HomeMy WebLinkAbout1436 FOREST AVE; ; 76-2385; Permit...
BUILDING PERMIT APPLICATION ,,_ ·,:s
City of CARLSBAD, CALIFORNIA 92008 IJt
Applicantto comp lete numbered spaces only Phone 7 29-1181 Permit No
JOB AOOR ESS
hA?.,<~ f-.,Iv/ ~1£/s~~
ASSESSOR'S
/d3'1 PARCEL NUMBER
LOT NO. r I !LK
I TRACT BuvK PAG E I PAR,
LEGAL I ([lSEE ATTACH[O ~H(ETJ 1 OESCA,
OWN[R MAIL A DDRESS ZI P P HOH(
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CON TRAC TOR M Al~RESS \ PHONE STATE LIC. NO. CITY LIC. NO.
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AJIICMIT~T OR O[SIGN(llt
4
M A IL A.00R (SS v,-5,,,-PHON [ LICENSE NO, '
[NGIN[(~ M A IL AOORt SS l>HONE LICENS E NO.
5
COMF'ENSATION IN,S. C)RRI ER
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BAA.NCH
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7 • " ~~, ._ /qc,;,; NO. BDRMS NO. BATHS
8 Class of work: o'~~EW 0 ADDITION 0 AL TE RATION 0 REPAIR 0 MOVE 0 REMOVE
.. ,:,_/ t5J 9 Describe work : /:?/ v,,t ,(r ru,P/ 5/..)-
10 Change of use from
Change of use to
-(I' { /
PLAN CHECK FEE $ /,X. /,V I
V /1( 11 Valuation of work : $ .,} . J ,. I PERMIT FEE S ,, -SPECIAL CONDITIONS: Type of Occupancy MICRO FILM FEE
Const. Group
Size of Bldg. No. o f Max.
(Total) Sq. Ft. Stories 0cc. Load
Fore Use F,re Sprinklers
APPLICATION ACCEPTED ev PLANS CHECKED SY APPROVED FOR ISS):lANCE SY Zone Zone Required 0 Yes 0No
OFFSTREET PARKING SPACES: .r , 1;317 No. of !No. Dwelling Units 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 O R AIR CONDITION ING. HEAL TH DEPT. THIS PERM IT BECOMES NULL AND VOID IF WORK O R CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF F IRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED O R ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT A NY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I H EREBY CERTIFY THAT I HAV E READ AND EX AMIN ED T H IS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME T O BE T RUE AND CO RRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOV ERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV E AUTHORITY TO VIOLAT E OR CANCEL T HE
PROV ISIONS OF ANY OTHER STATE OR LOCAL L AW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
~ I < .,.,.
/-1"';-)t' , ,,., .. -,,;:...,-f $ICNATUR£ o, CONT,tACTO" o,i AU THO .. IZ.£0 AC.ENT (OATC)
SI GNAill,tt. 0 ,-OWNER 1, OWNER IUILOER) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M .O. CASH
TOTAL FEES $ _'J_~_'I __ ,_&-'[;=--.,,-
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 1/0-/()>7~ C) /<'. r~
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
7-20-76 See corrections enclosed. T. Mata
7-26-76 O.K. to proceed, corrections all pick.Bd_up_, ..T..._Mat.a_
8-5-76 Good gunnite work. Should hay_e_no_p.r.ohl.ems---A.l.L.stee.l-w.a..~---
reset where needed. T. Mata
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City of CARLSBAD, CALIFORNIA
z
92008 1t "' > -
-::/1f .,<If " " ... Permit No. " , "Z
Applicant to complete numbered spaces only. Phone 729-1181 I : 0 ...
ELECT~AL PERMIT APPL~ATION
J OI ADOIII £SS
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LEGAL I Qst:E ATTACHED SHEET) 1 DUC",
OWNUt MAIL ADDIIIESS ZIP PM ONE
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CON"TIIACTOI( .• . " ..... ~ ~ MAIL. AD0IIIES$ ---.. PHONt -; LICE.NS£ NO. ~ 3 ,Q._L 7:, ... I~ .) ut, 7 . / ,(,/...,.., ~.,,.-/,_;:;/ r_• ") ·• .-· ), \
A~NtTECT Ol!f'OISIGHt.trt ---, -~ -"4.C1'°'"D0"E55 -r PHONE ., 'l.t'el:-E ND.
4 ··s \ 1' ' ,
ENGIHE.EIII MAIL ADDIIIESS PHONE L ICENSE. NO. ·,
5 "' LENDE:llt MAIL AD0"£5S llftlAHCH .,
6 /;.-/-..,.11 I //, .,' -7":z,
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I . l 41. /.A ,..,.. { use 0,. elJILOIN' . ~ .... . ,I ,i', = .,
7 \I
8 Class of work: ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR. ~
~:,.~7? ,.,_ __ / 9 Describe work: ' I( . ~ . .. 7 -
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
.;J , '1( l
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
I } ,, f '1115//(_ /,, NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
~I• 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 ANO 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 REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
~ ,,... ·' PER 100 ---/ ·_"\,,!.;,,-. • .• -L' .,/-" ,._/ .• " '( , . ·,: .
S14'NATUIU:: OP' CONTftA"'Cl'Ollt O" AUTHO"IZEO AGltNT (DATE)
'
MINIMUM PERMIT FEE I /
Sl"'!l.l.&TUIU: OP' OWHUI (I,. OWNUI aulLD~" -fDATl.) ..
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Permit No
0
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. ?
JOB ADDA ESS
h;A-?_.c. .... $ 'Xv~ /A.R/s-hA~
LOT NO. I ILK
I T~ACT
LEGAL I Q.sEE ATTACHED SH!:ET) 1 0£SC~.
MAIL AOD"Eas ZIP PHONE OWNE'I,
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CON TPtAC TOR -· MAIL ADO,-ESS PHONE LIC(N.SE NO,
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ARCHITECT 0,. DESIGNER . MAIL AD0A£SS PHONE: LICENSE NO,
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\ Vi.$17'1" :s ~ 4 'I c-.SJ "' ltNGIHEE.f:\ MAIL AOOflESS PHONE LICENSE NO, .
5 rt LltNDUl MAIL AODJIESS e,-ANCH
6 _-NdA/r ~kl~k, ; ,;.-,,..,,. __ .., .,..9 ' r
USE OF 8UILDING
7 ,, . --~ 1t 8 Class of work: ONEW 0 ADDITION D ALTERATION 0 REPAIR
2 /~/ ' I~ 9 Describe work: I ~,~AZi= ~ .,)~
PERMIT FEES .....
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS· WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APP LI CA noN ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
/\ I ./. r
/I, 17-/~ 'l/ CLOTHES WASHER
~-J 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 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
MEN CED. GASSYSTEMS:NO.OUTLETS ,1, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICAT ION AND KNOW THE SAME TO BE 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 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
CESSPOOL
,? ---/ _,, SEPTIC TANK & PIT
< 7'-
SIGNATURE o, CONTf'ACTOR OR AUTHORIZED AGCNT (DATE)
PERMIT . $
SIGNATURE OP" OWHt.A r1,. OWNER BUILDER DATE) TOTAL FEE $
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
1
INSPECTION REPORTS
DATE . ITEM . REMARKS INSPECTOR
'
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
8-24-76 Gas : See corrections enclosed. T. Mata
8-27-76 Correction all made on gas , O.K. to proceed. T. Mata