HomeMy WebLinkAbout1011 Home Ave; ; 77-1976_misc; Permit-MODEL NO, __________ _
BUILD(NG PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Pho 729 1181 ne -Perm1trNo. .• _r·,;.,l,;,,
JO& ADDA C!S \ ASSESSOR'S
II I to /11c. n V '-· PARCEL NUMBER
LOT NO, I aLK I TUCT
s~~K
P;GE I PAR.
LEGAL I /J lJ // {0$tl ATTACM[O SHEET) 1 DESt•. I J 1(
OWNC.111 MAIL A.00,-[55 ' ZIP PMONC
2 I.I ( L /'• ) , ~ -
CON TIIIAC TOIII MAIL ADOPl[SS PHONE STATE LIC. NO, C !TY LIC. NO.
3 :;.,t.__...,
A,-CHITCCT OR 0£51GN£11 MAIL AOOACSS PHON[ L ICCNSC NO.
4
CNGINCCA MAIL AOOACSS PHONE LIC['-'SE NO,
5
COMPENSATION INS. CARRIER MAIL AOOlltCSS 8111ANCH
6
US£ Of' IUILOINC I 7 ,, ,,. Ir/-I NO. BDRMS NO. BATHS
8 Class of work: □NEW 0 ADDITION .Q ALTERATION 0 REPAIR 0 MOVE 0 REM OVE
9 Describe work: (. )11/~IT ( A'/ J /'//1,, a, tlJ-,, ,, e / ,;_/,.o "C.
/ / /
10 Change of use from , ,l r, /t' 7, t) ( ~ /"--.
Change of use to
11 Valuation of work: $ -A /, ,xl_j,J ;-/_ )-,. l /? r
.JA,-., T. -PLAN CH ECK FEE S -PERMIT FEE S -SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
s,ze of Bldg No. of Max.
(Total) Sq. Ft Stories 0cc. Load
Fore Use Fore Sprinklers
APPllCA foON ACCEPTED BY PLANS CHECKED ev
APPR°f 1it11!; Zone Zone Required 0 Yes 0No
-✓-· No. of OFFSTREET PARKING SPACES·
Dwelling Units No. JNo. DATE DATE Covered Sq. Ft, Open
NOTIC E Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC· HEALTH DEPT.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT, 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.
,...,.
S!GNA'fulJlt 0,-CONTfU,C:TOIJI Ollt AUTHORIZEO AGtNT (OAT()
I, , 'U /.,,
.SIC.NAT Nlr 0,-OWNE.111 1fl' OWNE91 ■UILDt:IJI) OAT[}
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O. CASH
TOTAL FEES $ __ /_/1_/ __ J_.--__ .. _
INSPECTOR
INSPECTION RECORD 77-/97/,t,
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH .
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING -
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL /-9-?f O_K~ T ma-,/4._ __
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS
LJ-,, .~
LOT NO. I BLK, I TRACT (OSEE ATTACHED SHEET) LEGAL I 1 DESCR,
OWNER ,,;J -~lrtAIL ADDRESS ZIP PHONE
2 ~ .!7>'(._p --' JI.,,.' ~
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC, NO,
3
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: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
iU'f'LICATION ACCEPTEO 'y PLANS CHECKED SY APPROVED FJ)R ISSUAN9f SY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
,.
C 7, /.-JV. DATE/ //(AQ NEW SERVICE ON EXISTING BLDG. u ~ -
~ ~, t FOR EA. AMPERE OF INCREASE /'I --;, !Ii NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER ½ \" -• .A.~~ ~1
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF -I 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 AND 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 STATE OR LOCAL LAW REGULATING ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
/'\ PER 100
•
(
SIGNATU!JE OF CONJ~A CTOR OR AUTHORIZED AGENT (DATE) ~ ISSUANCE FEE
,·.,,,, -, -/ F} / ,/ ;, TOTAL FEES
SIGMA.TuRt. of" oW.ftt.R IF OWNER BUILDER DATE .,
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
• INTERDEPARTMENTAL INFORMATION SHEET
RECEIVED
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE: ________ _
. /t'// ~ ~ OCT 1 21977
CITY o: G~LSBAD Bulldln D~ artment
PLANNING DEPARTMENJ
ZONE+------~--LOT S IZE. _________ LOT WIDTH ________ _
t UNI T5 ~ .._ ~~I~D~E::D'.======----=====-:..._
PARKING SPACES REQUIRED __________ PROVIDED __________ _
•% COVERAGE ALLOWED _____________ PROVIDED
BUILDING HEIGHT ALLOWED __________ PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED __ ......_.,;....---(j4{
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: ~e-~~~.........._=~~~~---------------
ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS___.:,,(/,~7~~LL------DRAINAGE. ____ _
LEGAL DESCRIPTION ____________________________ _
ADDITIONAL COMMENTS ____________________________ _
• OK TO ISSUE: II/ DATE ,IZ()Or?7 PWI ____ OK TO FINAL ____ · _DATE ___ _
FIRE DEPARTMENT
SPRINKLING 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, ________ _
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t01 I JJ.ome Ave..
ea,l,laJ, Ca. 9aQH
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of CARLSBAD, CALIFORNIA " >
5PAID a 0
JAN -~·71A_ cc ot12••· 1it•1 •1PO Applicant to complete numbered spaces only. -• "
BUILDING PERMIT APPLICATION 1
Joe ADDRESS J/ '-/r)//. ~ ' / y ,7 ' \) ~ LOT NO. ' / , "' l ,RACT LEGAL I (□SEE ATTACHED 5HEE:T) ~ 1 DESCFI.
OWNER
··/// "Z?,~ / r,;:)..,,,
MAIL ADDRESS "' PHONE I
2C) ?~q"-S CP:f-t/ ' w ~ .... ,..._.f_ ' ),_ ,
~TRACTOR ,-F •
, MAIL ADDRESS PHONE LICENSE NO. . ~ .,,., -.., . 0 ~ -~ ./ ~ ARCHITECT OR DESIGNEl'I MAIL ADDRESS PHONE LICENSE NO,
4 --·
£NGINEER MAIL ADDRESS PI-IONE LICE:NSE NO.
5 '.\ )
LENDER MAIL ADDRESS BRANCH
~' 6 ' USE OF BUILDING -~· 7 "7-e. ----£? !'I ~~ . ~ -'\ 8 Class of work: □ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
/L /,a. [/ ~
9 Describe work: ,") '/. /tfJrJ ~ ~" ~-✓ p
~ 0/_/ V {/ V -
~nri -. . .
10 Change of use from i? r
Change of use to
11 Valuation of work: $ ""7.s-o.£2.. PLAN CHECK FEE -I PERMIT FEE
~c;j(P ,...; ~
SPECIAL CONDITIONS: Type of Occupancy
Const. Group Division
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire u,e Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED av· ?zZ}l''y Zone Zone Required □Yes □No
No. of OFFSTREET PARKING SPACES:
Dwelllng Units Covered I Uncovered
NOTICE Special Approvals Required Received "Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED JS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERICO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND 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.
SIGNATUIU:. OF CON TRAC TOIi; OR AUTHORIZED AGENT (OATE)
ftU'irf.? ~ C 71?"./i-=-z_
""IGNATU 01" OWNER II" OWNEllt BUILOEPI OATE)
V WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
RFOPIOER l"PIOM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e ~0 SO. LOS Jll:OBLES e PASADENA, CALIFORNIA !il1101
LOCAL CODE COMPLIANCE CERTIFICATION
(Section 221 (d) 2 (f) National Housing Act)
IONE E. ELSNER
Mortgagee
Property Address:
1011 HOME AVENUE CARLSBAD, CALIFORNIA 92008
Street City Zip
IT IS HEREBY CERTIFIED by the Undersig~ed:
1. That he is the ______ _::B:..::U"'I:.;:L:;:D"'I"'N:..::G~I;,:;N:..::S:,::,,P..=E:;:C"'T"'O:.:;R,__ ________ ~of the
{Official Title)
CARLSBAD, SAN DIEGO COUNTY
City-County
.CALIFORNIA
State
2. Tha.t it is a part of his official duties to inspect and/or determine whether
buildings, structures, real property or premises meet or comply with the
requirements of State and Local Laws, Ordinances, Codes, or Regulations relating
to Public Health, Safety, Zoning or otherwise, which may be applicable thereto.
3. That on FEBRUARY 7th , 19 79 , the property of premises above
described was inspected and as of that date said property or premises and the
structures and buildings located thereon did meet and comply with the require-
ments of all said laws, codes and ordinances applicable thereto.
4. That on ~-~--~-~--• 19 , the property or premises above
described was inspected and as of that date said property or premises and the
structures and buildings located thereon did not meet and comply with the
requiirements of all said laws, codes and ordinances applicable thereto for the
following reasons:· ,,
DATED This _ _.s"'e..,v_,,e""n""t""h'--____ d.ay of -~......,e~<--------;:-
(Si gned)
Title