HomeMy WebLinkAbout1330 OAK AVE; ; 72-510; Permit0 0 ~
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City of CARLSBAD, CALIFORNIA "' > "' 0 ....... , 0 "' Applicant to complete numbered spaces only. M "' "'
BUILDING PERMIT APPLICATION 1
JOB AOO A 133 0
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OA-k "' ' LOT NO. I OLK ll>~r r1,1B1to l Ri:tt/sCHED
5/V7/4-P , hi, l LEGAL I {{°t 1 OESCA. ~ A ,
2owN:_;;{/u_g~ /UJ~-C;;:JORES()'s, de M~) PHONE ·• ~,
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CONTRACTOR~ I {~ u.e, h e.,~
MAIL A.D0A£S5 PHONE LICENSE NO.
-l n I } !~ ARCMITECT OR DESIGNER ...J MAIL ADDRESS PHONE LICENSE NO,
4 ., !· ....
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ENCINEER -MAIL ADDRESS PHONE LICENSE NO. 1 •..,,;
5 ~ I?'
LENDER MAIL ADDRESS BRANCH
6
USE OF' BUILDING
~t 7 i
8 Class of work : ll:fNEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:~~ q-r2vi'vl..1.J~ J/J/J 3 6 dr&<M\ r:J. 61-L
u 0 JJ_,1:_~,,w ~~~ ~
V u 10 Change of use from
Change of use to
11 Valuation of work: $ I -PLAN CHECK FEE --1 PERMIT FEE ''/ j.. ), "/,1
SPECIAL CONDITIONS:
___.,.
Type of ~N Occupancy
Const .. Group . ,,._, Division
Size of Bldg. /).hfu No. of ~ Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY· PLANS CHECKED BY· APPROVED FOR ISSUANCE BY. Zone / Zone Required DYes DNo
R. q No. of OFFSTR~T PARKING SPACES:
~ Dwelling Units ' Covered 5 / 'J;i! I Uncovered
NOTICE I Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH 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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-OTHER (Specify) MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED T HIS
APPLICATION ANO 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
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 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (OATE)
SIGNATURE OF" OWNER (If' OWNER BUILDER) (OATE J
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I (
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Permit No. U-Z:;2. City Of CARLSBAD, CALIFORNIA
~ -~ .. ~5i ... ~ , I ~. 92008 "' '-·> '" 0 ..... 0
Applicant to ~omplete numbered spaces only. Phone 7 29-1181 :oz . ~ 0 .. .
ELECTRICAL PERMIT APPLICATION
JOBAOOftES/3 30 r:;~_,---.z /
1w. 7 I LOT NO, I &LK,
I fRACT ' t.EGAL (05££ ATTACHED SHEET) t OESCII. . '
/ I ,/ ~-~~ OWNER -:' / hr, '~ MAIL hS ZIP PHONE " 2 ----//,-<. '-1 't..( :/ i/ .. i .. ( ( . C r"' -~
CONTIIACT/11 I/ L A ';f ,F , MAIL ADDRESS )ti PHONE .,.,r . 3s:.:;o;J y ;..-.._ -~ ,, 3 : /) l'C L./ /' ////') "' . . ,.. \ (/f,/1:-r
A"CHITECT 0111 DESIGNE .. MAIL ADD .. ESS PHONE LICENSE NO. -l .
4
., ~ CNG.INEEA MAI\. ADDRESS PHONE LICENSE NO,
5 -~
LENDER MAIL ADDRESS . BlllANCH Ir'-~ 6 1-....
US£ Of" BUILDING Ir-
7 ,..
'
8 Class of work: DNEW D ADDITION DAL TE RATION 0 REPAIR ~-. ~ " 9 Describe work: -.)
C I
~ PERMIT FEES
No. Each Fee f SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT o!L f-tJ
NEW CONSTRUCTION, FOR EACH
APPLIC':70N ACCEPTED BY: PLANS CHECKEO BY: APPROVED FOR ISSUANCE BY : AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
/.'6,_x~ 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 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 ORDINANCES 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.
pfr;-,/ ,,/1~Ji-:.-" TEMP. SERVICE OVER 200 AMP.
1L,,/.1;,L-PER 100 /tf-t; ;; r/1 ./J . 2-)·~'
l'c... ,# {,
SIGNATURE OP' CONTflACTO .. OIi' AUTHOIIIIIZEO A.Gr.NT (OATEI f
MINIMUM PERMIT FEE ;}?, ~ !IIGNATUlltr. OP' OWNER (IP' OWN£" BUILDE" (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
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
OTY OF CARLSBAD SEWER
BUILDING DEPARTMENT PERMIT. APPLICATION
S-17-'71...
FOR APPLICANT TO FILL IN
LEGAL BUILDING l-3 CJ A--Jc. DESCRIPTION LOT NO ADDRESS 30
BLOCK TRACT NEAREST CROSS ST. USE OF
BUILDINGS OWNER ----MAIL
CONTRACTOR ADDRESS
ADDRESS CITY TEL. NO.
CITY TEL. NO. CONNECTION DATA
CONTRACTOR"S STATE CARLSBAD BUSINESS Lateral Charge Computation
LICENSE NO. LICENSE NO.
30' H., 10' V. @ 4" = __ b"=---
Add. Horiz. @ 4" ___ I:," -= NO. DESCRIPTION OF WORK FEE -------
HOUSE SEWER CONNECTING TO Add. Vert. @ 4" = ___ I:," -PUBLIC SEWER • $3.00 ---
~ SEPTIC TANK, SEEPAGE PIT OR Total Construction Cost PITS 0 $!5.0~ ---OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN .•
CESSPOOL. DRYWELL. MANHOLE • $!5.00 10% Service Charge
HOUSE SEWER CONNECTING TO Total Lateral Charge PRIVATE DISPOSAL SYSTEM • ~ ---CONNECT ADDITIONAL BLDG. OR Lat. No.: ~ Logged in Plat: WORK TO HOUSE SEWER • _ Sl.!10 ---ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM 0 $2.00 LINE COST DATA ----• s A. D. & Assmt. No. __
LINE COST: --
OWNER'S I PERMIT $ 2 00 C. C. @ __ / dwelling
AUTHORIZATION TOTAL FEE P. S. @_ --I dwelling
OTHER I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-TOTAL ING TO THE PUBLIC SEWER. ~cg® SIGNED THIS DAY OF Grand Total, Lateral, etc.
OWNER OR
OWNER"S AGENT FOR SEWER LOCATION
ADDRESS
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 c.n c.n STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-NORTH BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP-ENGINEERING SEWER DEPT. ERTY.
SIGNATURE Signed -I Signed OF PERMITTEE
This 11 a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By
PERMIT VALIDATION
INTERDEPARTMENTAL IN 11ATION SHEET
BUILDING DEPT . RECEIVED
PLAN RECEIVED BY ~ DATE --'---------------~ ---MM4A'~r~2~s~1~s1~21--
J33o a>d s;,,I. BUILDING ADDRESS
OWNER /
CONTRACTOR ~ lftz.5' ~tt ;9,...,_, ,, / •
PLANNING DEPT .
CITY OF'CARLSBAD
Buildinc Department
UNITS PROVIDED I ALLOWED I ZONE 1? .. I
---~-------~ ---'------I
PARKING SPACES PROVIDED REQUIRED -------------~ -------
SETBACKS __ CJ ___ /(~----------~PROTRUSIONS IN SIDEYARDS t!J ,{:°
ISSUE PE&"'iIT a_YM\ DATE 4,./,.J OCCUPANCY ______ DATE ____ _
ENGINEERING DEPT . ; err m
IMPROVEMENTS __ ~d~Q~A~/f'-----------~SEWER CONN.
DRIVEWAY LOCATIONS~n~~-'--_;_V~~~~-,...,,..:__~1'_~'2....:;...;.::~~~=-=U~1~~-=---=-------------
).s 15 I
[l..-1 7«--, 7 lJ NfS
h f'2_t Ai... 'C. «...Q.S :l__S2. D.( 7-{p-~~
ISSUE DATE .S---2-s-7-Z..,, OCCUPANCY DATE ---='------7 ----------
FIRE DEPT. ---~-........--·--..--m-------
FIRE PROTECTION EQUIPMENT FIRE ALARMS --------------------
EXITS---------------------------:--------~
\ FIRE HYDRANTS (location) __________ __. ______________ _
ISSUE PERMIT DATE OCCUPANCY DATE -----------------------
WATER DEPT.
COMMENTS
_. ... ·. --------------------------------~
----·1
ISSUE PERMIT DATE OCCUPANCY DATE ------------------~ ------