HomeMy WebLinkAbout2540 CHESTNUT AVE; ; 78-3859; PermitMODB^NO.
•A•BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. ; . . PnOflG; 7-29-1 1 81 . - - \
J08 ADDR ESS ASSESSOR'S
PARCEL NUMBER
LEGAL
IDESCR.If
ATTACHED SHEET)
"
BOOK PAGE PAR
f c,
CONTRAC TOR •. MAIL. ADDRESS .STATE LIC. NO.CITY LIC.JJO.
.. ARCHITECT OR DESIGNER
4
MAI L ADDRESS LICENSE NO.
MAI L ADDRESS LICENSE NO.
COMPENSATION INS. CARRIER MA I L ADDRE S S
USE OF BUILDING
NO. BDRMS_NOi.BATHS^
8 Class of work:D ADDITION : DALTERATION D REPAIR D MOVE D REMOVE
9 .Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $PLAN CHECK FEE $
fil
PERMIT FEE $
SPECIAL CONDITIONS:Type of
Const.
Occupancy
Group
MICRO FILM FEE
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories,
Max. .
Occ. Load
APPLICATION ACCEPTED BY PLANS CHECKED BY
DATE
APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required [Hve DNO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No.
Covered Sq. Ft.
I No.
Open
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 QR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
fSJGNATURE OF CONTRACTOR #h AUTHORIZED AGENT^ l^ATE
StSNATUHE OF OWNER OF OWNER BUILPEH)
Required Received Not Required
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 $.
INSPECTOR1
INSPECTION RECORD
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING /"
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
DATE
<?~/-K
REMARKS
<4/Cf
INSPECTOR
./#«/^_
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING-PERM!! APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. Phbne 729-1181 Permit Nn.
3-SJO CU&ST
_ LEGAL
1 DESCR.
OWN ER
LOT NO.
*fl/GA>£> U
/J t f /•J^":;"/\/ \S / t
BLK
MAI L
CONTRAC TOR
4
ENG IN EER
5
COMPENSATION fNS. CARRIER
USE OF
7
3Ui LOIN G
8 Class of work: "63^IEW D
/<?0
ADDITION
MAIL
MAI L
MAI L
MAI L
C—
AUP~
TRACT .-
ADDRESS IIP ; .*.- PHONE ./
ADDRESS - PHONE STATE LIC. NO. CITY LIC. NO.
ADDRESS / . PHONE ' ..LICENSE NO.
ADDRESS • 'PHONE . LICENSE NO.
ADDRESS . BRANCH
. D ALTERATION D REPAIR
9 Describe work: £jM-<T f / Ajf" '•f-^2^ f%X)& /"/f'A ~T£>^—~~
fr/fK*"~ if Brf
re
SPECIAL
~ ^*^r f/f^'^
CONDITIONS:
wg
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY .
DATE
NOTICE
, THIS PERMIT BECOMES NULL AND VOID IF WORK
TION AUTHORIZED IS NOT COMMENCED WITHIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABA
PERIOD OF 120 DAYS AT ANY TIME AFTER
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND E
APPLICATION AND KNOW THE SAME TO BE TRUE
, ALL PROVISIONS OF LAWS AND ORDINANCES GC
TYPE OF WORK WILL BE COMPLIED WITH WHET
HEREIN OR NOT, THE GRANTING OF A PERf\
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LAV
CONSTRUCTION OR THE PERFORMANCE OF C
SI GN'AT^fRE OF Vcfad*rtCc fOR*<OR Au TnWf 12T
' •{/ '••'•"• ,v ;.;• ' .
SIGNATURE OF OWNER (IF
:B •sfrtfTf
OWNER BU ILDERJ
OR CONSTRUC-
20DAYS.OR IF
MOONED FOR A
WORK IS COM-
XAMINED THIS
AND CORRECT.
)VERNING THIS
HER SPECIFIED
/1IT DOES NOT
=i CANCEL THE
N REGULATING
ONSTRUCTION.
>
J ^f-fsfts
— -fB-ATBT f'
r
(DATEI
PERMIT FEES
No.
J
/
f
f
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK «, DISP.
DISHWASHER , ' *"
LAUNDRY TRAY , '~~
CLOTHES WASHER
WATER HEATER
URINAL ' •
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
••WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER Cl FANOIITS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
• ......... ........ .-. -.«...- ........ .•.•.ISSU/VNCEFEEJ.^.,,, ..$
. '.. ;'.' -';. ' .'.'•••••.."',.• TOTAL. FEES-.-'."-;':.'. .•:• $
Fee
$
r~&
.*?
^•sz.
<•-?-
•%?
. •')?••
tfO
rO
CD
r'D
fj^iM
/€>•"•.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
ELECTRICAL PERMIT" APPLICATION
; ityof CARLSBAD; CALIFORNIA
Applicant to complete numbered spaces only. Phone 729-1181 Permit No..
JOB ADDRESS <M I u»»uv
LEGAL
IDESCR.77 SHSET)
„CAA)QU MAIL ADDRESS
CONTRACTOR MAIL ADDRESS STATE LIC. NO.CITY,LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS
USE OF BUILDING.
8 Classofwork:D ADDITION D ALTERATION D REPAIR
9 Describe work:
SPECIAL CONDITIONS:
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No. Each Fee
.5
APPLICATION ACCEPTED BY:PLANS CHECKED BY:•APPROVED FOR 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 120 OAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED.
THEREBY 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.
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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
TEMP. SERVICE OVER 200 AMP.
PER 100
ISSUANCE FEE
SIGNATURE OF OWNER (IF OWNER BUILDER)
.TOTAL FEES ...
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 INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE:
lent
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED __
PROVIDED
PROVIDED_
JPROVIDED
PROVIDED
SIDE SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ
ADDITIONAL COMMENTS:
OK TO ISSUE:DATE OK TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
_ _DRIVEWAY LOCATIONS
xJE-A'S EM-EN TS <%jtyu>
LEGAL DESCRIPTION
DRAINAGE
ADDITIONAL COMMENTS
J_
OK TO ISSUE:DATE PWI AL^//f-~OK TO FINAL^f- DATE~
FIRE DEPARTMENT
SPPINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
_FIRE PROTECTION EQUIP
EXITS
LOCATION >"* •'% * "
''•
OK TO ISSUE:DATE OK TO FINAL 'DATE
:WATER -DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
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