HomeMy WebLinkAbout2101 SERENO CT; ; 78-235; PermitMODEL NO.
BUILD NG PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB A.DOR £5S
LCC.AL 1 otsc•. I
LOT NO. I r•At T
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ASSESSOR'S
PARCEL NUMBER
B0UK
tOscc ATTACHED SHCE.TI PAGE I PAR,
CONTRACTOR t,AA IL ADDRESS ; PHOM t ST AT£ LIC. NO. CITY LIC. NO.
3
4
5
ARCHITECT OR DESIGNER
[NGINCl:R -
COMPENSATl~NS. CARRIER
6 -...... \ ' ,_..,,.__ '--
use-0..f BUILDI NG
7
,,
b ~1~ ~'--C.., '-).._ .. ~, ~,
MAIL AOORC55
MAIL AOOACSS PHONC LICENSE NO.
MAIL AOOLIIESS 9JIIANCH
.: ,~' ~ -. NO. BORMS NO. BATHS
8 Class of work: 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: \..S" ,, .. ,~ \...
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE$
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: ___________________ Type of
Const.
1---------------------------------i s,ze of Bldg. (Total) Sq. Ft.
1-----------,,-----------.----------.....f Fire
' .
..
Occupancy
Group
No. of
Stories
use
1 PERMIT FEE s I
MICRO FILM FEE
Max.
0cc. Load
Fire Sprinklers
...
Zone Required D Yes 0 No APPUCA TION ACCEPTED BY PLANS CHECKED BY APPR~~-~ FOR ISSUANCE BV Zone ~ 1-------------11-0-F_F_S_T_R_E_E_T_P_A_R_K_I N_G_SL.P_A_C_E_S-,------~
/ L No. of
DATE OAT E ,//?/?,JI Dwelling Units
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTILATING OR AIR CONDI TIONING.
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 BE TRUE AND 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 CAN CEL THE
PROVISIONS OF ANY OTHER S"TATE OR LOCAL LAW REGULATING
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
No.
Covered
Required
Sq. Ft.
Received
'
No. Open
Not Required
CONSTRU~ON OR T~ERF'ORMANCE OF CONSTRUCTION.
~ ..... ~ ~ • --, ·, ~~ , '-. 'l'-1:) ..._ \\. '"''"1---------+------------+-----SIGNATURl 0,-CONTRACTOR OR AUTHO,ttZ.ED AGCNT (DATE)
SIC.NAT fU o, OWNER tr OWfrilUI I UILOCflt) lDATC)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -
TOTAL FEES $ ____ \c _ _.:= __ _
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 1~117~ ~ ,
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
... -:, .. -~ .
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No
~~~::. s ~~ ~--:)__~ --~~
LOT NO, I IL• I TOACT Lt OAL I 1 Dtst•. (\.
OWN£,.
~,::~~·~,\\ .. ~ -~. \~ •~~ \~o~?>
PMONC
2 ~ QJ ~~~~ \;:...\... ~)...-~'\\
CDN~TOO~ ~ ~ ~ ~ ,~._ '~ ~:) MA\c-A;~: PMONt ~ '~A:E LIC. NO. CITY LIC. NO.
3
,,. . J \\.._)s. ... ~.)) '-Gx, ~
A,.CHITCCT 0111 OC51GNCfll M AIL AOOIIICSS ) •><~• LICENSE NO.
4 ,, ,,
CNGINEt" MAIL AOOPICSS PMONt LICCNSC NO.
5 ~~ ...
COMPENSATION (NS, CARRIER MAIL AODNCSS IUIANCM
6 ~"-'\ --~ ..
us£-'"VIL.01NG J \ ~ c»o\_
7 "'""
'...__. ... ,
8 Class of work: Bjew 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work : ~~ ~~~~"~ ,,_'&\. \.,,,,,' ~~~~-~,~,,~ ' ~ \ ~ ~( ,,, -... ~, -\ )
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLOCA TION ACCEPTED 8 Y PLANS CHEC~E0 BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY ;;IV \ CL.OTHES WASHER
OATE //4ftJ \ 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
MENCED. '\ GAS SYSTEMS: NO.OUTLETS I :> c.. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, \ WATER PIPING & TREATING EQUIP, l ~J ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED . WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOL.ATE OR CAN CEL. THE \ VACUUM BREAKERS ( PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKL.ER SYSTEM
SEWER NUMBER Cl.EANOUTS
CESSPOOL
~~~~~ ~ ~L ~~'\ SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE or CONTfitACTO .. OR AUTMOl'tll(O A~ tiifu'<
ISSUANCE FEE $ r' I I '
"IC.NAT fll;I' 0,-0 WNC!lt 1,-OWN[lil BUILO[R (OATC) TOTAL FEES $ l <./ (,~
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 29-1181 Perm it No . J~'~' s ~~ .. 4 ~
LEGAL 1 DESCR.
I LOT NO, I BLK, I TRACT (OSEE ATTACHED SHEET)
OWNER ,\•~~-:-~ ~~,~~~ ~' "~~()~ PHONE
2 ~ ~, '\.. -\)._ '-\~
CONTRACTOR ""' ~ ) ~ MAIL ADDRESS > PHONE STATE LIC, NO, CITY LIC, NO.
3 ~~'-c:.~~ ~-' -\~~ \i \'\~"-.h.t) ~-.. 51'~r,~ ~. s. ' ARCHITECT OR DESIGNER ,, MAIL ADDRESS ..,_.) '-&iDNE LICENSE NO.
4 ..... , .......
EN~J!'J;E_R MAIL ADDRESS PHONE LICENSE NO,
5 ~ <::i~'-...½
COMPENSAT:, INS CARRIER MAIL ADDRESS BRANCH
6 ~ ;~-........
] USE DF~ILD'.NG -~
~ .. -~ "' ~~C)\_ .
8 Class of work: '£NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ~ --~ ~~" ~~ ... ~~"'~'-')_-\~~ '$S \~\~ I ~~....,._ -~ \..:,,\...\ ~\~\_ .\ \
'\-~~~ \ ' PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING, L -
NO INCREASE IN SERVICE \ ~ ~ :)
NEW CONSTRUCTION, FOR EACH
A""LICATION ACCE,TED ev PLANS CHECKED av AP~R ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
DATE /,;f,yg NEW SERVICE ON EXISTING BLOG.
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.
~~~~~' ~~ ~~ TEMP. SERVICE OVER 200 AMP.
PER 100
.....
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEN'I° (DATE) . 1:J l\.,V ISSUANCE FEE -
TOTAL FEES -, IL'--
51GNATURt. oF OWNER IF OWNER BUILDER lDATEI -· WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
-r INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
RECEIVED
DATE = ---+J fl.1H-r4--, 1~a-1 s ..... 1a-
CITY OF CARL Bulldlng Depart SBAO ment
ZONE __________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ___________ _
% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
. ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
-----------
REAR SETBACK:
OK TO ISSUE: ____ DATE ____ OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT _______ EASEMENTS :/es-~(:t;.--~~ DRAINAGE ____ _
LEGAL DESCRIPTION ~+ /S-7 1 C'--1 7£:-7 7
ADDITIONAL COMMENTS ____________________________ _
FIRE DEPARTMENT
SPFiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS _____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _
t WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _