HomeMy WebLinkAbout1365 Knowles Ave; ; 74-861; Permitt (
BUILDING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 '
Permit No~
_(?. ;; Applicant to complete numbered spaces only. Phone 7 29-1181 -JOB "00A ESS ASSESSOR'S
J3b5 l~\ ... owlr=~ PARCEL NUMBER
LOT NO. I .LK I TRACT
BOOK f>AGE I PAR.
LEG"L I (0$£(; ATT-'CH£0 SHCETI 1 D£SCR.
OWN[A MAIL A00,-£55 2 IP PHONC
2 ' ti ,; .-~ , ..t,' Vis ,_ . .,,,... ; , ~ r_
CONTftACTOR I MAIL ADO .. ESS PHONl LICENSE NO. STATE CITY
3 I .,h,;,; r::! -I .:,:_-_ _..,.,.~4 ~ • , /4 ·A,---,·. j·7
AlltCHITECT OR DESIGNER MAIL AODA[S.$ PHONE -LICENSE NO. ,
4
£.NG IN Et Fl MAIL ADDRESS PHONE LICENSE NO.
5
COMF>ENSl>i~ON INS. CARRIER MAIL ADDRESS -~,~ ~ r'n.J!l .,._R"_·:; .. ~L4'Y '?"'ldli" 6 ~ ~~A ·--~~.A'. .
use or BUILDING ---
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION □ REPAIR □ MOVE 0 REMOVE
9 Describe work: ?,e5 ___ (\.OQ, ~ n · \ /(,, 7 ',( I o .. ,i,,,.r"'-..., ,,., -r • . ..
10 Change of use from
Change of use to
11 Valuation of work: $ ,t!gDfr~ PLAN CHECK FEE$ l PERMIT FEE s--t· ~
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const Group
Size of Bldg.,...., ;2. No. of Ma><.
(Total) SQ. F() ;I O Stories 0cc. Load -Fire use Fire Sprinklers
~ATION ACCEPTED BY PLANS CHECKED BY ?[4;1;tv. Zone Zone Required OYes □No
~O. Of OFFSTREET PARKING SPACES:
l~T~ t Owelllng Units No. I No. 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. HE,>.LTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS. 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 THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND 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 PE;RFORMANCE OF CONSTRUCTION.
J~ t --!t' .. ,,,;i?f:t::~ y: ,4., ,-)--
SIGNATURE: o, CONTftACTOIII 0"' AUTHOIIIIZCD AGt.NT IDATt)
S I GNAT Pit OfF OWNEfll If' OW~C.Jt IIUILOtft) tDATt)
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 RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
•
EXT. LATHING
MASONRY
·-
FINAL /t:7-.:J__,) _r -7???c-2 ~ I~ . -
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
0 0
ELECTRICAL PERMIT APPLICATION ..,,,I -/,,.,..,.,, City of CARLSBAD, CALIFORNIA 92008 ,., Permit No.,.· -1 -I --Applicant to cofhplete numbered spaces only. Phone 729-1181
JOI ADOfl £SS
~-.c·,
LOT NO, I &LK I T~ACT
L~GAL I tOstE ATTACHI.D ~HEETJ 1 DUC~.
OWNltfl MAIL ADOPlESS ZIP PMONlt
2 ,.,, ,~r,L•1 , .... ~ 1!? ~;,, ~ ,,, ,,A •
CONTflACTO" ~ MAIL Aoo,u:ss PHONlt LICENSE. NO,
3 -. ., (,.{-#~ff' ;? (?,t/
A~CHITECT O" DCSIGNUI MAIL ADD"ESS PHONE LIC[NSt. NO,
4
ENGl,..££111 MAI L ADDflCSS PHONC LICCNSE NO,
5
LENDE:fl MAIL AOO .. £SS ltPlANCH
6
USE 01" BUILDING
7
8 Class of work: □NEW [J.AOOITION 0 ALTERATION 0 REPAIR
.. /2-. ~ 9 Describe work: ~r~,.>-A-•~-. -
PERMIT FEES
No.
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTEO av, PLANS CHECKEO BY APPROVED FfJR ISSUANCE BYl
AMPERES OF MAIN SERVICE, SWITCH,
F/E OR BREAKER
XI ~, 'i
;·
11_ 'l/EW 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 REMODEL, ALTERATION, NO CHANGE PERIOD 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 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 REGULAT ING ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
£~/ TEMP. SERVICE OVER 200 AMP.
PER 100 . ✓.
SIGNATUfllE OP' CONT .. ACTO" O" AUTH0"12ED AGENT (DAUi
_JWl-!Mt1M PERMIT FEE
., Tu,-s: OP' OWHCJI (IP' OWN[III aU IL Dt:fl DA.Tl
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAUDATION CK. M.O.
INSPECTOR
0 t z .. "
Each Fee
~
~
,,
CASH
l; • ► 0
0 " .. ,..
"O ('()
3
z 0 ,.. .
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