HomeMy WebLinkAbout1446 FOREST AVE; ; 73-137; PermitBUILDING PERMIT APPLICATION
/7 City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 .. 1 7• 1. Permit No._
Applicant to complete numbered spaces only.
JOD ADDR ltS.S
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LOT NO, I ILK LEl;AL I 1 OESCA,
OWNER
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CON ,.llll:AC TOR .
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ARCHITECT Ollll 0£SIGNl!.llll MAil AOOlll£SS PHONE LIC£NS£ NO,
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~-5 EN_G_I_N-££_" ___ -__ ~ __ -__ , __ -_-___ r _____ M_A_I_L_A_O_O_R_E5_5 ____ " ____ ~ ___ rP_H_0-N£----------L-I_C_EN_5_E-NO-------~lir-i~~1~~'l\
B"ANCH I•
A;._.,_
1..ENDEft MAIL AOOllll:ESS
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8 Class of work: Q)~EW 0 ADDITION OALTERATION 0 REPAIR OMOVE
Describe work: 9 r_· ---·---...
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE
~S~P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S_: ___ ~~~~~~~~-~--~~~~~~~Typeot
Const.
1-------------------------------i Size of Bldg I, 1 (Total) Sq. Ft. ~ 1,.1-i;t,/ .• "
1----------------.:·-.:l-----------~ Fire
"'~ '"""'"(} / ,mo,,o ,o, ''"f,"'' __ ;; ::":, '11'T"" APPLICATION ACCEPTED 8Y
~ ~-/ Dwelling Units
4,.,, N~ 0 Tl C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED 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
MENCED.
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 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 V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/
Special Approvals
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
C , l
I PERMIT FEE I, 4..
,I$ .
Occupancy r"' Group "1: Division .... --No. of Max.
Stories ' 0cc. Load
Use Fire Sprinklers
Zone Required 0Yes GlNo
OFFSTREET PARKING SPACES: ,.
Covered I Uncovered .,/;!J-
Required Received Not Required
S!GNATUfllE. OP' CONT .. ACTOR 011 AUTHOIIIJZ.EO AGENT
'/~; .I .-r . .f .,. /,,fa
~IGNATU"-E 01" OWNER {IP' OWNER IIUIL.OCfll)
(DATE)
IDATE) ~ •~~-------+-~-----+--------+--------!
WHEN PROPERLY VALIDATE D (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
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 13-/":3 '7
INSPECTOR
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD SE .Oa3 BUILDING DEPT.
ENGINEERING DEPARTMENT
729-1181 EXT. 35
ISSUED BY '
FOR APPLICANT TO FILL IN \ DATE ISSUED
BUILDING I ADDRESS VALIDATION
OWNER
I I
t ( J. ' 1
MAILING
ADDRESS f ' , -:I
LATERAL CHARGE COMPUTATION
CONTRACTOR STANDARD 4" (Max. H. 30', v. 10')
OVER 30' H. @ FT.
CONTRACTOR'S OVER 10' V. @ FT.
ADDRESS STANDARD 6" (Max. H. 30', V. 10')
OVER 30' H. @. FT.
NEW BUILDING I EXISTING BUILDING I 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
..,: en I I i-: en NO. UNITS \ COST PER UNIT TOTAL
r '\ /" '\ PUMP STATION FEES
'-.,I \,,./
NO. UNITS COST PER UNIT TOTAL
I I ST. .A, 5oo-D
TOTAL CHARGES (LATERAL ETC.)
LATERAL NO. INSTALLATION DATE
()
PLUMBING PERMIT APPLICATION
Permit No. /.1 ~ /~,_ City of CARLSBAD, CALI FORNIA ..
Applicant to complete numbered spaces only.
Joe ADDA ESS 0 ... -0
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LOT NO. I ILK I TII .. CT ;n g :z LEGAL I Osu: ATTACHED SHEETJ 1 OESCII. / _/ ;n? . ~ ;1 OWNE1' MAI L AOD1'E5S --~ --ZIP 'I PHONE I
2 /d f) /.,-J ,1/, Y./1~/ l /Jo/
CONTftACTOPI / J-r/ MAIL ADDRESS "'A?~ PHONE rf'$J> LICENSE NO. I~ ~ 3 /A A ,J,I /J,1 ,.,.(..-' "'/"27 ' AflilCHITECT OA D£S1GNE1' MAI L AODfltSS \'{ \/ PHONE ~ L ICENSE NO. l""t
4 _12;1e It/ //50 1~1, £.NGINEEA MAI L ADDRIESS PHONE ~ LICENSE NO, I
5 / 1,
LEN 0£111 I'/ 7-{t-t:I. MAI L AOO"-ESS B"ANCH ;1~ 6 L ti -~ J -,-r-I\. US£ OF &UILDIHG \_/ ;: _L ,/' I 7 ,, 1 ... ,
~ '/ ,,,, .. If
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR I(..;. •
~I ·/// ~~ 1, 11
9 Describe work: ,;u~~v _;,1/ /:J_/ (~ 1, -. ' -/ 11, a
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ ~ /.
/ BATHTUB ~ I .r;;--1'.i
') LAVATORY (WASH BASIN) ~ 1~0
/ SHOWER ~ <"t
KITCHEN SINK & OISP. ./ c-, G:I•
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY ,·/~ &, .. X J CLOTHES WASHER / ~
t ~./· . I WATER HEATER J ~, "{. I . .
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
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 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER ~I -·
CESSPOOL
/J SEPTIC TANK & PIT --SIGNATUf'E OF CONTRACTOIII: OR AUTHOlll:IZEO AGENT (O .. T£1
PERMIT $ ~1
SIC.NATU"E 0,. OWNEIII: I ,. OWNER BUILDER} (DATE) TOTAL FEE $ -c
WHEN PROPERLY VALIDATED (IN TH IS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
PLUMBING PERMIT APPLICATION J.::> ., I ..
City of CARLSBAD, CALIFORNIA
-,,
PHONE Lfe/v LICENSE NO,
>.-://. -?./J /
PHONE LICENSE. NO .
.,,,/
ENGINEER MAIL ADDIIESS PHONE LICE.NS£ NO.
5 .
L~ND£11t MAIL ADDRESS 8flANCH
6
USE. o, 8UIL01NG
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
---"
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: WATER CLOSET (TOILET)
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY ,,
(;/ \;~'
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED 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-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS 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 V IOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GASSYSTEMS:NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
5.
.
'I~, .
ll t lli)
I•, '
~ -~
Fee
$
L / /? I /_'-;
~-5-IG_N_A_TU~R-E~o-,-C~O-NT_R_A_C_T_OR~O~R-A_U_T_H_OR_l_2_E_D_A_G_E~NT~'--~~~-ID_A_T_t_)~~~ 1--~....-,1--~~~~~~~~~~~~~~~~~~~~--t-~~+-~--1
PERMIT $ I IJ
SIGNATUftE o, OWNER ll'F OW~EA BUil.DE") (DATE} TOTAL FEE $ .,....II
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
IN SPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
-
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
0 I-,
/'/~ r.! 0
City of CARLSBAD, CALIFORNIA 92008 I tt -;i
Permit No. __ -.• : ll C o ....._.. ~ Phone 729-1181 -.c::o Applicant to complete numbi!red spaces only. I -ll ,> ) [;1 JOB ADDA ESS (1\ "' 'i1, _ u Th"l,."'-:f;. , f":;.,,---:·. n;"""";"i'F~"""1 ~;-, 7 rt LOT NO. OLK I T~ACT
~
LEGAL I (0StE ATTACHCO SHEC.T) 1 DUC~.
MECHANICAL PERMIT APP[IC:ATION
OWN£111 MAI L ADOA.ESS ZIP PHONE :'-e. 2 l ,. ~ .. r n .. t_ ~ili:!"""-!"-.:-..;1 P.1 Pt "'lf1' '1f !':)t'1 f!,-1 r;:-""JJ t ~ L (r1'!1't'i. "1-Y'I-..., ~te<. ' ..,..,
~' CONT,.ACTOft MAIL AOORCSS '1>HON I: LICENSE NO. r7
3
I 'Jl..-"":\ r ':'r"-.t r t.~ .,, C "."1:' • 'i:1-~r.: ., ,,,.~ ·ni f.'·--r., ,,~ '1t'!t-l, ·r5"' ~ ~~':tt!1
ARCHITECT OA O£S1C.N£fl MAI I.. AODlif'ESS -PHONE ---L ICENSE NO. ,'-J 4 -0 -e, "' ENG IN EE" ' l'IAAI L ADD ft ESS PMON[ LICENSE NO. l•c 3
5 . I ;::: .. z
L C.N DER MAIL. ADDftCSS &.-A.NCH ~
6 IG, ,. ' -'-_,. ~
USE o, BUILDING
7 n,i~ ... ,("I P.r-::"',_'iini (~,, '"9"h . -l 8 Class of work: EJ NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: tA
r-~,'!,,'i'.i . ..,,t,,:--... ,,..~ 11v-.-. .-~ ~"'~ "~ ........... ,,,,.,.,, f"IM ir:::-:-;r r----Jr ... , ....... &.-..,..
-~ ... . ----.. -~ ~ --. ---
-~-=-' _.,_
Type of Fuel Oil 0 Nat. Gas 0 LPG . 0
PERMIT FEES --SPECIAL CONDITIONS: No. Type of Equipment Fee
I -, Air Cond. Units H.P. Ea. $
-Refrigeration Units-H.P. Ea.
Boilers H.P. Ea.
-Gas Fired A.C. Units Tonnage Ea.
Forced Air Systemt B.T.U M Ea. ~ Ir ;00
APPLICATION ACCEPTED av PLANS CHECKED BY ,w"i3:"P Gravity Systems-8.T,U. ,, M Ea.
Floor Furnaces-B.T.U. .: M I
J1i -
Wall Heaters.-B.T.U! j M -~-.~ .
NOTICE ' Unit Heaters-B.T.u:\· ; M ·~-...
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· Evaporative Cool&rti,,. ~~,; -" -----. =
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF"' \ Clothes Dryers !~ ... ( -'' CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR J ~ .,. -
PER IOD OF 120 DAYS AT ANY TIME AFTER WORK IS CO ·,f. Ventilation Fan {4. ~
MEN CED. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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.
r
. ~
~ r., _I} 7-,.
'$1GNATU"£ 0,. CONTRACTO" 0" AUTHOA 1za::o AGEfrr,IT (OAT£>
PERMIT $
"'-!GN,.TI JU' 01' OWNE.PI II' OWNER 9UILD1t") (DATE) TOTAL FEE $ '':,,' en
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS
--
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
f~h/A-11~~
HA w -1~ ~
INSPECTOR
.
..
I
~ ...
• 3 ,,.. C ~ 402* ' .,
73 -/3( ELECTRICAL PERMIT APPLICATION ~ ~: l; l t ..
City of CARLSBAD, CALIFORNIA .. 0 ' 0 "' Applicant to complete numbered spaces only. , . "' .. ,; .. ' Joe AODfll E.SS • l · l ~~ti r J:L .. !.' .. . ,, -
LOT NO, I aLK
I TIOAC T Q scc ATTACHED SHEE.T) LEGAL I It I 1 OUCIO, J OWNEfl MAIL ADD,.ESS tip PHONE i :l 2 ,\ ...... , 1Uillll,l.A'l1r;s v,,(;.v. J -.., L,,.,t,SJlA.'11 (;1,.,W . CJ;, L•~ 72<WO,o ~ , ..
CONTflACTOfl MAIL ADDRESS PHONE LICENS E NO,
3 {; , .. -~rd~ 1~~. MA011_,.,r, .t...Y .•• 1.,; ... 1rnu.v. ,, ! (" • Q;} }!I\ 7,1~1,.c..,c; .;,hy7A' U,.)9.'," ,,.,
AflCHITECT Ofll: DESl(;Nlfl MAIL ADDRESS PHONE L ICENS E N O,
4
ENC.INI.Efll MAIL ADDRESS PHONE LICENS E N O,
5
LEH OE" MAIL ADDfll:ESS BIIIANCH
6
use O P' BUILDING
~:
7 :., l., ,Li:. , 'I. 1!jY ~_, .. r::,
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR :l 9 Describe work: d,F.CTitTCAJ, i-:TRINO ~i
PERMIT FEES
I~
No. Each Fee
SPECIAL CONDITIONS: Total RECEPTACLE Outlets
LIGHT
SWITCH
Total
LIGHTING F ixtures >
APPLICATIQH ACCEPTeO BY, PLANS CHECKED BY APPROVED FOR ISSUANCE BY FIXTURES i /y ~' ~/ /',. . I'/ c... • RANGES CLO.DRYER WTR. HT R. -NOTICE GARBAGE DISP. STA. COOK TOP
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-DISH. WASH. CLOTHES WASH.
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SPACE HTR. STA. APPL. l/2 H.P. MAX. I
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 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 NO. TRANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS r CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NO. LAMPS
TEMP. POWER DPOLE UuNDGD.
~-/ . /o/( SERVICE 0·200A 1 \ " ~ <
201·400A ,, . ,.£_'. ,, ( 2li ~~, DNEW 401·600A
SIGNATU.lll o, CONTIIUrC'T'Oflt Oflt AUTHOIIU%1:D AGl:NT r .. col.T 0 CHANGE OVER 600A
PERMIT ISSUING FEE $ Y , ...
• t:N.&.T fltS' n, OWNE.flt IP' OWNEJIII: AUILOEflt DA.Tit 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
TEMP. F ILE
' --------_____ ,.,_._. I '-I ~ IILD M..-4 r_J ~ ......... C-0.NFER[IIIC..E O F BU ILQING OFF ICIALS e &O SO, LOS IOOBLU e PASADENA. CALl ~OIONIA 1111 0 1
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