HomeMy WebLinkAbout1729 ROGUE ISLE CT; ; 78-5239; PermitI • It .oo BP I
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only Permit No7y-_; ) 3 /
JOI ADD" [$S
1 /\OGut
LEGAL I 1 Dtsto. 2 -/,f
OWNUI;
2 j .'\ I
COHTftACTOii. t.AAIL ADD,.ESS
3 <) Jr}€/'...;_
A"CHITEC:T OA OCSIGNCR MAIL A0D'11[5S
4
£NGIN CC" t.AAIL ADOIU.SS
5
COMPENSATION (NS. CARRIER t.otAIL A00ilt£5S
6 l,
use o, BUILDING
7
8 Class of work: 0 ALTERATION
9 Describe work: I ?SPA I
I /
SPECIAL CONDITIONS
1,PPLtCATION ACCE~JEO BY PLANS CHECKED BY
. -Ii' M ,O
L 1 / ;/, -}Y
APPROVE O •D'I ISSUANCE BY
DATE
NOTICE
THIS PERMIT BECOMES NULL ANO 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 AND 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 C ANC EL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PHOM [ STATE LIC. NO.
PHON C LIC[N.5[ NO.
PttOHt LICCNSC HO.
BflANCM
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP
DISHWASHER
LAUNDRY T RAY
CLOTHES WASHER
,I WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP S INK
I GAS SYSTEMS, NO.OUTLETS
I WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
I VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
NUMBER CLEAN0UTS
CITY LIC, NO.
Fee
$
2 C
"j(
I // V --~:;:P:OL
( ~f /✓ ,J / ~ 7-, Jg-g.L;,IF-l.l-~---:-~-:-T-~C-:-:-:-l-:-:-P_I_T __________ -+--1--~ .SlGN7 t>• CONT.AC TD• o• .luTHD•lztD AGCNT ,. (DATEI
Stl.Pi!AT "r OP' OW'NE.1111 IP' OWH EIII IUILOEftl OAT[)
ISSUANCE FEE
TOTAL FEES $ ; /
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
/
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L I USE SPACE BELOW FOR Nor/Es, FOLLOW.UP, ETC.
ELECTRICAL PERMIT APPL~CATION
l7-ll2 • ,,t u11JflLf7'X:9.9. fL i
Perrnit No / 'j~.~~,(<TO . --...... ~ .. JOB ADDRESS ~ -~r. ,~ .... ~"' J 7;19 /<VG'Uc-/~t.~ (~ .
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only
I LOT NO, I BLK. I TRACT -LEGAL (OSEE ATTACHED SHEET) 1 DESCR,
0"'4"e«
,,.At. '&.N#
MAIL "DDRESS /,,,) 1st;:: rt>,. PHONE
"?-? 9-Ri5P." 2 -., c 7 1 I ~ q ,r:::::'a5'ot3 -/~CCJ7 ,''-
CON'l'Jl_ACTOR M"IL ADDRESS PHONE ST .. TE LIC, NO. CITY LIC, ND.
3 ) c,, · A I{,::._
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 -USE Of BUILDING
7
8 Class of work: 0 NEW ~ITION 0 AL TE RATION 0 REPAIR
9 Describe work: ~,dA
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE I 5 ~D -
NEW CONSTRUCTION, FOR EACH
A'PllC ... TI0'1'fCEP¥0 ev PLANS CHECKED BY APPROVED FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH,
1 I , FUSE OR BREAKER
d., ,.,. ,,) ~
DATE NEW SERVICE ON EXISTING BLDG.
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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION ANO 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 INCLUD-PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER S~ATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PE FORMANCE OF CONSTRUCTION.
-~ cX~~ ' 1 TEMP. SERVICE OVER 200 AMP. q_ 1,R, )( PER 100
SIGNA'T'UR£..Of CONTRACTOR OR AUTHOR I ZED AGENT (DATE) iJ ISSUANCE FEE
TOTAL FEES I .:.t
'"-1r.;NATURE OF' OWNER IF OWNER BUILDER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
,. 5:.PII 'INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
DATE: __ S_E_P_l-=--8-'-'--'19:<...:.7...><.8_ BUILDING DEPARTMENT
BUILDING ADDRESS: ;7-;;;_9 £o9 u_e_ :Z.s/e;_ CITY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
ZONE __________ LOT SIZE _________ LOT WIDTH _________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PROVIDED PARKING SPACES REQUIRED ----------------------
____________ PROVIDED % COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
___________ PROVIDED
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
REAR SETBACK :
OK TO ISSUE: H----DATE 9--ff-J, OK TO FI NAL ________ DATE. ____ _
ENGINEERING DEPARTMENT
R.O .W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCAT~ONS
GRADING PERMIT --=J2-: EASEMENTS !~:J:u ~ DRAINAGE ____ _
LE GAL DE s c RI p TI oN-hci)i;"--,t:-~.......,1'--'1-/-,f _ ____,..{!;c_r!,......_~2-=d::,__-__;1'--r:.=----t:i..-------------
ADD IT I ON AL COMMENTS ____________________________ _
PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING 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 ________ _