HomeMy WebLinkAbout150 HEMLOCK AVE; ; 76-2728; Permitif
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MODEL NO -
46
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BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 9008. .
Applicant to complete numbered spaces Phone 7 29-1 181 P di 6 i r ff ZP
JOB ADDRESS
16—e)?4Iç 57;,
ASSESSORS
LEGAL Z1DESCR
LOT NO.
B
BLE
. .
TRACT .
ILJSEE ATTACHED SIIEETI
BOOK j PAGE I PAR.
OWNER MAIl.. ADDRESS ZIP PHONE -
2 J 1< 2ao Ai jhqji i..v C,
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. -
.C1tiIe~ /J4G)
ENGINEER . MAIL ADDRESS PHONE LICENSE NO.
4 e7/ 1',Jk 7/ Z
COMPE&ATION INS. CARRIER MAIL ADDRESS BRANCH -
6
USE DING
7 /f NO. OCR MS NO. BATHS______
8 Classof work'' LADOITION El ALTERATION D REPAIR EMOVE - D REMOVE
9 Describe work:
a,
- —2
- . fl yj ,f7
LhV~7 2 94b,1- iAII? AJ -r 'jJJ
10 Change of use from
Change of use to .
01"t upw 11 Valuation of work:.$ PLAN CHECK FEE S cIi PERMIT FEE $
SPECIAL CONDITIONS: / Type of
Const. JrI.I '
Occupancy ,
Stories .
Group
MICRO FILNFEE
of BId /
(Total) Sq.
. /
No. of ..-J Max.
0cc. Load
Fire
Zone
Use t'7 '
Zone L J? Fire Sprinklers
Required Lives EJNo APPLICATION ACCEPTED By.
DATE I
FIWlt .
1b
APPROVED FOR.4ySNCE BY
X eng Unio
OFFS:rPARK21G SPA ES:
No ere
NOTICE . .
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING. HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION6AUTHORIZED IS NOT COMMENCED WITHIN 120 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 VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals Required Rec'eitjd Not Required.
PLANNING DEPT.
HEALTH DEPT
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
. WATER DEPT.
SIGNA\TURE OF CONTRACTOR OR AUTHO tzeo AGENT (OAT I
SIGNAT RE_OF_OWNER_fIF_ OWNER _BUIILDERI
WHEN PROPERLY VALIDATED(IN THIS SPACE) THISIS YOUR PERMIT
: PLAN CHECK-VALIDATION . - CK.- - M.O. - CASH -PERMIT VALIDATION CK. M.O. - CASH
- -
TOTAL FEES
INSPECTOR
I
INSPECTION RECORD
• DATE ; . ... REMARKS . • INSPECTOR
FOUNDATIONS:
SETBACK •
_______
S
.J.. 5 .
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING . A
MASONRY. .. • .
FINAL 30
USE SPACE BELOW FOR-NOTES, FOLLOW-UP. ETC..
8-17-76 Fdn. Forms: Not ready. Needs all of the steel instalie*d T. Mata
S
8-20-76 Good footings and steel work O.K. to pour out Back fill of wall
was compacted with bear hammer T Mata
9-9-76 Roof sheathing: 0. K'.1- E. Plude ...... .
.9-17-76 Frame- All corrections picked' up okayto w±aarcd oáeed T. Mate
9-14-76 irame- corrections inclosed. T. Mata.
-9-27-76 DY .Wall Nailing- Good nailing on all walls. The double layer. areE
/_- walls Will have to be renailedorthey did not use.rop,er lenght ail'.Màury
/ say's it will 'surely be done again... Mr spencer also. will see to it and so
will I. T Mata. . . .
9-22-76 Insulation and Lath- Correction included. T. Mata-.,.' * '
-
12-3-76 Final - Left- corrections on jobwithFrnk: T.Mata.-
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MODEL NO
. - .
BUILDING PERMIT APPLICATION;
_ti y of CARLSBADYCALIFORNIA 92008 1 ,
Applicant to complete numbered spaces only. hoñC"729i181 \.Permit N
JOB ADDRESS ' ASSESSORS /5o //Ffri4i
0.
PARCEL NUMBER ç
LEGAL TRT
ATTACHED SHEET)
BOO PAGE PAR IDEScR.
. .
OWNER MAIL ADORE S
2
ZIP 's" PHONE
CONTRACTOR . MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
/, A/Ic n v4/i ARCHI'TECT OR DESIGNER
. MAIL ADDRESS PHONE LICENSE NO.
ENGINEER-fP7AIL AL ONE LICENSENO wLe COMPENSATION INS. C ARRI ER' IL ADDRESS B ANCH
6 •,
USE OF.BLIILDING
p NO. BORMS 1 .. NO. BATHS_9
8. Class of work: 16W Li ADDITION LI ALTERATION El REPAIR Li MOVE LI REMOVE
9 . Describe work:
4
10 Change of use from
Change of use to
11 :Valuation of work: (1
PERMIT FEE $ PLAN CHECK FEE s
C SPECIAL,ONDITIONS. Type of
Const.
Occupancy
Group
MICRO FILM FEE
-- .
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
0cc. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required Lives -]No
Ap.peutTION ACCEPTED BY: PLANS CHECKED BY APPROV FÔRIONCE BY
No. of OFFSTREET PARKING CES:
:ered Sq_Ft_SPAen 'E Dweing A Units
-
oNo
NOTICE Special App rovals Required Received NotRequired
PLANNINGDEPT.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB.
ING;HEAT.ING, VENTILATING OR AIR CONDITIONING.
HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
FIREDEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
SOILREPORT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK'IS COM-
OTHER(Specify) MENCED.
ENGINEERING DEPT
.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.-., . _ WATER DEPT. - 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.OTHE S TATE OR LOCAL LAW REGULATING N THE CO TRUCTION OR ERFORMANCE- OF CO STRU TION.
SIGN __OFCONTR"ACTOR 0,_AUT_'RIZEDAGENT _.(DAlE)' ,T_R
5IG1PfYtJRE OF OWNER lIp' OW.N It R BUILDER)
V - - WHEN PROPERLY VALIDATED (IN THIS.SPACE)THIS IS YOUR PERMIT'
-PLAN CHECK VALIDATION . c. .. M.O. CASH PERMIT VALIDATION CK. M.O. - CASH
T OTAL FEES $ J2__
-- ............ .-..,, ............. ....-- a.-.-...........- a ......b.. ,*..t...,. . . ~. , -.. . '~.J * - .. ... -. . ~ ~ .* ......
II ' M!3:5111111 ('Ii
•
INSPECTION RECORD
DATE - REMARKS . INSPECTOR.
FOUNDATIONS: S
..SET BACK S.d. .5
TRENCH
REINFORCING
FOUNDATION WALL & 'S
WEATHER PROOFING
CONCRETE SLAB
I..
FRAMING
INT. LATHING OR DRYWALL
*55
EXT. LATHING
MASONRY
5,
FINAL 6-/- 71,1
USE SPACE-BELOW FOR NOTES, FOLLOW-UP-ETC...--
84-76 No.. 4 bars are placed at. 8roc. Good footinO.K. to pour. T. Mat
8-6776 O.K. to'grout, all steel in place. Steel is -in -at 8-o.c.... #4.. .'--: Mata
5.
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'.,.,,,PLUMBING PERMIT APPLIcATION
Permit No.__________ City of CARLSBAD, CALIFORNIA,,
Applicant to complete numbered spaces only. JOB ADDRESS . . -I -
z CD
1OE5CR.
LOT NO. BLK TRACT .- . --. S LEGAL (EJSEE ATTACHED SHEET) a
OW I. NE . ,,.... . MAIL ADDRESS J ZIP PHONE
/M 20* /i?fli2 L. (7tc,. o?i? CONTRACTOR - MAIL ADDRESS PHONE LICENSE NO.
r,?cr.It,,I1ç. .- f/ s--icff 2oi?? ARCHITECT OR DESIGNER PAIL ADDRESS - PHONE LICENSE NO.
4.. .. -
ENGINEER . . MAIL ADDRESS . PHONE LICENSE NO.
5....-
LENDER . . MAIL ADDRESS BRANCH
6''
USE OF. BUILDING
7 ..
9 Describe work
8 Class Of work. iW 0 ADDITION - 0 ALTERATION D REPAIR
- PERMIT FEES
7. . No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: . WATER CLOSET (TOILET) L . . . . ._L BATHTUB .. - -- . LAVATORY (WASH BASIN) 9C
SHOWER
-- 3 KITCHEN SINK & DISP. -4-1 ILI
DISHWASHER L/
APPLICATION ACCEPTED BJV: PLANS CHECKED By: . APPROVED FOR ISSUANCE BY f LAUNDRY TRAY / J
, CLOTHES WASHER oo.•.
WATER HEATER
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. DRINKING FOUNTAIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A 'PERIOD OF 120 DAYS AT ANY TIME AFTERWORK IS COM- SLOP SINK MENCED. •L GAS SYSTEMS: NO. OUTLETS - I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTFPEO
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE . VACUUM BREAKERS
* NOTICE URINAL
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR—SINK - LOO R RAIN 0 .
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING .THIS
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT - - -
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING - - CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM - - SEWER
'SSPOOL • - SEPTIC TANK & PIT
SIGI4URE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) • -
PERMIT . $ ..2_ $°
--
_____ O SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) TOTAL $ .
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M. 0. CASH PERMIT VALIDATION CK. M.O. , CASH
INSPECTOR
INSPECTION REPORTS
1
-
DATE ITEM . REMARKS INSPECTOR
1• . .,.
-
*
.
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
8-16-76" 'Underground Underground plu-mbing all very well done. All wrapped with #15
felt and tape. T. Máta -
9-17-76 Rough PlUmb.- Okay. T. mata. --
4.
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:MECHANICAL PERMIT APPLICATION !. City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.___________ JOB ADOR ESS
/50 yL/eJ7714 6
LEGAL
,4øI
1 f
LOT NO. BLH TRACT _.
/ ~,44C I7S (EJSEE AYTAC.IiE4?SHEET)
OWNER . MAIL ADDRESS ZIP PHONE
2 /.*'/' '- —'-' CONTRACT.OR.
, ADDRESS PHONE STATE LIC. NO. CITY LIE. NO. Y%'4 /J&/
MAIL
ARCHITECT ORDESIGNER MAIL ADDRESS
f
PHONE LICENSE NO.
ENGINEER . MAIL ADDRESS
5
PIONE LICENSE NO.
LENDER . MAIL ADDRESS
6.'' BRANCH
USE OF BUILDING
1'
8 Class of work: E NEW EJ ADDITION 0 ALTERATION LI REPAIR
9 Describe work: 3 c . .
Type of Fuels Oil El Nat. Gas El LPG. El
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Units—H.P. Ea. $
Refrigeration Units—H.P. Ea.
Boilers—H.P. Ea.
Gas Fired A.C. Units—Tonnage Ea.
Forced Air Systems—B.T.U. M Ea. APPLICATION ACCEPTED ByjI.ANS CHECKED BY, APPROVED FOR ISSUANCE BY. Gravity Systems—B.T.U. M Ea.
Floor Furnaces—B.T.U. M
Wall Heater—B.T.U. M
NOTICE . THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION 'AUTHORIZED IS NOT COMMENCED WITHIN 120 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 VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
'S{GNAT R OF CONTRACTOR OR AUTHORIZED AGENT (DATEI 1/_.,
- -..'ISSUANCE r,,,,,AT...
FEE
Unit Heaters—B.T.U. M
- Evaporative Coolers
Clothes Dryers
Ventilation Fan
u . Range 00 --
Air Handling Unit— C.F.M.
.
F M
. .
Incinerator
- -
- -
TOTAL FEES $ OF OWNER (IF OWNER BUILDER,) (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
-
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. - -
f...:,.
, . . - •..4• - . . •
r: • . - .. -
-If.
,---
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 -Th
Ann//cant to comalete numbered søaces only.. Phone 729-1181 Prmif Nn.7
JOB ADOR (55 . ,.
/) //
le-
J 4/ . .• . :. : -
LEGAL 1
LOT NO
...... -
ILK
.
TRACT
.
. . .
(cJSEE ATTACHED SHEET) .• •. ,'
OWNER . MAIL ADDRESS ZIP PHONE
2 MAP-
CONTPIACTOR#v. MAIL ADDRESS PHONE LICENSE NO. STATE CITY
3 ~4 112 y'y' ç (2VC
ARCHITECT OR DESIGNER . MAIL ADDRESS- - PHONE LICENSE NO. -
4. . . .-
ENGINEER MAIL ADDRESS • PHONE LICENSE NO.
5 --
COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH .
6 .' .
USE OF BUILDING . .
1. •' . . . . .
8 - .Classàfwork: ,NEW . 0 ADDITION 0 ALTERATION 0 REPAIR,
9 Describe work:
PERMIT FEES
ISSUANCE OF EACH PERMIT
No. Each .' Fee
SPECIAL CONDITIONS:-. .
.
NEW CONSTRUCTION, FOR EACH
AMPERES MAIN SERVICE, SWITCH,
BREAKER LI.4~ APPLICATIO 7 PLANSCHECKED8Y APPROVED
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE . IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF.WORKORCONSTRUC- OR BREAKER .
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- REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE,, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANDIZORRECT.
INCREASE . .
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 TEMP. SERVICE UP TO AND INCLUD- -
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
3IGHA1O9 OP CONTRACTOR OR AUTHORIZEDAGENT (DATE)
PERMIT FEE
SIGNATURE OF OWNER (IF OWNER BUILDER) - (DATE)
4.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. - M.O. CASH PERMIT VALIDATION - • CK. M.O.
-
CASH
- .- . •-.
.... • • -
- ,..
- - .. - - - •:- ç - . - • -.-•.. • - , $ •. . ., .- - V ' '-• • - • ..- ..,') . k ... . . ).' .•$/ ' I.'..
INSPECTOR . - • - . . - •-........
- . -
- ,. .' - -. •. • '1", .--•'
- . APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT 1793 BuILDINdDEPT:.
729-1181 EXT. 35
ISSUED BY ItL.
FOR APPLICANT,TO FILL IN . /
DATE ISSUED
BUILDING
ADDRESS / 5? K 4LOc-K . VALIDATION .
OWNER ~j lz_•':'.
_rC ). 4Izô I- .• .. -
MAILING - -
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING EXISTING BUILDING
LEGAL DESCRIPTION
P
-
i74-7
REMARKS: LINECOSTDATA •
;.
ASSESSMENT 01ST. NO.
FRONTAGE COST PER FT. •TOTAL
. .
.
OTHER . • -
LATERAL LOCATION- • CONNECTION FEE
e.
(I, NO UNITS_ COST PER UNIT(____ TOTAL'Z?
)_( )......... PUMP STATION FEES
.
- NO. UNITS-COST PER UNIT--TOTAL
ST.
TOT (LATERAL ETC.)
LATERAL NO. _____________ INSTALLATIONDATE • - '
LATERAL CHARGE COMPUTATION
' 5 STANDARD 4" (Max. H. 30', V. 101 •
OVER 3O'H.-@_______FT._-
OVER 10 V.-@______ FT. -.
STANDARD 6' (Max. H. 30', V. 101 ' •
OVER 30' H. • FT.
OVER 10V. _____ ______ FT. --
TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.) "_-_•.t
-•111 TOTAL LATERAL CHARGE
. ,..,... - -V.. •'
I PERMIT NO.________
Application for Grading Permit (letter code + number)
CITY OF CARLSBAD L1ot
PUBLIC WORKS & BUILDING DEPARTMENT Ssubdivision
1200 Elm Avenue C=City contract
729-1181
FOR APPLICANT TO FILL ;IN
Site Address
I50_1EmLK_-_0AL4fl
Surety Bond Bond No.
LegI Description Map No.
Lrq 4/Ae.k A
Surety Company
SubdivisIon Name
Pq1I,cAr,e Surety Address
)wner Pho ne .1 J'e,Je 2z 10 X -
Date Filed Rec'd by
)ner's Address Cash deposit Rec'd by Date filed
P lans by Civil Engineer .R.C.E.
)C ULkeg L1q2 The following.documents are required and shaL
become a part of the grading permit when they
are approved.
Gra ding plans Specifications
Soil report Vicinity map
Drainage structures Retaining walls
Compaction report Other
-
Address Phone
..i c%zQ4. ZRS49
Soi I Engineer R.C.E. Phone
tr) P cei'I
rading Ccntractor' Phone-
caA'4 tr&o
ddress Check if supervised
Sr 4%- 334 grading .
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible 'for overall supervision
1Z1pi\A Siet)(r ' nw 1€.(2 .1. Authorized hours of operation: 7:00 AMto
roposed use of gade site
RoiLo%mr^ 1-hr iQ Ti2.Pk1 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber of cubic yards
- Cut Fill lmpor_ 'Wástë
Engineer.
Adequate provisions shall be made for ______________________________________ erosion and siltation control.
All slopes shall be planted per direction ZI I of Parks & Recreation Director. IOta I
Compacted fills (yes or no)
Proposed Schedule of Start Finish
Operations (dates) 7-.27-7h . 7/29
I hereby acknowledge that I have read the applica-
fion'and state that the information I have provide'd
is corrct and agree to comply with all City
ordinances and State laws regulating excavating and
grading, and the provisionsand conditions of any
permit issued pursuant to this application .
Signature of Permi-ttee
Owner or authorized.ager(t
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report. re'd.
Planting & drainage
- Final certification rec!d.
Grading permit fee $ Work completed
Surety bond released
PelT TF idation
by ___* 2_Date
Permit Expiration Date - -
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED:
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
W4
LàDING DEPARTMENT
BUILDING ADDRESS:____
INTERDEPARTMENTAL INFORMATION SHEET
LSBAD
PLANNING DEPARTMENT ,.') V
.LOT SIZE •' V LOT WIDTH _ZONE 1<- /1.,
_4~~O
ç) V
UNITS PROVIDED_ALLOWED_V PRKG. SPACES PROVIDED— 'L) REQ._____
I % OF COVERAGE_L_1/LOWED
V
BLDG. HEIGHT ê
12 WED
FRONT SETBACK SIDE YARD j EAR YARD_' /C INTRUSIONS' 7(ç
ENVIRONMENTAL PROTECTION REQTS. / LANDSCAPE PLAN______________
(ADDITIONAL COMMET'St, _V
ISSU E? 1I11 AIII I
IV1iiP1/i Iifff
CCUPANCY E
-- I
ENGINEERINGDEPARTMENT V
V
R.O.W.— V ___INDUSTRIAL WASTE_ N 4
.'
IPAOVEMENTS -4-577 G7 SEWER CONNECTION _ 7-20_P,4i,B
£RIVEW LOCATIONS 7P&_I411__42A (5m arcp GRADING PERMIT_
EASEME ,N0007 V DRAINAGE 10 514'-7
LE GAIL DESCRIPTION Lt&L4-1 _
V
ADDITIONAL COMMENTS
ISSUE PERMIT DATE Z-9-0-76 oCCUPANCY4 il
d1*" TE J'Jc7
FIRE DEPARTMENT V
SPRINKLING ;SYSTE\1
FIRE PROTECTION!EQUIPMENT FIRE ALARMS_V
EXITS" V
FIRE'HYDRANTS V
LOCATION
ADDITIONAL COMMENTS
1
DATE • V V ISJE PERMIT DATE OCCUPANCY VV V
WATER DEPARTMENT
C M W D CARLSBAD 0 NH _______
,ADDITIONAL COMMENTS
ISSU
_________________________
ITTLNI TiTSjT DEPT.
SAN IMA
DATE_________
I1EIUHNELJ TO BLDG. RETURNED TO BLDG. DEPT.
A4 L2CAc ,4JE
CHARLES HEINCY
: DRAFTINGANDDESIGN
AAJ c)
p
' , - •c fr
.-' _•,c •
Augut 11, 1976 :
Carlsbad Building Departnient
1200,11m Avenue
Car1bad Calif orn:ia--- 492008
REFERENCE Plan Check Number 76-108
Spencer Plans for Tri-Plex
Gentlemen
This letter, asked by your department, is to notify you
that the change in the pitch on the roof, from 8:12 to
6.12, has little or no loss in structural strength. I,
therefore, give permission to lower the roof pitch to
6.12.
Kennith G. Wilkes
Structural Engineer
ROE # 7192
no
1 KGW/OOH/p9 I
- -. -. .• •.
-
• •
•1175½ EAST MISSION, FALLBROOK, CALIFORNIA 92028 • 728-6555
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