HomeMy WebLinkAbout2633 STATE ST; MULTI-PERMIT FILE; 75-3162; Permit\
e;
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA -
Applicant to complete numbered spaces only.
JOII ADDllt ESS
LEGAL 1 ouc~. I
LOT NO.
CON TllltAC TO ft
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ARCHITECT O,_ OESIGNCIII
4
CNGINEl:llt
5
LCNOEllt
6
USC Of' BUILDING
7
8 Class of work: ~EW
9 Describe work:
SPECIAL CONDITIONS:
.,
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0 ADDITION
('
/
APPLICATION ACCEPTED ev. PLANS CHECKED ev
/ I
MAIL ADOAESS
MAIL ADDlltE.95
MAIL A00ftCSS
MAIL AOOIIIESS
ALTERATION
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/)
(0SCE ATTACHED SHC[T)
?IP PHONE
7 I -2£-'/-t
PM ONE LICCNSt NO.
PHONE LICE.NS£ NO.
PHONE LICENSE NO,
&IIIANCH
0 REPAIR
Type of Fuel: Oil D Nat. Gas D LPG. D
PERMIT FEES
No. Type of Equipment
Air Cond. Units-H.P. Ea.
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.
$
4
0 ~ z "' "
Fee
l; ..
> 0
0 " "' .. ..
l ' /\
APPAOVE,z FO ISSU~CE BV
I ',I '/,'5 I 'I ~ --------------t----t-------t
Floor Furnaces-B.T.U. M
Wall Heaters-B.T.U. M
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 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 V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
(OATEI
l
Unit Heaters-B.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C .F.M .
Incinerator
; -
► I / '. /_✓ f N /_) / /j I /.1 ,1// .£.
I
/ 7 ,t/t"( tJ PERMIT $ 111--------------------------+---l-----i
11t.l G .. ,_..TUfllt: OP' OWNEN IP' OWNCft IIUILOEIII) (DATE.) TOTAL FEE $
PLAN CHECK VALIDATION CK.o M.O. CASH CK. M.O. CASH
I
AUDIT
Form 100.4 9-69 "E.O"'OE.1111 ,.,.OM: INTERNATION A L CONFERENCE OF B UILDING OFFICIALS e eo so. LOS fll08LES e PASAO[NA, CALl,.Olll!NIA 91101
BUILDING PERMIT APPLICATION ~
City of CARLSBAD, CALIFORNIA 92008 _
Applicanttocompletenumberedspaces only Phone 729-1181 -,Petr~it7o/~C" <;' -.JOB ADDA [55
~/A-./ ~-7. ASSESSOR'S ~,ss PARCEL NUMBER
LOT NO, / ...
7~ J
BLK/. ~T~ ,:4£ (}__ ~ATT~CMtn ... 1 Bu~ F>AGE I PAR,
LEOAL I 1 ocsc•. /21/ , .. A ~~ LI ~ --,t,4 -
OWNC" , ., V MAIL A0O"[55 2 IP V PM ONE
2
CON TIIIAC TOlllt MAIL AOOfllCSS PHON[ LICCNSt NO, STATE CITY
3.,:-, ; ., A_
AllltCHITCCT O" OCSIC:NE.JI MAIL AOOACSS PHONC LICENSE NO.
4
ENG IN CCR MAIL AOORC55 PHONE LICENSE. NO,
5
COMF>ENSATION INS. CARRIER MAIL A0O"£SS l!lfU,NCH
6
UH p-8UILD~G )
7 , r .' , a -,_p ~~,4~.:-.I::,¥ /74.,4. --
O(efEPAIR
I ;; 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION □MOVE 0 REMOVE
9 Describe work: yl . --"# .,.__.__A _,,.,J _ _. _,A 8 -A' _A _;11.-i_Jl_J /,_Rf-A~ Af:-
-___...-~ I~ -------'• -~F.b~ c,1 (Kl~;F~1 (l -,,
i .·· J .-?1/(i--~ :f ---· >(-'? ,()
1~~( I) c, ~~l/ ..
10 Change of use fro">
.... ti {/ Change of use to .
11 Valuation of work: $ I ~ o ,o
PLAN CHECK FEE$ PERMIT FEE $ -
SPECIAL CONDITIONS: Type of Occupancy MIC:1'<0 FILM FEE
Const. Group
S,ze of Bldg. N o. Of Max.
(Total! Sq. Ft. Stories 0cc. Load
/ Fire U se Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BY APPR?:EJ/1 FOR ISSUANCE BY Zone Zone Required □Yes □No , ,, -OFFSTREET PARKING SPA CES:
b<)E / £1, ltt··~ No. of
!No. Dwelling Units No. DATE 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 120DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD O F 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 ANO ORDINANCES GOVERNING THIS WATER DtPT. 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 STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATUlllt,o,-CONTRACTor Olll AUTHOJltlZEO ACCNT (DAT[) /:' rt ' ~ 6
, ?'j-v
,(._. I _A --
s fGfU,Tu,u:: 0,, OWN[Jlt (IP' OWH[Jlt BUIL0£11l) (DATC)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
· c11•~•
City of CARLSBAD, CALIFORNIA 92008 77 -30/ f
Applicant to complete numbered spaces only Phone 7 29-1181 Pe m it No
ELECTRICAL PERMIT APPLICATION ~ · ~7. 0
r
JOB ADDRESS
&3s ST /1 ,-" sr.
LOT NO, I BLK. I TRACT <OsEE ATTACHED SHEET) LEGAL I 1 DESCR,
OWNER
R" r
MAIL ADDRESS ZIP PHONE ., "
2 />111 II 1j;1
CON~R
, MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC, NO.
3 t,) ,..,, ( ; )1 i '-. J 1.-c/..._c. /•I<... 1,./1-/J YI C-lr:> -3v7uJ 'I IZl 3'/
4
ARCHITECT OR DES116c;.))( MAIL ADDRESS PHONE LICENSE NO.
Q7.f'
ENG !NEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: 0 NEW ~ ADDITION ~ ALTERATION 0 REPAIR
9 Describe work: -:Z,1 V/<Je-s &., lh1 I'--l /I .J .) /-/,,JJ/1 -•&. ;i: If, L I' 7 .:> .Fi J "'I
LJ/..iJ'].
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'PLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
~) -3 .
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE I /v.J ~s c.,..,
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
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 ANO EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE ANO 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 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.
-n~ l PER 100
-4.Ji... ~ Jl n
"" .M ~
SIGNATURE <TF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE ~ ...,.,
TOTAL FEES OI 7 .:,.r,;
SIGNATURE at 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
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces on y. Phone 729-1181 Permit No.
I
LOT NO,
LE C.AL 1 otsc•.
OWN["-
2 t/2,rv pfi:~Ic,.
I T•Ac T
MAIL AO0flt[55 ZI p PHON[
. _r;•
--
CONTfU,.CTOA" # MAIL AOOIH.55 PHOH t STATE Lit, NO, CITY LIC, NO,
3 ~ .#/J-h L
AfltCHITtCT Oflt 0£51GN£JII . MAIL AOOIIIC55
4
tNGINECA ""4.4.IL ADOA[SS
5
COMPENSATION (NS, CARRIER MAIL AOOllltSS
6 tl~~ ~/I, ~ ~ ..... ~.,t l~~-./. --_; ~
US[ OF IIHJtl.OIN G
7 I
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION
9 Describe work:
'
SPECIAL CONDITIONS:
( PHON[ LICENSE NO,
PHONE LICEN5C NO.
e,iAHCH ,
□ REPAIR
PERMIT FEES
No. Type of Fixture or Item
_/ WATER CLOSET (TOILET)
BATHTUB
/ LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
17.CO
\ N OTI c E J ~--4--u_R_i_N_A_L ________________ +----+----i
THIS PERMIT BECOM~ NULL AND VOID IF WORK O R 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE T RUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE G RANTING OF A PERMIT D OES N OT
~~6tH~6N\0of ~Jyi~r.Il?tNXTii~Li~~TtJ~~ ~t~3E~Ti;;;~ VA CUUM BREAKERS
CONSTRUCTION O R THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROO F DRAINS
SIGNATU RE: 0,-CONTfltACTOJIIJ Ollt AU TMOlltllCD AGE NT (OAT C)
SI CNATUfltr 0,. OWNCflt 1, OWNCA BUILDER) IOATtl
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
ISSUANCE FEE
TOTAL FEES
PLAN CHECK VALIDATION CK. M,o. CASH PERMIT VALIDATION cK. M.O.
INSPECTOR
CASH
. '
INSPECTION REPORTS --------
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
4-20-77 Underground Plumb. -No Leaks, all okay to cover. He will expose
cleanout. T. Mata.