HomeMy WebLinkAbout1401 Forest Ave; ; 71-525; Permit0 ~
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City of CARLSBAD, CALIFORNIA lJt 21-71A!'::o ** if. "t I" ~ ~ ~
Applicant to complete numbered spaces only. M ~ JOB ADOR ESS ?-~0-v-z_ ~ /4<:J/ ~
LOT NO. I OLK I TRACT <OSEE ATTACHED SHEET) I~ ~ ~ LEGAL I 1 DESCR, r---..
,OWN ER 6r{ O f.-.:5-/ ~s IJ,e r: MAIL ADDRESS ZIP f>HONE '1) ~ '9./~A~ ~ /' -~ ~ ~ '7 ')._cJOJ< <? '2-c; 1g-; ~ K CONTRACTOR lf MAIL ADDRESS PHONE LICENS E NO. ~ 3~~ r ARCH I TECT OR OE!SIGNER MAIL ADDRESS PHONE t...lCENSE NO. ~ ~
BUILDING PERMIT APPLICATION 1
4 --~ ENGINEER MAIL ADOAESS PHONE L ICENS E NO, ...'( 5 -J LENDER MAI L ADDRESS BRANCH
6 -.
7~ . ~ k~ .,-A'Vfe. A~. -'~ ~..-51--a. ,I ~ .-I ,:,.
8 Class of work : 6iJdw 0 ADDITION iti~RATION (/ 0 REPAIR (/ 0 MOVE t:J1EMOVE
9 Describe work:
10 Change of use from
'
Change of use to
11 Valuation of work:$ 4 ~<to~ PLAN CHECK FEE -I PERMIT FEE 43r S-0
SPECIAL CONDITIONS: . /
Typeofr N Occupancy L
Const. ,,...... Group Division -
Size of Bldg. 44-0 No. of I Max.
(Total) Sq. F t Stories 0cc. L oad -
Fire 3 use I?-! Fire Sprinklers ~ l.r"
APPLICA TION ACCEPTED BY '""''""'~ r;;-r Er OR ISSUANCE BY Zone Zone Required DYes
No. Of OFFSTREET PARKING SPACES: :~ Dwelling Units I Covered ;2_ I Uncovered
~
NOTICE 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-
MENCED. OTHER (Specify)
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 T HIS TYPE OF WORK WILL BE COMPLIED WITH WH ETHER SPECIFIED HEREIN OR NOT, THE GRANTIN G OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE I
PROVISIONS OF A N Y OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I
-
s7z~;2D~
(DATE)
/ V .._ ~~
S IGNATURE OF' OWNER If" OWNER BUILDER) DAT E)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
0 ... ~ 0
z .. ELECTRICAL PERMIT APPLICATION 3
;;r--~ JZ City of CARLSBAD, CALIFORNIA 19·71 5Ps'ID 1 ., pl<. g ,.
.. cc i
Ap nt to com e numbered spaces only.
'~
"'
JOB AD0ftE£~~~A /)__/ -AA <1 . ~ ~ LOT NO. I BLK /
, I TRACT u ~ LEGAL I <Ost.£ ATTACHED SH£ET) t DUCft, ~ OWNER MAIL ADDIIIESS ZIP PHONE )
2~/~.rL~~ . t ~ CONTAACTOA MAIL AODAESS PHONE LICENSE NO.
3 ~ N (]-c-L~.......-'l
AACHIT!:CT OA DESIGNER MAIL ADDRESS PHONE L1CENS£ NO, ~ 4 ~
ENGINEER MAIL. ADDA ESS PHONE LICENSE NO, ~ 5
LEND ER MAIL AODJIESS BRANCH
6 ~
7
USE 0~ 9UILD1Nfl ~ ... A_-· ----_.. -~ _-. ,,.. = --.......
8 Class of work: O NEW g AOOITIQA ~ATION 0 REPAIR
9 Describe work:
PERMIT FEES
// ft> 4'-/,:t /, I t1 /; cc' 1 1'
No. Each Fee
SPECIAL CONDITIONS: Total 5' RECEPTACL E Outlets J?)
LIGHT
SWITCH
Total
LIGHTING Fixtures
APPLICATION ACCEPTED BY, PLANS CHECKED BY APPYL UANCE BY. FIXTURES
1.7""" l. RANGES CLO.DRYER WTR. HTR. -NOTICE GARBAGE DISP. STA. COOK TOP
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· D ISH. WASH. CLOTHES WASH.
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SPACE HTR. STA. APPL. '12 H.P. MAX. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. MOTORS: H.P. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRU E ANO COR RECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WH ETHER SPECIFIED HEREIN OR NOT, THE GRANTIN G OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE NO. TRANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NO. LAMPS
TEMP. POWER DPOLE DuNDGD.
SERV ICE 0·200A
201·400A
DNEW 401·600A
SIGNAT/~TZAGENT (DATE) D CHANGE OVER 600A I ~l~/'l//1 '7/ PERMIT ISSUING FEE $ ~ ~
/V/ -"•~ TOTAL FEE $ ~7 k-~ ,-,,
~1cp,f'.aTu"r: OP' OWHE" Ill" OWNER 8UIL0£PI 1D"'1 E)
WHEN PROPERLY VAi!DATED (IN THIS SPACEI THIS IS YOUR PERMIT
.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
,.. .............. r11n••· tflt,.t'T'C'ID""-tATlt"HJ.6.1 t""r\MFFR~NC'"F nF AlllLnlNG OFFICIALS e eO SO. LOS PIOBL[S e PASADENA, CALll"OPINIA 9 t t0t
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AppHcllomp2 J.be,ed spaces on~ity
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of CARLSBAD, CALIFORNIA "' > :II " " :II "' .. ..
PLUMBING PERMIT APPLICATION 2
JOB ADDA E.SS ,J~ /'f{) I N ~~ LOT NO. I BLK I Tl<ACT Ost£ ATTACHED SHEET) ~-LEGAL I 1 DESCI<, " OWN£~ "1.J!LL&~) 1-i:t~~ L ADDl<ESS /tJt ZIP PHONE If ~ 2 tt-i f ['....
3 CONTI<~ -~ "1./A-AX~
&IL ADDRESS PHONE LICENSE NO, ~,
/~.,.-. C~si-=3 /') f ARCHITECT Oft DES I GNER MAIL A0Df1E9S PHONE LICENSE NO, N 4 I" " ENGINEER MAIL ADD .. £55 PHONE LICENSE. NO. r---
5
L ENDER MAIL AOOflESS BlltANCH
6
USE OF BUILDING
7
8 Class of work: ONEW D ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: :5J i.-lvf.,.t ., (!_ /h"'i (I_/.
PERMIT FEES
No, Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
D ISHWASHER
"""~"'"" PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
'--./ NOTICE URINAL
THIS PERMI BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR 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. I LAWN SPRINKLER SYSTEM
I SEWER ~ ltn:J _,.u _Md---I CESSPOOL
I SEPTIC TANK & PIT
../ \7/\: -
v slG/TURE O~'CONTRACTOI< OR AUTHORIZED AGENT (DATE)
PERMIT $~ 5r>
SI GNAT AE OP' OWNEl't IP' OWNEA 9Ul1...0ERi (DATE) TOTAL FEE $ ,.fr A..~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
"""" ,., L
""' • oiltd~ •
INSPECTOR
......... n,.,r-n ,....,,...,. 1t.1TC'DM,..Tt1••1t,1AI rnt,,.lt='l='RF'N("f: 01=' R IIII nlM~ ns:"Fll"'.IALS e 50 !10. LOS AOBl.ES. PASADENA, CALl,.ORNIA Q110t
2 PLU Bl 0 ...
i 0 1/ -12r7 z ..
City of CARLSBAD, CALIFORNIA . "' > "' 0 0 "'
M NG PERMIT APPLICATION
Applicant to complete numbered spaces only. "' .. .. Joa AOOR ESS h,e.,~~rr I ¥-CJ I
LOT NO. I 8LK I TftACT LJEE ATTACHED SHEE:T) LEGAL I ~ ~ 1 DESCft.
'
OWNE .. ;:.et,er II ~/0 MAI L ADDfU:ss ZIP PHONE
2 ~
~ LICENSE NO.
3
CONT"-ACTORA J_ /2_ ~ (c:-~·;;~ ... ~~ PHJ>9-!/7V ('1JV'J.-J t ~ AftCHITECT OR D£S1GNE4\ MAIL AOD .. ESS PHONE: LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LEN DER MAIL ADDRtss BRANCH
6
USE OF BUILDING
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: _) _7/. ,,,,0_/,J,/_ .,._.b-J /' r>
\
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY· APPROVED FOR ISSUANCE BY: LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR-SINK OR DRAIN
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR 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 a ~ c,ft,h! CESSPOOL
~ SEPTIC TANK & PIT ~ , -.
SIGMA Ul"(YV CO/RACTO .. OR AUTHORIZED AGENT (DrE,, ,
PERMIT
•1GNATUfllr 0,. OWNER fl,. OWNER BU ILDER) DAT[) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK.
S"8M••••..asa1 ~ -S ~L·Ol cliS tIWd
Fnrm 100.~ 9-69
INSPECTOR
M.O.
~
~
II' , ~ )..
Fee
$
··~ ()0
$ ..:S. 57)
$ "K. ~
CASH
~ ~
I
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