HomeMy WebLinkAbout1003 PINE AVE; ; 72-1170; Permit\'
BUILDING PERMIT APPLICATION
,# / ·-, __.. 7 /•
Permit No. J City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181
JOB AOOR ESS
CONTRACTOR ... MAIL ADDRESS PHONE
3
A RCHITECT OR DESIGNER MAIL ADDRESS
Mi .'! f '· ' , I/' -r -,j .. , .-.,If
I
8 Class of work: D NEW 0 ALTERATION 0 REPAIR D MOVE
9 Describe work:
... I J
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE
t-S_P_E_C_I_A_L_C_O_N_D_I_T_I O_N_S_: -------------------t Type of ~ ·;
Const. .,.V
(
1---------------------------------i Size of Bldg, (Total) Sq. Ft.~., "', I <!:
i-----------...----------~---------.....iFire .-,,-,
--.,LICENSE NO. 7 T
0 REMOVE
{J
I PERMIT FEE /.r?t,;
\.
~-r,) -
. \
,...
'
\
I" f
APPLICATION ACCEPTED SY. I PLANS CHECKED BY APPROVED FO,R ISSUANCE BY zone ._.:...
l / ' -~ / ( 11-----------..+-0-F_F_S_T_R_E_E_T_P_A-=R-K_I_N_G__.S_P_A_C_E_S_: -------t
No. of //
1 ·-,~ "'-1 Dwelling Units~ Covered {.,' Uncovered o/
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMEN CED WITHIN 60 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 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.
SIGNATURE 0,. CONTRACTOR OR AUTHORIZ.EO AGENT (CATE)
SIGNATURE OF' OWNER IF OWNE" BUILDER) (CATE)
Special Approvals Required
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
Received Not Required
.
M.O. CASH
iJ ro
3 -· ~
z
~
~
} ' \ I
1 ...
·'
ELECTRICAL PERMIT .APPLICATION
Permit No. 1l:J-J57c::PtY Of CARLSBAD; CALIFORNIA 92008. ··-"! ,,o _77
·Applicant tclcomptete rfumberecJ ~s onty. Phone 729-1181 . .
o•
Q1.1: ATTACHl:0 SHIEl:TJ
PKONI
LICENSE NO.
LltHDER MAIL ADD .. 1.99 811ANCH
6
uer. OP-•UILDIN~
7 ~ u,.f(}_
8 Clas of work: D AL:.,{RATION
9 Describe work:
PERMIT FEES
0 :Ii z
' \
No. E11ch Fee
SPECIAL CONDITIONS:
BV: PLANS CHECKED ev. APPROVED FOR ISSUANCE ev·
\
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
l;'i~~E0 fo NGC:i'E: \HuETHiRf.~1".}g ~ro~T'l'6~11:il-H:~t ~~I PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION. OR THE PERFORMANCE OF CONSTRUCTION.
DAT&
L DA
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD-
l~G 200 AMP. ""')
TEMP. SERVICE OVER 200 AMP.
PER 100
...:MlN-IMUM-PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VAL1DATION CK.
INSPECTOR
5:2 0
M.O, CASH
" ... ',, , .. '•\"' ,1_ ,l
MECHANICAL PERMIT APPLICATION
. ,/7"1 _ 1~~ City of CARLSBAD, CALIFOR~IA Permit No,LcL /' ·· -
Applicant to comp!~,;,;; spaces only. Phone 7 29-1181
92008
JOB ADDR l:S8
//J/J ~
lTl "' "'
L·ft·L l LOT NO ......... -I hK ~ ,, ~. "j TftACT ..... ~ •-C)sE~ ATTACHED SHEET) 1 DUCft, /
~
2
-0-W_N_E_ft_..__ /"')~~~-_:.,l,,;.:~~~~~-'--~~~~-M-A-1-LLA-D-D-ft-ES-S~~~~~~~~~, /'7~~-1...-,.P~~~~~~ .~ /·~~-/--./5,,-,,,.-_-/'P_H_O_N_E~~~~~~--I" 1~
/y _ i Iv/./ PA J ;:. O/i ;:::-~,,.,4 ,/'"; ,A-t:l 'l _1w --4/. C.,,f. _ ~ -';:-...
3
CONTftAC:;; ./ ; ~;l' ._A -/' ._... / ~AIL ADDft<MI r I ~-....,.., • PHON'k ~ r LIC~H.0£ NO, ,, \J.J
:4:A~;,llmivft::: T~?;Lr::u:":"./-~L/-,, :::::;,;;t.G/~N:::,. ;f)::,/:_q.J.,;:;; e-1~/:~:1:=:~-p--\-/=·=..r,:-;-~ ::---6:u/M:A/:-:,l'j'"L,:A:D •D~i'ii"!ft: ./U:S:-::J':L:, ..,.,:=~=· ..'.;-4~---~ ~-~J~L'~-~-, /"':P""H"°:t:N '.,.~•• --'-=:;r..•:;;.._.!i.-;al=.p:/,:d<:.::rt'.;:,-x..~-.i::-';'-_/,~LU~:c4 •:N:S<:N:O=, =====!'s_=~~~ ~ '~
iY'OINEtR --/ -1,(A1~-.. o·D"""'l!'°L -, -°Pl<ORE -r --.,. L"TCENs ... o. ""-.. 3
~IV-----------,--~------------==-:----------fl'} ,~ ·;?--
Ll:HOl:PI ti-AAIL ADDlltli:S.S BRAH CH t ~ ~
6
;'N 4_ o/f) d/ 1~ ~
~a __ c1_au_o_f_wo_r~k_:~~,....-"'"=-"'-J_=~--D-A_;_o_1_T1_o_N ___ A_L_T_ER_A_T_1o_N __ ~_RE_P_A_IR _____ -_2
___ ·-__ -_-___ ------i-,~" ~
U8!: OP' BUILCIHQ
7
9 Describe work: 7,c) /r tJ // . .{.(? :" Z:,. .:_,. ·:_ ,. I~~ ~
~~~~~~~~~~~-1'"------------------------~·~ Type of Fuel: Oil D Nat. Gas D LPG. D
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY: PLAHS CHECKED BY APPROVED FOR ISSUANCE BY:
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED ~~~0~E0fo NGC::~ \HJrHGo~N11}% ~Fo~!lm11:A~~t ~~I
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
(DATE)
PERMIT FEES
No. Type of Equipment
Air Cond. Unlta-H.P. Ea.
Refrlgeretlon Units-H.P. Ea.
Bollera-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
Forced Air Sysfems-B.T.U. M Ea.
Gravity Systems-8.T.U. M Ea.
Floor Furnacas---B.T.U. M
...-l W111l HeaterrB.T.U. M
Unit Heaters-B.T.U. M
Evaporative Coolen
Clothes Dryen
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
PERMIT
,11 ................ nP' OYiN~R. IJP' riWNK." au1Ln11:R) DATL TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o: CASH PERMIT VALIDATION CK.· ~ M:O. -.
INSPECTOR
Fee
$
../~ ~,.,
,'t., -
--
CASW · -
PLUMBING PERMIT APPLICATION
Permit No. _. 'j City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
JOB ADOR ESS 0 I... ""1J
~ ,k ~uf/t( ::, 0 CO
/ z a,~
I //1.,/( 3 , , rT1 )>~.:
LOT NO. -I 9LK I TAACT ;n g ::z LEGAL I <DSEE ATTACHED SHEET) 1 DESCA , ;n~
rT1
MAIL AODlltESS 21 p PHl.71-~ ~1'7 / ~ "' OWNEIII "' 2 1< K' (-)/ '-/ t-~ ' t'j f_., f L II? I II,< (:,.,. ,L/1) '-
3 CO;Al~:fr, v(' /;' ,//
MAIL ADDRESS tJ PHONE LICENSE NO. ' . '~/ 'fhJ L-"',tj/ _z4/ ~--;f ~q_h7..--\ ·er
ARCHITECT OR OES1Gl11EA f ·1 MAIL AOOAESS PHONE LICENSE NO,
4
ENGINE£." MAI L ADDRESS PHONE LICENSE NO, ~ 5 -I '711/ .,,~ )/ ,R'///' ../, ~ /.,; / l/ h < ..
LEN DER MAIL A'bDJIESS 8AANCH ~ 6 -+-;r;:. r <\ USE Of' BUILDING l\ c 7 .,. , \
8 Class of work: .~NEW 0 ADDITION 0 ALTERATION 0 REPAIR ~ * \ 9 Describe work: ~ ,-.
~
PERMIT FEES
No, Type of Fixture or Item Fee r,..,
SPECIAL CONDITIONS: L1 WATER CLOSET (TOILET) $ I /J(
L. BATHTUB I
4 LAVATORY (WASH BASIN) I
2 SHOWER -/ (
,..._:1 KITCHEN SINK & DISP. ;, "r .
DISHWASHER "
APPLICATION ACCEPTED BV PLANS CHECKED BV APPROVED FOR ISSUANC, BV LAUNDRY TRAY
I .. \
CLOTHES WASHER
J WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR--SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABAND(JNED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK ' MENCED. I GASSYSTEMS:NO.OUTLETS /4 } I HERE BY CERTIF Y THAT I HAVE READ ANO EXAMINED THIS .,,·
APPLICATION AND KN OW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISION S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIT H WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
cd/-CESSPOOL
i?fi{ /-v? -72 SEPTIC TANK & PIT
.
SIGNATURE OF CONTRACTOR OR AU THORIZED AGENT (DA TE I
PERMIT $ ) X,'
SIGNATURE 01" OWNER (IF OWNER 9U ILOER) (DATE) TOTAL FEE $ j/ ,J-
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O. CASH
INSPECT OR
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
EN GINE ERING DEPARTMENT SE BUILDING DEPT.
7 29-11 8 1 EXT. 35
ISSUED BY FOR APPLICANT TO Fl LL IN DATE ISSUED ' l 7,
BUILDING
ADDRESS VALIDATION
OWNER
MAILING
ADDRESS
LATERAL CHARGE COMPUTATION
CONTRACTOR STANDARD 4" (Max. H. 30', v. 10') I
OVER 30' H. @ FT.
CONTRACTOR'S OVER 10' V. @ FT.
ADDRESS STANDARD 6" (Max. H. 30', V. 10')
OVER 30' H. @ FT.
NEW BUILDING I EXISTING BUILDING I OVER 10' V. @ FT.
LEGAL DESCRIPTION TOTAL CONSTRUCTION COST -SE RVICE CHARGE (REPAVING ETC.) .
TOTAL LATERAL CHARGE
REMARKS: LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
LATERAL LOCATION CONNECTION FEE
i-.: en I I i-.: en NO. UNITS 1 COST PE R UNIT -TOTAL
/" '\ r ' PUMP STATION FEES
'-l.l \.. .,/
NO. UNITS COST PER UNIT TOTAL
I I ST. .)... Oe) I!)'()
TOTAL CHARGES (LATERAL ETC.)
LATERAL NO. INSTALLATION DATE
I .
I
.LL~ J. D nu.c.. r r1 n.11·1r:.L~ .l .t"U..I ..L l~ L' V nl'U-\ J. .L VL~ Cl n .i:..u .l
' . .
BUILDI NG DEPT . GP 0
PLAN RECEIVED BY _______ DATR ECEIVED
BUILDING ADDRESS
•
PLANNI NG DEPT .
UNITS PROVIDED ___ ___.f'--______ ALLOWED __ .,,../_4~ ___ ZONE ff -3
PARKING SPACES PROVIDED Cf REQUIRED '4-----------'-----------------------~-----
SETBACKS ___________________ PROTRUSI ONS I N SIDEYARDS __ 4-/_j_vt_L_
-n ~l -I /
· · 1, I I 1 I Ji'/ .IY: ""' . / b / c"
ENGINE ERING DEPT.
, ·-"me, ••
INDUSTRIAL WASTE A/A R. O • W. "1 0 N ,=
----------"--"-................... ~------------
SEWE R CONN !'""-{)o 00 4. ut1,..., s
NO pt-UM ,S/~.)C,.. ,.-;-L ,9 J -,1-~r::,tv~
I MPROVEMENTS ___ ~tJ"'"-"'O ......... ~=) ~E:.-_· _________ _
DRIVEWAY LOCATIONS ---------------------------------------------~
DRAINAGE ? -NO PLAU-' EASEMENTS ~----------------------------
F-v-c;;-:;s p A IZ C '~ ,: ~ l:'(~~3 ~. LEGAL DESCRI PTION_~O~F-~P~7---'0~+.l-.~fl-=W~Y~'~s ---=---=.;.;_;:......::::__;..._ ____ -'---"'----'--"--
) /.)
ISSUE PERMIT "--c:.__.J DATE
FIRE DEPT . =
i ,,,.~ ( CIZ 1£ /J -r t= :..:i t;' E Y'/ )'
ef-/~ -le. OCCUPANCY _____ DATE ___ _
SP RI NKLING SYSTEM _________________________ --=-----------------~
FIRE PROTECTION EQUI PMENT IJ5 S ~'10 0-1'J Pµ224>FIRE ALARMS _______ _
EXITS-----------------------------------------------------
FIRE HYDRANTS (location) __________ .:..-----~-----------~
I SSUE PERMIT 4_vg~t..M.~DATE ~ -/2,-7 2. OCCUPANCY ______ DATE ___ _
WATER DEPT .
COMMENTS -----------------------------------------------~
ISSUE PERMIT DATE OCCUPANCY DATE ---------------------------------
I