HomeMy WebLinkAbout2018 SUBIDA TER; ; 77-5760; PermitMOO!::.'l NO. ________ _ ~~t>-~
· . ·· BUILDING PERMIT APPLICATION ·
;lOl 8 /4.t~ty of CARLSBAD, CALIFORNIA 92008
Applicant to comple numbered spacefb?y. P~one 7 29-1 1
SSOR'S
CEL NUMBER
PAR.
no
CITY LIC, NO,
5
COMPENSATION INS. CARRIER 8"ANCM
6
NO. BORMS 3
8 Class of work: □NEW 0 ADDITION 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CH ECK FEE s PERMIT FEE S
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
DATE DATE
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 HAT I HAVE READ AND 1;:XAMINED THIS APPLICATION AND K,NOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF• LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOR,K W11.Ul8E COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOi J . .; T GRANTING OF A PERMIT DOES NOT PRESUME T,O JC THORITY TO VIOLATE OR CANCEL THE
PROVISIONS~;.:Y THER STATE OR LOCAL LAW REGULATING CONSTRUCT! 4 :n➔'E' PERFORMANCE OF CONSTRUCTION.
( I ,;· .,
0111: AUTMOlll:IZEO AGENT !DATE)
Dt:") OATC)
Type of
Const.
Size of Bldg.
(Total) SQ. Ft.
Fire
Zone
N o. o f
Dwelling Units
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
MICRO FILM FEE Occupancy
Group
No. of Ma x.
Stories 0cc. Load
Use Fire Sprinklers
Zone Required □Yes 0 No
OFFSTREET PARKING SPACES:
No.
Covered
Required
Sq. Ft.
Received
No. Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. CASH
\:)D:;,o
TOTAL FEES $ __ -::,-=c...._ ____ _
INSPECTOR
M 0DEi:. NO. __________ _
G PERMIT APPLICATION
. . ;}..o / f" City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
......,_ .,,... C
Joe AOOR [55 ASSESSOR'S ,
~ ., ""ff ?-..,, ,I _l]__,) PARCEL NUMBER
~
1..0T NO, I 8LK TIii ACT r\ Bvvl\ PAGE I PAR,
LC GAL I tOsrt. •rr•ct-1co SHCtTJ 1 ocsc•. 7 -7 . .,
OWN[ .. ,, MAIL A ODIIICSS ,,. ~ PHONE
2 ~,JR.,. '"~-· ?;I .... .,,; ~ /;'_,
CONTIIIACTOIII -MAIL ADDA[$$ ' ST ATE LIC. NO. CITY LIC. NO.
3 ,2 _._ .. __... . .-::: _,/ ~ ..,. I . ... --....
AIIICHITCCT OR 0£SICNtR MAIL AOOIIICSS . (HD) ' LICCN$C NO, .~
4 • _,:Al~ ,& ..,,, /;,,,, -... -:" /Y. t< -,. ... )
CNCIN C[lil ; r MAIL AOOAESS
(),21; j~ r· -LICENSE NO.
5 " ,y .r:-.) /,.-;; / ~
' ,:! I COMPENSATION INS, CARRI ER -. MAIL AOOIIIESS 1 / -8"ANCH
6 ._.
~
USE OF BUILDING
1 ~o, NO, BATHS -~•/2_ 7 -? ,I BDRMS -
8 Class of work: ~w 0 ADDITION 0 ALTERATIO'\_ D REPAIR 0 MOVE 0 REMOVE
9 Describe work: '//o )! ~:J' f;--3!--~ ~ ~ (~1 """'•••V .J . • ..
!~
10 Change of use from "-u ..
Change of use to ' , ~
-.,..,,. ~ qi~ 'N CHECK FEES
,
I
_,A 11 Valuation of work: $ ~~~--;;;.. / -""' '
,,, PERMIT FEE S
SPECIAL CONDITIONS: :-Typ~f MI CRO FILM FEE Occupancy
Const. ) Group I j
' Size o f Bldg. N o. of MaM.
"'-(Total) Sq. Ft. ~£ ., Stories ~ 0cc. Load
"' Fire Use ,,,. Fire Sprinklers
APPLICA TtON ACCEPTED BY PLANS CHECKED BY ~~, FOR ISSUANCE BY Zone -~ Zone , Required OYes ONo ,
No. of OFFSTREET PARKING SPACES:
Dwelling Units , No. -( ::, JNo. DATE OAT Covered . Sq. Ft, Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELEC RICAL, PLUMS-PLANNING DEPT.
ING. HEATING. VENTILATING OR AIR CONDITIO NG. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF W 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-
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 AND ORDINANCES GOVERNING THIS WATER DEPT. 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
PROVISl~ANY OTHER S'TATE OR LOCAL LAW REGULATING CONSTRUCT[ PR THE PERFORMANCE OF CONSTRUCTION .
. f: (;r; .,. t .. ~ -r-• .., ; ~ ?/1-;;i l l..'l.
51GNATUllU o, CONT"ACTO" 0" AUTHOi tl[O AGENT !DATE)
SIGNATUJU: o, OWN[ .. 11, OWNC"I IUILO["I OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M ,0 . CASH
':.i-'6/ _, p TOTAL FEES$ _ _..:,=-=.."....:_ ___ _
INSPECTOR
_,. PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No
JOI ADO,. ESS
'-~ :in ,>? /lt, 111 ,,gA. u._
LOT NO:'"" OLK l T..-ACT
LWL l 1-:-1 1 oBc..
OWNCfl MAIL AODIICSS ... PHON[
2 \f f},r,()/J/) ._/}_ ,.0 ~...:>).:} ~o rv-.n_,,. A \ )/[) :::> '.:> -::, -n.~~ ,J.) -NT"AV" --MAIL .fOo..-css -PHONE STATE LIC, NO, CITY LIC, NO.
~'J . I ri!J A .f\ A l ,4 ()/'lh._.J -4 /\I ,n (\~. .J.,w1 ,..J ,11 I ll .... \i-K-nr ~,-J ";h .;::;_1rs r90'Ji>-~O :'\ l:?.11~ -"CHI' LC, o..-OCSION't,.-MJtl L AD0,.£55 PM ONE LICCNSC NO,
4
ENG IN Ct,. MAIL AOOII CSS PHO NC LICENSE NO,
5
COMPENSATION (NS. CARRIER MA.IL AO0111£55 IIJIANCl1
6 .~+n~nr-{"v-v-, ... 1,n
use OF avlLOING V 7 -,1_,,1..., (), · --I
8 Class of work: ..Q-!Qfw 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: "'l WATER CLOSET (TOILET) $ /, t°t't)
~ BATHTUB ,-, lt'.17) ~" LAVATORY (WASH BASIN) X uU
j SHOWER ,J lt~"I .
I KITCHEN SINK & OISP. -1 t:n)
J DISHWASHER --~ i')r
.APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BV. LAUNDRY TRAY
I CLOTHES WASHER -1/';t' . OATE I WATER HEATER ,... 1)/) -,,
NOTICE , URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTH ORIZED 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-SL OP SINK
MENCED.
J GASSYSTEMS:NO.OUTLETS _,...5_ -,;;r_ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE T"IUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ~
ALL PROVISIONS OF LAWS ANO 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 VIOLATE OR CANCEL THE VA CUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS _) -~ [fu~
CESSPOOL
Slat~ ~fr& A~~~/40~T?t/D ,Y./~, SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE $ ;;, en~
SIGNATUlltt O P' OWHEJI IP' OWNEJI 8UILO[R) (OAT[) TOTAL FEES $ ~ 4\1_
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 . . ... ·r .. • > ,. App ,cant to comp ete num ere spaces on y. -Permit No. , •. JOB ADOPI tss A , t I} Y/t...t. I I . ,,, t'i / ; I«.-<
C '-
b d Phone 729 1181
LOT NO, , I BL" f""5T .(1 I c;SC) ATTACHCD SHE CT) LEGAL I J ,r r h A.t' /...., 1 ouc•. I , / r I OWN/ a,,, MAIL AOORCSS <-? ') ZIP PHONE 2 . / I r<-C }Ji:, (:. 'rr\ >"\-" ,.,....., I </ I 377;:r;•{ ( 1'-ltt ( I ( 1: {L('I :•~L 77:·~ ,. PHON [ STATE LIC, NO, CITY LIC, NO,
'i_/,t .cl \ y ✓✓.i'I I \ ' /t )}y ,. ' AlllCHITtCT Ofll DESIGNClll MAIL ADDRESS .,, PHONE LICCNSC NO, 4
tNGIN[[9': MAIL ADDRESS PMONC LIC[NS[ NO, 5
LCNDtllt MAIL ADOlll!CSS 9'1ANCH 6
USC o, BUILDING
7
8 Class of work: □NEW g ADDITION 0 ALTERATION 0 AEPAI A
I
9 Describe work: ( 0 1tz1v( (//4~~-f.~
Type of Fuel: Oil D Nat. Gas D LPG. 0
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Units-H.P. Ea. $
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
-Gas Fired A.C. Units-Tonnage Ea. I
t Forced Air Systems-B.T.U. / { ( / I M Ea. I'-/ ()(..
APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T .U. M
Wall Heaters-B.T.U. M
NOTICE Unit He&ters-B.T.U . M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· Evaporative Coolers TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM• Ventilation Fan MENCED.
Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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.
(/ lj Jd ( bt--\ (c JI J.P .I
SIGNATUlllt o, CONTIIIACTOIII 01111 AUTHOfllZ[D AC.E.NT IDATE, -~-,
ISSUANCE FEE s :;:;. 1< (
SI TUIU: OP' OWHUI 1 P' OWN[III ■U ILDEfll) DATE) TOTAL FEES s /1 ""Y)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. C:ASH
INSPECTOR
ELECTRICAL PERMIT APPLICATIOhl ' , City of CARLSBAD, CALIFORNIA 92008
Ph 729 1181 71 Applicant to complete numbered spaces only. one -Permit No. ' -' _, ,
JOB ,t.DDRESS ✓( fl './✓ 7'. , I y 4'"),f.J fr ~,,~
t.t>T NO, -I BLK, I TRACT LEGAL I /'7 (OSEE ATTACHED SHEET) 1 DESCR,
OWNEJI f MAIL ADDRESS ZIP PHONE -
2 / ;v{ I -/..,,.. ~ ' ... -,.., A . , .,. -
CONTRACTOR MAlL ADDRESS I P,JiONE STATE LIC, NO, C ITV LIC. NO,
3 < ,;;,_ , ;VC ,,.
~ ' f / r I'~ ··-( ~,,,' " / ~ ,
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER M,t.lL ,t.0DRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE DI' BUILDING
7 I / ,
8 Cius of work: ATI NEW 0 ADDITION 0 AL TERATIDN 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
~LICATION ACCEPTED BY . PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER ,.,, .
_._\ j
DATE NEW SERVICE ON EXISTING BLDG.
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
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 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
SIGN,t.TURE OF CONTRACTOR OR AUTHORIZED ,t.GENT (DATE) ISSUANCE FEE
TOTAL FEES "i ) er: 1r..wATURF' n,:-nwNER 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
·LoT /2 ,;..o,~ s~,"?~
-·MY~
·' BUIL~.INGG . J,/~/7~
FOOTINGS · ~
'FOUNDATION
I I
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SHEATHING
FRAME
INSULATI.ON
EXTERIOR
INTERIOR LATH &
PLUMBING
SEWER AND PL/CO t.f f}.1/ 1t){TER ----
PL~MBING U}.1DERGROUND ?11ht-'-£
COPPER M , ?~
TOP OUT J7 /pr .fl(
. j
GAS TEST ~13/Jy/
II
ELECTRICAL ·
UNDERGROUND
. ROUGH
. CEILING HEAT
BONDING
ME(;HANICAL
DUCT & PLE!1, REF . PIPING9~
HEAT--AIR
VENTILATING SYSTEMS ..