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