINKING FOUNTAIN
FLOOR··SINK OR DRAIN
SLOP SINK
GAS SYSTEMS, NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
j VACUUM BREAKERS
LAWN SPRINKL ER SYSTEM
SEWER NUMBER CLEANOUTS
CE SSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE } THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
$
$
CASH
\
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
••. 1 l *ffj'll ]. 1 ,, -C/) ()'ff
JOB ADDRESS
2 7<'"'1 I ~ ~/JiJ) V11 I LOT NO. I BLK. I TR// {~>111bi' <O sEE ATTACHED SHEET) LEGAL • 1 0ESCR. 2
owlf!,R MAIL ADDRESS R, .(_ .. , ~ ZIP PHONE
2 J. ~-? u 1C e J /..f, 2 ~:1'1 ,,,, -"Zt 7 r.. q/ -~< , , .. J'O~I-• ' / . . ......,,, L ,
CONTRACTOR
/(4//Q.JI
, D MAIL ADDRESS PHONE A. STATE LIC. NO. CITV LIC. NO.
3 ,, I (.-'b / OG>,I ., . ; :;, 'I/ /v/1,,,, .. ~
., -
ARCHITECT OR OESIGNER MAIL A0ORESS PHONE LICENSE NO.
4
ENGINEER MAIL "0DRESS PHONE LICENSE NO.
5
COMPENSATION INS C ARR ER M"IL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: 0 NEW 0 ADDITION 0 Al TE RATION 0 REPAIR --
9 Describe work: iQ,<c. l J.J\~ \NC Fo~ ,~, Voe>\..
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE 5 c!'J;
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACCE~TEO av PLANS CHECKED BV I\PPROVEO FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER
p I ~ • 2·?7
DATE NEW SERVICE ON EXISTING BLDG.
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 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM 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 TO 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.
\\ A ) -() } I TEMP. SERVICE OVER 200 AMP. -PER 100
(', . ~ .,; ..,_) ... -.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ) 1.
ISSUANCE FEE -
TOTAL FEES ·1 -SIGNATURE "f' nwN£R IF OWNER BUILDER> lDATEl
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
... INTERDEPARTMENTAL INFORMATION SHEET
• BUILDING DEPARTMENT DATE: ________ _
BUILDING ADDRESS: -•~-=-.::;_J--'--'~s.<..._-q~_?t~....:Q,_."""'--"'11~e<.-1,..1,(l~ki""-\_,,J...,_..,_J...,~.,,.• .Li _______ _
PLANNING DEPARTMENT
ZONE ____________ LOT SIZE _________ LOT WIDTH. _________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED __________ _
% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED _______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
. · C!'i~'f..Q...-.<>-!-;:r,;-, -DATE OK TO FINAL DATE ----__ .;___ --------------
ENGINEERING DEPARTMENT
R,O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION DRIVEWAY LOCATIONS -------------
GRADING PERMIT _______ EASEMENTS ,/Jt,.AJ~ DRAINAGE ____ _
LEGAL DESCRIPTION _____________________ ~--------
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: &: DATE /vVN7J7 PWI ___ _,OK TO FINAL ____ DATE ___ _
' FIRE DEPARTMENT
SPRINKLING 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 ________ _
\