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HomeMy WebLinkAbout2808 Jacaranda Ave; ; 77-6161; Permit.. MODEL Nd. _________ _ BUILDING PERMIT APPLICATION Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Permit No. 17-to/b / JOB A.DOR[<$ OWN[A 2 3 Afl.Ct-llTECT O" Olt511#N£R 4 £NGIN£(,t 5 COMPENSATION INS. CARRIER 6 use o,-liJILOING 7 8 Class of work : □NEW □ ADDITION □ ALTERATION 9 Describe work : .. 10 Change of use from Change of use to 11 Valuation of work : $ r o - SPECIAL CONDITIONS: APPLICATION ACCEPTED SY PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE DATE NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMS· ING, HEATING, VENTILATING OR AIR CONDITIONING. 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND 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. ( , , SIGN.t.l'U"£ o, CONT,-ACTO" 0" AUTHOflll1~0 -'Gt.NT !GNAT Ill( ~ OWNUI IF OWN!." IUILOCfl DA.TC) l0sce: ATTA.CHE.O SHCC.TI NO. BDRMS ASSESSOR'S PARCEL NUMBER B K PAGE PAR. □ REPAIR □ MOVE PLAN CHECK FEE s Type of I Const Size of Bldg T'/ (Total) SQ. Ft Fire Zone No. of Dwelling Units Special Approvals PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. ;, PERMIT FEE S );y 7 MICRO FILM FEE Occupancy /-Group No. of I Max Stories 0cc. Load use Fire Sprlnl<lers Zone Required 0Yes 0No OFFSTREET PARKING SPACES: No. Covered Required J Sq. Ft. Received No. Open Not Required WHEN PROPERLY VALIDATED UN THIS SPACE I THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH TOTAL FEES$ .. L-OT L/ef .. :_(2,f()t' ~<'<IM~ BU LDING ·-FOOTINGS --FOUNDATION -REINFORCED STEEL -MASONRY -GUNITE OR GROUT -- • -INSULATION / --c2-'-I-7,57 (j) -EXTERIOR LATH 1-3;-?i -INTERIOR LATH & DRYWALL -PLUMBING • SEWER AND I-L/CO WATER ~ PLUMBING UNDERGROUND • .. ----------- • .. --- COPPER l - '1'013 AND SHOWER f.3b¢; z),t? ELECTRICAL YNbERGROUND CEl:~ING HEAT MECHANICAL DUC'l' & PLEM, REF. PIPING nru. r--AIR · VENTILATING SYSTEMS FINAL:_ ..... 7_/4.....,¥7..._.__/_1,,/_· __ _ PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 ~ -F . Perm it No JOB ADOfll ESS CtGAL I 1 DUCft. LOT NO. , ..., f'..,lt OWNfll 2 ...,AIL A.OOflttSS ) / _1 t/l!lrf t/ /4 ZJP PHON[ 3 4 5 CONTJIIAC TOIi AJIICHIT£CT 0 .. DESIGNER . £NC.IN£[,. . . MAIL AD0,.£55 MAIL •OOflt[S.S,..- COMPENSATION (NS. CARRIER MAIL AOOlll!5.S PHONE PHONE ----STATE LIC. NO. ~ ., , Li(ENSE NO, LICEPfSE NO. 6 _ ., ___ J ~-__;~_:' , ! --~ ~-,,~ib /.:!/1¥1 use or euq.01Na-, 1 t.( n-~:. / , . 8 Class of work: d NEW 0 ADDITION 0 ALTERATION 9 Describe work: /.(II .1 h l.1r // t; SPECIAL CONDITIONS· APPLICATION ACCEPTED ev PLANS CHECo<EO ev APPROVED •OR ISSUANCE BY DATE 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND 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 REGUL.ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I' I , ... I I . , SIGNATURE OF CONTRAtTOflll OA: AUTHORIZED AGC.NT -/ I. '°/ (DAHi 0 REPAIR PERMIT FEES Type of Fixture or Item WATER CLOSET (TOILET) ,I BATHTUB LAVATORY (WASH BASIN) J SHOWER KITCHEN SINK & DISP DISHWASHER • LAUNORY TRAY I CLOTHES WASHER I WATER HEATER URINAL DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK GAS SYSTEMS. NO.OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKL.ER SYSTEM SEWER NUMBER CLEAN0UTS CESSPOOL SEPTIC TANK & PIT ROOF DRAINS CITY LIC, NO. , ,fee $ / . / _,, . ISSUANCE FEE $ SIGNATtrfll' 0,. OWNf.R Ir 0WNtlll 9UllOC.RI (OAT[J TOTAL FEES $ ) WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH i, • , . ' . ELECTRICAL PERMIT APPLICATION -.~ City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No JOB ADDRESS I LOT NO, LEGAL 1 DESCR, OWNER 2 I BLK, I TRACT MAIL ADDRESS 1 51 , (QSEE ATTACHED SHEET) ZIP PHONE u ., • c • . CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, 3 ,. 1 c. ARCHITECT OR DESIGNER MAIL AOOR ESS PHONE LICENSE NO. 4 ENG IHEER MAIL ADDRESS PHONE LICENSE NO, 5 COMPENSATION INS CARRIER M"IL ADDRESS BRANCH 6 719 - USE OF BUILDING 7 8 Clau of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES i.:SP:.:....::E:..;;C:.:.:IA_;,L=--=C:..;;O_;_N:..;;D_;,l_;_T...;IO:....N_;_S:....: ________________ --I SWIMMING POOL WIRING, Al'f'LICATION ACCEPTED BY PLANS CHECICED BY APPROVED FOR ISSUANCE BY DATE 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 ANO ORDINANCE!> 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. { .· ---I : ' .-' : ~~-,__ ,..( / ., t !_ \ ~ I{... 1/5/7 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) s ATURE Of" OWNEN' If" OWNER BUILDER) D"TE NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, 1 FUSE OR BREAKER NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE TEMP. SERVICE UP TO AND INCLUD· ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 ISSUANCE FEE TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. INSPECTOR No. M.O. 2~t 'lt. ♦Ill 1 ( . ·' CITY LIC, NO, Each Fee 2S n ' 2 CASH MECHANICAL PERMIT APPLICATION ~~-Pl1'**~»~ wl City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. JOB ADOft tss • LOT NO, LEGAL I 1 OE5t", I T"·" T P-on tt[J~~t._ATTACHCO SHCltT) OWNl'..ft MAIL AO0ft[55 ZIP PHONt 2 . • . ,J..,~v.,. . • t • • CON TfllAC TOPI MAIL A00,.[55 PHON t STATE Lit, NO, 3 • Inc. • 2965 B/C 92 1?1~ A"CHIT£CT 0" DtSIGNE.ft MAIL ADDftCS5 4 ltNGINt[ft MAIL AOOAtSS 5 L[NOl:llt MAIL AOOllttSS 6 ust o,-BUILDING 7 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 9 Describe work: ,Heatlnft SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED 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 AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINPNCES 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. { / -, SIGNATU,tt OF' CONTfllACTOfl Oft AUTHOR:IZ.E.D AG[NT (DATt> (OAT t) PHONE llCtNSE NO, PHONE L ICE.NS[ NO, 0 REPAIR Type of Fuel: Oil 0 Nat. Gas D LPG. 0 PERMIT FEES No. Type of Equipment Air Cond. Units-H .P. Ea. Refrigeration Units-H .P. Ea. Boilers-H.P. Ea. Gas Fired A .C. Units-Tonnage Ea. l. Forced Air Systems-B.T.U. .• ~ M Ea. Gravity Systems-B.T.U. M Ea. Floor Furnaces-B.T.U. M Wall Heatera-B.T.U. M Unit He1,ters-B.T.U. M Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit-C.F.M. Incinerator ISSUANCE FEE TOTAL FEES WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ") /-//1,,., -' . ., CITY LIC. NO, Fee $ ~ co s I s -I CASH