HomeMy WebLinkAbout1420 YOURELL AVE; ; 77-6363; PermitMODt:.L NO. _________ _
r BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. '? -~ .. ~3
JOB ADDA CSS ASSESSOR'S
PARCEL NUMBER
'-. ' LOT NO. I OLK I mer BOOK ?AGE I PAR.
LEGAL I tOscc ATTACHED ~HCC.Tl 1 DtSCA.
OWN CR MAIL ADOlll[SS ?Ip P ... ONC
2
CONTRACTOft MAIL ADO A[SS PHON [ STATE LIC. NO, CITY LIC. NO,
3 \.
AIIIICHITCCT OR OCSIC.N[R MAIL AOOIIIICSS PHONE LICCNSC NO.
4
CNGINCCIII MAIL ADDRESS PHONE LICENSE NO.
5
COM?ENSATION INS. CARRIER / MAIL AQOIIIICSS BfU,N CM
6 .
use Of' BUILDING ;· ---1 NO. BDRMS NO. BATHS
8 Class of work: □NEW 0 ADDITION □ ALTERATION □ REPAIR □MOVE □ REMOVE
9 Describe work: &4 lf-J _¾)t:::;..,
'
10 Change of use from
Change of use to
-, It:. I (,-) I" /'C. I r; r_p
11 Valuation of work: $ -PLAN CHECK FEE$ l ._ PERMIT FEE $ )
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
StZe of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTEO ev PLANS CHECKED BV APPROVED FOR ISSUANCE BV zone Zone Required DYes □No
No. of OFFSTREET PARKING SPACES: _.,. ,
Dwelling Units No. !No. DATE DATE Covered Sq, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUME!-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE 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 REAO AND EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO 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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION 'OR l;HE PERFORMANCE OF CONSTRUCTION.
l I
SIGNATUftC 0,. CONTIIIACTOllt O,t AU THO,tlZ.CO AGENT IOATCI
SIGNATUIU. Of' OWN[fl If' OW~EIIIJ IUILOtPI) DATEJ
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Ii:! r --TOTAL FEES$ ________ _
,
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Perm it No
JO& ~00"._ C$5 ~ .. ";_S<._ Cl I V
LOT NO, I 8LK I TaACT
T • Lt OAL I 1 Dtsc•.
OWNtllt t '.\, ~AtL. •,2.0111css }t ~ \ ZIP \ PHONlt
2 ~·-"-' \ ' \: . I
·~...,;
CONTflACTOllt
~t\N~t-
MA IL AOOftCSS ;\\..N\, PHON t STATE LIC. NO, CITY LIC. NO.
3 J ( \. ~, "' ) ·-
A"CHITECT Ollt OC51GNtlllt M.t.t L AO0llt[55 PHOHC LICCNSC NO.
4
[NGIN EC" MAIL AODllt[SS PMON[ LICCNSC NO.
5 I \j ' ~
COMPENSATION fNS. CARRIER MAIL AODIIICSS BRANCH
6
u se OF BUILOIN C:.
7
8 Class of work: 0 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 & DISP.
DISHWASHER
APPLICATION ACCEPTEO BY PLANS CHECl(EO BY APPROVE O FOR ISSUANCE BY. LAUNDRY TRAY } ,/..,,,, CLOTHES WASHER
/_.J DATE .4 WATER HEATER I ~ D
NOTICE ' URINAL
THIS PERMIT BECOMES 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
PERIO D OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. l GAS SYSTEMS: NO.OUTLETS ,,,... D I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ..>
APPLICATION A N D KN OW THE SAME TO BE TRUE AND CORRECT. /WATER PIPING & TREATING EQUIP. v s }
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTIN G OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE "I VACUUM BREAKERS -[7 0 b PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTR UCT I ON OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
' CESSPOOL L SEPTIC TANK&. PIT
]' ,, ROD F DRAINS
SI GNATUJIIC o, CONTftACTOJII Oft AUTM0fttlt0 AG(NT (DAT[ I
ISSUANCE FEE $ 7.:;, ~
51GNA,Tu "r. o, OWN[ft 1, OWNCfll BUILOCft) (OAT[) TOTAL FEES $ J I, n
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M .O. CASH
ELECTRICAL PERMIT APPLICATION ,,.
City of CARLSBAD, CALIFORNIA 92008
Ph 729 1181 Applicant to complete numbered spaces on y. one -Permit No. k '/ .,,I '} 77 l .?c
JOB ADDRESS I t11J ol (~~~ C (_ 14'7 ,, 'foe JD~ (l
LOT NO. , IBLK. l TRACT iQSEE ATTACHED SHEET) LEGAL I 1 OESCR.
OWJ ;A;/ODRESS )no~c.
;JP PHONE .,-
2 . .7 d L...J :n: ,.~ .•• -,.... 7,) ' I ' ' • 1-l.._-~i-.1..::>
CONT8ACTOR MAIL ADDRESS ' , PHONE STATE LIC. NO. CITY LIC, NO.
3 ~ . ,( 00t1(:-.\( J._ It~\_~\ 1,\" )_ """), \ '
; ( ' \ I . ,
ARCHITECT OR DESIGNER MAIL ADDRESS -;HON1 . 1:ICENSE NO. ..
4 I idtlr ..
ENGINEER MAIL ADDRESS PHONE . "'' LICENSE NO.
5 ,I..{ "_;l} ). ,.o c_-. ' I
COMPENSATION INS CARRI ER --MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work : □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE c; "o.:: ~,
---NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
.,,I
) DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORLZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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 TEMP. SERVICE UP TO ANO 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.
\ ( -r PER 100 . -./ -~ -' SIGNATURE OF CONTRACTOR OR AUTHORIZED AG ENT (DATE)
ISSUANCE FEE ~ I ~ [l
TOTAL FEES -; o,t>
cqr..NAT RE nF nwMER IF OWNER BUI DER DATE! -i-
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
,.
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
RECEIVED
DATE : _ __,J.......,...0 tt-----12~5-1H't'97..,.;-
CITY OF CARLSBAD
Building Department
ZONE __________ LOT SI ZE _________ LOT WIDTH. _________ _
UNITS ALLOWED UNITS PROVIDED --------------------------
PARKING SPACES REQUIRED __________ PROVIDED ___________ _
____________ PROVIDED % COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED ___________ PROVIDED
FRONT SETBACK: SIDE SETBACK:
ALLOWED
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
,ENVIRONMENTAL PROTECTION REQ:
,ADDITIONAL COMMENTS:
REAR SETBACK:
OK TO ISSUE: ____ DATE ____ OK TO FTNAL ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ~ INDUSTRIAL WASTE ------IMPROVEMENTS ---------------
SEWER CONNECTION --------==--=-=-:_ ___ DRIVEWAY LOCATIONS
GRADING PERMIT _______ EASEMENTS~~~ DRAINAGE
LEGAL DESCRIPTION,t,ef-t tYqcr: ;g ~= ~~m;7:"r,,?letp ?,{79
ADDITIONAL COMMENTS_llfS ~ -lZo± ~ _LtL_~ cl'-tOA<JV'J -ro 5;-
FIRE DEPARTMENT
SPRINKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
1'T'U' T'\ TI ,\ 11,T 'T'I t:"' Tf'\f'A'T'T/"\1'l