HomeMy WebLinkAbout1343 FOREST AVE; ; 75-915; Permit0 )
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applican t to complete numbered spaces only. Phone 7 29-1181 Perm it No.
JOB AOOA E.SS
L [ CAL I 1 OESCII,
l.OT NO. : I TRACT
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Pl-40NC
ASSESSOR'S PARCEL NUMBER
BOOK PAGE I PAR,
OWNEPI 1.1+ II 2
MAIL AOOACSS ZI p . ( ?) < I
MAIL ADOAESS PHON£ LICENSE NO. STATE CITY
MAIL AOOR£SS PHONE LIC[NSE NO.
MAIL ADDRESS ,-PHOJ',1[ L ICENS[ t,,O.
MAIL ADD1'CSS &RANCH
0 ALTERATION 0 REPAIR 0 MOVE 0 REM OVE
9 Describe work:
f -
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE$
~S_P_E_C_I_A_L_C_O_N_D_IT_IO_N_S_: __________________ ~Typeof
Const .
f------------------------------i Size o f Bldg. (Total) SQ. Ft.
1----------,,-----------,.---------°' Fire
APPLICATION ACCEPTEO e~,, PLANS CHECKE: B; / ADPAPTROEVED/FOR;:~~71N :~-::n:f
DATE/. ,o/1 Dwelling Units
NOTICE
SEPARATE PERMITS ARE REQUI RED FOR ELECTRICAL, PLUMB·
I NG, HEATIN G, VENTI LATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, 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 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 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.
7 7 Ls-'
OAT[)
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
.
Occupancy
Group
No. of
Stories
l PERMIT FEE S
MICRO FILM FEE
Max.
0cc. Load
use Fire Sprinklers
Zone ReQuired 0Yes DNo
OFFSTREET PARKING SPACES·
No. INo. Covered SQ. Ft. Open
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I
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 ~L ¥-7? /9~ ,</~ _/_-_ L "JJt ~
I I ,
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
0
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 7. a
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No 'S--"ff?
JOB ADD" £SI
:::i
LI.GAL I 1 DUCII.
2
LOT NO.
r'l~Ad I TIIACT
MAIL AOD,t [SS ZIP PMONC
J, T ; ~,,~ 4 ....... ~
COHT,.ACTOJIJ -' MAIL ADDJIJE.SS -PHONE -L1C[NS£. NO, STATE CITY
3 Fl?
AIIICHITC.CT Ott DESIGNI." ll'HOME Ll([NS[ NO,
4
MAIL AOD"tss PHONE LICtNSt NO,
5
T
COMPENSATION INS CARRIER MAIL AODll£SS 8,.ANCH
6
USC 0,. •utLD1HG
7
8 Class of work: AJ NEW O ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
• PERMIT FEES
I. T No. Each Fee
SPECIAL CONDITIONS.
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTE' ,v ,~ANS CHECKED ,v APPROVED FOR ·~AN!j:E ,v :~r:R~R OF B~~1:K1~RVICE. SWITCH.
f Y ~ DATE ? If'/ JS _N_E_W_S_E-RV-1-CE_O_N_E_X_IS_T_IN_G_B_L_D_G_-+---+---+----1-~
1o-~~~~~~~ ..... ~~~~~~~....._ ............ ...__~~~~-4 FOR EA. AMPERE OF INCREASE
NOTICE 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 co,.~
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE!> 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.
(DATU 81.NATUIIII OP' CONTflACTOA-O" AUTHOIIIIZCO AGENT ... -~ _,,,, ,!14-s-eittl ...-,,
91.cwa,Tu•ll 0,. OWNIUI (1 P' OWNltl •utLOIUI)
'7-7 7.S-
CDATl:J
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
PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
M.O. CASH
)
PLUMBING PERMIT APPLICATION
/
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No1'5-9&,
JOB ADO" lSS
LEGAL I LOT NO. 1 OESCII.
I TWT
21P PHO NC
CONTflACTOA MAIL AD0fl£S5 PMON t LICENSE NO, STATE CITY
AflCH ITrCT Ofl DCSIGNE .. MAIL ADOJIIESS PHONE LICENSE. NO,
£NC IN CUI MAIL ADDIII £S5 PHO NC L.ICINSE NO,
COMPENSATION fNS. CARRIER MAIL AOOJll[SS 8flAHCl-t
6
USE: o, BUILDING
7
8 Class of work: O NEW 0 ADDITION 0 ALTERATION 0 REPAIR
q Describe work: 7x: II ~ UJ13S 1-1 /2/;v, r l h1
~ /"l r,n PERMIT FEES /( r f-' ~/{) l<7X HlfJ2~ &.-«:?h·~'{~,..,,,-N-o-. -.-------T-y_p_e_o_f_F_i_x_tu_r_e_o_r _lt_e_m ______ -,-__ F_e_e_--i
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
/ _,, J
. --CLOTHES WASHER
APPIIOVEO~Oll lhA tE BY , LAUNDRY TRAY
DATE~~ ~!::, 1-----;-W_A_T_E_R_H_E_A_T_E_R--------------1----+-----i
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 CER1 IFY 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
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.
(OAT£)
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
GAS SYSTEMS, NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
PERMIT 7 -7-7:S-
TOTAL FEE {OAT~)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
I
INSPECTOR
s '-1 r JI~
I
CASH