HomeMy WebLinkAbout2016 SUBIDA TER; ; 79-1110; Permit• MODEL NO. _________ _
BUILDING PERMIT APPLICATIObJ19402s BP
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB ADDA CSS ASSESSOR'S
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OWNtllt MAIL AOOACSS s✓.., \~LIi' PM ONE
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PM ONE STATE LIC. NO. CITY LIC. NO.
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AIIICHITECT OR 0C$1GNCA ~U,IL ADOACSS PHONE LICENSE NO.
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ENG IN EE R MAIL AOO~CSS PHONE LICENSE NO.
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COMPENSATION INS. CARRIER 1/1 MAIL •ooACSS BRANCM
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use o, BVILOING
7 ~~~ NO. BDRMS NO. BATHS
8 Class of work: ~EW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ~11-r /!'~L.. 4..s/A-42,c, t:D '
,/(~ ,_) n i
10 Change of use from L~ r~, q I 1 , ~~ ,[)YA~
Change of use to / , >1 r 1 1 t)~ I":
1tJ!P1 .,j. l\1pt,1 f
-~502 -PLAN CHE/4 FEES
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11 Valuation of work: $ /8 .,.,...-PERMIT FEE s C
SPECIAL CONDITIONS: Type of I MICRO FILM FEE
Occupancy
Const. \ Gr~p
S,ze of Bldg~ _,,. -~o.ot Max.
I' (Total) SQ. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY. PLANS CHECKED BY APPOR ISSUANCE OY Zone Zone ReQuired □Yes □No
No. of OFFSTREET PARK ING SPACES:
DATE d/</241)/J Dwelling Units No. JNo.
DATE Covered Sq. Ft. Open
NOTICE , I I I Special Approvals Required Received Not Requ ired
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND V OID IF WO R K 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 . A LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
H EREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS :ff.°Ji..R ~KTE OR LOCAL LAW REGULATING -co~-T IO N T PE ORMANCE OF CONSTRUC;:J..ON,
• 'Cl-~~' ~-e-?9 .,
51CNATUAt o, CONTRAI TO" ~ •uTHOJIIIIZtO AG~NT /(DATE)
(
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SIGNATU JIIIE o, OWNER llr OWNCJl BUILOE.1111 ) IOATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O . CASH PERMIT VALIDATION CK. M.O. CASH
V
INSPECTION RECORD 7Cl ... I llO
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
.
FINAL (pl,L" ~
I f I I
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
. .
ELECTRICAL PERMIT APPLICATION
C City of ARLSBAD, CALIFORNIA 92008 '11'1-//~ Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB AODRESS
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OWNER MAIL ADDRESS G <-;z1RJ "'/f .... ,z PHONE
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CONTRACTOR Po ,.:,o JI / ~1i7l-00RESS PHONE STATE LIC. NO. CITY LIC. NO.
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ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
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ENGINEER MAIL ADDRESS PHONE LICENSE NO.
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COMPENSATION INS CARRIP MAIL ADDRESS BRANCH
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USE or BUILDING
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8 Class of work: ETNEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work: /'tr-' /Joo,_ t. ~,,;R,,4
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING, ,,,,,.~
NO INCREASE IN SERVICE I 5
NEW CONSTRUCTION, FOR EACH
Al'PLICATION ACCEPTEO IIV; ,LANS CHECKEO BY APPROIIEO FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER -
DATE / ) ,.., NEW SERVICE ON EXISTING BLOG.
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 OAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME 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 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.
t1 ~fl~d! .. TEMP. SERVICE OVER 200 AMP.
i~ 4-:J 7'1 PER 100
f --SIGNATURE or CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE ¥,.
-1 -TOTAL FEES
!i uNATURF' nF' nwNF'A IF' OWNER BUI LDER •DATE)
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
I 17
PLUMBING PERMIT APPLICATION
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City of CARLSBAD CALIFORNIA 92008 ' 79-11'/ Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDllt [$5 .
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0WN[III MAIL AODlll:CSS r-t'.," # ' PHON[
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Aflt(HIT[CT Ollll O[SIGNEllt MAIL. A.O0"[55 PHOM£ LICCNSl NO,
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f:NGINCCII! MAIL AODl'tCSS PHONE LICCNSC NO.
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COMPENSATION [NS, CARRIER ,j ' MAIL AOOllll[SS 8"ANCH
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USC or BUILDING
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8 Class of work: □~EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 12~1 /2.c:,cc.. <r ~ _...::7 /,f
PERMIT FEES
No. T ype of Fixture or Item Fee
SPECIAL CONDITIONS : WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECl<EO BY APPROVEO FOR ISSUANCE BY LAUNDRY TRAY
C LOTHES WASHER
DATE , •.; WATER HEATER
NOTICE URINAL r
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC· DRINKIN G FOUNTAIN /", /J
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN rtrJJ/ r CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE D FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SL OP SINK , ~ I -MENCEO. ) GAS SYSTEMS: NO.OUTLETS ..l I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
I (..J
APPLICATION AND KNOW THE SAME T O BE TRUE AND CORRECT. / WATER PIPING&. TREATING EQUIP. ALL PROVISIO NS OF LAWS AND O RDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR N OT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T O VIOLATE OR CANCEL THE / VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT ING
CONSTRUCTIO N OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
(} ~/J}/,,/{ CESSPOOL
'I ..... 7f SEPTIC TANK & PIT
/,//' _,,. ROOF DRAINS ,I / / /
SIGNATUfl!. o, CONTftACTOtll Oft Au,1HOfllll£0 AGE.NT (DAT CJ . I .,.£ A, /" .,...,~ ~,..,.., (/~,,~
t.. ISSUANCE FEE $ V
I;
TOTAL FEES $ J .. I> Cl' $1GNATU ftC o, OWN£111 (I,-OWNCft I UILOEJII) (OAT[)
,;
(.)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INTERDEPARTMENTAL INFORMATION SHEET REC EI
BtILDING DEPARTMENT
BUILDING ADDRESS:
DATE: _____ ~~---
APR 3 _ 1979
7 j--7 CIT, OF CARLSBAD
. 1g Oc.Jai tment
PLANNING DEPARTMENT
ZONE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED -------------
BU IL DING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
S'CHOOL FEE: B-~ISTRICT; AMOUNT:
ADDITIONAL COMMENTS:
& OK TO ISSUE: ,,/J,_ DATE lf-3 -lf OK TO FINAL DATE --------------
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIBNS
GRADING PERMIT --~----EASEMENTS lJh JdA ("~,/LDRAINAGE ____ _
LEGAL DESCRIPTION~
ADDITIONAL COMMENTS~~r811=----------------------------
DATE c.f-3 -71 PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS _____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _