HomeMy WebLinkAbout236 DATE AVE; ; 75-111; Permit*»*
Applicant to complete numbered spaces only
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No
JOB ADDRESS ASSESSOR'S
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LOT NO BLK TRACT
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BOOK PAGE PAR
OWNER MAIL ADDRESS ZIP PHONE
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CONTRACTOR MAIL ADDRESS PHONE LICENSE NO SY ATE ff 1 T Y
3
ACCHITE^YVR DESIGNER MAIL ADDRESS PHONE LICENSE NO
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
USE OF BUILDING ^"' " " f
1 Jf/^ £L ^ 0'-kAs**'\^ / *v &.-%%
8 Class of work U NEW D ADDITION xHlTLfERATltTIJ
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9 Describe work .^. /' "—- / x
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10 Change of use from ^ C^
Change of use to
11 Valuation of work $ jr g- Q *i?
SPECIAL CONDITIONS
y
APPLICATION ACCEPTED BY PLANS CHECKED BY tfrV^^9WV>n ISSUANCE 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 120DAYS, 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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
"~ j.- ' * ' *- t
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
PLAN CHECK FEE $ j/rb* ~"PERMIT FEE $ "?l~) * .m.
MICRO FTT-M FEE
Type of Occupancy
Const Group
Size of BICW ' No of Max
(Total) SqVE* Stories Occ Load
Fire - flSse^ ^^^'* Fire Sprinklers
Zone ZTrTy,, ^^ Required DYes DNO
OFFSTITCETNo of
Dwelling Units Cwered
Special Approvals Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
HhfUb^MP SPACES
/ INoSox-*t / (Open
V^ffeceived Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
INSPECTION RECORD
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE
3-25-75
REMARKS
O.K.
INSPECTOR
T. Mata
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
2-14-75 Drvwall Completed: E. Plude
3m****** 10.50
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No
JOB AOOR ESS
236 DATE ST.
. LESAL
IDESCR
MAIL ADDRESS
Guatav Garva 2764 Heraaka A*e. So. Gate, Ca. 9082 567-9529
CONTRACTOR
3 Owner
ADDRESS LICENSE NO ST AT E
ARCHITECT OR DESIGNER AI L ADDRESS LICENSE NO
LICENSE NO
COMPENSATION fNS CARRIER MAIL ADDRESS
To be obtained
USE OF BUILDING
8 Class of work D NEW D ADDITION [^ALTERATION CJflEPAIR
9 Describe work kitehea cabinet a a«d sink, add lag bathtub la bathrooa and
repair fira damage.
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 ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS OR IFCONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR APERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENC6D
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL 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
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE 'NTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
PERMIT
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW UP, ETC
-" - 313*******7.C0
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit N" ^ *" /' -
JOB ADDR ESS
DATE St.
-LECAL
1 DESCR
ATTACHED SHEET)
Guatav Cttrua 2764 Maraaka Aya. So
ZIP
. c*
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO STATE CITY
Ovn*r
ARCHITECT OR DESIGNER «IAIL ADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
COMPENSATION INS CARR'ER
To
MAIL ADDRESS
USE Or BUILDING
S .2 Bd. 1
8 Class of work D NEW D ADDITION 9 ALTERATION [^REPAIR
9 Describe work Mew »*-1m
repair fir* daaage.
SPECIAL CONDITIONS
PERMIT FEES
ISSUANCE OF EACH PERMIT
No Each Fee
APPLICATION ACCEPTED BY PLANS CHECKED BY VEQ F/>R ISSUANCE BY
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
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 THISTYPE 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
/• - — ' /• • f >
SIGNATURE OP CONTRACTOR OR AUTHORIZED AGENT
ttCNATURE OF OWNER (IF OWNER
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
PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M o CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW UP, ETC
3-25-75 Had two electric plugs to change will take care of. T. Mata
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RETURH TO i
DATE SIGNED
45 474 Rcdiform «
Poly Pok (50 Mft) 4P474
SEND PARTS 1 AND 3 WITH CARBONS INTACT . PART 3 Will BE RETURNED WITH REPLY