HomeMy WebLinkAbout2811 SOMBROSA ST; ; 77-6144; PermitMODEL NO. _________ _
BUILDlNG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOI ADDA CSS ASSESSOR'S zw -. , ... Stxeet, Carlsbad, CA PARCEL NUMBER
L.OT NO. I OLK l'"ACT BooK PA.GE I PA.R,
LC GAL I ~1 "'--'L,.,. -• 1W V Qscc A TTACHED SH([T) 1 ocsc". -·-
OWNCIII MAIL A OOIIICSS 21 p PHONE
2 . -... 1 s1 :_ __ to van., Sm.ta ZE. SIil ·nt~, CA 2121 755-7 '" • ••
CONTftACTOlllll MAIL ADOACSS PHON C STATE LIC. NO. CITY LIC. NO.
3 aboN 2695 1 U 2-t
AIICHITCCT Ofll DCSIGNC" MAIL A00111[5S PHONE LIC[NSt NO •
4 :1 .... ~ ... ---~--. . 1601 St. 121S, .. " v ......... rA9 7S2-24 s . • -[NGINCC"I M AIL AOOJIICSS PHONC LIC£:N5l N O,
5 • I": . . 5620 rias nt-CA 91110 291-0707 16 --· • -,
COMPENSATION INS. CARRI ER MAIL AOo,u:ss IUU,NCH
6 1-,--lf :-• 40 iJsbln -..14»_· ~ -.a Sl
us~ Of' I UILDING
7 $i9'o1• ·1y with . 3 z --NO. BORMS NO. ~ ,THS
8 Class of work : l:J NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE ' {, .,.,t ~
9 Describe work : i tia1 , .. --143A e;v: ,.l
~.,. ,v -•
'v ~
10 Change of use from
Change of use to
Valuation of work : $ /y(lf'(/4![1 $ 9/) I J ~ ',,
11 _.,,
PLAN CH ECK FEE s PERMIT FEE s i
SPECIAL CONDITIONS: # J MICRO FILM FEE Type of Occupancy I I Const. I>
.,., Group .
Size of Bldg. 11..~ No. of I MaM.
(Total I SQ. Ft/) Stories 0cc. L oad
Fire Use I Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY A.PPROVEO FOR ISSUANCE BY Zone ..J Zone Required 0Yes 0 N o , No. of I OFFSTREET PARKING SPACES:
' 1 /""' , Owell1ng Units No. I No. DA.TE DATE Covered SQ. Ft. .. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WO RK 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 ANO 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 THE PERFORMANCE OF CONSTRUCTION.
; ,
SIGNATUllt[ o, CONTIIAC TOfl 0 111 AUTH0"12l0 A.G[NT (D~Ttl "
'IGN.&T11J11r 01" OWN[fll ,,. OWN[tl eulLD("J DATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
{ -
TOTAL FEES$ ___ /._(/ __ _
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. /,) -17.J)
Joe ADD" CSI -;----:,1,n .. ~
/,/ /7/J //• }/ ,, /9_,,
LOT NO. Im I TOAC T y "j2' LtUL I YI/ . ;;;,//, /"'i/// f Dt5CO, ,,,
OWNUI MAIL AODlltCSS t i. PHOHC
2 //4/_J,rf_. ///2z,,-./ /b / '/ I v· .,
CON TIIAC TOllt M AIL ADO,.~,SS PHOHC STATE LIC, NO, CITY LIC. NO.
3 , ///b,✓. /1J ) ..,.,,.f"> .7 , , /. / ·, F ,r t'I ./ /, I , -·-. -
AIIICHITtCT 0111 OtSICNC" /' ""4AIL ADDIIICSS PHOM£ LIC(NSC NO,
4
[NCINCE.llt MAIL AOOIII CSS PHONC L ICCN S( NO,
5
COMPENSATION rNs. CARRIER MAIL AOOIJl:CSS & IIIANCH
6 1/ ./2. / ;;t., .,,. /:/t-"/·/ /;,!/i A~ -----,'II';; //1_. ---. -
USE OF I Ult.OING ,.. ,.
7 '/ / /
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 4// _/ .//,/ J .• ,.,. ,.
I' /
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: ,, WATER CLOSET (TOI LET) $ '\
BATHTUB ·' I ' LAVATORY (WASH BASIN ) ,,. )
SHOWER ,
KITCHEN SINK & DISP. I
DISHWASHER
.APPLICATION ACCEPTE O BY PLANS CHE CKE OBY APPROVED •OR •SSUANCE BY LAU NDRY TRAY
I CLOTHES WASHER
,. .
OATE I WATER HEATER ~
I
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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. I I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS GASSYSTEMS:NO.OUTLETS . • I
APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE G RANTING OF A PERMIT DOES N OT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAN CEL THE V ACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFO RMANCE OF CONSTRUCTION . LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS -
CESSPOOL . SEPTIC TANK & PIT
i I ROOF DRAINS J
SIGNATUR E o, (ONTRACTOIIII Ofl AUTHOR l:t[O AGCNT (OAT[J
ISSUANCE FEE $
TOTAL FEES $ J", I
SIC.NATUJIC o, OWNCfl (I r OWHCR 9 Ull..0[Jlt) (OAT()
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
IIIJC:DCrTl"'\D
' • -s. ELECT·RICAL PERMIT APPLICATION I
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS
'" , .
LOT NO. I BLK. I TRACT <OsEE ATTACHED SHEET) LEGAL I J1 1 DESCR .
OWNER MAIL ADDRESS ZIP PHO/
2 ~ ro • 1095• J ·• ,'l J u l y ,. ,"-1 7!-J-J
CONTRACTOR MAIL ADDRESS
3 .... ctric 1 7 . ,: .&. t condi PHO'
I • -2 2 STi TE Lit/ ND. .> .;J ., l~IT,LIC. NO.
ARCH ITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LIC ENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
j 1..,_:tt., r ,r-_ 719 L ... ._. \ \ tf ,f ' C. • _...,., ,.
USE OF BUILDING '
7
8 Class of work: [] NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: '
a
f PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'f'LICATION ACCE,nD BY 'LANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
DATE NEW SERVICE ON EXISTING BLOG.
FOR EA. AMPERE OF INCREASE NOTICE 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
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 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 INC LUO· 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
SIGNATURE OF CONTRACTOR OR AUTHOR I ZE0 AGENT (DATE)
ISSUANCE FEE
TOTAL FEES
SIGNATURt. oF oWNt.R It-OWNER 8 UIL0ER) OA,TF'
WHEN PROPERLY VALIDATED (IN THIS SPACEI 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
Applicant to complete numbered spaces only. Phone 7 29-1181
JOI AOOfll tSS ,. ll rosa ;>tt • . -. LOT NO, I ILK I TRACT cho ,t ~ L£GAL I ")91 onderosa .-i t (~ ATTACHED SHEET) 1 ouc~.
OWNt"
~c,
MAIL AOOllttSS 21. PHONE 2 .t. 'OS Ho • 10751 rr to Valley • te. z.: ./ 92121 .560-sss
CONTJIIACTO" MAIL ADDRESS PHONE STATE LIC, NO. 11266' NO. 3 .11 J~h s, Inc. 1' .o • OX 2965. E/C 92 ~l ' 'l-1177 J< 7178 ' ., .
AfllCHIT[CT O,_ DESIGN[fll MAI L ADOftESS PHONE L ICENSE NO. 4
tNGINCCfll MAIL AODfllESS
5
PHONC LICENSE NO.
LENOUt MAIL ADD,.ESS Bfll ,NCH 6 0
ust 0,. IIUILDING
7 ' -~.~1!:l
8 Class of work: ~NEW 0 ADDITION 0 Al TERATIDN 0 REPAIR
9 Describe work:, He ting
Type of Fuel: Oil D Nat. Gas □ LPG. D I'
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 !;a.
L Forced Air Systems-B.T.U. M Ea. "'' APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heateri-B.T .U . . -... M
NOTICE Unit He;.ters-B.T .U. i M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers . -TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO 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.
I ~ I r l
~. )r \\ t -
'\. \_., I • q ,. -)~
SIGNATU,tt: o, CONTJIIACTOR O" A\THOIIIIZEO AGCNT (DATE)
L, ISSUANCE FEE s ~ VJ
s1.c1.1.a.T Jllll. 01' OWNUI II' OWNI." autLOl.11) OATC) TOTAL FEES s f lJV
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. 1\11.0. CASH
INSPECTOR
LOT :?_9/
-~ fl~ ~rZ~d:,?-A ,
BUILDU!G
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
l
INSULATION ) /4 bt ;-fZ
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND ic-L/CO qr ?'1 ~Ya
.PLUMBING UNDERGROUND '7,?-3 j~
COPPER 7 -';-7: ~
l ..
TUB AND SHOWER ~/2,t lf
GAS TEST ;µpit
ELECTRICAL
UNDERGROUND
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPING ,¥,/;,r [;f'
HE;;T--AIR ,
VENTILATING SYSTEMS