HomeMy WebLinkAbout1031 PALM AVE; ; 76-629; Permit0
BUILDING PERMIT
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APPLICAT10I c)O
1 •
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 -,/ /
Permit No.
Joa ADOR ES!i ASSESSOR'S
_,,/ ?/ Y?-C,r PARCEL NUMBER
1.01 NO. I OLK I TAACT
BOOK PAGE I PAR,
LEGAL I tOSE.C. ATTACHED StiC:CT) 1 otsc•.
OWN£" MAIL A00"C55 l IP PHOHl.
2 -_....,.._~ )~ .le r.--, ~
CONT"ACTOA MAIL ADD•tss ~"-,, h: PHONE LICCNSt NO, STATE CITY
3 ~1 _;~ ...-. :, r /. ; ~ y P _;77I ,, //),;,, ..,. ~
ANCHITECT OR DlSICNtR -MAIL AOOACSS , PHONE LICCNS[, NO.
4
tNGINEE.R MAIL AOORCSS PHONE LIC[.NSC. NO,
5
COMPENSATION INS, CARRI ER MAIL AOO"I CSS L~# 8"ANC~
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\JSC g,-BUILDING . , . ,~_~' / -, / -
7 ,I -
8 Class of work: ~NEW 0 ADD ITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
I) I I) 7k' --:r· /"".'.t_..:J ~/;L
7--/ r "° .
10 Change of use from
Change of use to
11 Valuation of work: $ 9.lt: ---PLAN CHECK FEE$ I PERMIT FEE $
eyo __
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
S,ze of Bld9. No. ot Max.
(Total) Sq. Ft Stories 0cc. Load
Fire use Fire Sprinklers
/
APPLICATION ACCEPTE O ev PLANS CHfCKE 0 ev APPR0VE0 FOR ISSUANC~~• "'Zone Zone Required OYes □No
DAT /2#. ,. OFFSTREET PARKING SPACES:
DATE f • / No. of I No. Dwelling Units No.
Covered Sq. Ft. Open . r Special Approvals Required Received Not Required NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC• I----. -
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, 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 WtLL 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.
1/r~r;t,~--,#, '{_d, .;!'#'
SIGlolATUJIIE or tONT .. ACTOJll 0111 AUTHO"fZ.ltD AGENT (DATt)
-.SIGNATUflE or OWNER ti,. OWNl" •u1LOE"I O.&.TC) ~-
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT , .... -.......,_...._
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION 1 CK,
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
4-2-76 Steel and bonding: O.K. to gunnite. T . Mata ---
0 •••• 12.
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only -Permit No 7 t -b 3 /
JOB AOOllt CSS
/~?/ Y'2r!~~ .--~ .-
LOT NO. I 9LK
I T••c T LtGAL I 1 Dtst•.
OWNltflt ~4½~ MAIL AOOft[SS ZIP PHONC
2 -I•
3 CONT.4CTO•?~ MAH.. ADO"CSS ~ PHONE. LICtNSt NO. STA.TE CITC',;;11 j . .fcJ / "')J,-'y9 ,11/J~/hl,, -~,_...., --~ :;----,..,,, ~ ~t--"' 'J 0/
A"CHITltCT OR D~SIGN(fll ~ MAIL ADD,.CSS -/ PHONI: LICCNlil: NO, ~
4 ;
ENG IHI.£" J.AAIL AOOllU.SS PHOH( LICENSE HO.
5
COMPENSATION rNs. CARRIER MAIL AO0fll£5S alllAHCH
6
use o, 8 UILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
q Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK&, OISP.
DISHWASHER
_.PPLICATION _.CClPTEO 8'f PLANS CHfCl<EO BY :p~:?.ii;;~'-~ LAUNDRY TRAY ,
~/: CLOTHES WASHER
WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL ANO 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 ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED / GAS SYSTEMS. NO. OUTLETS.U-:-r./ /;.-•• fc;r I Si"~ I H~REBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
APPLICATION AND KNOW THE SAME TO Bl: TRUE ANO CORRECT. / WATER PIPING &. TREATING EQUIP. I )-o ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH 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 ,. J:.; PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
~?;ra(~-
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATUIIIE. o, COHT111tAcfo111 Ofllt AIJT~o .. ,z,o AG~NT (CATI.I
PERMIT $ 7 ..:
51C,.,ATvlll£ o, OWNl.111 (IP' ow-.c" 9UILD£111 OATtJ TOTAL FEE $ -~ l~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
u· C
ELECTRICAL PERMIT APPLICATIOI\I r
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
Joa A00llt [SS
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LOT NO, I &LK I r•Ac T
LCGAL I <Ostc ATTACHE.D SHct:Tl 1 ouc•.
OWNEIII 'f . ~JA:~;__, MAIL ADD .. ESS ZIP PHONE
2 ~
CONTIIIACTO,t ,,;-MAI L ADORE$$ _ha~ PHONE LICENSE. NO. STATE C ITY
3 . _,
~-<"".-&'~' -/--I // ' ., _J /.., , ., , ,,
AIIICHITECT ON DESIGHEIII MAIL A.DOJll:.SS / PHONE -LICCN5£ NO,
4
lNGINltEllt MAIL AOOfltESS PHONE LICE.NS£ HO,
5
COMPENSATION INS CARRIER MAIL AOOlltESS 8f'-A,NCH
6
USE o, IUILOING
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
d, t!} -
NEW CONSTRUCTION, FOR EACH
lll'PLICATION ACCEPTED BY. PLANS CHECKED BY APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
I'--.. / I • / ( NEW SERVICE ON EXISTING BLDG. D ATE
NOTICE FOR EA. AMPERE OF INr.REASE ~ IN MAIN SERVICE, SWITCH, FUSE (.--
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER --.• ,/
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF /-' . .,,/ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, AL TE~TION, NO CHANGE PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS co~i
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND OROINANC~ GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DO ES 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 O F CONSTRUCTION.
~ TEMP. SERVICE OVER 200 AMP.
PER 100
/'!,,,,,-,~
StGNATUIH. OP' COHT"ACTOfl Ofl AUTHO,IIIIZl:D ACl:NT (DATU
PERMIT FEE /-t•.k
i-.,.e: ... lTu•a: OP' OWHEclll ,,. OW ... 1911 autLD~", DATllJ
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR