HomeMy WebLinkAbout2112 SERENO CT; ; 77-1991; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ,,.
Applicant to complete numbered spaces only Phone 729-1181 ~e~~PN~? ~-~•ZSS.OO
J08 ADDA [SS ASSESSOR'S
-2/1~ .:5~rGnO ~tic.>~/ PARCEL NUMBER
LOT NO, I OL• I TRACT
B ..... vK PA.GE I PAR,
L [GAL I /571 7S:-7 tOscc ATTACHED SMttTJ 1 0E5CR.
OWNER 21~•::o:m• f~7~
21 p PHONE
2 ..;Jha_;JeLG ~-1 ~ /!!'a .re C!,tJ..n..5 q~, 10 ;.2:?.:?· ()3qs-
CON TfU,C TOR MAIL/ADORE.55 PHONf. STA.TE LIC, NO, CITY LIC. NO.
3 -"1A.me Irr tiflotJeJ
AIIICHIT[CT OR DE51CNCR -1-J;~;;:m• Pt-ION [ LIC[NSC NO,
4 /:>o 2rlTl-L \ 4-en r? 1 n t-.;J?f-/f'<;fJ-
ENGINCC.R
t11 '-Ir /4/Ul.u MAIL AODRCSS PHONE LICENSE NO.
5 /Im <!T ,:;?9.). -/t)</0
COMPENSATION INS. CARRIER MAIL AOOIIICSS BRANCH
6
use OF 8 VI LOING 3--7 S.r/l--NO. BORMS 3--NO. BATHS
8 Class of work: 'A.NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMO VE
9 Describe work: /J{/U,u 7 Tra.~ c.. ~MY (i_
nn~A :-1 ,, ;,
10 Change of use from IJ} ,,\.., ...,,
'
Change of use to
11 Valuation of work: $ t/t/ 6ti"-PLAN CH ECK FEE S fl I PERMIT FEE $ /7~
SPECIAL CONDITIONS: MICRO FILM FEE
Type of ti-JU Occupancy zrv Const. Group -
Size of Bldg. / No. of . {).. Max. -n (Total) Sq. Ft 7 ;;LO Stories 0cc. Load .,.,,
Fire Use Fire Sprinklers ~" APPUCA TION ACCEPTED 8Y PLAZY APPROVED FOR ISSUANCE BY Zone 3 Zone /2.. -/ Required OYes
N o. of j OFFSTREET PARKING SPACES: .
Sq. Ft. /;,, G 71 ~gen DA.TE CA.TE Dwelling Unit ~g;.,e,ed ~
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT.
ING. HEATING. VENTILATING OR AIR CONDITIONING. HEAL T H 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 ABANDONEO 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 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT.
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROP~OT~TE OR LOCAL LAW REGULATING CONSTRU O THE ORMANCE OF CONSTRUCTION.
-~---~~/~1
SIGNATU'{l: Of' CONTRACTOR OR AUTHOlltlZ£0 AGENT (DAT[)
SIGNATURE 0,. OWN[A 1,. OWNEJI IUILOtRI IOAT[J
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 $ __ -2-_0_~----
PLUMBING PERMIT APPLICATION •
City of CARLSBAD CALIFORNIA 92008 ' /J .S ..J )
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. .,) L
JOB AOD,t [$5
~II L _,,, ,P ,.1( I ? .. ' fr .
L.OT MO. r L• I T~ACT LEGAL I I~ '1 1 cue~.
OWNE.1111 , j ) MAIL AODllll£.S5 .if:, t.c,-,
11 P
<.).)
PMONC
2 r:✓ 71-) JJJrJ.h.:P / ~ } ..... ,,
3 CONTU CJ ✓ J? -~ M AIL ADOftC5S I PHON [. STATE LIC, NO, CITY LIC, NO,
( i, (l,,,_ 2 { kl I j (,_ /J l-1 J J, -~ ,2. 1"t ~< JJ ~--) .-4.-
AlllCHITCCT Of!! OC51GNtlt -MAI t.. A0011t[S5 PHON[ LICCNSC NO,
4
t NC.INECft MAIL AOOftC55 PHONE L ICENSE NO.
5
COMPENSATION (NS. CARRIER MAIL AOOIIIIC55 &lllANCH
6
use o, &VILOING / J~ .·. ~4, 'I 7
/
8 Class of work: □MEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work :
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: 1 WATER CLOSET (TOILET) $ f ,it < .r.
I BATHTUB I ,,-•
/.A) LAVATORY (WASH BASIN) f '
I SHOWER I ....
' KITCHEN SINK & DISP. / (,
I DISHWASHER f ~, j
APPLICATION ACCEPTED 8Y PLANS CHECKED BY APPROVED FOR •SSUANCE BY. LAUNDRY TRAY
j CLOT HES WASHER I ; ~
OATE I WATER HEATER I <"r~
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. I GAS SYSTEMS: NO.OUTLETS <. ~~t
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP.
A LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR H EREIN OR N OT, THE GRANTING OF A PERMIT DOES N OT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF A N Y OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OA THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS L .... .,..~.'
I CESSPOOL -
/ SEPTIC TANK & PIT
7 l_ (:: 2, '1' 77 ROOF DRAINS
s1CNAJ<JAt. o, CONT,.ACT0~d111 •7-o',.1zt0 AGtNT (DATE)
/ / ISSUANCE FEE $ ~i-, c, I')
TOTAL FEES $ ~ l',. <. 51GNATt1fllr OP' OWNEIII 1,-OWN[III IIU H •. OC") -fOAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK . M.O . CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 2 9 1181 p · mi (N -er I o. -~ . -·
JOB ADDRESS A ~--,/'-(t:L,./ "\ _ _ff ' II·;-, 4,., ..,. ---.....r« .
LOT NO. I BLK. I TRACT (OSEE ATTACHED SHEET) LEGAL I / -<7 1 DESCR,
owh7R
fh£lu~
MAIL ADDRESS d1_ ZIP PHONE ;ic 3,;,7~ I /', , .. 9) // ?-,.J.J • )✓ ;.i -2 I /1 t 1Ct..-,« J .,µ. I
CONTRACTOR I I. it MAIL ADDRESS / / PHONE STATE LIC. NO, CITY LIC, NO,
3 I -.;/). <t-.1, ! 11/, , , _, ~-· I JC . -<µ./. • 7. ,,~ I ..:b, ,g f , ' "' I
ARCHITECT OR DEl"fGNER MAIL AODRESS 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 □ALTERATION 0 REPAIR
9 Describe work :
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
""'LICATION l'CCEPTEO av, nANS CHECKED av APPAO\IEO FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER /}i'A r)~-.J ,
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 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 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.
//u/ ~-,~/7
TEMP. SERVICE OVER 200 AMP. ~ PER 100
<"."' (DA;;) 7' SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ISSUANCE FEE <-'
TOTAL FEES ct7 ~ (.. SIGNATURE o oWNER 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
53'4 .
MECHANICAL . PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDfl l.SS
21l.2 Sermo Court
LOT NO. I ... r T~Ac~ PJaOII tOscE ATTACHE D SHttTI L[GAL I 1 DUCN, 159
OWH£fl MAIL A0Dfl£55 ZIP PHONE
2 Shaptll h.dlmtries 32.72 RoNcnns, SD •• 92106 222-0345
CONTflACTO" MA IL ADOAC5S PHOM C STATE LIC, HD, CITY LIC, NO.
3 Qd• Hec:h • l'Dg Caltn U6' Alwrado ftWY 283-3181 88552 1073'
A"CHITl:CT Ofl DCSIGNC" MAIL AOOACSS PMON [ LIC [NSC NO.
4
l.NGINl:tfl t..4•1L AODfltSS PHONE L I CENSE NO.
5
LtNO(.fl MAIL AOO,.CSS lfU,NCM
6
use 0,. I UILOING
7
8 Class of work: o.& 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 1-tall b:celS air beating
Type of Fuel: Oil D Nat. Gas D LPG. D
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.
.a. Forced Air Systems-B.T .U. t,1,1111 M Ea. I"""
APPLICATION ACCEPTEO ev PLANS CHECKED ev APPROVED FOR ISSUANCE ev Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T .U . M
Wall Heaters.-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 120 DAYS.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 AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO OROIN.l>NCES 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.
./ . J , r ./
•1GNATu'i.ll 0,. CONTi.ACTOi. oi. AUTHOi.1zc0 A.GllNT (DATE> -
ISSUANCE FEE s --
TOTAL FEES s --• C.N.A.T tU: 0,-OWHll" IY OWN£" aulLDll" OATll)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
LOT /6~9
'·-2)/e? ~-r?L
BUILDING
FOOTINGS
FOuNDATION
REINFORCED
MASONRY
GUNITE OR GROUT . ..__
SHEATHING 7-;;;.:;?. , 77 K C
INSULATION '7-=2 '7 -? 7 -g
EXTERIOR LATH 0-J
INTERIOR LATH &
COPPER
TOP ou·r <?~/-D ·/..JMr-
TUB . AND SHOWER f'-')-1' ~
GAS TEST X,/tJ).;/tz /
ELECTRICAL
UNDERGROUND '
ROUGH g--?-'3 ~
CEILING HEAT
BONDING
MECHANICJ\L
DUCT & PLEM, REF.
HEJ\T--AIR .
VENTILATING SYSTEMS
FINAL: ;c:2.-/✓ L/ 7 CP· _-S-..._.,,_, ....;......,,"--7-r-----"--------.