HomeMy WebLinkAbout2102 SERENO CT; ; 77-1990; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
5PAlO ,-nM".QdX2 50
Applicantto complete numbered spaces only Phone 729-1181 °P~r~1?·J01 -"Jf 7-r T7 lY" •
JOB AOOR CSS
LOT NO.
/~-Y I TRACT
OWN CA
2 -:sA~pe-LL of'~
CON TRACTOR V MAIC. ADDRESS
3 ~-
ENGINE[J\ /, MAIL AOORCSS
5 /JW '/ft../.S-l?ol'VSo,,J e..r
COMPENSATION INS, CARRI ER MAIL A00,.£55
6
use OF B UILDING
7 3-FL.,
8 Class of work: )jNEW 0 ADDITION 0 ALTERATION
9 Describe work : /J{/Lh ~-
10 Change of use from
Change of use to
11 Valuation of work : $
(0St£ ATTACHED SHCtTJ
CJ.;i..110
ASSESSOR'S
PARCEL NUMBER
BuuK PAGE I PAR.
Pt-tON£ STATE LIC. NO. CITY LIC. NO.
PHONE LICENSE NO.
PMONE LICENSE NO,
~.,2 -/CJ</6
NO. BDRMS NO. BATHS .3...
0 REPAIR 0 MOVE 0 REMOVE
PLAN CHECK FEES f'7 .$--I PERMIT FEE s --/7.S
t-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: __________________ --4 Type of r-AJ Occupancy -r--_.,-
Group -'---..J -
MICRO FILM FEE
Const.
1-----------------------------~ Size of Bldg.
(Total) Sq. Ft./7,!3 /'l ,.
~----.,..,..------------r------,---,-\.~Jo;"-1/---,-----------l Fire
APPLICATION ACCEPTED av PLANS C7JECKE 8 , APPROVED FOA ISSUANCE BY Zone 3
No. Of /
DATE DATE Dwelling Units
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED W ITHIN 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 REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF L AWS ANO ORDINA NCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WH ETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROnlSION ~AN
11
~THE :TATE OR LOCAL LAW REGULATING CONSTR I N T P RFORMANCE OF CONSTRUCTION.
. ~ ---:-=.. 3/ZtJ/??
SIGNATU1'E o,-CONTIIIACTOIII 0111 AUTHO'"lEO AGENT (DATE)
"IGNATIIII[ 0 " OWN[III 1r OWN(III IUIL.O[llt) (OAT()
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
N o. of
Stories 2.. Max. -0cc. Load
Use Fire Sprinklers 1,...------'
Zone £ -/ Required 0 Yes [Wo
OFFSTREET PARKING SPACES,
~g~ered 3 Sq. Ft. 673 l~~en
Required Received 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
c::l~:2 $-TOTAL FEES$ ________ _
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. p hone 729-1181 Permit No. ::,. J I
Joa ADD" tSS j _./uJ_ S' ,, ,,, ~ ,.,, -·
LOT NO. I ILK I TOACT
.
L[~AL I 1 DESCR, I
OWN£" J 1-::. J MAIL ADOlll:CSS t../) "p PHONE
2 I/ ,, 1 ... )~/>_.,,.,f....,I ) 0. 'j.' ...
CONTlltACTO,-I'
r /1--MJL ADDRESS PHON t STATE LIC, NO. CITY LIC. NO.
3 1) I , , 1: l. s I.I, \ , ~., I(' h I . .f "'J-i.-,, 1 3, 1 j? l.. ; I .,( 7
AtllCHIT[CT 0111: Ot51GNCIII: MAIL AD0fllC5S PHONE. LICtNSt NO,
4
t NGINCtfll "'4AIL AOOJlll[SS PHONC L IC[NS[ NO.
5
COMPENSATION fNS, CARRIER MAIL AOOfUSS 19'1IANCM
6
USC or BUIL DING ~-/4 7 I '} ·/
8 Class of work: □N-EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixtur e or Item Fee
SPECIAL CONDITIONS: -, WATER CLOSET (TOILET) $ './'A) ;
I BATHTUB v ..-;,,
~ LAVATORY (WASH BASIN) ...
SHOWER ',,-/')
KITCHEN SINK & DISP. 1 ·,.
D I SHWASHER ,~
APPLICATION ACCEPTEO eY PLANS CHECKED ev APPROVE O FO~ ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER , ~-
DATE ~ WATER HEATER I ---:/'
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
MENCEO. I GASSYSTEMS:NO.OUTLETS ~ ,....-, , I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 'THIS APPLICATION AND KNOW THE SAME TO SE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR H EREIN 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
J SEWER NUMBER CLEANOUTS ) ... / , ..
I -CESSPOOL
SEPTIC TANK a. PIT --, -./ ,,, ) .., ' J ROOF DRAINS -Lo
SIGNAT?t'o, CONT•Ac//4:.:~'u?o•tZED AGENT ~ ..... td.i.TC') '
ISSUANCE FEE $ ~,,,.,
51GNAT fll:r 0,. OWNCfll: (I, OWN[fll: eun..otN) (DAT[) TOTAL FEES $ -? ~ "2
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT --
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M .O. CASH
INSPECTOR:
I •
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ·
A r pp ,cant to compete num ere b d spaces on y. Phone 729 1181 -Permit No. •'
JOB AODRESS r, cl-, . ~~ f""L-~
~ I ,4,1 I' t ./, :---..~ ~ .
LEGAL 1 DESCR.
I LOT NO.
~
18LK. I TRACT (QSEE ATTACHED SHEET)
OWNER -MAIL ADDRESS 4~. f), ,. ZIP PHONE
2 I I.. ff; vi t< • -.,J, 7..4 f. / /' ) J -' '•~ I t ,., I > ~ { -"' CONTRACTOR MAIL /DDRESS J PHONE STATE LIC, NO, CITY LIC, NO.
3 ' I' ~ '? rf l'-f-,;.._d.. <{ ✓" t..-6 " I. I 1. C. ? lf 7Erf I .,, l .., J'"' 1 ,, .... 1 "' ~ '/
ARCHITECT OR DESl.'1",.ER MAIL ADDRESS ' PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
1
8 Class of work: ~NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
/
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
APl'ltCATION ACCEPTED IIY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, I,),. FUSE OR BREAKER
;J ' ;;, ....:, ,
DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
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 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 INCLUO· 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 IJ .... 7 TEMP. SERVICE OVER 200 AMP.
✓;,· /J / /;? ~ PER 100
• I ,I I j I I'
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE --
TOTAL FEES ;;... , -)'-
~Jt;NATURE nF' nwNER IF' OWNER BUI DER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE THIS I I S YOUR PERM IT (
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
A ,-pp ,cant to comp ete num ere b d spaces on y. Phone 729-1181 . N Permit o. '
JOI ADOIII CS5
2102 s.xwno Omrt
LOT NO. rLK !TUC~ tOsct ATTACHtO SHEET) LCUL I 1 ouc-. 158 Place
OWN[III MAIL ADOftESS ll P F'HONIC
2 Shapell IIMlailltdes unBoNcnDs, SD., 92106 222-03'5
CONTflAC TOIII MAIL AOOIIICSS PM ONE STATE LIC. NO. CITY LIC. NO.
3 tJDly Xedl a:. 1D9 oantn 4464Uftr.&do~ 283-318.l 88552 1.0734
,UICHITCCT 0111 OCSIGNUI MAIL AOOlll[SS PHONE LICENSE NO.
4
E.NGINlllll MAIL AODIIIICSS P~ONE LICENSE NO,
5
LE.MOUi MAIL AODIIICSS BlllANCH
6
uat 0" 8UILOING
7
8 Class of work : 0:f!EW 0 ADDITION 0 ALTERATION □ REPAIR
9 Describe work: laat.all ~road air 1-&tmcJ
Type of Fuel: Oil □ Nat. Gas D LPG. 0
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Units-H.P. Ea. $
Refrigeration Units-H .P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
1 Forced Air Systems-B.T.U. toll M Ea. 'oc
APPLICATION ACCEPTED BV PLANS CHECKED BV APPAOVEO FOA ISSUANCE BV Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heater~-B.T.U. M
NOTICE Unit He&ters-B.T.U . M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. 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 OOES 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 .,. /
SIONATUfll o, COMT,.ACTOflll 0,. AUTHOfllllZlD AGlMT (OATC)
ISSUANCE FEE $ ,~
TOTAL FEES $ -, IVI Sl'~-.. ..._TUfllllt Or OWN~flll ,, OWNl,. a u1LDI,. (OATl)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
LOT LJ7 ·
. ·c:2/'"c o< ~ &.
BUILDING
FOOTINGS
FOUNDATION
REINFORCED
MASONRY
GUNITE OR GROUT
SHEATHING 7 · ;;22. · 77 ~/<
FRAME &,~ li-uf:= •
INSULATION 9-~-7 2
EXTERIOR
INTERIOR LATH &
~~;~ ~ ~ . ~/~ WATER ___ _
PLUMBING UND ERGROUND~ 3-47 ~,<
COPPER
TOP OUT <g:.-/6~
7
TUB AND SHOWER ~-~ ~
GAS TEST f---/ /J ~
ELECTRICAL
UNDERGROUND
ROUGH
CEILING HEAT
BONDING
HEAT--AIR .
VENTILATING SYSTEMS
FINAL:_·~.J...:L~,l-'-1 ..J...z(~/~7 _?_(}) ___ ,