HomeMy WebLinkAbout1284 PINE AVE; ; 72-1431; Permit1c2 --14-31 BUILDING PERMIT APPLICATION
Permit No.--~---
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
Joe ACOR £S5 \ 0 '-::e 0 z (l)
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LOT NO. I BLK I TRACT ~ 0
L E GAL I t0SE£ ATTACHED SHEET) 1~ ,iJ 1 DESCR.
WI f~
OWNEl'I ,j MAIL A DDRESS ZIP PHONE VI
2 \ \ ( L i ) \ I~-,,_ ' I
CON TffAC TOR
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MAIL 4DDRESS PHONE LICENSE o.
3 '.:\
ARCHI TECT 0 .. OESICNCR MAI L ADDRESS PHONE L ICENSE D.
4 --ENGINEER MAIL ADDRESS PHONE LICENSE "fO.
5 (;... 13' I~
LENO EA MAIL ADDRESS BRANCH
6
USE Of' BUILDING
7
8 Class of work : O NEW 0 ADDITION D ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : I .. I () • I I 4... 5 O'>t.>..:, l l ~0.0 :MS
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10 Change of use from
Change of use to \_/ ,,..-_,h
,L---/;1 o,o 0 "-I PERMIT FEE ·~o JP.-' 11 Valuation of work: $ PLAN CHECK FEE
SPECIAL CONDITIONS: Type of Occupancy
-'\.l,I. Group L Division ~ Const. r
Size of Bldg. No. of ( Max.
(Total) Sq. Ft. Stories 0cc. Load -
Fire ~ Use Fire Sprinklers
APPLICATION ACCEPTED BV: PLANS CHECKED BV APPROVED FOR ISSUANCE BV Zone Zone Requlfed 0Yes QNo
#~ No. of OFFSTREET PARKING SPACES: 4/fV' r,.../A~ Dwelling Units Covered I Uncovered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR Al R CONDITIONING. HEALTH DEPT. .
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT. -
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A ! SOIL REPORT I " --PERIOD 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 AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS \, TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED I . HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ' r I
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING f I l CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ! l I
t l I
SIGNATURE OF CONTRACTOR OR AUTHOR!Z.E.O AGENT (DATE) l
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~
SIGNATURE 01" OWNEH (IF OWNER 9UILOER) (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
z
0
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.
ELECTRICAL PERMIT APPLICATIO
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Permit No .. _/~----~ .......... _,_
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
J08 AOD" ESS
....,;,
1 ~~=~~-<OS£~ ATTACH!.C> SHE.ET)
OWN£" ZIP
2
CONTIIIIAC1'0R: MAIL ADDIUSS PHONE I.IC tNSI. NO.
3
A"CHITECT O" DICIIIGNC" MAIL ADD111E55 PHONE: LICENSE NO.
4
I.NGIN!:£" MAIL ADC,.ESS PHONC LICIEN:5 NO.
5
LE.NDltfl MAIL AOOA£S5 IUIAN(;t,l
6
US£ o, BUILDING:
7
8 Class of work: ONEW El ADDITION !2r ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. AL.L 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.
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(DATEI
~ OWNEfl 1, OWN E.1111 BU 11 .. D!." DATE:
ISSUANCE OF EACH PERMIT
NEW SERVICE ON EXISTING BLDG
FOR EA. AMPERE OF INCREAS
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER .
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
MINIMUM PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
M.O. CASH
"'tJ ... <n 0 .., .. 3 ,. -· " .... " "2 ~ 0 .. .
PLUMBING PERMIT APPLICATION
Permit No. City of CARLSBAD, CALIFORNI~
Applicant to complete numbered spaces only.
Joa AOOR ESS 0 L -i:J
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LOT NO. I BLK
I T~ACT ;u g :z LE<iAL r (QSEE ATTACHED SH~ETJ 1 OESCP. I• :u?
-11 ft1
MAIL ADD,-£S5 tip PHONE V> OWN£, .. V>
2 L: i \~~r.r"tl I ,,n A~ I I Jt,\I 1
CONTRACTOR • MAIL A.ODRESS PHONE LICENSE NO,
3 .:,~tf 1-,.
ARCH ITECT OJ\ DESIGNER MAIL ADD~ESS PHON£ LICENSE NO, lb. 1~
4
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ll\
£NGIN££R MAIL ADOA£.55 PHONE LICENSE NO.
5 ( _,
LE.NOE'4 MAIL ADDRESS !I RANCH .
6 c-t{
USE OF 8UII..OING I•
7
-8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ,-~ n.-.""' \ ~ (,1". . I) .. ~., f "'? l. ,J _<' ........ ., .
{ ..tJ 1) 1Jr ~ ~ ..__ . ..._q ... ,..)(...,
' PERMIT FEES ' No. Type of Fixture or Item Fee
SPECIAL CONDITIONS· WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATIOIII ACCEPTED BY. '''~'"'~~ '"';::)~'"cr" LAUNDRY TRAY
r.J/Y'--CLOTHES WASHER
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 ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK
MEN CED. GAS SYSTEMS, NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. t _, ) 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER ...
CESSPOOL .
/ SEPTIC TANK & PIT -~ -~
SIGNATUft£ OF CON!AACTDR ..OR-AUTH0"12ED A,t-...T (DATE)
PERMIT $
I I TOTA L FEE $ SIGiNATU"E OP' OWNER (If' OWNER BUILDER DATE) I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA LIDATION CK . M.O. CA SH
INSPECTOR
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
EXISTING BUILDING
LATERAL LOCATION
ST.
i-: en
LATERAL NO, _______ INSTALLATION DATE-------
BUILDING DEPT.
ISSUED BY ----"--..:..::...:.___;;_.:....:.... _________ _
DATE ISSUED -----------------
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @=~· ___ FT. _________ _
OVER 10' V. @ FT. _________ _
STANDARD 6" (Max. H. 30', V . 10') ________ _
OVER 30' H. ___ @, ____ FT,----------
OVER 10' V. @ FT,----------
TOTAL CONSTRUCT! ON COST-----=-----
SERVICE CHARGE (REPAVING ETC.) ____ __;_,_...c..._ __
TOTAL LATERAL CHARGE ____ ___;;__;:._ __ _
LINE COST DATA
ASSESSMENT DIST. NO,--------------
FRONTAGE ____ COST PER FT. ___ TOTAL __ _
OTHER--------------------
CONNECTION FEE
NO. UNITS ___ COST PER UNIT ___ TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UN IT ____ TOTAL---
TOTAL CHARGES (LATERAL ETC.) ____ 2~~~9:-__ SD __