HomeMy WebLinkAbout1460 PINE AVE; ; 74-2150; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Perm rt No
JO& ADOR £55 1~1t.r -/vE.
ASSESSOR'S
PARCEL NUMBER
LE GAL I 1 DE5CR. I L OT NO. I TRACT -, BOOK PAGE I PAR. <DSE.£ ATTACHED SHEET)
MAIL A DORE.SS ZIP PHONE
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CONTRACTOR rfv,J.~ M A IL A OOA[SS PHONE LICENSE NO. ST ATE CITY
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AllC~IT(CT dR 0 £511.NER MAI L AOOA(SS PHONE LICE.NS[ NO. .
4 r , ~ i7.,. ..t.. 5(,. ~ ~/',, . t.
CtlC IN(EA M411J ADDRESS . -~ PHONE LICE....,SE NO.
5
COMPENSATION INS. CARRIER MAIL AOOll:[SS /}
.. • ' . -' /.:./,{' 6 , ; '
USE Of' BVILOINC
7
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8 Class of work: 0 NEW '*DDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: 1 J
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,'
11 /7t,/7.,)/~. ,, 7 /
10 Change of use from i'
Change of use to
-A--~""rr••_n ~. r r;,-11 Valuation of work: $ ,J.D/J..L/ r / rr·r , PLAN CH ECK FEE $
~S_P_E_C_I_A_L_C_O_N_D_IT_I_O_N_S_: ___________________ ~Typeof
Const.
1--------------------------------Size of Bldg. (Total) SQ. Ft.
i--~~~~~~~~~..-~~~~~~~~~....,..~~~~~--,~~~--1 Fire
APPLICATION ACCEPTED av PLANS CHECKED BY
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, r· ., .... ' . " ...... ,
(") l PERMIT FEE $ ---7 _J
MICRO FILM FEE Occupancy
Group
No. of Max.
Stories 0cc. Load
use Fire Sprinklers
Zone Required 0 Yes
--
0 No APPROVED FOR 'fUMjCE av Z one
I J------------+-0-F_F_S_T_R_E_E_T_P_A_R_K_I_N_G__._S_P_A_C_E_S_,--------,
I / No. of
DATE 1hT\: J G,1(/J-,v Dwelling Units
NOTICE
SEPARATE PERMITS ARE REQUI RED 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 120DAYS, OR IF
CONSTRUCTI ON OR WORK IS SUSPENDE D OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM·
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
APPLICATION AND 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, TH E GRANTING OF A PERMIT DOES N OT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER S'TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
51GNATUA[ 0 ,. CONTRACTO,-OR A.UTHORIZED AGENT (DATE)
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
No. Covered
Required
Sq. Ft.
Received
!No. Open
Not Required
' / ,, // . t: _ «: ~q..rJ-------1--------+-------+-------,
-.-IG_N_A_T_u,-R£·---,o•-o~w-N£-.-..,..J,.,,~o-,wLN-,~ •• --.-U-IL-~-!--,,·~1-..L..----:C.....-==-=(D~,...,,~[~J«-,~~
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~ '-!AA-rrr,'-1,
V -
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
12-31-74 Frame: O.K. Rough Elec. O.K. E. Plude
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete nu,mbered spaces only. Phone 7 29-1181 Perm it No.
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MAI L AD011£55 ZI p r ., /
10sec ATTACHED SH[(T)
Pl-ION[
CO~T .. ACTO", MA IL AOOIIESS . ..-, PHONE LICENSE NO, STATE CITY
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MAIL ADD .. [9! PHOM[ L I C[N5[ NO.
IE.NI.IN£[" MAIL AOOftESS PHONt LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL AODll(SS BIIANCH
6
USE 0 ,. BUI L OINI;
1
8 Class of work : 0 ALTERATION 0 REPAIR --
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH .,_-------....------.,....---"T""~~-----------1 AMPERES OF MAIN SERVICE, SWITCH ,
APPLICA7 "' AC~EPTEJ / PLANS CHECKEO BY APPROVEO FORlAN; BY . FUSE OR BREAKER
I -i DATE/? /3t"/11 / _N_E_W_S-ER_V_I_C_E_O_N_E_X_IS_T_IN_G_B_L_D_G_. +---t---1-----+----I
.,___. ___ ....... ,,.... ...... .__ ___________ _,,---,-,--.. FOR EA. AMPERE OF INr.REASE
NOTICE IN MAIN SERVICE, SWI TCH, FUSE
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 DAY~ AT ANY TIME AFTER WORK IS cm.:
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS O F LAWS ANO ORDINANCE~ 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 .
,, . 0 -
SIGNATU"E OP' CONT,.AC TOIII: 0111: AUTHOfllZCD AGENT
.,ll'!U&TUlll:E. OP' OWMlfl flP' OWN[III aulLDt.fl)
I
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(DATU
(DAT!.
OR BREAKER
REMODEL , ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O . CASH PERMIT VALIDATION CK.
INSPECTOR
M.O.
/., / /'
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/
CASH