HomeMy WebLinkAbout2690 ROOSEVELT ST; ; 76-2124; PermitMOOEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ✓~·
Phone 729-1181 Permit No. (
tOsrc ATTACMtO SHtETI
B
2
3 ,.~ I (
ldtCMIT[CT OA OE51GN£1' MAIL A 00At5S PHONE LICCNS[ NO.
4
ENGINEER MAIL •ooRESS PHONE LICENSE NO.
5
SRA.NCH
NO. BORMS NO. BATHS
0 REPAIR O MOVE
10 Change of use from
/ Changeofuse to ~G"2'5
11 Val uation of work: $
~S_P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S_: __________________ ---1 Type o,.,.,...
Const . ..M-_..
1--------------------------------1 Size of Bldg.
(Total) SQ. Ft.
l------------,,-----------.------.--------1 Fire
APPLICATIONACCEPTEOBY PLANSCHECKEOBY A~; :S;A:~BY Z:~:f
DATE ATE {;:? ,) :Rwelllng Units
Occupancvz-
Group
MICRO FILM FEE
No. of Max.
Stories 0cc. Load
use Fire Sprinklers
Zone Required □Yes
OFFSTREET PARKING SPACES:
No. Covered SQ. Ft. No. Open
PAR,
~-
"
Qm
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING. HEATING, VENT ILATING OR AI R CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION O R 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.
A L L PROVISIONS OF LAWS A ND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED H EREIN OR NOT, THE GRANT ING OF A PERMIT L)OES N OT PRESUME TO G IVE AUTHO RITY TO V IOLA TE OR CANCEL THE PROVISIONS OF A NY OTHER STATE O R LOCAL LAW REGULATING CONS UCTION OR TH PERFORMANCE OF CONST RUCTION .
(I ~-~
(DAT[)
$1GNAT IU 0,-OWNER 1,-OWNEJI IIUILOE.R) OAT£)
PLANNING DEPT.
HEALT H DEPT.
FIRE DEPT.
SOIL REPORT
OTH ER (Specify)
ENGINEERING DEPT.
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M .O. c;s~
10-TOTAL FEES $ ________ _
INSPECTOR
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 f/--;;,7/)(, o/c_ ~ C. -~'I✓-
I
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
7-28-76 Questions answered on air condition system. Condensate drain line.
Also answered on rafter area. T. Mata
8-4-76 Frame and electric is all O.K. need an answer on F.A.U. unit
they are not providing low air combustion. T. Mata
8-J 8 76 Good drywall naj J jug Soun::l :ooard beneath nan ea wHb #BO T Ma
t----
MODEL NO.~---------
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ~ -... .-'1:;L
Applicant to complete numbered spaces only. Phone 729 1181 P -errn1t No. . ..
J&i ~~c /( no~.E l)F 1..7
/ ✓ ASSESSOR'S s-t ,lu:,R,/ /4. // PARCEL NUMBER .-v
:,, .C'T NO, I 8LK I '"ACT II' 'el. 1 BUUI\ PAGE .I PAR,
1 ~~;~~-/ ,~t_<c;a,~t ATT.t.~KI s~eu 1
t.'?" ~ ·, ' --~ ,,. ..,_,,_,,. ~'
OWNClll MAIL AOOlllCSS ZIP .. Pt-tONE ,,
2 \ f/ I)_._,, +~ ,.J Po I If' etJ~ pue /1 C,1 .. JsB11.o "]1t'v¥ 'J',,,21-'f';:i.:2
COl'lTIU,C"f"t>A MAIL ADDRESS PHONE STATE LIC, NO:--CITY LIC. NO.
3 . (A_ I
AIIICMITE;C.T Ollt 01.SICNCR -MAIL AOORCSS PHON£ L IC(N5[ NO.
4
(NC IN CCR MAIL AOOA£!,S PNON C LICENSE NO,
5
COMPENSATION INS. CARRIER MAIi,. AODA E.SS 8lltA"4CH
6 fl)._-1 >JA ('AS t,., AL] Y _t::;;~ ~ £ 7 y C-
] VS< O'/)~I: -1~~ ~ t'J~...\ ;~= NO. BDRMS NO. BATHS -
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMO VE 6Jl (:~t;. ___ n
9 Describe work: (. V
J
I L.,..,.,..,--
... I ' f.J \
10 Change of use from -fi
Change of use to r
11 Valuation of work: $ -o-PLAN CHECK FEE s -o-I PERMIT FEE $ .;25.:!.9
SPECIAL COND ITIO NS: Type of Occupancy
MICRO FILM FEE
Const Group
S!Ze of Bldg. No. of Max
(Total) Sq. Ft. Stories 0cc. Load
F,re u se F,re Sprinklers
APPLICATION ACCEPTED av PLANS CHECKED BY APPROVED FOR ISSUANCE f, Zone Zone Required O Yes □No
N o. of OFFSTREET PARKIN G SPACES:
l 'If/; D welltng Units No. I No. 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. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Ft RE DEPT
CONSTRUCTION O R 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 GOVERNIN G THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WH ETHER SPECIF I ED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT
PRESUME TO GIVE AUTHORITY TO V IOLA TE OR CANCEL THE
PROVISIONS OF AN Y OTHER STATE OR LOCAL LAW R EGULATING CON~TRUC T ION O R T H E PERFORM ANCE OF CON STRUCTION. ,., K {/:,} t ·.,( .... ,,., ~ . l ,i.
Sf'GMATUIIIE._~0MTIIIACT0~ 0111 AUT11111ZlD
1
~CCNTt IDA"TC I ,·
51GNATUIII[ 01" 0WN[III II'" DWN[III I U ILDEIII) DAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
T OTAL FEES $ __ 4_J._,_e'~»~-
INSPECTOR
,.
PLUMBING PERMIT APPLICATldN ~7 t.ll~1: ~••
1 ',\,0
City of CARLSBAD, CALIFORNIA 92008 / ._.2/I
Applicant to complete numbered-spaces only. Phone 729-1181 Permit No. 'J(?:J -'(~'
I COT NO,
LEGAL 1 OUC"•
3
4
5
7
CONTJIIAC:f-0111: ·'.(:V l
A"-CHIT£Cl OJII Ol51GN[lfl
lNGIN[tfl
US£ o, !JUILOINC
'
/co os~-ueLT Im lmCT
MAIL AOOl'ttSS --MAIL AOOIUSS
MAIL AOOAtss
I
8 Class of work:
,.
0 NEW O ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS·
PHON[
PHON [. STATE LIC. NO.
PHONl LIC[N.S[. NO.
PHONE LICENSt NO,
BJIIANCH
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET}
BATHTUB
,,_;'L 1-LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP
I DISHWASHER
CITY LIC, NO.
Fee
$
PLANS CHEC"ED BV
APPROVE: :]R I SxU0NC 1!~1----+-L_A_U_N_O_R_Y_T_R_A_Y ______________ I---+--~ '-" ~ CLOTHES WASHER
DATE WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WI THIN 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 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.
SIC.NA.TU"£ o, OWNCJII IIP' OWNt.111 8UIL0[Jt) (OAT[)
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GAS SYSTEMS. NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O. CA SH PERM IT VALIDATION CK. M .O.
INSPECTOR
.
$ I _,I(_
$/ ~ -1" /
CASH
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 j, 2. 0
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDRES S /-<.. ( C
LOT NO, I BLK. I TRACT (QSEE ATTACHED SHEET) LEGAL I 1 DESCR, / .
OWNER u_/./-} MAll,,A~RESS I ,,, ZIP -CU, PHONE .. ) 2 rt' ,. --.,,
CONTRACTOR 4-1_ ~ssr;~ PHONE STATE LIC. NO, 7lo&fl.. 3 £-,,,,-_, _,,,., ... ,
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION IN S CARR IER MAIL ADDRESS BRANCH
6
USE Of" BU \LDING ./\ '/j ~ ~ / __ 7 / /
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
·-PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: . .,. SWIMMING POOL WIRING, ., / ,. .
NO INCREASE IN SERVICE ,I , G { C. , I r '-" ~ .. .-,,,,,,. , ··-~ -" , l ,, ur \,_;.. ~ r NEW CONSTRUCTION, FOR EACH
A,.,.LICA TION ACCEfTEO IIY 'LANS CHECICEO BY APPROVE?~~ ISSUANyE ev AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER ,; ) .,
-□A✓'Y~&/, fAltE_W 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
REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE 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 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.
TEMP. SERVICE OVER 200 AMP.
PER 100
SIGNATURE Of" CONTRACTOR OR AUTHOR I ZED AGENT (DATE) I ISSUANCE FEE
TOTAL FEES c:ur..wAT RE'. nF' n wNE;A IF' OWNER BUILDER} DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
1,,
le
h
Ii
-
.
MECHANICAL PERMIT APPLICATION .~.,,._,.,.
• 1, . 0 '-~ 0
92008 z Ill
l'1 l> City of CARLSBAD, CALIFORNIA Permit No._ 7~-~J &?_ sl) 0 ----Phone 729-1181 0 Applicant to complete numbered spaces only. l)
l'1 JOB ADDlfl !.55
'U,,Qf) VcYlC..r...vr~, T ~-t
LOT 110,
LEGAL I 1 DUC"•
'ILK
I TOAC T tO.st.E ATTACHED SH[CT)
OWN£fl MAIL AOOJU:ss ZIP PHONE:
2 ()p t\\J,r:,rr \lt 1lf t: .~f<Dt ~rc1-..G-VEJ .:l ~t ·
CONTflACTOfl -MAIL AODlfl[SS PHONE: LICENSE NO.
3 l 1 1\)\ \/Ft)"' N 1\\►ll 14 A\\.lt(1,A1 ~tu.,~ bli:_~aln l'i'\ Jtj,; ,~," ~ )~'" A"CHIT[.CT OR DE.SIC.NEIi MAIL ADDftESS PHONE L IC.[NSE NO.
4
CtiC.JNCl:111 MAIL AOQ,t£5S PHONE LICENSE. NO.
5
' ~
LENDC1' MAIL ADOlfltSS lflANCH ' 6 nL)nf.".
USE 0,. IUILOING,
7
1)1;.A D D ITI 0 N 0 ALTERATION 0 REPAIR -8 Class of work: □NEW
l 9 Describe work: f ~ '-'· \?. t 01'\:1 lt,.lrS fJ/7 .1 .. I r Tt\~Tt.'.H • ( tlrc '1;1 _,-tt a ),.?l e -,-. ---
lc't\ I,, q J1»1u· J .
Type of Fuel: Oil D Nat. Gas D LPG. D
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment
f Air Cond. Units H.P. Ea.
Refrigeration Units-H .P Ea. , Boilers H.P. Ea.
Gas Fired A.C. Units Tonnage Ea.
' t Forced Air Systems B.T.U. M Ea.
APl'LICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems·-B.T.U. M Ea.
/~17 Floor Furnaces-B.T.U. M
Wall Heater~ B.T.U. M
I NOTICE Unit Heaters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
f>ERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· Ventilation Fan
MENCED. Range Hood
-kM,t~l.2-f1lJ'l~tiYKJ~~\~EHt:JE~~AfE~~'Gif~~~1tJ~Rl~!r. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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.
I
•
SIGNATUIIE 0,-CONTflACTON 0111 AUTHONIZED AGENT (DATE)
PERMIT
SIGN&Tllflr 01' OWNUI 1,-OWNC" 9UIL.Dt." (DATE) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
~
INSPECTOR
Ill Ill
' t
-
Fee
$ ) ..J I l'r .,,,
,1./ HJ
s • L
$ ' I b e
CASH
z
0
I
YO.l03dSNI
RECEIVED
JUL 2 61976
CITY OF CARLSBAD
Building Department
·:J.1:1 'dn·M0110:J 'S3.10N ~O:J MOHB 3:JtldS :/Sn
S>IYVW3Y W3.ll 3.lVQ
S.ll::10d3l::I NOl.l03dSNI
INTERDEPARTMENTAL INFORMATION SHEET
1 ,ng epa rtmc nt
'-~~~-ZONE R-P
IDED p,,Jf. REo./z-,,_ef
_____ ALLOWED ____ _
ENGINEERING DEPARTMENT 0/e" I 0, ~O O f ,41-"'--.,E,'-"Zil~""'
R.O.W. _______________ I NDUSTRIAL WASTE _____ -J.N_.__A----'--------
1 MP ROVE ME NTS ..,_( __ --'-----'----"------'----'---SEWER CONNECT IO N___,.!::;~::.:_:=~l"'i:.....e"____:_F'-',1::.:.l..:..I .:....__.::...:....::.... __
DR iv EWA Y LOCA Tl o NS,_CL· _:_l_:_l-=S:....:.r.....:...r.:..::t'J....:.;(.,:___:_.:....::__:__:_--===----..:..=--==--..:....:.___.:.;~-G RADIN G PERMIT ______ _
EA~EMENTS. ____ __,_N~U--'._.,-~ _____________ DRAINAGE t -"'7 (2-F f,J-r
LEGAL DESCRIPTION, _____________________________ _
ADDITIONAL COMM ENTS,_...:::2::,._' .-'=D:::..;F-:.=-c:...n ='--=-r --=-A-::....T,:.....7:..:.l.:..:.1 k:!a.!J=----fl.B_==:/Q:..a:.:..r _,_11:..:.12...="-=-=---------------
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE. ____ _
FIRE DEPARTMENT
SPRINKLING SYSTEM _____________________________ _
FIRE PROTECTION EQUIPMENT _____ _____; ______ FIRE ALARMS ________ _
EXITS __________________________________ _
FIRE HYDRANTS ___________ _ LOCATION, _____________ _
ADDITIONAL COMMENTS ____________________________ _
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE ____ _
WATER DEPARTMENT
CM W D ________ CARLSBAD ____ OLIVENHAIN, _____ SAN MARCOS ___ _
::...._ ____ OCCUPANCY ______ \)ATE ____ _
SENT TO ENG. DEPT. ---·----
RETURNED TO BLDG. DEPT. ____ _