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HomeMy WebLinkAbout2659 STATE ST; ; 78-2010; PermitMODEL Np. ___________ _ BUILDING PERMIT APPLIC TION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No J°:3i"5:1 S./-a.Le S:t-: ASSESSOR'S PARCEL NUMBER LOT NO. I BL. I TRACT e...,vK PAGE I PAR, LtoAL I 10src ATTACHED SH[(Tt 1 DtSCA. -OWNUlt,~' MAIL ADDRESS ZIP PHONE I 2 / 7, 51. (' , ,). t.lJ, /2,.1 -.,,/ I//'/ ~, I • <..:. ~ I ,' ~ CON TLIU,C TO" MAIL AOOACSS PHON C STATE LIC, NO. CITY LIC, NO. 3 A,tCHI T[CT OA OCSIGNCR MAIL AODA CSS PHONC LICCNSC NO. 4 [NClNCCR MAIL AOOR CSS PHONE LICENSE NO. 5 COMPENSATION INS. CARRIER MAIL 400,nss BIU,NC~ ~ 6 rJ use 0,. IIUILDINC. j 7 NO. BDRM$ NO. BATHS 8 Class of work: □NEW ~OOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 0 escribe work: lo~u ';?~ 41 nAd c) L/9D t' J 1/2. f:'-/1 ----, -----~ (V I ~ , ~~~{~, V , Wevt.-U cl.-,-I LA/ 10 Change of use from t Change of use to 11 Valuation of work: $ ct~ ooo re.,.._ I PERMIT FEE $ ( -PLAN CH ECK FEE s, I ~ SPECI AL CONDITIONS: Typeofy JI..Y:. Occupancy8-? MICRO FIL~ Const. -1 Group ~- ~ "" ~-",i-;i ' I ~7' ze of Bldg. '3 '</(" NO. of Max. ,r-.v (Total) Sq. F!,; <.. Stories 0cc. Load Fire 2 Use C.., /'I\ Fire Sprinklers APPLICATION ACCEPTE O BY PLANS CHECKED BY APPROVED fOA ISSUANCE BY Zone Zone Required D Yes ~o ,_ I ..., , -/.,,. No. of 0 OFFSTREET PARKING SPACES: ' " .;;.);,,-No. !No. DATE DATE~ Dwelling Units Covered Sq. Ft. Open -NOTICE Special A pprovals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT. ING, HEATING, VENTILATING O R AIR CONDITIONING. HEALTH OEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZE D IS NOT COMMENCED W I THIN 120 DAYS.OR IF F IRE OEPT. 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 ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF L AWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED •~w1 11-' 1-1c., u r = " 't , '1?1 ( ( t,A/11..U' HEREIN OR N OT, T HE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF A N Y OTHER STA TE OR LOCAL LAW REGULATING ---.-CONSTRUCTION OR THE PERFORMAN CE OF CONSTRUCTION. -.f Me t.,-.J , ft t-~ :, j ~' i Ci 51GNATu,u 0,. CO/'fTfU.C Tofil OR AUTHO .. IZCO AGCNT (DATE ) -7 ~ .. ' - 51GMATUa £ 0,-OWNER itP" OWNER ■UILDCIII) DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK. M.O. CASH f /~ TOTAL FEES$ _____ ,_• ___ _ INSPECTOR PLUMBING PERMIT APPLICATION t -, City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No JOII ADDA [$5 ,.Pk ~C/' ..s·r4r~ !5" TJ:?t::-&"'"T LOT NO. I OLK I T"AC T 1 ~~:~;, .. OWN[III MAIL AODllllSS tlP PHONE /7/7 2 A//J'f/l'J/U ,,;L-L tG-c.7R /C /.::/C~9 ST47E 43c/- CONTIIIACTOIII MAIL A00111£$S PHONt STATE LIC. NO. CITY LIC. NO. 3 -1 L //0/1-li fejf/4. ~':?,!ls J?K~D f)"-//J/1v4 -,_':?~--f.C-l'j / ,~=?"~9 _ 'X /.~::2o/ AlltCHITt(T 0111 O[SIGN[III MAIL. AODIIICSS PHON [ LICENSE NO, 4 tNGINC[" MAIL A0OA[55 PHONE LICENSE NO. 5 J 1/ COMPENSATION (NS. CARRIER MAIL AODIUSS -~-3>-'/-¥1/1/_ UANCH ( ') • 1;;. '-6 I//"-< r 411/.t-1.>'/r /41111 1fil{'1:,//?AAV:-rr.1 H.,,///r/E="--1 <c,,-t....-n?. //.IP C USC OF BUILDING 7 5 /~.,, t't P ,C',4,n//L v o~ .. t-C t.,, ,u ,: 8 Class of work: □NEW □ 'llrtfo ITI ON □ ALTERATION □ REPAIR 9 Describe work: PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: .:) c, WATER CLOSET (TOILET) $ ,, , ' ) BATHTUB ~ i..,, LAVATORY (WASH BASIN) I I ( I SHOWER f KITCHEN SINK & OISP. DISHWASHER APPLICATION ACCEPTE O 8Y PLANS CHECKEO 8Y APPROVED FOR ISSUANCE BY LAUNDRY TRA Y I y CLOTHES WASHER . / DATE I WATER HEATER ~ r . -I NOTICE URINAL THIS PERMIT BECOMES NULL AND VOI D 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 PERIO D OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK MENCEO. / GAS SYSTEM S: NO. OUTLETS .9 I HEREBY CERTIFY THAT I HAVE R EAD AND EXAMINED THIS ) APPLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT. WATER PIPING & T REATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNIN G THIS 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 CAN CEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE O R LOCAL LAW REGULAT ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM I , SEWER NUMBER CLEANOUTS CESSPOOL ,,, ~ &r:~ -('"" /f,-' SEPTIC TANK & PIT ~.,,; -1 I ROOF DRAINS 5 1GNATUAC 0 ,-CON TRAC TO" OR AU THO"IZED AGENT (DAT[J I .e,'./J✓;, ~,,.,/K ISSUANCE FEE $ SIGNATU 1'£ 0 ,-OWNER (I,. OWNCJt 8UILOEAJ (OAT CJ TOTAL FEES $ _/ I , 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 APPLICAll®N !>?. City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No JOB ADDRESS .::_:;.tr~ .I~~ .... 7 / ,.,, / .t:' -. ., ' I LOT NO. I BLK. I TRACT <OsEE ATTACHED SHEET) LEGAL I 1 DESCR, OWNER 1 MAIL ADDRESS ZIP bN✓ 2£ ✓s,b✓/ ~CL("/,!,<:_ . .:.> .,;t,..-16 'i.5 /7/ 7 CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC, NO. 3 ·~./cK ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO, 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO, 5 COMPENSATION INS CARRIER . MAIL ADDRESS BRANCH 6 I I ( i4C. .._ .l 1 USE OF BUILDING l 7 8 Class of work: □NEW ~OOITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWIMMING POOL WIRING, NO INCREASE IN SERVICE -NEW CONSTRUCTION, FOR EACH Al'f'LICATION ACCEPTEO~BV. PLANS CHECKED BV APPROI/EO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, {I _ " 7 s FUSE OR BREAKER ,. ·1 D ATE NEW SERVICE ON EXISTING BLDG. 1..,,-· b FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE _?::, c:>Z THIS PERMIT BEC ES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER •,/, .. · TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.DR 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 ANO 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. TEMP. SERVICE OVER 200 AMP. PER 100 SIGNATURE OF CONTRACTOR OR AUTHOR I ZED AGENT (DAr ) I .;;, ISSUANCE FEE --'\.f51_ ✓ ,~---.. I, -✓11 _, v ,r I TOTAL FEES ~;~ J --SIGNATURE OF OWNt:.H IF OWNER BUILDER) OATC',\ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No JOII ADO"I [SS - LtGAL 1 ocsc•. I LOT NO. I BLK I mer 2 3 4 5 6 7 8 9 OWNUI . 7 , /,I/""'/ CON T".4C TOl'I t/.,/,,-6 ,,,t' C:.c~ 1/1<... ~AIL ADOfll:£55 ~ MAIL AbORESS Al'ICHITtCT O" DESl<iN[l'I MAIL ADDRESS ~NGIN££" MAIL AODl'l:t5S -fl" I<};'' ,._,_.._ d.. ~AIL Aoo••·· 'I (.'') -;£'--'Lt_ t!.- USC 0,-IIUILOING {l / Class of work: □NEW ti ADDITION 0 ALTERATION , 0 escribe work: SPECIAL CONDITIONS: APPROVE O FOR ISSUANCE 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 ANO 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. 51GNATUl'I( OP'10 T"ACTOfl 0111 AUTHO"IZE.0 AC.ijlT ,! \ .# '-4,, '• 4 (--i tr_. . .._ L , ,. t'),a'f-.NATUfllllt. OP' OWNEIII IP' OWNE" •UILDE" DATE) tOstc ATTACHED sHctT) ZIP PM ONE STATE LIC. NO. PHONE LICENSE NO. PHONE LICENSE NO. 81'1ANCH 0 REPAIR Type of Fuel: Oil D Nat. Gas D LPG. D PERMIT FEES N o. Type of EquiJ1m.ent , I Air Cond. Units-H.P. Ea. Y l 11 0 or J Refrigeration Units-H.P. Ea. ' Boilers-H.P. Ea. Gas Fired A.C. Units-Tonnage Ea. Forced Air Systems-B.T .U. M Ea. Gravity Systems-B.T.U . M Ea. Floor Furnaces-B.T.U. M Wall Heateri-B.T.U. M Unit He&ters-B.T.U. M Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit-C.F.M. Incinerator ISSUANCE FEE TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR ] t CITY LIC. NO. Fee s7 CU $. ~ ou CASH