HomeMy WebLinkAbout245 HEMLOCK AVE; ; 77-137; PermitMOOEL NO. _________ _ t , .. _ •• j
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanctocompletenumberedspacesonly Phone 729-1181 Permit No I.;>/
Joe ADDJII (IJ~ ASSESSOR'S
:),J!S' f~(.,.OC K 1~1MP PARCEL NUMBER
I
l.OT NO. I ILK I T. ACT Buu" PAGE I PAR.
1 LEOAL (n5[[ ATTACHED SHCCTI
0[5C JII
OWN(,t MAIL A00JIIC55 ZIP PHON[
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(ONTJIIACTOJII 1,,U,IL AOOIIIICSS PHONC STATE LIC. NO. CITY LIC. NO.
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AIIICt-ilTCCT 0111 OlSIGNCJII MA,\. AOOA[SS PHONE LICCNSC NO
4
[MGl"-[£.JII MAIL AOD A(SS PHON[ LICEN5t. NO.
5
COMPENSATION INS. CARRIER MAIi.. AODJIILSS BJlANCH
6
use 0,. 8 i,JILDING
7 f.) NO. BDRMS NO. BATHS
8 Class of work: 0 NEW C9;.AOOITION •ALTER ATION 0 REPAIR 0 MOVE 0 REM OVE
9 Describe work: ~l){)/1',)G A-WAt.'-'Iv if:;,tJ (. ,,_," l!t {/ 1: rl -~ 1~~ /'(
10 Change of use from l)r.;;,J
Change of use to '1-i O /?VDM
7S"~ I PERMIT FEE $
• 11 Valuation of work: $ PLAN CHECK FEES ' (
SPECIAL CONDITIONS MICRO FILM FEE Type of Occupancy
Const Group
Sile of Bldg No. Of Ma)(.
(Total) Sq Ft Stories 0cc Load
/ Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CMECKED BY APPROVED I OH ISSUANCE DY Zone Zone Required 0Yes •No
No. Of OFFSTREET PARKING SPACES
~ No. I No. CATE CATE Dwelling Units Covered Sq. Ft. Open
NOTICE Special A pprovals Required Received Not Required
SEPARATE PERMITS ARE REOUI RED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF F IRE 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 (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISION S OF LAWS A ND ORDINANCES GOVERNING T HIS WATER DEPT, TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT l)OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF A N Y OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMA NCE OF CONSTRUCTION.
SIGNATU .. t 0 ' COMT .. ACTOIII 0111 AUTHOIIIIZl.0 AC(HT IDATt J
.,.
SIGM ... T 111:r' o, OWNllll: 1, OWNUI I UILDEIII I (DA T[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK. M.O. CA SH
TOTAL FEES $ _____ ✓ ____ _
INSPECTOR
INSPECTION RECORD 11-137 -----------DATE REMARKS , , t-,OR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB -
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
------i----
FINAL 4-1-77 O.K. T . Mata ----
USE '-PArE BELOW t:OR NOTES, FOLLOW-UP. ETf'
2-1-77 Wall -Doing a very good job on frame and elec., also dry wall. I told
-~h~i=m to 5/8 TX inside of garage waTl a'1.so instaLl I hr. aoor with closure:-T:-Nata
4-1-77 O.K. to final out and file aw~ Self closing 1 hr door installed.
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ELECTRICAL PERMIT ·APPLICATION
r
City of CARLSBAD, CALIFORNIA 92008
App/icanttocompletenumbered spaces only Phone 729-1181 Permit No . ___.
JO I ADD" £55 -
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LOT NO. I •L• I T~ACT LEGAL I Qstt AT TACHED SHCI.TJ 1 DUC~,
OWHU t
1-u-:J ~)fa L~
MA IL ADDIIIE:SS ZI p PHONE
2 ")f/,,. c.l:_ --J
CON TtltAC TOIII MAIL AO0111CS5 PHON l L IC£NS t NO, STATE CIT Y
3 .,,..,,,_
AIIICHITl:CT Ollt DISIGNtJII MAil. ADD,itss PHONE L ICENSE. NO,
4
tHGIHEE.1111 MAIL ADO"ES.S PHONE L.ICtNSC NO,
5
C OMP ENSATION INS CARR IER M.t.lL AOD,.ESS 81'ANCH
6
ust o, BUILDING r A 7
8 Class of work: • NEW 0 ADDITION •ALTERATION • REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
~ Co
NEW CONSTRUCTION, FOR EACH
""PLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER
DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INr.REASE
IN MAIN SERVICE, SWITCH , FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAV!> AT ANY TIME AFTER WORK IS COM ~d MENCED. IN SERVICE, FOR EA. AMPERE OF ,
I HEREBY CERTIFY THAT I HAVE READ AND E XAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE T RUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORD INANCE~ GOVERN ING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEC I F IED
HEREIN OR NOT, THE GRANTING OF A PERMIT D OES N OT T EMP. 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.
TEMP. SERVICE OVER 200 AMP.
PER 100 ...=
alONATu,u: OP' CONT .. ACTO" o• AUTHO"IZ.CD AGCNT (DAT£)
?,u. 'J!. '\.l ~Ti-PERMIT FEE 7.[:'
., ..... .a.Tll"-1.. o, OWNU I u, OWNtll a ulLOCfl DA.TC
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR