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Home My WebLink About219 CHESTNUT AVE; ; 79-4985; PermitNOjT_ Applicant to complete numbered spaces only. BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 BR 243 ASSESSOR'S PARCEL NUMBER LEGAL DESCR.e> MAIL ADDRESS VI ENGINEER COMPENSATION INS. CARRIER LIC ENSE NO. MAIL ADDRESS U5C OF BUILDING NO. BDRMS NO. BATHS 8 Class of work: D NEW H.AODITION D ALTERATION D REPAIR D MOVE D REMOVE 10 Change of use from Change of use to 1 1 Valuation of work: SPECIAL CONDITIONS: 1} AF/LICA/ION/ACCEPTED BY. PLANS CHECKED BY 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 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. (/E OF CONTRACTOR OR ^ujTHORIZED AGENT SIGNATURE OF OWNER II f 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 TOTAL FEES $. USE BALL.POINT PEN AND PRESS FIRMLY ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Perm it No. _ JOB ADDRESS r .A ,LEOAL 1 DESCR. B i/k .? * \f %nr- ATTACHED SHEET) I" I V/ MAIL 'A'D'D'R ESS' /" "9 li 0>.f '"" *"" "* "^ *«*"zji p*1 !».•<•« «f, ^i <jj RHONE CONTRACTOR MAIL ADDRESS STAT.E LIC. NO.CITY LIC. NO. .-' • -•• fit•ARCHITECT" OR" DESIGNER" > ,1 "MAIL'ADbRESS"LICENSE NO. MAIL ADDRESS LICENSE NO. COMPENSATION INS CARRIER MAIL ADDRESS use or BUILDING _ .^. . &" < 8 Class of work: D NEW ID/ADDITION D ALTERATION D REPAIR 9 Describe work: •"*• I TW,*^SlM«- " ^ / SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCEfBY 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 COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I t\hn\ SIGNATURE OF CONTRACTOR CR AUf(HOR'l'z'ED*'AG ENT f I .' J'•*-S '- <* SIGNATURE OFOWNER (IF OWNER BUILDER)(DATE) PERMIT FEES SWIMMING POOL WIRING, NO INCREASE IN SERVICE NEW CONSTRUCTION. FOR EACH AMPERES OF MAIN SERVICE, SWITCH FUSE OR BREAKER NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE 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 ISSUANCE FEE TOTAL FEES No. Each Fee WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH BLDG DEPT ( WHITE)APPLICANT ( PINK)TEMP. FILE (GOLD)INSPECTOR (MANILLA HARD COPY) REQUEST FOR INSPECTION IMSPFPTOR /p/)a*&* PERMIT NO._ OWNER QL re tim '/)>//£ TIME:. .DATE:. C BUILDING EH FOUNDATION EH REINFORCING STEEL EH MASONRY EH GROUT -GUNITE EH FLOOR AND CEILING FRAME EH SHEATHING EH FRAME EH EXTERIOR LATH EH INSULATION EH INTERIOR LATH OR DRYWALL ELECTRICAL O TEMPORARY SERVICE CD ELECTRIC UNDERGROUND CZ1 ROUGH ELECTRIC IZ1 POOL BONDING d ELECTRIC SERVICE CH CEILING HEAT D G.F.I. D SMO>«t DETECTOR PLUMBING O UNDERGROUND PLUMBING CH UNDERGROUND WATER LZl ROUGH PLUMBING 1Z1 TOP OUT PLUMBING D SEWER AND PL/CO n TUB OR SHOWER PAN LZ1 GAS TEST n WAfER HEATER El FINAL [5MOI\ MISCELLANEOUS EH PLENUM AND DUCTS n COMBUSTION AIR EH PATIO EH SIGN EH GRADING EH DRIVEWAY EH CONDITIONED AIR SYSTEMS EH RB1FER PIPING 0 FINAL READY FOR INSPECTION: DMONDAY DTUESDAY DWEDNESDAY DTHURSDAY D FRIDAY SPECIAL INSTRUCTIONS. -fi. REQUESTED BY G,.PHONE NO. PERSON TAKING REPOR REQUEST FOR INSPECTION INSPFr.TDR * OWNER _ PERMIT NO.. TIME:_ ADDRESS. CU FOUNDATION CU REINFORCING STEEL CU MASONRY CU GROUT-GUNITE CU FLOOR AND CEILING FRAME CU SHEATHING CU FRAME CU EXTERIOR LATH CU INSULATION a INTERIOR LATH OR DRYWALL FINAL ELECTRICAL CU TEMPORARY SERVICE D ELECTRIC UNDERGROUND a ROUGH ELECTRIC d POOL BONDING CU ELECTRIC SERVICE CD CEILING HEAT a G.F.I. a SMOKE DETECTOR CD FINAL PLUMBING GD UNDERGROUND PLUMBING CD UNDERGROUND WATER CU ROUGH PLUMBING CU TOP OUT PLUMBING CD SEWER AND PL/CO CJ TUB OR SHOWER PAN CU GAS TEST CU WATER HEATER CD FINAL READY FOR INSPECTION:D MONDAY a A.M. D P.M. D TUESDAY SPECIAL INSTRUCTIONS. MISCELLANEOUS [H PLENUM AND DUCTS O COMBUSTION AIR CD PATIO CU SIGN CU GRADING CU DRIVEWAY CU CONDITIONED AIR SYSTEMS CU REFER PIPING CU FINAL D THURSDAY D FRIDAY REQUESTED BY..PHONE NO.. PERSON TAKING REPORT. f - J. 7-2.F- •REQUEST FOR INSPECTION INSPECTOR— 7~^n^^ TIME:. PERMIT NO...DATE:'c.^-3> ,/ BUILDING n FUNDATIONS''' CD REmF&Ff6TNG STEEL O MASONRY C] GROUT -GUNITE CH FLOOR AND CEILING FRAME CD SHEATHING O FRAME CH EXTERIOR LATH CU INSULATION CH INTERIOR LATH OR DRYWALL ED FINAL ELECTRICAL CD TEMPORARY SERVICE O ELECTRIC UNDERGROUND d RpUGH ELECTRIC O POOL BONDING D ELECTRIC SERVICE CH CEILING HEAT ' D G.F.I. a SMOKE DETECTOR CD FINAL PLUMBING d UNDERGROUND PLUMBING C] UNDERGROUND WATER CU ROUGH PLUMBING d TOP OUT PLUMBING CD SEWER AND PL/CO ID TUB OR SHOWER PAN O GAS TEST CU WATER HEATER CU FINAL READY FOR INSPECTION: (\3 M SPECIAL INSTRUCTIONS. MISCELLANEOUS d PLENUM AND DUCTS CD COMBUSTION AIR CU PATIO CD SIGN CZI GRADING '••..' O DRIVEWAY ;' CU CONDITIONED AIR SYSTEMS CU REFER PIPING D FINAL D WEDNESDAY') D THURSDAY- D FRIDAY REQUESTED BY..PHONE NO, PERSON TAKING REPORT- 6 ~~— REQUEST FOR INSPECTION TIME: INSPECTOR..'*£"*5- ' : «lft OWNER PERMIT NO...DATE: ADDRESS- \ BUILDING ) It::] REINFORCMG STEEL «, MASONRY' GROUT-GLNITE FLOOR ANO CEILING FRAME SHEATHING FRAME EXTERIOR LATH ' INSULATION INTERIOR LATH OR DRYWALL FINAL ••"• ELECTRICAL 0 TEMPORARY SERVICE CH ELECTRIC UNDERGROUND CU ROUGH ELECTRIC CD POOL BONDING O ELECTRIC SERVICE CU CEILING HEAT CD G.F.I. O SMOKE DETECTOR O FINAL PLUMBING ||p .UNDERGROUND PLUMBING .f|p UNDERGRCUIMD WATER ;^J. ROUGH PLUMBING Ijfp TOP OUT. PLUMBING . J|p SEWER ANO" PL/CO ||::] TUBORSHCiWERPAN "•^'j .GAS TEST : : . '_ • •||:i WATER HEATER .1:1 FINAL • ' '• READW FOR INSPECTION MISCELLANEOUS CD PLENUM AND DUCTS CU COMBUSTION AIR CU PATIO Q SIGN LT] GRADING a DRIVEWAY Q CONDITIONED AIR SYSTEMS Cl REFER PIPING n FINAL DTUESDAY D WEDNESDAY D THURSDAY D FRIDAY SPECIAL.INSTRUCTIONS. •m REQUESTED BY..PHONE NO. PERSON TAKING REPORT. G REQUEST FOR INSPECTION TIME:. INSPECTOR /^-// BUILDING CD FOUNDATION CD REINFORCING STEEL CD MASONRY CD GROUT -GUNITE CD FLOOR AND CEILING FRAME CD SHEATHING CD FRAME CD EXTERIOR LATH [M INSULATION CD INTERIOR LATH OR DRYWALL CD FINAL ELECTRICAL CJ TEMPORARY SERVICE C] ELECTRIC UNDERGROUND [Zl ROUGH ELECTRIC EH POOL BONDING C] ELECTRIC SERVICE [H CEILING HEAT D G.F.I. E3 SMOKE DETECTOR CH FINAL PLUMBING CU UNDERGROUND PLUMBING CH UNDERGROUND WATER CH ROUGH PLUMBING CD TOP OUT PLUMBING CD SEWER AND PL/CO CD TUB OR SHOWER PAN CD GAS TEST CD WATER HEATER CD FINAL MISCELLANEOUS READY FOR INSPECTION: /D MONDAY SPECIAL INSTRUCTIONS. a P.M. CD PLENUM AND DUCTS CH COMBUSTION AIR CD PATIO CD SIGN CD GRADING CD DRIVEWAY CD CONDITIONED AIR SYSTEMS CD REFER PIPING CD FINAL TUESDAY D WEDNESDAY D THURSDAY D FRIDAY REQUESTED BY..PHONE NO.. PERSON TAKING REPORT. J jcr 7 REQUEST FOR INSPECTION TIME: INSPECTOR OWNER PERMIT NO. c.(TY— ADDRESS. BUILDING CD FOUNDATION CD REINFORCING STEEL CD MASONRY CD GROUT-GUNITE CD FLOOR AND CEILING FRAME CD SHEATHING CD EXTERIOR LATH CD INSULATION CD INTERIOR LATH OR DRYWALL CD FINAL ELECTRICAL CD TEMPORARY SERVICE CD ELECTRIC UNDERGROUND (^TROUGH ELECTRIC CD POOL BONDING CD ELECTRIC SERVICE CD CEILING HEAT CD G.F.I. CD SMOKE DETECTOR CD FINAL PLUMBING CD UNDERGROUND PLUMBING CD UNDERGROUND WATER CD ROUGH PLUMBING CD TOP OUT PLUMBING CD SEWER AND PL/CO CD TUB OR SHOWER PAN CD GAS TEST CD WATER HEATER CD FINAL MISCELLANEOUS CD PLENUM AND DUCTS CD COMBUSTION AIR CD PATIO CD SIGN CD GRADING CD DRIVEWAY CD CONDITIONED AIR SYSTEMS CD REFER PIPING CD FINAL READY FOR INSPECTION: DMQNDAY a TUESDAY D WEDNESDAY D THURSDAY /KJFRIDAY SPECIAL INSTRUCTIONS. Q P.M. REQUESTED BY >M ITr^A A S V^ (M~K-.PHONE NO PERSON TAKING REPORT-A. J&EQUEST FOR INSPECTION 4 INSPECTOR. OWNER PERMIT NO, ADDRESS. BUILDING CD FOUNDATION CD REINFORCING STEEL CD MASONRY CD GROUT-GUNITE CD FLOOR AND CEILING FRAME CD SHEATHING CD FRAME CD EXTERIOR LATH CD INSULATION CD INTERIOR LATH OR DRYWALL CD FINAL PLUMBING CD UNDERGROUND PLUMBING CD UNDERGROUND WATER CD ROUGH PLUMBING CD TOP OUT PLUMBING CD SEWER AND PL/CO CD TUB OR SHOWER PAN STEST 1LJ WATER HEATER CD FINAL 4^ READY FOR INSPECTION: D MONDAY/XjUESDAY a A.M. /* SPECIAL INSTRUCTIONS ELECTRICAL CD TEMPORARY SERVICE CD ELECTRIC UNDERGROUND CD ROUGH ELECTRIC CD POOL BONDING CD ELECTRIC SERVICE CD CEILING HEAT a G.F.I. CD SMOKE DETECTOR CD FINAL MISCELLANEOUS CD PLENUM AND DUCTS CD COMBUSTION AIR CD PATIO CD SIGN CD GRADING CD DRIVEWAY CD CONDITIONED AIR SYSTEMS CD REFER PIPING CD FINAL WEDNESDAY D THURSDAY D FRIDAY <LuJn\ ^a&Jx*^"0"^ REQUESTED BY D,\U ^ ' / -J— L»A r— 1 ( I d~64PHONE NO. / Cr^l IU &^l PERSON TAKING REPORT J < ' 0 TIME:.REQUEST FOR INSPECTION , ,- -,— ^^— PERM1T •» 7f- ^fflTc.^/W/fINSPECTOR OWNER REINFORCING STEEL d MASONRY CH GROUT -GUNITE E] FLOOR AND CEILING FRAME O SHEATHING CH FRAME CU EXTERIOR LATH [H INSULATION CU INTERIOR LATH OR DRYWALL 0 FINAL n TEMPORARY SERVICE CD ELECTRIC UNDERGROUND a ROUGH ELECTRIC CU POOL BONDING CD ELECTRIC SERVICE [H CEILING HEAT D G.F.I. C3 SMOKE DETECTOR 0 FINAL PLUMBING Q UNDERGROUND PLUMBING CU UNDERGROUND WATER CU ROUGH PLUMBING O TOP OUT PLUMBING [ZI SEWER AND PL/CO IZ1 TUB OR SHOWER PAN LZl GAS TEST a WATER HEATER a FINAL MISCELLANEOUS READY FOR INSPECTION SPECIAL INSTRUCTIONS a PLENUM AND DUCTS CD COMBUSTION AIR CU PATIO CU SIGN CU GRADING CU DRIVEWAY D CONDITIONED AIR SYSTEMS Q REFER PIPING a FINAL TUESDAY D WEDNESDAY a THURSDAY D FRIDAY REQUESTED BY.PHONE PERSON TAKING RFPORT / INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: „£ /J DATE: OCT * ° 1973 noy./7y 7 r OF CARLSBAD Building Department PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH UNITS ALLOWED PARKING SPACES REQUIRED *% COVERAGE ALLOWED NITS PROVIDED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED PROVIDED PROVIDED_ ^PROVIDED PROVIDED SIDE SETBACK:REAR SETBACK: INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ : ADDITIONAL COMMENTS: £V OK TO ISSUE: ENGINEERING DEPARTMENT R.O.W.INDUSTRIAL WASTE IMPROVEMENTS SEWER CONNECTION GRADING PERMIT DRIVEWAY LOCATIONS EASEMENTS DRAINAGE LEGAL DESCRIPTION ADDITIONAL COMMENTS OK TO ISSU DATE 'PWI OK TO FINAL DATE FIRE DEPARTMENT SPRINKLING SYSTEM FIRE ALARMS JIRE HYDRANTS ADDITIONAL COMMENTS _FIRE PROTECTION EQUIP. EXITS LOCATION OK TO ISSUE:DATE OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS \)F APPROPRIATE DISTRICTS MET_DATE \