HomeMy WebLinkAbout1581 OAK AVE; ; 77-10239; PermitMODEL NO. _________ _
BUILDING PERMIT APPLIC TldN
City of CARLSBAD, CALIFORNIA 92008
Applicantto complete numbered spaces only Phone 7 29-1181 Permit No 7)-/0}37
J08 ADOfltt•S ASSESSOR'S
l5S'! r>'n I, /JV './)£) PARCEL NUMBER
LOT l\jQ, I BLK Ir.ACT BvvK VGE I PAR,
Ltm I 0sec ATTACM[O 5M[[TI 1 Dt5C~. i. '3
OWN[ .. MAIL AODlltES5 ZI p PHONE V'
2 If I )' ]e_.; 7d.CJ 176 f/
CONT"ACTOIII MAIL A00"[S$ P ... ON[ STATE LIC. NO, CITY LIC, NO.
3
AIIICHI TCC T 0111 OCSIGNCIII MAIL AOOlllltS5 PHONE LICENSE NO,
4 .
[NGl,..CCIII MAIL AODIIICSS PHONC LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL AOOllltSS 811tANCM
6
US[ OF BUILDING
7 NO. BDRMS NO. BATHS
8 Class of work : ONEW rjAOOITION 0 ALTERATION 0 REPAIR O MOVE 0 REMOVE
9 Describe work . I s ,t. ' J I
-:~ 4 ./ . '-" . :l 70 ~.,ct. .,,.
10 Change of use from l u //cJ e,a ./c. /dA. <.-7~ (.. '
~-
.... Change of use to Pct.-,~];
~'/ 0 L!~ ' I PERMIT FEE $
\
11 Valuation of work: $ PLAN CHECK FEE S 4 ,.
SPECIAL CONDITIONS: Type of Occupancy MICRO FILM FEE
Const Group
s,ze of Bldg No. of Max -(Total) Sq. Ft Storoes 0cc. Load
// Fore Use Fore Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY :·'21"".""" Zone zone Requored 0Yes 0No
No. of OFFSTREET PARKING SPACES:
Dwet11n9 Units No. I No. DATE Covered Sq. Ft. Open
NOTICE Sp .. cial Approvals Required Received Not Requored
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED OTHER.<Speclfy)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT 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 WATER DEPT.
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.
SIGNATU"t o, CONTJU.CTOIII OJI!: AUTHOJllllD AC:[NT (DATE)
JQ, .,;( £,.~ • I -:v-7., -SIC.NA'TIJIII[ 0" OWN[III (1, OWNt• Bll"ILO[III> IDATCJ
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O , CASH
TOTAL FEES $_;) __ 7 _____ _
INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRY1
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
.. Q .. -]
oJJIC . /6?/ \ .
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To !)_/) VE ,eW/k ... C Dote / 2-£-l 2 I l
Ci) ,-,:--fl' 'f:ov /I'~ Tl o ;V or ;J
t_ Iv,{) Ot~ A c &. re (J_ ( Pr12 (" Q 12.E h£ , )
r 4 X4: PoJr &, [l If).,/) Tt V r' QvE/l J I / i '
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2 X4: /),E, {},l, P T:5 lu1 ,1.#: Jv 0 J
CoJye f?Ertr l?!E/cf V;Ji!Z& J I r-'::¥. l J._ 2. t. ,,_; ( Lr &II J'~ J:'.) /S
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DUPLICATE Signed
2 x, O.E f,R Cov,p(( lv, l7f
~ JJ j/Tr £ Eon CovE ll ) PJJ NI ,',..tz.. ..
~ I FRt>Jv:i l:liVC:: T't) 1-''x '.,,.
A fJff 12-'
/ /).
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Dote Signed
Recliff""
45 465 SEND PARTS 1 AND 3 WITH CARBONS INTACT.
Poly Pok 150 ..,,l 4P465 PART 3 Will BE RETURNED WITH REPLY.
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INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BPILDING DEPARTMENT
BUILDING ADDRESS: /<5 P/
DA TE : --uH-t1:....+e~B--19-77-
fk-e.
CITY OF. CARLSBAD
Bulldlng Department
PLANNING DEPARTMENT
UNITS ALLOWED UNITS PROVIDED --------------------------
PARKING SPACES REQUIRED PROVIDED ----------------------
% COVERAGE ALLOWED PROVIDED ------------------------
BU IL DING HEIGHT ALLOWED PROVIDED ----------
FRONT SETB=! I "~l .... s~~E SETBACK:
ALLOWED lldt~ :&~~l~l, ba.JM 6i\R$
PROVIDED ) -------
REAR SETBACK:
2./) 10?
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ENGINEERING DEPARTMENT
IMPROVEMENTS R.O.W. ______ INDUSTRIAL WASTE ---------------
________ DRIVEWAY LOCATIONS ____________ _ SEWER CONNECTION
GRADING PERMIT _______ EASEMENTS___._~-=c-~~~--='6"'-------DRAINAGE ____ _
LEGAL DESCRIPTION _____________________________ _
ADDITIONAL COMMENTS -----------------------
OK TO ISSUE: £ DATE 80~/',2PWI ____ OK TO FINAL ____ DATE ___ _
,,.
•
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FIRE DEPARTMENT
SPFiliKLING SYSTEM FIRE PROTECTION EQUIP. --------------------
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ ~
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
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