HomeMy WebLinkAbout2018 SUBIDA TER; ; 79-1113; PermitMODEL NO. _________ _ 4 /06 /791.1026 20,0D BP
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant ro complete numbered spaces only Phone 729-1181 Permit No 79-///3
JO a ADDA css ASSESSOR'S
(g ~/R S'-vA f ,t!JA-:r7(~ PARCEL NUMBER
1..0T NO. ~~ IT7u-7 BvvK PAGE I PAR.
LEGAL I /7 <Oscc ATTACHED sHcc.T1 l ocscR.
OWNE.A MA1 L AOOACSS Z I P ~ ~ ;k,c, PM ONE
2 \}£~~~ /')I (.J Cr°r-., />EJ. ~ J l~~Lf e/JU,9 4.3(c,-2<:n~
CON TRAC TOIi\ -~·;;~*;-:~,-~<i;_ STATE LIC, NO, CITY LIC, NO,
3 C-,""_j ~,a____,,,,_, _A__..~, 3S-'2...~~ / 77C.~ I --ARCHITECT OR D E SIGNE R MAIL AOOAESS PHONE LICCN5£ NO.
4 _<:;.A,,.,t.i ,c
ENG IN CE.A MAIL ADDRESS PHONE LICENSE NO.
5 ---&,,
COMPENSATION INS, CARRIE-~ MAIL .t.OORC SS 8"-ANCM
6 C,-.cJ ~,'-1,L .
use Of' BUILDING
7 NO. BDRM$ NO. BATHS
8 Class of work: ~EW 0 ADDITION D ALTl=ll11.T1nN 0 REPAIR 0 MOVE 0 REMOVE
/,/' '""-
9 Describe work: -I)~ --~ c,-_J}; ~ '-I '111 -L/
10 Change of use from
Change of use to I,.. "' l ll
11 Valuation of work: $ J k1,, I 130, \
PLAN CHECK FEE$ I PERMIT FEE s .,:Z O ~
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Size of Bldg. No. Of MaK.
(Total) Sq. Ft. Stories 0cc. L oad
. Fire u se Fire Sprinklers
APPLIC.A TION ACCEPTE O BY PLANS CHECKED BY AP-v:OR ISSUANCE BY Zone Zone Required O Yes □No
DATE !l/2-/1-r N o. o f OFFSTREET PARKING SPACES:
Dwelling Units No. !No. DATE Covered Sq. Ft. Open
NOTICE I I Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING. V ENTILATING OR AIR COND ITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT.
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 T HAT 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 G IVE AUTHORli,r~ VIOLATE OR CANCEL THE
PROVl_~F A~ ST R LOCAL LAW REGULATING CONSTRU N OR T PE ~ OF CONSTRUCT ION .
'A"~ /L-l 4/--3-7'?
51GNATu~o, CONTRACTOR OR AUTHO~i:EO AGENT (DATE)
SIGNAT NE 0,-OWNER IF OWN(R BUILDER) DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O . CASH PERM IT VALIDATION CK. M .O. CASH
TOTAL FEES $,£t)~
INSPECTION RECORD ~q ,,//1 3
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
\ ' \ I . . ) /
FINAL ~\~~" ~u ,l\V 1 ·y
\ ' ' 1:7 I
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ' 7'1--/1/;/ Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No.
Joe •or,11 css
-"7,/)J,;;; c ,1A,n,,,4 7 , ,;e.£.
-I LOT HO. --I aCK -'/" /1/i ITOAC7 r LCI.AL 7 1 Dt5CO. /-, .... ?C'j
OWN£11t MAIL ADDIIICSS t:; ,1.,.,,. PHONlt
2 I J"' L) ~ )_;; J .~ ,,,, C /', ,,f /,' o c,.--...._ I ,(:,. :.f <:;12c)Cj 436-20,z
coN..,.,flAt: TOIII , /.Jo MAIL AOORCSS PHONC STATE LIC, NO, CITY LIC. NO,
3 /]()'(I, 7 /',,, v/r ~, r °20 ,<,../ ;t I'" ( .: 'lZ.. . ~ -,-,,'7&7 I ,,p ... _.:;;~ .. ,
AIIICHITCCT Ofl OC5 1GNtl'I ~AIL AOOlll[55 PHONE L ICCNSt NO,
4 ,..,.._!._
CNGINC£111 MAIL AOOIU.:ss PHONE. LICENSE NO.
5
COMPENSATION (NS. CARRI ER MAIL AOOfllCSS IIIIANCH
6 ' _(" I J # ' -
use OF' 8 UI L OING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES . No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHE CKE O 8 V APP~OVE O FQ~ ISSUANCE BY. LAUNDRY T RAY
CLOTHES WASHER
DATE :, I WATER HEATER > i,..,~~
NOTICE URINAL
TH IS PERMIT BECOMES NULL AND VOID IF WORK O R CONST RUC-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
MENCEO. I GAS SYSTEMS: NO.OUTLETS ~ ~ I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION A N O KNOW THE SAME TO BE TRUE AND CORRECT. I WATER PIPING & TREATING EQUIP. "L ~ i--A LL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM PLIED WITH WHETHER SPECI FIED WASTE INTERCEPTOR -HEREIN O R NOT, THE GRANTING OF A PERMIT DOES N OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE / VACUUM BREAKERS ').-,.::: ~ PROVISIO NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION . r LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
r1 //4~!:1 __ CESSPOOL.
Zf-~ 77 SEPTIC TANK & PIT
,,/ ~ _J ROOF DRJ"INS LJ -,.,.) )
SIGNAT~ro, CONT'U,"'C'TOIIII o .. AUT~IIIIZ.£D ACtN T (DATC) I ~~ ..__,-AA/4 Vl4--7V "
ISSUAt-,tj.f FEE $ 3 ..P
SICNATUIIIC 0,-OWN[III II,-OWN CJII 9 UILDElllt (DATE) TOTAL FEES I $ ~-= .A
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT ("" 7 ~ v""'
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
·I
EL1:c\R1CAL PERMIT APPLICATION
I t1
City of CARLSBAD, CALIFORNIA 92008 'Ju ~/ ,,.,,d'
Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No~·
JOB ADDRESS
;: cJ,, 'c __,
~ u,6/<::Jr! 7 ~ ,.!,A!. . I LOT NO, I BL8 ;~;
TRACT (Q SEE ATTACHED SHEET) LEGAL 7 5 -7 1 DESCR. / 7
OWNER f) ,:;,MA_l;: t"~ESS/ ,-I <.J ZIP PHONE
2 J r ,4<] • .J ,z /It'! C r 36-2-0 /P Cc;, (' ,1.::''1 f .! c:;~;,or, ,.
CONTRACTOR ,-v MAIL ADDRESS PHONE STATE LIC. NO, C ITV LIC, NO,
3 .,,,. i,....,J, ) ;'t:)<I .. s /)€1 /77 I' ,, c ... ,.e,< ,\ r (_ I' ~--. -. J?t" -c-,,..,,/ ' ; -,,.,. I
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 ' ENG !NEER MAIL ADDRESS PHONE LICENSE NO,
5 -COMPENSATION INS CARRIER
~\
MAIL ADDRESS BRANCH
6 (""1, .. ~ ,t. , (. '\.
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ;°v, $.,P,4
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIR ING, '
NO INCREASE IN SERVICE I s-I~
I•
NEW CONSTRUCTION, FOR EACH
A"'LICATION ACCEPTED av PLANS CHECKED BV APPROVED FOR 'TANCE BV AMP~RES OF MAIN SERVICE, SWITCH,
FUSE,fOR BREAKER
D ATE . '/?, 7) NE~ 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 CO~STRUCTION.
JJa-J~ a~~-TEMP. SERVICE OVER 200 AMP.
LI J-/7' PER 100 ' ,.,.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) _2;, ~ ISSUANCE FEE
TOTAL FEES -/ 7 {J'4
SIGNATURE OF OWNER IF OWNER BUILDER DATE
WHEN PROPER YV IDAT L AL ED (IN THIS SPACE I THIS IS YOUR PERMIT I
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
p
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~
' v
.INTERDEPARTMENTAL INFORMATION SHEER EC EI f
BUILDING
' BU'rLDING
'
DEPARTMENT
PLANNING DEPARTMENT
DATEAPR a. 1979
CIT'' OF CARLSBAD
1g De. 1artm0At
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:
SCHOOL FEE: AMOUNT:
ADDITIONAL COMMENTS:
'{ TO ISSUE, #z DATE 'f-3-77 OK TO FINAL DATE --------------
ENGINEERING DEPARTMENT
R.0.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT EASEMENT~DRAINAGE
LEGAL DESCRIPTION-1,{b,,1---,,,t~~~~\A&~-------~~~--'---~----11'--------------
ADDITIONAL COM
DATE 1/--3-77 PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING SYSTEM FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRA NTS ___________ LOCATION __________________ _
ADDITIONAL COMMENTS
0 K TO I S SUE.: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
7f. 'I~