HomeMy WebLinkAbout1301 OAK AVE; ; 63-5263_MISC; PermitAPPLICATION FOR B u l f1 DING PERMIT
5263
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name ..... &/r.r.. .................. £.. ............... 22 ............... Mailing
(Please Print) //1 (Lost) (First) (Middle) Add,o,s /~~:,:aq,[ ~# Pho"
Contractor ........... ~ .................................................. Mailing
( Please Print) Address ..... ~~-······································ Number Street City Phone
To Construct ~dd 0 To Alter D To Repair O To Convert D To Move From ······~···············································
Type of Const.?-~. Kind of Foundation ...... ~ .. f. ....... No. of Stories ................ To Be Usod fo~~~~.ess
(Freme, Masonry, Etc.) (Ono Family D ling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ........ .t/C..a ................ Const. Valuation $ .......... /..9..d?.?..'2. .... ~.~ ......................................................... .
attached 0
Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ..................................................................................................... .
LEGAL DESCRIPTION Lot Block Subdivision · · · ··· · · ·· ········· ··· ·
::~:;:::. L.3;i6-~4?i7 :::::::~::: ~.:zp~···:: =:~~-::
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ............. 2:::::::-....................... (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
~ ADDITION? YES................ NO ................ .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tendered for payment of the above fee end the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
Front Yard Set Beck ..................................................................... . Driveway Permit Required Yes ( No ( ) Fee
Side Yard Set Back ........ ~~··········································· Grading Permit Required Yes ( J No ( ) ...................................................... .
Rear Yard Set Back ........ /..£. .. ( ...................................... _ Sewer Disposal Plant Capital Cont. Fee .................................................................... .
I" ..
Distance Between Bldg ...... /.C>. ........ ~ .... . Sewer Pumping Station Capital Cont. Fee ................................................................. .
Off Street Parking Spaces ........ ~. Sewor Main Line Cost ..................................................................................................... .
Sewago Disposal System ............................................................... . Sewer Lateral Connection Charge ............................................................................... .
Zone -Residential ( ) ······•···········•·························•··············· Water Stocked Lands Charge ....................................................................................... .
Zone -Commercial l ......................................................... . Water Main Pipe Line Fee ........................................................................................... .
Variance Water House Service Charge ....................................................................................... .
Eng. Check By ............................................................................... . Water Moter Charge ..................................................................................................... .
Sub Total ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••u••••••••••••••••••••••
Plans Ap~rov y ............... ··~·_ .... 7 ................................................. Pl~n .Check Fee .............. 0 .. ;; ... 0 ............................................................... .
Approve by ........ 1 ••..•••••.••• ·-"'···~~ •••.••. Building Permit Fee ......... Y.. ................................................................................. . (;_ q, er c,
Date ............ d. " .... 8"--../............................................................ Total Charges ....... / ................................................................................... .
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ELECTRICAL PERMIT APPLICATION 12.
City of CARLSBAD, CALIFORNIA 92008 . -,/ --.6,,7/
Applicant to complete numbered spaces only Phone 7 29-1181 Perm 1t No 0 r:J .
JOe ADO .. [55
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LE.GAL 1 DUCN.
l LOT NO, I ILK
I TNACT <O S££ ATTA(Ht.O SHtCT)
20WNR (_.: en \'"\ '{'() '~AIL,rUSS ---l f ZIP PHONE.
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CON Tlll:AC TO ft 7 / :{ MAIL AD0'9!£S5 PHON [ --:ti LICCNSt NO, STATE CITY
3 11 L I l/11J,,t ~
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·. ,_ ... i I I _. I' ~ ,i _I
A"CHITCCT 01111 OESIC.Nt.11 MAI L ADDJIICSS PHONE LIC[NS[ NO.
4
E.HGIH££N. MAI L AODflU:.s s PHONC LICCNSC NO,
5
COMPENSATION INS CARRIER MAI L AOOIIIIESS &111:ANCH
6
~
use OP' IUILDIHG /, / ,,,
7 ,I ~
8 Class of work: ONEW 0 ADDITION ~LTERATION 0 REPAIR
9 Describe work: ./11 ..A'_.l---1. ~ _ L"t t / '-f!__. /C; ia /CCa . -
V
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
, ?, 'JC
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUAN/ BY AMPERES OF MAIN SERVICE, SWITCH,
I FUSE OR BREAKER
( ~ DATE ~/5/l ( NEW SERVICE ON EXISTING BLDG.
NOTICE / FOR EA. AMPERE OF INCREASE
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
PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS cor.: REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF .10 I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE ..-
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ,):J /IJ t.. 0 ALL PROVISIONS OF LAWS ANO 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.
( ---4--PER 100 -
SIGNATU"I. OP' CONT"ACTO" 0" AUTHO .. IZ.l:D AGI.NT IDATCI ~/'")
PERMIT FEE
// ti • .,....,_..,..,•r np> l'IIWNt.111 IP' OWNl" aUILDI.") (OATCJ ,;~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
~& -3, I
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
'
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
3-15-76 Change of Elect. Service: 0.K. E . Plude