HomeMy WebLinkAbout1005 CARLSBAD VILLAGE DR; B; 72-1282; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008PPrm,tNn , ~V '' ) / ~"* ' ™' *
Applicant to complete numbered spaces only PhO06 729-1181
JOB ADDR CSS
1005 B Elm Avenu*
LOT NO BLK TRACT
. LEGAL
1 DESCR
OWNER MAIL ADDRESS ZIP2I.W. Italian 302 K. Manchester Blvd. .In«l«ood.
CONTRACTOR MAIL ADDRESS PHONE
3 &Md A. Mlchka 933 W. Washington Ave.. El Calm-, 92020
4 Planning/r^lgn Collaborative 600 Davis. Pvaaston. III.
ENGINEER MAIL ADDRESS PHONE
5 SKfHE
LENDER MAIL ADDRESS
HOKB
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PHONE
Ca. 9Q305 677-2131
LICENSE NO f/i^** , f
442-0891 258165
LICENSE NO
491-1103
LICENSE NO
BRANCH
USE OF BUILDINS
teal Estate Office
8 Class of work D N€W D ADDITION $ ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work _, ,-, ,, , * . , , ,Floor to ceilitu: part. I HOT* with dry eelllnR aru
10 Change of use from „ _ «- *frJwHv oifice i<nJr. September 27. 1^72
Change of use to Iteal &st&t& Office
11 Valuation of work $
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
f
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR At R CONDITIONING
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
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
/ * ' /
SIONATURE OF OWNER [IF OWNER BUILDER) [DATE)
PLAN CHECK FEE
Type of
Const
Size of Bldg
(Total) Sq Ft
Fire
Zone
No of
Dwelling Units
Special Approvals
ZONING
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS
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Occupancy — - -, _ j**7
Group — Division
No of Max
Stories Occ Load
Use Fire Sprinklers
Zone Required Qves DNO
OFFSTREET PARKING SPACES
Covered Uncovered
Required Received Not Required
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YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
Permit No
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
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OWNER ~) , -. MAIL ADDRESS IIP PHONE2 >icft< ' / / <* /'' / '/'- ^y<y ^ ? /-1 /$X/'A '5 A*/ 'ifMiufWDCONTRACTS* / TrfAl'L ADDRESS * ' , / * ' PHONT ' * / LICENSEE Sb
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ARCHITECT OR OESIBNER f MAlk ADDRESS PHONE LICENSE NO
4
ENCINEER • MAIL ADDRESS PHONE LICENSE HO
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BU1LDINC
7
8 Class of work D NEW D ADDITION D ALTERATION D REPAI R
i / / y* "9 Describe work *+~3--j <* /' & - X y '> / > /
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SPECIAL CONDITIONS
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APPLICAT/CrfJ ACCEPTED BY PLANS CHECKED BY APPROVED FOR tSSUAN&f BY
/ J ^ /'
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
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
SIGNATUR^O? CONTRACTOpf OR AUTHORIZED A66NT / (DJTTE'J
SICNATURE OF OWNER (IF OWNER BUILDER) (DATE)
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PERMIT FEES t \
No
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Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK* OISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT $
TOTAL FEE $
Fee
$
/*>&
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
&Permit
Applicant to complete numbered spaces only
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
- 315**i***i
JOB ADOR ESS
4 LESAL
1 DCSCR
&"
ATTACHES SHEET)
LICENSE NO
EN6INEER MAIL ADDRESS LICENSE NO
MAIL ADDRESS
8 Class of work ALTERATION D REPAIR
9 Describe work
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PERMIT FEES
SPECIAL CONDITIONS
ISSUANCE OF EACH PERMIT
No Each Fee
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
N EW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
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 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE 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 REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
NEW SERVICE ON EXISTING BLDG
FOR EA AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGEIN SERVICE, FOR EA AMPERE OF
INCREASE
TEMP SERVICE UP TO AND I
ING 200 AMP
UC-
TEMP SERVICE OVER 200 AMP
PER 100
SIGNATURE OF CONTNAOTjnt OR AUTHORIZED AGEHT
MINIMUM PERMIT FEE
SlttNATURK OF OVUMCR (IP OVUMER BUILDI*)tPATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
is>
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR