HomeMy WebLinkAbout1578 CHESTNUT AVE; ; 70-646; PermitBUILDING PERMIT APPLICATION
1
PERMIT #
Applicant to ci
PAID.City of CARLSBAD, CALIFORNIA m 30-70 ^3383***
rete numbered spaces only.
JOB ADDR ESS
LEGAL
IDESCR.
MAI L ADDR
. ATTACHED SHEET)
CONTRACTOR
ARCHITECT OR DESIGNER
MAli>ADORESS
MAIL ADDRESS
L l^jgj S E NO
LICENSE NO.
MAI L ADDRESS LICENSE NO.
A)
MAI L ADDRESS
USE OP BUI LDI N G
8 Classofwork: D'NEW DADDITION DALTERATION D REPAIR D MOVE D REMOVE
9 Describe work:4
10 Change of use from
Change of use to
1,00
N
i
11 Valuation of work: $PLAN CHECK FEE PERMIT FEE It ~
SPECIAL CONDITIONS:Type of
Const.
Occupancy
Group Division
Size of Bldg.
(Total) Sq. Ft
No. of
Stories
Max.
Occ. Load
APPLICATION ACCEPTED BY:PLANS CHECKED BY.APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required Dve DNO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE
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 VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
THE. aEITFCTRMANCE OF CONSTRUCTION.
Special Approvals
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
SIGNATURE OF CONTRACTOR OR AUTHORIZED ASENT
Required Received Not Required
SIGNATURE OF OWNER (IF OWNER BUILDER)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
Form 100.1 9-69 REORDER FROM: INTERNATIONAL coNFEREpfcB/OF BUILDING OFFICIALS • 50 so. LOS ROBLES • PASADENA, CALIFORNIA 91101
PERMIT:
Applicant to complete numbered spaces only.
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA jut30-70 5^3385**
3
JOB ADDR ESS
LEGAL
DESCR.
(Q^JSEE ATTACHED SHEET)
MAIL ADDRESS
MAIL ADDJRESS . PHONE LICESE NO.
ARCHITECT OR DESIGNER MAIL ADDRESS ff
cf *r&4-
cms-r NO. /
LICENSE NO.
8 Class of work:D ADDITION D ALTERATION D REPAIR
9 Describe work:
K
via
00
"\l
SPECIAL CONDITIONS:
PERMIT FEES
RECEPTACLE Outlets
LIGHT
SWITCH
No.Each Fee
so
APPLICATION ACCEPTED BY: PLANS CHECKED BY:APPROVED FOR ISSUANCE BY:
LIGHTING
FIXTURES
Total
Fixtures
RANGES CLO. DRYER WTR. HTR.
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 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.
GARBAGE DISP. STA. COOK TOP
DISH. WASH.CLOTHES WASH.
SPACE HTR. STA. APPL. "A H.P. MAX.
MOTORS:
SIGNS
H.P.
NO. TRANS.
NO. LAMPS
TEMP. POWER DPOLE DuNDGD.
SIGNATURE OF CONTRACTOR OR AU THOR 1 2 tttl A>fl EN t*tttl A>fl (DA*T^)\
SERVICE
D NEW
D CHANGE
0-200A
201-400A
401-600A
OVER 600A
PERMIT ISSUING FEE 00
SIGNATURE OP OWNER (IF OWNER BUILDER)TOTAL FEE S>0
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
Form 1O0.3 9-69
INSPECTOR
REORDER FROM: INTERNATIONAL. CONFERENCE OF BUILDING OFFICIALS • 50 SO. LOS ROBLES • PASADENA, CALIFORNIA 91101
PERMIT
City of
Applicant tcTcdmplete numbered spaces only.
, CALIFORNIA PAID
30-70 ^
"MA"i" L AD D R re s
QSEE ATTACHED SHEET)
CONTRACTOR
ARCHITECT OR DESIGNER
MAIL ADDRESS
MAIL ADDRESS
LICENSE NO.
MAIL ADDRESS LICENSE NO*
MAIL ADDRESS
USE OF BUILDIN G7) ~7~)
1 /\>'T lt>O
8 Class of work: HNEW D ADDITION D ALTERATION D REPAIR
9 Describe work:
2
*%
A xi
tl
*
.00
•0
Os
PERMIT FEES
No.Type of Fixture or Item Fee
SPECIAL CONDITIONS:WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY:PLANS CHECKED BY:APPROVED FOR LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
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.
1 HEREBY CERTIFY THAT 1 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.
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
SIGNATURE OF OWNER (IF OWNER BUILDER)(DATE)
3 3O
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.CASH
Form 100.2 9-69
INSPECTOR
FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 SO. LOS ROBLES • PASADENA. CALIFORNIA 91 101