HomeMy WebLinkAbout2600 GALICIA WAY; ; 78-5785; PermitMODEL NO. _________ _
·BUILDING PERMIT APPLIC TION' · I ( 116 TL
City of CARLSBAD, CALIFORNIA 92008
Applicant tocompletenumberedspacesonly Phone 729-1181 Perm it No
JOI AODR ESS ASSESSOR'S
Hr I ,,., PARCEL NUMBER
L.OT NO. I ILK I TRACT
BOOK PAGE I PAR.
LCCAL I tOstt ATTACHto !Hitt r, 1 OtSCA. ,, l/
OWNER ckv MAIL AOOill:£55 4) l IP PHONt
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CON TR4.C TOA / M AIL AOOAESS PHONE STATE LIC, NO, CITY LIC, NO,
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ARCMIT[CT OR OCSIGNCR MAIL AOOR CSS PHONE LIC:CNS[ NO,
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[NGIN[[R MAIL AOOR[SS PHON E LIC[N5£ NO,
5 .
COMPE.NSATION INS, CARRIER MAIL AOOll'l:[5S 8JUNCH
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use Of' IUILOING
7 NO. BDRMS NO, BATHS -..--
8 Class ofw~ NEW 0 ADDITION 0 ALTERATI ON ~AIR 0 MOVE 0 REMOVE
9 Descri(work: /!·,,,,.; rE -...-.J / .r°"--......___
10 Change of use from
Change of use to
&, '/ t '5 (..; ~/ ':..! I PERMIT FEE $
ll/'tJ 11 Valuation of work: $ -PLAN CHECK FEE$ -
SPECI AL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of Ma><
(Total) Sq. Ft Stories 0cc. Load
Fire use Fire Sprinklers
1 A7L'f4TIOJ ACfEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY zone Zone Required OYes ONo ,, 1 '($. DATE // '.,.//
No. of OFFSTREET PARKING SPACES·
Dwelling un,ts No. I No. 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 OEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
T ION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE OEPT
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 ~AME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AN OROINANCES 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 REGUL ATING
CONSTRUCTION OR !H E PERFORMANCE OF CONSTRUCTION.
SIGNATVfllC o, CONTIIU,C:TON 0" AUTHOIIIIZ.CD 4GCNT (DATE I
51GNATllfll[ 0' 0WN[fll 1, OWN[III aUILO[fll) OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA SH )
T OT AL FEES $ _ __:./,...;.,t"c..._{'-'-__ -__
INSPECTOR
0
INSPECTION RECORD
DATE REMARKS INSPECTOA
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
"
FINAL ~~ ~ I\":_ ~
\. ' I \ -' '
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Appltcant to complete numbered spaces only Phone 729-1181 Permit No
JOB ADD" £15
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OWNUt MAIL A00ftCS5
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ARCHIT[CT 0111 0E51GN£111 MAIL A00ftt5S
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CNG INCEfll MAIL A00ftC5S
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COMPENSATION (NS. CARRIER MAIL ...... 00111[55
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USC OF 8Vll01Mti
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8 Class of work: [i!NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS
APPLICATION ACCEPTEO BV PLANS CHECKED BY APPROVE O FOR ISSUANCE BY
NOTICE
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 THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 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.
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SIGNATURE 0,. CONTIII.-.CTO,t 0 111 AUTHORll[D AGENT
ZIP PHONE
//J I -· ..
PHONC STATE LIC. NO.
PHOM£ I.ICCN5C NO.
PHONE LICENSE NO,
I RANCH
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
I WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
I GAS SYSTEMS. NO.OUTLETS
I WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
I VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK .. PIT
ROOF DRAINS
I I .oo
;
CITY LIC. NO.
Fee
$
)
3(0
ISSUANCE FEE $
PLAN CHECK VALIDATION
I
I
tOATt) TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
$
CASH
p
.,•
ELECTRICAL PERMIT APPLICATIO"'' 1•00 p
City of CARLSBAD, CALIFORNIA 92008 1 l -£ ,1) 61
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS ,, t _,.., 4~J(. I . I ( /A y'
LOT NO. d ~~/) ~RACT 1OsEE ATTACHED SHEET) LEGAL I J 1 DESCR. r -/j/ // _.,
OWNER MAIL AODRESS . ZIP P:;NE -r--.,
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CO NT R)tCT OR MAIL,,ODR~S PHONE STATE LIC. NO. CITY LJC, NO.
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ARCHITECT OR DES IGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDR ESS PHONE LICENSE NO.
6
COMF'E"!.S ATION INS CARRIER \IL AO'DRESS BRANCH
6 I / -L, /,,, " . \ \ -.
USE OF BUILDING I Ar 7 1'✓ ,/.1 7 L _,, /', ~
8 Class of work: 't:fNEW 0 ADDITION 0 ALTERATION 0 REPAIR ..
9 Describe work: £-L.Gc.r~/C... /~ kt1.<:.
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PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING, ~ NO INCREASE IN SERVICE I \ 5 1--
NEW CONSTRUCTION, FOR EACH
Arl'LICATION ACCEPTED 8V PLANS CHECKED av APPRDIIED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
P-i· 'In~, .
DAT e: / / / J /11 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 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 l HAVE READ ANO EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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 ANO INCLUO· 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.
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PER 100 ........ ,
....
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) oZ ·~ ISSUANCE FEE -
TOTAL FEES 7 ' "' -C::.lr.M,t,TURJ:' n F" nwNER I~ OWNER BUILDER DATE
WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
IN PECT
• INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDiNG DEPARTMENT DATE: tJOV 3 1978 _____ ....;;;._ __ _
1 BUILDING ADDRESS: ~{p QQ v!)~a._
o(d--T7r/ ?~ ()J{L,_.,1 CITY OF CARLSBAD ~ t:t I / Building Department
PLANNING DEPARTMENT
ZONE __________ LOT SIZE _________ LOT WIDTH _________ _
UNITS ALLOWED UNITS PROVIDED --------------------------
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED ___________ PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK :
ALLOWED ______ _
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
OK TO ISSUE: ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION DRIVEWAY LOCATIONS ___ -,-________ _
GRADING PERMIT -------E-A-SEMENTS ~ &a~INAGE ____ _
LEGAL DESCRIPTION_~(j~,},t-~L~~'--'=--_:=-----------7v _____________ _
ADDITIONAL CO
FIRE DEPARTMENT
SPRI~KLING 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 ________ _