HomeMy WebLinkAbout1070 BUENA PL; ; 77-5228; PermitCity of CARLSBAD, CALIFORNIA 92008
COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH
6
9 Describe work:
10 Change of use from
Change of USE to
11 Valuation of work: $ mI 1 Gq, $& PLAN CHECK FEE S sf’ e 0 I PERMIT FEE S 74* cL.rc u”@
Occupancy MICRO FILM FEE SPECIAL CONDITIONS: , Typeof Conrt IGroup 5: e ’ I
ENGINEERING DEPT.
WATER DEPT.
(DATE)
----
SIGNATURE Or OWNER (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
/4 -,
INSPECTION RECORD t
I DATE I REMARKS I INSPECTOR
FOUNDATIONS: I
SET BACK I TRENCH I I I
~
REINFORCING
FOUNDATtON WALL 81 WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only. Permit No: 7 ' ?..:a *
JOB ADDRESS
PHONE CITY LIE. NO.
*I
MAIL ADDRESS PHONE LICENSE NO.
I/#& 734-799T
MAIL ADDRESS f PHONE LICENSE NO. 6
6 COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
USE OF BUILDING
I) Clam of work: 0 NEW oaDDlTlON 0 ALTERATION 0 REPAIR
SPECIAL CONDITIONS:
APPLICATION ACCEPTED EV CLAN6 CHECKED BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK 0 COhSTRUC-
CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED.
TlON AUTHORIZED IS NOT COMMENCED WITHIN 12 g OAYS,OR IF
P€RMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
I I I i I I
NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER
REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE
I I
TEMP. SERVICE UP TO AND INCLUD- ING 200 AMP.
TEMP. SERVICE OVER 200 AMP. PER 100
I I I I I I
ISSUANCE FEE
TOTAL FEES c
2
- - /WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION at. M.O. CASH PERMIT VALIDATION CK. M.O. cnsn
. ... i .
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729-1181
CERTl FlCATlON
I certify that in the performance of the work for which this permit is issued I shall not
employ any person in any manner so as to become subject to the workers' compensation
laws of California. If, after making this certificate, I become subject to the workers' compensstion pro-
visions of the California Labor Code, I will forthwith comply with Section 3700 of the
Labor Code. I understand that if I fail to comply with the workers' compensation laws, this permit
shall be deemed revoked. I further certify that if I should contract or subcontract with any person, including any
firm or company, to do all or part of the work for which this permit is issued, 1 shall assure
compliance by that contractor or subcontract he California Labor
Code.
PRINT NAME AND TITLE:
RECEIVED INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE :
1 ' 1977 ',BUILDING ADDRESS: /'ZJ 70
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PBOVIDED
PARKING SPACES REQUIRED i PROVIDED
% COVERAGE ALLOWED i PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: REAR SETBACK:
ALLOWED
PROVIDED
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN CO~MENTS:
ENVIRONMENTAL PROTECTION REQ: ,/-
/,'
ADDITIONAL COMMENTS: /
Q.K TO ISSUE: DATE OK TO FINAL // DATE
c ENGINEERING DEPARTMENT
R.O.W. --'- INDUSTRIAL WASTE .I...----c IMPROVEMENTS e%r
SEWER CONNECTION ---- - DRIVEWAY LOCATIONS -
EASEMENTS &7c; - DRAINAGE GRADING PERMIT --_*. - pa
LEGAL DESCRIPTION Le* /3 [ 5 Cr9;/ +e= ,pc2 s& -s&x..w S49-A
ADDITIONAL COMMENTS -
FIRE DEPARTMENT
SPFIliKLING SYSTEM FIRE PROTECTION EQUIP.
FIRE ALARNS EXITS
FIRE HYDRANTS LOCATION
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE