HomeMy WebLinkAbout1980 LA COSTA AVE; ; 73-2931; Permit•
BUILDING PERMIT APPLICATION
Permit No. 73._;z9. ~/· City of CARLSBAD, CALIFORNIA 92008
Applicant to complete rwmi:fered spaces only. Phone 729-1181
/t A
OWN£" 11 p
2
3
4
5
6
Ual. o, ■UILDING
7
8 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE PERMIT FEE
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: __________________ --1 Type of
Const.
>-------------------------------Size of Bldg. (Total) SQ. Ft.
Occupancy
Group
No. of
Stories
Division
Max.
0cc. Load
use Fire Sprinklers
•
---------..... ---------..---------◄ Flro APPLICATION ACCEPTED av PLANS CHECl(ED SY APPROVED FOR ISSUANCE BY Zone Zone ReQulred OYes
No. Of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered u,,covered
0
~ z
"" r
NOTICE Sp~cial Approvals Required Received Not Required
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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO 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.
(DATE)
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
M.O. CASH
I.. 0
Ill
> 0
0 l1
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3
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INSPECTION RECORD 73-,,j(},3 I
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
,,
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
1.J-1(-7 J 3 '1~(-_;ZY ~".".'~ b"' -CJ/<". c.,,Cl '-;7,i-4---.-
'
PLUMBING PERMIT APPLICATION
Permit No. City of CARLSBAD, CALIFORNIA
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MAIL ADO .. ESS /~/,./, £/ 11 P /J/4 PHONE "' "' 2 / ~ '# I~-' CONTft.ACTO" MAIL ADOftCSS ,-PHONE r?f LICENSE NO,
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AACHITECT OA OESIGNEft I MAIL ADD .. £98 -PHONE LICCN.Sll NO,
4
t.NGINE£ft MAIL AODIIIESS PHONE LICENSI NO.
5
F' LE.NOE" MAIL ADOftESS U lANCH
6
USE OF BUILDING
7
If I~ 8 Class of work: □NEW □ ADDITION □ ALTERATI ON □ REPAIR
u \ 9 Describe work: f/i £...t'/ "-L_-,,,_R ./ _., hl ,,\ ~ / I~
PERMIT FEES I V' .
No. Type of Fixture or Item Fee ''t SPECIAL CONDITIONS; WATER CLOSET (TOILET) ~ Jj 1., ,.
-BATHTUB
In./ LAVATORY (WASH BASIN) . -( I,.,.~
SHOWER , KITCHEN SINK & OISP. _Iv;,
DISHWASHER
APPLICATION ACCEPT? PLANS CHECKED ev APPROVED FOR ISSUANCE ev LAUNDRY TRAY
I/ ~t _,..1 / CLOTHES WASHER
WATER HEATER
NOTICE ' / URINAL ,/' l~t:,,
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 ~3 1,...-;, 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. / WATER PIPING & TREATING EQUIP. / ~/Ii 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
SEWER
~ ... Q~~C ~~111
CESSPOOL
✓ ~/ SEPTIC TANK & PIT
SIGNATURE: Of' CONT.ACTOR 0111! AUTHORIZ.E0 AGENT \PA TE) ,
PERMIT $ ,
•JC.NATURE 0,-OWNUI IIP' OWNEJI IIUILD[R) IOATE) TOTAL FEE $ f ;
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA LIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
11-14-71 Undernround Pl bri • 0 K. F P l 11rlP
,
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING PERMIT APPLICATION -I City of CARLSBAD, CALIFORNIA // ~//-r: . ./ Permit No.
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LEGAL I QsEE ATTACHED SHUT) 1 0ESCIO.
MAIL AOOIOESS L 11 p PHONE OWNE.R
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CONTltAC TOR ~AtL ADOAESS , PHONE LICENSE: NO.
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ARCHITECT OR OCSIGNC!lt ' -MAIL A0Dfll£5S PHONC LICUtS£ NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 -
LENO[A MAIL ADDRESS ~ BlltANCH
6
USE: OF BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work. ·~--Z~ --,
J,,,_.,,_,j -J ,
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOIi ISSUANCE BY LAUNDRY TRAY . (0 , / _/'.,./ CLOTHES WASHER
WATER HEATER
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. 11 GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND 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
SEWER
I / / CESSPOOL
J/J ; . ,~~ SEPTIC TANK & PIT ,
SIGNATURE OP' CONTRACTO,. OR AUTHOJIIIZ£D AGENT (OAT£)
PERMIT
SIGNATllPIE OP' OWNC,._ 1, OWNER 9UILDEA DAT[) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK. M.O.
INSPECTOR
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MECH:A.1¥CAL APPL2ATION
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PERMIT 0 '-~ 0
City of CARLSBAD, CALIFORNIA 92008 z Ill
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Permit No._ / ll 0 ---~ Phone 729-1181 0 Applicant to complete numbered spaces only. ' -ll
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LOT NO. 8LK I TAlcr.r .
LltGAL I ILJ"•• 1 DUCA.
OWN[ft MAIL A00flt£.SS ?JP PHONE
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CONT .. ACTOIIII MAIL ADOIIIIESS PHON[ LICENSE NO,
1, 3 .. rrm fl.m 'LiU l,Jlj:;:;.. lr"-.. .. ·•-., ['QR~• tJ .. , ~-CA. 'i!:12-_,,;g • 1 ·r11
AfltCt41T£CT Oflt 0£.SIGNt.111 MAIL AOD .. ESS . PHONE LIC£frril.S£ NO,
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tNGINEt.1111 MAIL AODJlll£S9 PHOM£ ' Litt.NS£ NO, 3
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LI.NOCflt -MAIL AOOflESS Bl'IAHCH ?
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USE or BUILDING ~ ~~ . ~ L/J.,. __ .. /. 7 -·,.., <11!:l • • •• "I ' ·~ '7ZA ___ .-~--8 Class of work: [g NEW 0 ADDITION 0 ALTERATION 0 REPAIR -~
~ _,__
~ 9 Describe work: ~ -~------~ 4 _ -
Type of Fuel Oil D Nat. Gas D LPG. D
► 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 -BTU. M Ea.
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY l Gravity Systems-B.T.U. M Ea. /j IU\,,
~/I/? Floor Furnaces B.T.U. M
Wall Heaters.-8.T.U. M
NOTICE 1 Unit Heaters-8.T.U. M h w
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK 1$ COM Ventilation Fan ,~, ~--,~ ::--~-
MENCED. Range Hood ·-=· ----·---~-~ --------I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND 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 1 .lk,1·.'i:. :'n1• f'n,,. ~ 00 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
t::f.J. IU -·-· . ·-t!tu::n .rrr., • / -;{A ./fa .4. . -----SIGNA'l'\Li,.J:.O• Cj'WT•AeT~,i o• ,itvr~Q~l~O AGtNT
I
l tDATt)
PERMIT $ .,
SIGNAT "£. 0,. OWNEPI IP' OWNEft IUILDC" (OAT£) TOTAL FEE $ )I\,.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1, -
-"--
INSPECTOR
J
ii PLUMBING PERMIT APPLICATION
///./ _ 7 City of CARLSBAD, CALIFORNIA Permit No.
Applicant to complete numbered spaces only.
Joe ADO,. us / /✓,~ --~ t:~ ~-·
LOT NO, I ILK I T~ACT LEGAL I QsEE ATTACHED SHEET> 1 DESC~.
l{ /4 MAIL AOOIU~SS ZIP PHONE OWNE. ..
2 " It ~ /')_
CONTRACTOR )i/1~ MAIL ADDRESS _J.D. PHONE LICENSE. NO. ~
3 I J -//? 7:J. ' , --
A"CHfTtCT OR DltSIGNCR MAIL ADOftESS PM ONE , LICENSE NO.~ 9t' 4
E.HCIN£Eflt MAIL AD0fl£.SS PHONE LICENSE NO.
5
L£NDEIII MAIL A0Dflt£5S &RANCH
6 .I
7
use or BUILDING)/ /4
( (I r ',1A_4~ e_ ., •
8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: j ~., . //, _\7 .1·/, _,d t I /,I.,..,.-;_~-''--"
0 :E z
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PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
/1 DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY '11:;r,;1;~ I LAUNDRY TRAY
I CLOTHES WASHER
·r WATER HEATER
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 / ~C!l',i I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS / ~ ::::~ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND 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 /j /df 4<n6
SEWER
I I CESSPOOL
"' SEPTIC TANK & PIT
'-41..
SIGH.A.TUR(' o, CONTRACTO .. Olt AUTHOIIIUZ.tD AGENT (DAT&) I
PERMIT $
51GNATUlftE 0,. OWNEJII IIP' OWNEflt BUILDER} (OATE} TOTAL FEE $ C.
WHEN PROPERLY VALIOATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
✓ PLUMBING PERMIT APPLICATION / .R'h Permit No. -----~~--+-o~ City of CARLSBAD, CALIFORNIA
Applicant to complete n mbered spaces only.
Joe ADDI'! £55 /. ,
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LOT NO. I ILK I TIIACT LEGAL I Qscc ATTACHED SHEET) 1 Df:SCII.
OWNEft MAIL ADDIIES~;~ t4i~1 h"!lj" ZIP PHONE
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CONTIIU,CTO" M,t.lL ADOJIIESS .~ PHONE ~l L"EN5£ NO,
3 T .-. ... A Cu .JL II lo 'M' -·-. -
A"CHITECT Ofl D£5IGNE"' MAIL ADQ,.ESSL-i4ftos PHONE LICENSE NO,
4 Buildirw. Syotc= . ,_03,,,.8157 . • .Oro~ '(9Jk ~} .•
ENC.INEEfl MAIL ADD,.£55 PHONE LICENSE NO,
5 :!oorre Sauru.~~rc nro • r.fl m11.,_ •b-~i.-:.s; . ·-
LENO EA MAIL AODJIESS -8"ANCH
6
USE 0,. BUILDING
7 'e • -,ur.!" ~o 'Wd..l. ~.L41V ...,-' . -
8 Class of work: B NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work 1 J oz G • 6i.\'J\ji' lino to ~,n,'lh,~. -.
PERMIT FEES
No, Type of Fixture or Item
SPECIAL CONDITIONS: WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
/J~ DISHWASHER
!>PPLICATION ACCEPTED BY PLANS CHECKED BY ~E;z:z:, LAUNDRY TRAY
CLOTHES WASHER
. I WATER HEATER
NOTICE -.. '/ I' URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTR C-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, ,I GAS SYSTEMS: NO. OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO 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
(Y SEWER
CESSPOOL ~,,, -SEPTIC TANK & PIT .,, 74
SIGNATURE 0,-CONTflACTO,. OR AUTHORJZ.£0 AG£NT (DA TE) . PERMIT
91GNATuRr OP' OWNCJII: i,r OWNER BUil.DER DATC) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M,O. CASH PERMIT VALIDATION CK. M,O,
INSPECTOR
11
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ELECTRICAL PERMIT APPLI ATION
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City of CARLSBAD, CALIFORNIA
z • 3 .., 92008 "' ► -·
Permit No. " 0 ~ 0 "Z
Applicant. to complete numbered spaces only. Phone 729-1181 :: 0 .. .
015 • * 52.
JQ' '?'~ JISS . -~ I ALK4~d' t!6 l ')f# T Ye;:-~~-rxo&, ti#/ -.
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-OWH~';,h L~ M,.IL ADD~:~ ZIP P"40HE .. 2 ,, / ¼~ ~. ~. -~ ~·/~H •.
CONTJIIACT01' a ,. • , . -. M/ ~oo-..css PHONE LICENSE. NO.
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AflCHITC(T 0,. D£SIGNElt-·-·· --MAl t:"A'DD"US -.:::::;:::, -----, --~ -PHOlft..,., ~ .. ·• LICEN&IE NO,
4
~NOINl:Ellll MAI\.. ADDflESS PHONI l CCN5£ ND,
5 J, , . -.. ...
LE.NDUI -r: M41L AODll'ltSS r· ;l -~ijjf' 9"-ANCH
6 ~
USE OP' 8VILOING
7 {1 \
D REPAIR\ X \
8 Class of work: □NEW □ADDITION 0 ALTERATION
9 Describe work: ''tl ·
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: . ISSUANCE OF EACH PERMIT
1 ,_..,
APPLICATION ACCEPTED BY, PL.ANS CHECKED BY. APPROVED FOR ISSUANCE BY
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
.6 { NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER .,J 1..--
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL:, ALTERATION, NO CHANGEt 'ti; ~ ·•~ 1::::::-PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM• -
MENCED. "' IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
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, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I J _/ I/~ '1_:J,-·
TEMP. SERVICE OVER 200 AMP.
PER 100
1:-?,_'lt,
SIGNATUfll. 01' COHTfltACTOfll 0" AUTHOtllZEO AGENT (DATE)
MINIMUM PERMIT FEE ~;1) I~ .i
•t.t::N ••'l■r n,-OWNUI ,, OWNE." aUILDI'." lOATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INTERDEPARTMENTAL INFdRMATION SHEET RECEIVED i •
" DATE: ------
r!LDING DEPARTMENT JUL 2 31973
BUILDING ADDRESS:,.: ';;/;~~;.......::~~~.a.o~i,[_"=-::fL::.::(.,9-r------------
• '\'·
PLANNING. DEPARTMENT
.:o LOT s1zE.~! __________ oT w10T L-------~~E!:::::::::F::=->_:::::~::::>'""~ :1
UNITS PROVIDED, _____ .,..LLOWED -PRKG. SPACES PROVID1:J.V.0 ..L----REQ. __ _
%OF COVERAGE t:IK-ALLOWEO ______ ....,BI OG. HEIGHT C f<, ALLOWED__......_ __
ENGINEERING DEPARTMENT ~' ~ /,,. L,..._ A l~..£...1 ;r .U '{: • M •
R.o.w. £X✓ST/Nf; INDUSTR-LAL WAST_.,,
IMPROVEMENTS __ µ_0--'~ .... _____ ,SEWER CONNECTION " , ci ' H1 D.nt ;t.,-A· ~ r lv'~cD d><J"IQr/7'7
DRIVEWAY LOCATIONS SNOW A}(j IJ. EW GRADING p~ ,l"O~ "7f.:¥?
EAEMENTs & • c w.D, oRAtNAGe s.e~~
·,
LfSAL DESCRIPTION_fli.~=-~~WrLf~~~~aJ.':tfl_~~~ ~~h===-.....,,,-------
'~DITIONAL COMMENTS...s,i~~~~:='. E"'5...__~
FIRE DEPARTMENT
SPRINKLING SYSTEM:::::::::::.....-=::-.,...-----------======#---..f./../+-Jl.!-:f:::.!...J:._ ___ _
Fl RE PROTECTION EQUIPMENT :.,.,..,., n, I.cf /1 pp,t.,vt:"d a.a::: -<)'.. I '" -C
FIRE ALARMS__._ _______ _
EXITS ______________ -'--------------------
FIRE HYDRANTS w,t/ 1:,-A.. f(c.9u1 re.c-e{
ADDITIONAL COMMENTS __________________________ _
.·,
•
ISSUE PERMl"'CJ J, .. tJM---:c.~ATE µ;,..:.../<", •7 3 OCCUPANC ,,~ 1•
WATER DEPARTMENT
CARLSBAO, ____ OLIVENH.AIN,_ ___ SAN MARCOS, ___ _
...
" ,J.SS':' _____ OCCUPANCY ______ DATE ____ _
E. PLANNING
RNED TO,.SLDG. ---------~
. ' -~ ---
SENT TO ENG. DEPT. -------
RETURNED TO BLDG. DEPT. ----