HomeMy WebLinkAbout1436 FOREST AVE; ; 73-136; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No. ........ ., .. *** * 1 1...,0
Applicant to complete numbered spaces only.
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CONTIIACTOA I --t,.A.(IL ADDRESS ..-,, -PHONt • -t.1CENS£ NO.
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ARCHIT£CT 0 .. OE.SIGNt.R MAIL ADOllll£55 PHONE LICtN5E NO. ,~ 4 / __ .,... ... ~J,-,._ ... ' ' -,-'i. ~, ii...' •" ~. r --.. • -7'-'t '~ "' '~->,,,., 1~,
t:NGINECR .. -.. -.,.-... ~ -.• -'" MAtL~ ADDRESS ---. -. C -PHONE LICENSE NO. :;~ 5 --
LENO£Jlt MAIL ADDlltSS 8AA.NCli
6 ~ -~ .. • • ,, , ;, . ~, 1 .. , • I> ,-~ .. -C,ci•• l\e., .. "_,.,. -
USE. OF eulLDING .. -c._,.-,, .c,--t' --. --~ ,j ......... -~ 7 ~
8 Class of work: QNEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE f i"' '
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9 Describe work: r J '~ ., .-I-· lh,. fl .... L ' ( ,-., . . . ~ .. ,., ....
;,-c_ C -, --~::..: ....... ., ~ l •P --.,----,----, -.-.. -"---,,~ _, -, -<f I /) #'Tc t~ d .r"l r .• . ... -... .,,,,,.. -...
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10 Change of use from
Change of use to -·
11 Valuation of work : $ .., / I? <.. d PLAN CHECK FEE I PERMIT FEE 1/1,:;.1
0
• -.
SPECIAL CONDITIONS: Type Of tc Occupancy
Const. Group 11:'." _ t Division
Size of Bldg. U,'-~ No. of Max.
(Total) SQ. Ft . ..,. tJ 'w Stories • 0cc. Load
I -.
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone r..,-Zone ReQulred 0Yes [!l{io
No. of OFFSTREET PARKING SPACES:
Dwelling Units Covered I Uncovered '
NOTICE Special Approvals Required Received Not Required
SEPARATE 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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify) 1!
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS s
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.
SIGN.A.TUA& OF CONTlllACTO" 0'11 AUTHORIZED AGENT (DAT£)
I J; -,,y j~h . -51CNATUft£ 0,. OWNEA fl,. OWNER IUILDCli' (DAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
"U "' 3
:z 0
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
DATE
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
INSPECTION RECORD
REMARKS INSPECTOR
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD SE BUILDING DEPT. ENGINEERING DEPARTMENT
729-1181 EXT. 35
ISSUED BY I FOR APPLICANT TO FILL IN
DATE ISSUED ,2..
BUILDING
ADDRESS ' VALIDATION
OWNER ...
' MAILING
ADDRESS .,
LATERAL CHARGE COMPUTATION
CONTRACTOR STANDARD 4 .. (Mex, H. 30', V. 10')
OVER 30' H. @ FT.
CONTRACTOR'S OVER 10' V. @ FT.
ADDRESS STANDARD 6 .. (Mex. H. 30', V. 10')
OVER 30' H. @ FT.
NEW BUILDING I EXISTING BUILDING l OVER 10' V . @ FT.
LEGAL DESCRIPTION TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
~
REMARKS: LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
LATERAL LOCATION CONNECTION FEE
i--: I I i--: (/) en NO. UNITS COST PER UNIT TOTAL
/~ / t'\ PUMP STATION FEES ,[) \,L/
NO. UNITS COST PER UNIT TOTAL
I ST. I
TOTAL CHARGES (LATERAL ETC.)
LATERAL NO. INSTALLATION DATE
PLUMBING PERMIT APPLICATION r City of CARLSBAD, CALIFORNIA ,~ •• l Permi t No.
Applicant to complete numbered spaces only. .
Joe ADO .. ES$ -0 .... ""'CJ
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LOT NO. Im I TIU.CT ll g :z LEGAL I Q scc ATTACHED SHEETI 1 DESC~. / ,I,,; /-'!,... ;u ~ IT!
MAI L ADD~ESS / / ZIP -4/ PHONC "' OWNE" ( /)_ f
"' 2 r ~//i /)/ ' ~ CONT .. ACTO" I(. ,-r ~ MA I L ADOIII ESS
_t ·L~ PHONE ~.~* LIC£NSE. NO. r~ 8 ~ 3 ,,;.,,.-; ./9.1 / / ~ s~ ;
ARCHITECT Ofll D£51GNEIIII .~ MAI L ADD~US)~\ ;.j, _)~ PHO,NE 71. LICENSE NO, ~' 4 ~L /} . -~ ,r ~
E.N<.INEE" MAI\. AOD~ES$ PHONE. LICENSE NO,
5 / :~ LENDUt 'l-~ ~1. MAI L ADOfllESS BIU,NCH J. I
6 ~,.( I!". 1 . I~ --,._.. . .---__... i':\. USE or BUILDI NG --{ll /\~ /£/ .. h.l/_/,Jl
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8 Class of work: ONEW 0 ADDITION DALTERATION 0 REPAIR t ~
9 Describe work: /// )/' /f~d ,/ " / /Y-r~JJ//JL//l 4
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PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ ',
~ BATHTUB I I, r.
y LAVATORY (WASH BASIN) ~ ~
I SHOWER -.I c;'".{J ., KITCHEN SINK & OISP. / IC-d -DISHWASHER
APPLICATION ACCEPTED BV PLANS C~ECKED BV APPROVED FDR ISSUANCE BV LAUNDRY TRAY
r_~ f U·~ I CLOTHES WASHER I c;-c..J
,I WATER HEATER .. ,. C.(
NOTICE V URINAL '
THIS PERMIT 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. I I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS GASSYSTEMS:NO.OUTLETS ; C
APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO 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 REGULAT ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION LAWN SPRINKLER SYSTEM
I SEWER "'.;
(/ /I CESSPOOL
SEPTIC TANK a. PIT _.,
SIGNATURE. Of' CONTRACTOR OR AUT>iORIZ.EO AC.ENT (DA TE)
PERMIT $ t.. ) TOTAL FEE $ ') SIGNATURE OP' OWNE" (IP' OWNER BUILOf.R) (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
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
/I
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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f,,vi..d ~ ~ 3-8{,..7)
' 3 ELECTRICAL PERMIT APPLICATION :?-1 ?,// 0 ~ t. ! ..
City of CARLSBAD, CALIFORNIA • > t 0
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Applicant to complete numbered spaces only. "' .. ..
JOB ADDJlt £!IS • J
1-"' .... 2 ~ LOT NO. I 9LK I TRACT ..
LEGAL I Q scc ATTACHED !IHC t.T) 1 ouc~. r:
OWNUI MAIL A DDPIE!IS %IP PHONE
i: 2 • Az.1' ILI/i.'.i'i:.3 l .:A6 CAftl~llA'il. C .wJ ' i-. • • • • • CONTPIACTOPI MAIL ADDRESS PHONIE LICENSE NO,
3 :m.rc l LIii .A\'E::. l)A \11 f~i~ lF~~JJIA . • ....
A .. CHITCCT OPI DESIGNE.fll MAIL ADDfllCSS PHONE LICENSE NO,
4
ENG1NC£A MAIL AODPICSS PHONE L I C[NSC HO,
5
Lt.NOCJlt MAIL AODlllE!IS BRANCH
6
USE Of' 9UIL DINI; '~-7 :1tt· "ti ,, ' ,\) 8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: J,f.CT· .ICAL wIRIL,G " ti~
PERMIT FEES -~ No. Each Fee
SPECIAL CONDITIONS: Total
RECEPTACLE Outlets
LIGHT
SWITCH
T otal
LIGHTING Fixtures
APPLICATION ACCEPTED BY PLANS CHECKEO ev APPROVED FOR ISS\JANCE BY FIXTURES
l/V\ ' 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. 1/2 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 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 IVE 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 UPOLE U uNOGO.
SERVICE 0·200A1
--201·400A
/ ~' --_.; -:; . re DNEW 401-600A
;
D CHANGE ~IGNATU"£ 0,. CONTlllAC TOIII O" AUTH0Jltl1CD AGENT 1toA1TE OVER 600A
PERMIT ISSUING FEE $
SIC.N•TUJU: 0,. OWNClll 1,-OWNEJII I UILDC"> {DA T[) TOTAL FEE $ ~ '
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TEMP FILE I . -·-~ -~---,.. ......... "' .. "' lt.J Ts:"AN .&TtONAL. C ONF ERE"NCE OF B U ILDING OFFICIALS e eo so. LOS lll09LES e PASADENA, CALl ,.OIIINIA 91101
2
CONTftACTOft MAI L ADOAE.SS PHd"Nt LICENSE NCf~ -
3 -.....
MAIL ADDRESS AftCHI TECT OA DES IGNE" -, -~:c--;: =-L IC£N5£ NO~ ~ iJ 4
1--~~~~~~~~~~~~~~~~~~~...,.,..,...,.,.....,..,c::-::-:--~~~~~~~~~~-~·-'-=-cC'::".".".,,.-~~~~~~~-:-'.":'":'."'."."':"::-:--:--~~~~--I---..., ro ENGINE£"' .J.MAI L ADOAESS T PHONE L ICENSE: NO, ,~. 3
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LtNDl1' MAI L. AOOl'ttSS 81itANCH .,-~_!, ,--{
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USE o, BUIL.OING:
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8 Class of work: [JIJEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
Type of Fuel: Oil 0 Nat. Gas EJ LPG. 0
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment
Air Cond. Units H.P. Ea.
Refrigeration Units-H.P. Ea.
Boilers H.P. Ea. 1--~~~~~~~~~~~~~~~~~~~~~~~~~~~~-+--~~+-
PLANS CHECl<ED BY ,L\PPROVE D FOR ISSU.i\NCE BY
'/ ( ,.,,-'·-J \. .
Gas Fired A,C. Units-Tonnage Ea.
Forced Air Systems B.T.U.
Gravity Systems-B.T.U.
Floor Furnaces B.T .U.
Wall Heaters-B.T.U.
NOTICE Unit Heaters-B.T.U.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF Clothes Dryers
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
M Ea.
M Ea.
M
M
M
\:'"
~' ~ .~
Fee I;
$ ·:
~
L1 ~ ---
i
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan MENCED. ~ ~l-~--+--,~-~-~--,-~·,~=~:__,~~~~~~~~~~~~~~--4~~4--~--l
~,-., HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS .. Nange Hood ( ' •
APPLICATION AND 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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
.SIGNATU .. r: o, CONTRACTOfll Oft AVTHOfllllf:0 AGE.NT !DATE)
lll(j,N&Tt fllt 01'" OWN[ft ll,-OWNER IIUILDERJ IDATt)
Air Handling Unit-
Incinerator
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
C.F.M.
PERMIT
TOTAL FEE
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
I
.,
$ "?: ll'i.
CASH
;
~ICE NS E DEPARTMENT
~ .. 'L
DIRECTORY OF CONTRACTOR S ON J OR
10B ADDRESS~~-=1~4=3~6_..:;.;a~n~d;......::1~4~4~6;......::F~o~r~r~e~s~t'--A_v~e_n_u_e~'~~C_a_r_l_s __ b_a_d~,~C_a~9_2_0_0_8~~~~~~~~~~
,ENERAL CONTRACTOR Owner-NL & D Affiliat~~DRESS~_P_O~B_o_x~l_2_4_6~~C_a_r_l_s_b_a_d-'-,_C_a~~.
"'lass of Work -Sub-Contr actor -Na me & Address
tcovstic Tile None
toiler, via ter He a tinq ·see Plumbing ..
~abine t & Mill i·Jork MA R r<ihi nQf"s 7218 Pnnto Dr. Carlsbad. Ca
,
:arpentry -rough Owner
:arp_entry -finish Cook Construction PO Box 1671 Oceanside, Ca .
:emen t & Concre t e . Owner
>rywal 1 G Al Neff 2639 State St . Carlsbad . Ca
-Uastaze l None
nectri c al Carlsbad Elect ric 1826 Magn olia Carl sbad Ca
Ueva tor In s t a ll a t i on None
(Tren ching ,~)
~xca vatinq, qra di n g Rockv Gross 3412 Linda Vi:sta· Vista Ca
~1ooring , x~ Phi llios Caroe t i ng 62"6 Camelot Oceanside. Ca
,, carpetino " ,
~ire Prote ct.Engr. ·None . .
~ormi ca Ruhm Tile 2010 Mission Rd. Escondido Ca -···-... . .
;araqe doors Escondido Doors HH8 W. Mi ssion ~x condido Ca
;lazing ·Daryl Industries 44·L I Row land . tl Monte ca
rea-ting , Air Cond. Stillman Heating 1240 N. lUl Le ucadia ca
·nsulat ing .... None
. andscaping None
.a thing ~YY•r x m•rr x I~am x---u -II -
(Lath) Geo. Wa tson 1630 Baswood Carlsbad · Ca
,vminous ceilings r.Qi 1 i nQ r.ra ftsm~n PO Box 625 San Marcos r.~
rasonr y Jack Woolen Masonrv 1732 Dora Br. Cardiff Ca
rirrors, s howe r doo rs
•ainting nn,,p 'T'~vlnr 4811 Sn] Sitio OcP::insinP. Ca -.
,1 .D.:;tc r _..: r.c; ~Pn W::irsnn ( ~t=>P T .<i th)
'lumbin g Gold c uast Plumb in~ 18582 Beach Blvd. HuntinQton Beach
'ullman to ps Ruhm Tile (See Formica) .
·oofing No . County Roofing 4 57 Bandini Pl. Vista Ca .
:h ee t Me tal Stillman Heating (See Heating)
; t e el, rein fo r c in g &
s tru ct u a l None
'i le Ruhm Ti le (See Formica)
'e l di n q None
't h er.
r