HomeMy WebLinkAbout1343 FOREST AVE; ; 77-7293; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
/"canttocompletenu be edspacesonly Phone 729-1181 Permit No
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ASSESSOR'S
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, . -LOT NO , I ILK I T••c T
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L<CAL I ,oscc .I.TTACHCO SHEET) 1 0£5CR,
OWNC,-
f/1. DJ11: Aid MAIL A00.[5S 1--loP PHONE.
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CON TRAC TOA MAIL ADDRESS P._.ON E STATE LIC. NO, CITY L IC, NO.
3 ~
ARCHIT[CT OA OESl~N[fl MAIL ADDRESS PHONE L1C[N5E NO.
4 ----[NGIN[[R MAIL ADDRESS PHONE LICENS E NO,
5
COMPENSATION INS. c"ARRIER M•IL AODRC5S BRANCH
6 •' '\
USE Of' 91JILOINC
7 ' NO. BDRMS NO. BATHS ... ., -
8 Class of work: ONEW 0 ADDITION
f .
Cl('LTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ~~-hill 6 <"'k l/~,4// -A:_, C.>.1 _ "£~~ ~/H(--::c , t1fr l~~~-!t;,l
I J ·l#,J..,
10 Change of use from G11!..;J(SC. ( M -,)
~~ ~-
3) Change of use to Dr-1v ( R· -g,, ()/..,, s ~ ? 4 ,_ , PERMIT FEE S .41r---11 Valuation of work : $ PLAN CH ECK FEE $
SPECIAL CON DITIONS. Type o f_ J/ _ N MICRO FIL"" FEE Occupancyn; 3 -Const Group r ...
A .. s,ze of Bldg ·-,_7) No. of Ma><.
*J (Total) Sq. Ft Stories 0cc. Load -
/j Fire \)se ,.... .• Fire Sprinklers
APPLICA TtON ACCEPTE O 8 Y PLANS CHECKED BY AP~i,,fOR ISSUANCE av Zone £ I Zomf Required 0Yes 'EJNo
,: ~ ~ ,... ~o.of ' 1 OFFSTREET PARKING~PACES:
k" ..c.5 Dwelling un,ts No. 'No. DATE .,, DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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·
MENCED. OTH ER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT.
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.
SIGH.A.TU"[ or CONT"AC TOIi': 0119: AU THOIIIIIZ.lO AGE.NT (DATEI
/ ,
~~. ;;.,,_ .. ~~,,.. .. ~77 .
~IGNATUflU. 0!' 0WN£tll 1r OWN[II': IUILOIIIII OAT()
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -72 TOTAL FEES$ ________ _
INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION V
WEATHER PROC
CONCRETE SLAB
FRAMING
INT. LATHING OR DI
EXT:LATHING
MASONRY
FINAL
USE SPACE BELOW F4
INSPECTION RECORD
DATE REMARKS
Ir •
Dote / 0-2 r , ? ?
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DUPLICAT{ Signed
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IIIISPlCTOR
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PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 r -WJ~'--903• :-:,, JJ
Applicant to complete numbered spaces only Phone 729-1181 Permit No -; I ' 7) 7
JOl!I AOOIJIII £JS
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LOT NO. -" I aLK I
TIJIIIACT ~ ·-----
LCGAL ·1 1 ocsc•.
OVrlNE .. M.td L ADDRESS 11 p PHONC
2 I ~ .J_ Ii i,JJJ/k1 fr ;;>,;:--, ~ J.J ilF ~<'l.'. .. :._<A
CONT·A~TO• --, -. ·-MAfL AD0R£SS PHONt STATE LIC. NO. CITY LIC. NO.
3 r.: ,/
... c~l'T[C'T o• otsTCN[" MAIL A0Dflll£5S PHOM£ LICENSE NO.
4 _.,,-.,,
[/iC,1N£'lA . --MAIL AOD .. ESS PHONE LICENSE HO,
5
COMPENSATION fNS. CARRIER MAIL AOOJIIESS 811:AHCH
6
US£ or &Vil.DING
7 .
I --. -
8 Class of work: ONEW 0 ADDITION 1tJ.ALTERATION 0 REPAIR
9 Describe work: -~ y-/ r v , ::--1 :,,.._ ~-.J,,'"" J....; .. o'-A~'J.l'J .#) / ,· .:-.,. 'n . ' , ,_ _., . ' -( ' -' , / ~
~
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: l' WATER CLOSET (TOILET) $
BATHTUB • A' r ""'> ---.I LAVATORY (WASH BASIN) L?A.:7 J!.d .. I ...,..
·; SHOWER
,.....__,,
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED ev PLANS CHECKED 8Y APPRDYt O ~R ISSUANCE 8Y LAUND RY TRAY
I~~& •fi. )• ~ -CLOTHES WASHER ,, WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS GAS SYSTEMS.NO.OUTLETS
APPLICATION AND KNOW THE SAME TO Bf TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN DR 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 NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS , // 51CNATU"I. or CONTPIACTOPI OR AUTHOIIIIIZ.ED AGENT (OAT£) -I
A,,,,/..,/. £1 ~./.1 ./ 1; --.,; "19 ISSUANCE FEE $ ' •-
~ L ... Lo..r,.,.-u,u· o,. owNr:" 1r ~w,..LR a1 .. ht.trt.1111) t i C ' OA1°E) TOTAL FEES $~.' , , L,; ~·
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No ~
JOB ADDRESS y-.:.;_y L' ;:> -
i 'o.t!_z:s/ c .. ~ID L',} .
LEGAL 1 DESCR,
I LOT NO. I BLK, I TRACT <OsEE ATTACHED SHEET)
OWNER IA / MAIL AD~S
'rfv'E
ZIP PHONE
2 I L . 17/~..:--~ . LJ// ,/~fl C.R" -/ .'
CONTRACTOR MAIL0 ADDRESS PHONE STATE LIC, NO. CITY LIC. NO,
3 .
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4 ..
ENG !NEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARR IER MAIL ADDRESS BRANCH
6
USE Of BUILDIN~
7 ,
8 Class of work : ONEW 0 ADDITION ~LTERATION 0 REPAIR .
9 Describe work: ~Jc:fEM-:, r.>..1.s I,;.,/._ r-/ze.-ltc. tf A/. l'HIE de fl D /,r;jrl,~r, ,
Irr•
J J
' _;'\/(..I~~ , ·-PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al''LICATION ACCEPTEO IIV PLANS CHECKEO BY APPlfOVf'O FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
DATE l) NEW SERVICE ON EXISTING BLDG. .,
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 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
REMODEL, ALTERATION, NO CHANGE PER10D OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. 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.
/I L/ I, ~ ?7 PER 100
1 l ../ ,,.._ ~ / ~. r <
,r-!flGNATURE OF <;oNTRAtT1>R....OR AUTHORIZED AGENT ' (DATE) ' :.2. ~ ISSUANCE FEE ·-
lll~AT\JRE
-TOTAL FEES 7 F OWNER If OW•ER BUILDER IDATEI • .. -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 -
ITEM REMARKS INSPECTOR
-
-
I0-~9-77 F~J 0 KOA-1 ~ ~
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. I
..
~I RECEIVED INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT fi.UG 2 31977
BUILDING ADDRESS: CITY OF CARLSBAD
Bulldlng Department
PLANNING DEPARTMENT
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED __________ PROVIDED ___________ _
PROVIDED -------------% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED __________ PROVIDED
FRONT SETBACK:
ALLOWED -------
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PL1LJ",1 ~
ENVIRONMENTAL PROTECTION REQ:
ENGINEERING DEPARTMENT
REAR SETBACK:
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
________ DRIVEWAY LOCATIONS ____________ _
_______ EASEMENTS _________ DRAINAGE ____ _
SEWER CONNECTION
GRADING PERMIT
LEGAL DESCRIPTION ------------------------------
ADD IT ION AL COMMENTS -----------------------
.-OK TO ISSUE: __ _ DATE ______ PWI ____ OK TO FINAL ____ DATE ___ _
.,
FIRE DEPARTMENT
SPRI!;KLING SYSTEM FIRE PROTECTION EQUIP·--------
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS __________ LOCATION __________________ _
ADDITIONAL COMMENTS
• OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _ ...
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ______ .,___DATE ________ _
. .
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'
--·-----·
RECEIVED
--
AUG 2 31977
CITY OF CARLSBAD
Building Department
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