HomeMy WebLinkAbout2101 SERENO CT; ; 78-905; PermitMODEL.NO. _________ _
G PERMIT APPLICATION •. J .. ',I
City of CARLSBAD, CALIFORNIA 92008
App/icanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB A.ODA CSS ASSESSOR'S
1-Jt)I ...,e(l.euJ c.T~ '2A1U-':> ~AD r 11. PARCEL NUMBER
LOT NO, I 8LK
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OWNCIII MAIL AODRCSS ZIP PHON'C/'iz.-'-1 2 -OL-h1~1/J t,/i.JI Sf.?.J.ZeMD ---;'-/ I ,~I) ~-
/ON ~Am~ b MAIL ADDRESS PHONE STATE LIC. NO, CITY Lit, NO,
I.AND SPA 0/ ~ ,;,11/ (l)~7ft.. tlt~-j\,. ~7 ~{--!'3 '1 r~----1'?
All':CHIT~C51GNCR ~ I MAIL ADDRESS /;Jz1~,1_1/> LIC[NS[ NO,
4 / ,~ ffl'-\..0""' b I . (..
CNGINCCR MAIL AOORCSS '--PHONE _ _,.. LICENSE NO.
5
COMPENSATION INS, CARRIER MAIL Aoo,iicss ••;i,O I 6 S-.rc_ , feJ 6) .... ;:J,)1 (1,A Yt'lA ~ .c..i '-L u Ol _( a, I .,,,.,I, I') ·a: -
use o, IUILOING ' i r 7 P1+i11J
~
1(12,1'" NO. BDRMS NO, BATHS
' 8 Class of work: 0 NEW Ci ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: f'p., l .) ('Ji)(.1. {leo . .f.14,N ~ /}p(..~1 ... C ,.J)J}LJ.:.<:.";, I d /I/"'" JI,~ 1.J~AD . • ,
/),11.IJ,IJ {j}J e... fl/le.A-Ol,L/._, &J 1~+ , 1r.Je "-Hot-o
10 Change of use from _,
Change of use to
J 7 (., </·~ l PERMIT FEE $
1(' t' '1
11 Valuation of work: $ -PLAN CHECK FEE$ -
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Size of Bldg. ..)~;$ No. of Ma><.
/ (Total) Sq. Ft. Stories 0cc. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROveo FOR ISSUANCE BY Zone zone Required 0Yes □No
N o. of OFFSTREET PARKING SPACES:
~) Dwelling Units No. JNo. -OATE 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 FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-OTHER (Specify) MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO 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 WI LL 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
PROVISIONS O F ANY OTHER ~E O R LOCAL LAW REGULATING CONSTRUCTJON OR THE PE ORMANCE OF CONSTRUCTION.
-I \ r,) ! \V m(.. ,~ ~ -'5-h-1v
SIGNATUIII[ 0,. CONTIIIIACTOllli ON: tTM0111111£0 AGENT IDAT[)
SIGNATUfU: 0,-OWN[ff II,-OWN[ft I UILOCIII) (DATE)
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 $--~~--7 ____ -_
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL h -I J _,.,7f/ ~ -
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
1 .• J
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only Permit No 7f
Joa ADO,. css
~IOI Sf'r2e~o er .. CML~t34-o (J. ~
LOT NO, I OLK I T"ACT ' LUAL I 1 OCSCR,
OW N£,. MAIL A.00,.[55 ZIP PHONt
2 · 1/ill n£.mA, L) 7JDJ Setl.eivo r-c, .. C/1J(J.';Ji AO 1'1 Z-i/5"'-N 3 CO•m;t~W\b MAIL A00"CS$ PHON[ STATE LIC. NO. CITY LIC. NO.
J..A..,~ no, . .c h11./ C'tYI...Tfc t.. ,~ve., lll~A-C~ .. 3et857 1s-1t1?
A,-CHITtCT 0 " OCSIGNC,. f MAIL A00"[55
~"i~-4~'1
LICCN.SC NO.
4
[HGIN[[Jlll MAIL A OOIIIIESS PMONC LICENSE N O.
5 _,
COMPENSATION (NS, CARRIER MAIL AOOJIIJESS ff.lioi UN CM /<,(; 6 -,,Kr~ l.JJ. ~ IJ fJJ N1'>< eo1 ~HA~ F,d & --~ .. I~( L) CA, ())'
USE OF ftVILDING I { cl,:' 7 I -
8 Class of work: □NEW ~ ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ~~ u ,._,~ Tl> ~ a Mn, ~ . Ot.,,.-:"'IJOc>,(_
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
-KITCHEN SINK & OISP.
, DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FO::)"SUA1'1CE BY LAUNDRY TRAY ,,,,,~---; CL OTHES WASHER
CATE,,. -WATER HEATER
NOTICE / URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
T ION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF F L OOR-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 GASSYSTEMS,NO.OUTLETS I t;"r I HEREBY CEATIFY THAT I HAVE AEAO AND EXAMINED THIS A PPLICATION AND KNOW THE SAME TO BE TRUE AND CORAECT. WATER PIPING & TAEATING EQUIP. A LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTEINTEACEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OA CAN CEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofl THE PERFORMANCE OF CONSTRUCTION. / LAWN SPRINKLER SYSTEM ·' (' ....
SEWER NUMBER CLEANOUTS
tn"O~ CESSPOOL ~ ~-,-1& SEPTIC TANK & PIT
ROOF DRAINS
51GNATVRE OF CONT .. ACTOJIIJ 0. AUTMOJIIJIZED AGE.NT (CATE) ,___
ISSUANCE FEE $ r :_,; <.:.
SIC.NAT Jilt 0' OWNCJIIJ 1, OWNCJIIJ 8Vl'-OE:A) (OAT [) TOTAL FEES s 1 I ( < )
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O. CASH
INSPECTOR
. . .
t~ ' t· ELECTRICAL PERMIT APPLICATION·-
79 Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 7 29-1181 Permit No.
JOB ADDRESS -
BLK.
<OSEE ATTACHED SHEET)
MAIL ADDRESS ZIP
STATE LIC, NO.
LICENSE NO,
4
ENGINEER MAIL AODRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRI ER MAIL ADDRESS
6 S -A;~
USE OF BUILDING
7
8 Class of work: ~EW .D('ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
.,_:SP;__:E;..;:C_l...;A.:.L_C;..O;_N_D_IT_I_O_N_S_: _________________ --t SWIMMING POOL WIRING,
APPLICATION ACCEPTEO 8V PLANS CHECKED BY
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 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISI ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WNER IF' OWNER BUI DER DATE
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER
PER 100
ISSUANCE FEE
TOTAL FEES
200 AMP.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
No .
M.O.
Each Fee
CASH
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
c)_ l O I
RECEIVED
DATE : r.~P.R s 1978
CITY OF CARLSBAD
Bulldlng Department
7.ONE _________ LOT SIZE _________ LOT WIDTH __ ~_8 _____ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQ~IRED µfr PROVIDED __________ _
% COVERAGE ALLOWED _ __:L.f::::µ0..,_0 L/o'""-------(?3'.£...lK.=----PROVIDED __________ _
BUILDING HEIGHT ALLOWED ~5( PROVIDED ___ o__:_'=::_=---------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED Nft s • l, I II. b I
PROVIDED ______ _
INTRUSIONS _____ (? (<_
LANDSCAPE & IRRIGATION PLAN COMMENTS: -~N~AJ._ _____________ _
ENVIRONMENTAL PROTECTION REQ:
tNGINEERING DEPARTMENT 1 /)
ADDITIONAL
OK TO ISS TE~-6---~ PWI ____ OK TO FINAL DATE '---------
FIRE DEPARTMENT
SP RI~KLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _
' WATER DEPARTMENT
DATE ________ _