HomeMy WebLinkAbout1344 PINE AVE; ; 71-347_misc; Permit----0 0 //-0'47 1 ~PAID
~ .. z City of CARLSBAD, CALIFORNIA "' >
MAY a.-1 -cc 891**1
r& ~•s 00 Applicant to complete numbered space~ "' II " " JOB AOOR ESS ( J--;i ~ c--ll ~ /._3/J /! r A/\:)
BUILDING PERMIT APPLICATI~ ~ 1
LOT NO, !iLK' TRACT
(0 SEE ATTACHED SHEET) w LEGAL I 1 DESCR,
~ .. ~ I• -
z°WNE~ 1 A A £/,, /-(if)~ ZIP r PHONE '
_J' ?~c, ;~
CONTRACTOR ....., QA .,.,j
V -
,o.;;;;AD°J:SJ /
PHONE LICENSE NO, ~ r-
3 ,,,11 .I ~ ~ LA'\. D ARCHITECT OR OESIGNEV -MAIL ADDRESS PHONE LICENSE NO. ~ ~ 4
ENGINEE.R MAIL AOOR ESS PHONE LICENSE NO, ~ -5 ~
LEN DER MAIL ADDRESS BRANC H \ ~ 6 ....
USE OF° BUILDING
/) I/ ) ,J J!t .~ 7 __./
' ~ATION I ~ 8 Class of work: O NEW 0 ADDITION 0 REPAIR 0 MOVE 0 REMOVE • I~ ~ ./!~~ ~ ,~• _//)~ .A.;4 9 Describe work: . --/
10 Change of use from
Change of use to /
11 Valuation of wo rk: $ J--1:j) 1 I PERMIT FEE 00 PLAN CHECK FEE •
SPECIAL CONDITIONS: Type of \./ Occupancy
Const. Group Division
Size of Bldg. No. of I Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire Use R-J Fire Sprinklers
APPLICATION ACCEPTEO BY. PLANS CHECKED BY ~,;:"' Zone Zone Required D Y es DNo
N o. of I OFFSTREET PARKING SPACES:
D welling Units Covered ' I Uncovered
NOTICE \ Special Approvals Required Received Not Required
SEPA RA TE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR AIR 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 PERIO D OF 120 DAYS AT ANY TIME AFTER WO RK IS COM· I
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAV E READ AND EX AMINED THIS APPLICATION AND KNOW THE SAME T O BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T Y PE OF WO RK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERM IT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
c.ON STRUC~-R THQ PERF~ANCE OF CO NSTRUCTION. ·71 .~ ·.h . J--11/-7 I
S1GNA TUREc7'CONTRACTOR OR AU THORIZED AGENT (DATE)
SI GNATURE O F OWNER flF OWN ER eulLOER) 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
Form 10 0.l 9·69 REORDER FROM: INTERNATION A L CON F ERENC E O F BUI L DING OFFI C IALS e ~0 SO, LOS ROBLES e PA SADENA, CALIF'ORNIA 9 110 1
PLUMBING PERMIT APPLICATION ::l ?'?-~! i!:. 7 /-3. Kg City of CARLSBAD, CALIFORNIA
Applicant to comptefe numbered spaces o.))JM.
MAV 19-11 s~,o'!>ft** t ..... ~i.-.1 -cc c..v ,., ·--.. ..
JOB ADDRESS I j Lj t/ ~ f
l--~~-.-~L~O~T ~N;O:.:__..:.___:~~~/---rl~B~LK,.:.::....£:.:::J..~~,,.--=:TR~A~C~T~~~~~~~~~~~~~~~~~~~~~~~~~~~~-7'f:::::_ ;:-:
1 ~~;~~. QsEE ATTACHED SHEET) ~ 'l}"J
2
0WNER,/-!/A. ~ t? _;J / / /I MAIL ADDRESS /,_) ZIP PHONE ~
1--~~~~-t{/~£,4.,~~~~~~~~~-/~~~~-/l2,~;A~•l,~/]/:::___~~J.~:1~c!'"!:..LV~~v-Lcf~;~-2::=.t.......~~~~~~~~~~~~~~~·l~1 ~
3CCNTR?-;A f_: t<7-~7A-t_(_ ~,< M:;~~51 f?'tC6 _:;~~-//? p LICENSE NO. ~f~)
ARCHITECT OA 'D ESIGNER MAI L A001'ESS PHON{ LICENSE NO. :::S .. '\,,,,,
~4~~~~~~~~~~~~~--,-~~~~~~~-=-~~~~~~-----~~~----1 ~ ~ t
MAIL ADDRESS ?HONE LICENSE NO. ~ .::::-
l
ENGINEER
5
LENDER
6
USE O F BU ILDING
7 I \_
8 Class of work: ONEW 0 ADDITION
9 Describe work:
SPECIAL CONDITIONS:
MAIL AODfltESS BRANCH
'
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
I WATER CL.OSET (TOIL.ET)
BATHT UB
I L.AVATORY (WASH BASIN)
I SHOWER
KITCHEN SINK & DISP.
I DISHWASHER
"
~VJ . u1
~
Fee
$f 2-<;"
I . "> °"-
PLANS CHECKED BY: APPAOVErFOA~UANCEBY:1--~--l>---L._A_U_N_D~R_Y_T~R_A_Y~~~~~~~~~~~~~--,f---~-+-~--i
rr T /I CL.OTHES WASHER
V' I WATER HEATER
V NOTICE 1
THIS PERM T BECOMES NULL AND VOID IF WORK OR co~ STRUC·
TION AUT~ ORIZED 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·
MEN CED.
I HEREBY CERT IFY T HAT I HAVE READ AND EXAMINED T HIS APPLICATION AND KNOW T H E SAME T O BE TRUE AND CORRECT. ALL PROVISIO N S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF W ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE G RANT ING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY T O VIOLATE O R CANCEL. THE PROV ISIONS OF A NY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTI ON.
URINAL.
DRINKING FOUNTAIN
FL.OOR--SINK OR DRAIN
SL.OP SINK
GASSYSTEMS:NO.OUTL.ETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
C ' CESSPOOL.
'-....__~, ' / SEPTIC TANK & PIT
-w~~~-A~~r.~T.~~~~~~~~~:'S/,~'!nf7~~,/11/1----+~~~~~~~~~~~~-+---+---1
~"-v ,~ OF r NTRACTOR OR AUTHOR IZED AGENT /DATE) •
PERMIT
SIGNATURE OP' OWNER flf' OW•NER BUIL DER) DAT E)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
TOTAL FEE
f
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.2 9·69 REORDER f'ROM : INTE RNA T IO NAL CONFEREN CE OF BUI L DIN G OF F ICIALS e ~0 SO. LOS ROBLES e PASADENA, CALll"ORNIA 91 10 1
0 0 :I, 21 .3J' f' City
z ..
of CARLSBAD, CALIFORNIA 5~ M >
JUN -2·71 -cc 088** 111*1 ·~ .00
Ap nt to complete numbered spaces only. M ..
UI
ELECTRICAL PERMIT APPLICATION 3
J;B ::;Hd ~ ~~ <;;X, ~J ......_ I •r,. ~ ::. • I L:OTI NO, I """ I TAACT l\;i»' LEG,AL t0SEE ATTACHED SHEET) ~ 1 DUCIO. ~ OWNEfl MAIL ADDPIE~5 ZIP PHONE. ~ 2 c.~£?:: _---: ""~ --
1 ~ , _,;? ~ -_, I; ~ C6NTIOACTOIO W~~~ MAIL ADDRESS PHO/ -:}_2-'2.-///;{o LICENSE NO. ,.f?'l ~
3?j/~ 11,AJ T:>,1--_Jf t"'J~' 'b / ~ ~ \.,J t AflCHITECT OR DES IGNER MAIL ADDRESS PHONE LICENSE NO, / I\~ l 4
ENGINEER · MAIL AOOR ESS PHONE LICENSE NO. ~
5 '
,[J LENDER MAIL. ADDRESS BJIIANCH
6
USE o,-8UILDING
7 ~ _ __,,_.
~TERATION 8 Class of work: ONEW ~uDITION 0 REPAIR
9 Describe wo;k:JC:;;t;... L .....-1_ / ., __.. ./\.. ~ -::....----~, --
PERMIT FEES
2 -:'2flA~~<.I~:-7'~ No. Each Fee
SPECIAL CONDITIONS: ~ ?-/-Total :3 RECEPTACLE Outlets
LIGHT ~
SWITCH '7 -
Total
LIGHTING Fixtures
APPLICATION ACCEPTED 8Y: PLANS CHECKED BY:
A?90ZJV
FIXTURES
RANGES CLO.DRYER WTR. HTR.
NOTICE GARBAGE OISP. STA. COOK TOP
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DISH. WASH. CLOTHES WASH.
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SPACE HTR. STA. APPL. 11, H.P. MAX. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM-
MENCED. MOTORS: H.P. I HEREBY CERTIFY THAT I HAVE R EAD ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO G I VE AUTHORITY TO VIOLATE OR CANCEL THE NO. TRANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTI ON. NO. LAMPS
AfL-
TEMP. POWER DPOLE DuNoGo.
SERVICE 0·200A L~~ 7 / 201·400A
.) DNEW 401·600A
SIGNATUAlt OP' CONT .. AC TO" Oft AUTHORIZED AGENT (DATE) D CHANGE OVER 600A
PERMIT ISSUING FEE $ s "()-0
~IGN.A.Tllfll; OP' OWNEPI IP' OWNEA 8U ILOEAl IOATE) TOTAL FEE $ h IO C
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
,rm 100.3 9·69 REOflDEft. f"OM: INTERNATIONAL CONFERE'NCE OF BUILDING OFF ICIALS. 50 SO, LOS ft08L £5 e PASADENA. CALI FORNIA Qt101
CITY OF CARLS---,
BUILDING DEPAR1 NT
729-1181 -Ext. 36
Ma ii Add res~ _/'--'="3~~'---~;.c=._-,_B___J.___J.;,'.J._Je_~,,___ ___ _
Contractor -~O.L-...:UJ::c..=__J.h'...J_...,e..~_,Y:.__ ________ _
Contr. Address _.-5'c.....c(....:3,,,._""Yn:....;.....:...._..>,e __ • _______ _
To Const. yJ--' To Add 0 To Alter 0 Convert 0
To Move From-------------------
Type of Const. ---~~---')"'t'---e:{---'-..:...??J.!....L_e,,__ _______ _
Frame, Masonry, etc. .
To Be Used For 5..1() Y4. 7 e f Ii e_c{i ?QJ'C h
Kind of Foundation C O'v'l C.. No. of Stories __ / ___ _
Floor Space (Sq. Ft.) f 5 ] &?
P.o rC. ~ Attoched _ ___,,,,,'.2::......,<{.1'<-'0""----Garoge Floor Space (Sq. Ft.)
Detached
Legal Description
Lot Block
Subdiv:sion ----------or
Sedion Township Range
No. of Existing Building -=.::;z-e=--"'O"-''?.lf_ 5'4 edDe714 oft 5/,
W ill this construction in~ any plumbing installation or alter-
ation? Yes O No~
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I GERTI FY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED A S REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE ------------------
Applica1 1 for BUILDING Permit
Building Permit Fee /"J> .. S-0
• 13-67 !P:~8151,.*****13.50
Building De t. Use Onl
Building Address _L3_~$?F-'Cf.'P---'P,----"/----"-~.......,.(;'-______ _
St. Near ;1/yl /q ?ti
Set Bock ~~ Bldg. Val uotion.::Z..L LZ~ (I
Front P.L. Main Bldg.
Side P.L. Go rage
Rear P.L. Other
Group ~L
Contractor C ity Bus. Lie. No.
Water Meter Sc ... age DisP,osal Sys+em
k-(( '>7
Inspection Record
J
Utility Company Notified -Date
F,nal
-=-=-===::.::
By ___ _
Ii a cn-,c k ;s ,,,rder~d for pdyrn,3n! for the above fee and the
check is not hcn-r ·d v,hen pcosented for payment, your
buildi~g permit .-,il Le imrr.cdiately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within bO days of issu~nce.