HomeMy WebLinkAbout2020 SUBIDA TER; ; 79-822; PermitMODEL NO. _________ _
BUILD NG PERMIT APPLICATION
, City of CARLSBAD, CALIFORNIA 92008
Pe.1run~mM -~ ~ -J -1,, ~ Applicant to complete numbered spaces only. Phone 729-1181
JOB ADDA ESS
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LtCAL 1 OtSCA. 1/(00.
MAIL AOOAESS
ENGINEER MAIL AOOR[SS
5
COMPENSATION INS. CARRIER MAIL AOOAESS
8 Class of work: D NEW _MoolTION ~LTERATION
PHONE
PHONE
NO, BORMsft)r//<...
0 REPAIR 0 MOVE
u u u I c: I ij :1 AIS'sE:SsoA::S 4 E) ~ U
PARCEL NUMBER
BOOK PAGE I PAR.
LICENSE NO.
LICENSE NO.
8AAN CH
NO.BATHS ~
0 REMOVE
9 Oescribework:.f{o/Ll) ::2,dl 511Jef 1Y£K. /911(/)(j,1!.0(.J/f/0 l)ci:J(oN ~ or
-11 Valuation of work: $ V
~, -• -1; tYV ,_
7_.::;., PLAN CHECK FEES 8 ~ 1 PERMIT FEE $ 2 lo ~
1-'S:....P....:E:....C:....I_A....:L:....:.C..:O_N....:D:....I_T_l...:.O_N_S_:_-J _________ ., _________ -I Type of
Const.
-NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB•
ING, HEATING. VENTILATING OR AIR CONDITIONING.
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 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 p~~~°jJEER STATE OR LOCAL LAW REGULATING C;J:.T)7iffoE PERFORMANCE °:i-O~~C:;qN,
Sl~NATURE Or COA°Tlll:A<;" o-.: OJII AU THOfllllZ[O AGENT (DATE)
51GNAT lllC 0,-OWN£,-I,. OWN£,-BUILOC,-) (OAT£)
Size o f Bldg. ,--. ' A (Total) Sq. F~ tt(.
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
MICRO FILM FEE Occupancy
Group
N o. of Max.
Stories 0cc. Load
use Fire Sprinklers
Zone Required 0 Yes 0No
OFFSTREET PARKING SPACES:
No. Covered
Required
Sq. Ft.
Received
INo. Open
Not Required
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. ~11~
TOTAL FEES $ ---~...,.._......c.._1_.,_ __ _
M.O.
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
,
~Y/2-, --? ~
FINAL /-::r;J ,;:--
7 7
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
I 11 12. 0 p
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 7 o/· J 2J
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
~i) :x.;£/0/1 $. ' I I' Jj/71
I LOT~ LEGAL 1 DESCR. A I 8LK, I TRACT (QSEE ATTACHED SHEET)
1Wk1 fl/O!/)'JJ6("?< MAIL ADO RESS 9AJJ') c/ ::r,,r9:: (;,e, 2 o
YJJ7t?CK ?'E~
MAIL ADDRESS
<+-(Cl/1/SJJ/ ..,L 1-::;,:;rJ( v. PHONE
/u1/CJJ?1f/1~I /f,..1, .. > a~. S)"A,TE LIC,. NO.
r./•;, ~//, ~ C ITV LIC. NO.
":>toq>;.; 1
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 .... Ju 1/;u f ' ll TC H
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAI L ADORESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION ~LTERATION 0 REPAIR
.
9 Describe work:
.
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
I I NEW CONSTRUCTION, FOR EACH
Al'PLICATION ACCEPTE°/V PLANS CHECKED av APPROVED FOR tSSU,l'N~ av AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
~ ?' .,.
_,,, ./ t,,,/ .., --I NEW SERVICE ON EXISTING BLDG. DATE"'
NOTICE FOR EA. AMPERE OF INCREASE
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 ) () D CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A /G 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 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.
.JLJJJ!l 3-5-1/ TEMP. SERVICE OVER 200 AMP.
PER 100
" YGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ~
ISSUANCE FEE
. ' TOTAL FEES /'""' SIGNATURE OF WNER It-OWNER BUI DER IDATEI
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
• ~ BUILDING DEPARTMENT -DATE: FEB· 2 8 1979
BUILDING ADDRESS: r
~1 ~I I 'y OF CARLSBAD Ail-, Building Department
PLANNING DEPARTMENT
ZONE _____ (_ __ ~_( __ LOT SIZE _________ LOT WIDTH ___ ~WUC...-'~~:::...+-~Y"---
UNITS ALLOWED _____ _____, ______ UNITS PROVIDED _____ -+--------
PARKING SPACES REQUIRED ~ PROVIDED ~
% COVERAGE ALLOWED 4(6Zio PROVIDED ___ ____.if__,:E-+-------
BUILDING HEIGHT ALLOWED -----✓~~>'..c__l ____ PROVIDED ~
FRONT SETBACK: SIDE SETBACK: REAR SETBACK :
ALLOWED ~
PROVIDED========O!=-======
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK
1
TO ISSUE, ~DATE 9:rffi~K TO FINAL ________ DATE, ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT EASEMENTS /01
I)+-,/ f [,u dq.,.f' --lo---,/--o.11>'\, J.,,o,, +~L LEGAL DESCRIPTION__;:;_~f_/~o __ C_T_,_7-,£"---~7 ___________________ _
DRAINAGE -----
ADDITIONAL COMMENTS ____________________________ _
FIRE DEPARTMENT
SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _
' tTER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _