HomeMy WebLinkAbout2615 MADISON ST; ; 71-643; Permit~
BUILDING PERMIT APPLICATION ? s"'o
1
71-&{.3 ~ 0 L
~ 0
z ..
City of CARLSBAD, CALIFORNIA "' ►
5~1~.._1
ll tat ~ AOO 20-71 •** Applicant to complete numbered spaces only. .. cc " ..
J OB AOOR ESS • ~ 2 G1s-MA-0/S ()U ..s T 1\) I
LOT NO, laLK I TSACT ~ ~ LEGAL I (OSEE ATUCHE0 SHEET) ~ 1 ocsc•.
'C5 OWNER MAIL ADDRESS ZIP PHONE ~ ' 2 OA-J.1/ii./ ..SoTo ~---1 q ~oor' ~
CONT IIIIACTOR MAIL ADDRESS PHONE LICENS[ NO. >\.
3 11111 JJ~(l
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. ~ 4 -. c,,,
ENG INEER MAIL AOOAESS PHONE L ICENSE NO. ~ ~ 5 .....
LENDER MAIL ADDRESS BRANCH \., .
6 ()
~ US£ 0 ,. BUILDING
·/Jws l/1°Nr, 7
.,/
8 Class of work: ~ 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 6MOVE e,,
i Jo ' 9 Describe work: I' I) J /S TI? V ~J l°vPr ~ OWtsf/JVl --
A~-
I ,. L_ 1'-A------~.iJ E;,,.../ --t-41 ~ _J<I l ,; I --~ -
10 Change of use ff?rn i
Change of use to ' r?9
11 Valuation of work: $ 3(:, ~92 .1£ PLAN CHECK FEE I PERMITF:7"; 67 £E
SPECIAL CONDITIONS: , .
Type of:lL"' Occupancy j ' Const. Group Division
Size of Bldg. 2 No. of 2-Max.
(To tal) Sq. Ft. '4(.J Stor ies 0cc. Load
Fire ·~ Use R,.p~ Fire Sprinklers
APPLICATION ACCEPTED ev PLANS CHECKED ev APPROVED FOR ISSUANCE ev, Zone Zone Required OYes □No
;//Jrl ;:1 /IA. ;:r/Jn-No. of OFFSTREET PARKING SPACES:
Dwelling Units I Covered -I Uncovered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING -ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. l I \ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-l J TI0N AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT. I
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT , I PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-,. / I MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATI ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK W ILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PE RFORMANCE OF CONSTRUCTION .
S~ATURE QR~C:O; A;HO~
(DATE)
~It.NA.Tun u 0 II" OWN[flt 8u11...DEl't) • LT" DATC
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA SH
INSPECT OR
e ...... _,nn, o.~o R£0,.DE.R ,.ROM: INTERNATIONAL. CONFERENCE OF BU I L DING OFFI CIALS e ~o so. LOS 1'08L[5 e PASADENA, CALtr ORNIA 9 1101
---------------------------------------
0 0
App#c,n1L;; 2:i.z ,pa,., on~ity
:Ii .. z
of CARLSBAD, CALIFORNIA "' ► , ;a 0 0 "' "' .. ..
MECHANICAL PERMIT APPLICATION 4
JOB A.D01111 £59 2~/1$ /11' 11 O / so -,1,./ /7-J/b-..... -C> --f./L"'; ·~ ,:_ I -~ LOT NO, I •L: /!4 /~J;""~ 2-o~? 1 ~~:~~-I?, "7 I t7L, Lt ~/ t0SE£ ATTACHED SHEET)
lr/77~ 1 OWNCfll MAIL ADORES-' ?Ip PHONE. v· 2 D.L?;_"., rSOrc) "2 ~ /, .,-A4 a J?J -~ o .,.-c....,--1..:J-vr-J\ I
CON T"AC TOflt MAIL ADDRESS ..-PHON C LICENSE NO, if: 3 17'9.U SvTO t/ l /
A"CHITECT 0 ,. DIESIGN[PI MAIL ADOACSS PHONE LICENSE NO,
~I ~ 4 0) >-> ENGINEtflt MAIL ADOflt £S5 PHONE LICENSE NO, ~ 5 -LEH DEii MAIL ADO,.ESS 8111:ANCH If 6 ~ use 0 ,. BUILDING
7 \, r;_,, _, '\' ~ 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: £h?7--7-r I A / r:. ,J--1..J,/ ,/,? c°'~,,,-/h I . r r y ....... it
□ Nat. Gas D LPG. 0 "')
Type of Fuel: Oil ..J 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. I
Forced Air Systems-B.T.U. M Ea. LI-7J 0 muc.p '""'" ,., PLANS CHECKEO BY APPRO~ISSUANCE BY: Gravity Systems-B.T.U . M Ea. I
Floor Furnaces-B.T.U. M
Wall Heaters-B.T.U. M
I/ NOTICE ~ :d Unit Heaters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR C ~NSTRUC-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 IS COM-Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
U,h,-._J ~ 9--i--i-~~/ -1. ~~-
AIGNATlfftE 0,. CONTPIACTOIII Oft/AUTHOfllZCD AGENT -. -/Jy 4 M~= PERMIT $ _:) 00
TOTAL FEE $ -, o O 'slGNAT,■--(>I' rn-M£tl I I' OWNl'.a l!tUILDCfl DAT(
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I -
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
C'_ .. _ , nn A o.~o 111£0fl0£fl '"OM : INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e !50 !iO. L0.5 "OBLES e PA.5AOENA, CALtf'ORNIA 91101
,_~ ... oiiiiiiiJiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii _________________________ --
0 l;
IP 21-~f~1••1
" " '7 /-6/{) City
z
of CARLSBAD, CALIFORNIA ~.,; ► ~z, 50
Applicant to complete numbered spaces only. ~ M .. ..
JOB AOOfl ESS ff acl1~ar I
dh;_c; _/ ~ Ju
ELECTRICAL PERMIT APPLICATIOW 3
LOT NO. I BLK T,iACT ~ LEGAL I Q sEE ATTACHED SHIE.T) t 1 ouc•.
OWNE•~ -/A MAIL ADDPU:ss 9;; O(J y/ PHOM£ °' 2 '/1.At ~I' " ~LI' 7TL ~
3
CONT•ACTO• ~(_,./ MAIL ADDfU:SS . PHONE L ICCNSE NO, ~ A"CHITECT Ofl DESIGNE" MAIL. AODftESS PHONE L ICENSE NO, \ ~ 4 -...... -
ENOINE[fl MAIL AOOflESS PHON E LICENSC NO, r\ 5 ' -\ ' ~ LENOEfl MAIL ADDfltSS 8 flJAN CH tt 6 .. ' .. USE 01" I UILDING
7 .. -~
8 Class of work: d<w 0 ADDITION 0 ALTERATION 0 REPAIR ...... ~ K --9 Describe work:
\
~ -PERMIT FEES 0,
24U/jll~l.1~1of! No. Each Fee
SPECIAL CONDITIONS: Total 27 RECEPTACLE Outlets 5'()
LIGHT
SWITCH
Total
LIGHTING Fixtures
APPLICATION ACCEPTEO BY: PLANS CHECKEO BY APPROVEO FOR ISSUANCE BY. FIXTURES -;r~ clt11'-, ;J flY\-RANGES CLO.DRYER WTR. HTR.
NOTICE GARBAGE OISP. STA. COOK TOP
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DISH. WASH. CLOTHES WASH.
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SPACE HTR. STA. APPL.½ H.P. MAX. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. MOTORS: H.P. I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 G IVE AUTHORITY TO VIOLATE OR CANCEL THE NO. T RANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NO. LAMPS
TEMP. POWER □POLE □UNOGD.
SERVICE 0-200A
201-400A
/'I -□NEW 401-600A
Sl;:_TU"l 71CT°Gt AUTHO"J' ;J:T
(DATE) D CHANGE OVER 600A
PERMIT ISSUING FEE $ 2.00
TOTAL FEE si!q 5'"0 a1r..w.a.Tu,.ll o.,-owwf',t I~ OWNEIII 8\,HLIIEft iDATE)
V WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
1u·o•o1r.:" P'ftOM: I NTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e 80 so. LOS JtOBLCS • PASADENA, CALIP'OftNIA 9 1101
0 -
Appf;ca7 L:,!(!,1.red_., on~ity
~ 0
z ..
of CARLSBAD, CALIFORNIA & 27-71 5~2382**• -·' -~~ -cc ~ "' .. ..
JOB ADDR [SS 2.
0/0 .. ~ti~~ .. ~.._ /J;;,l, t ~ I LOT NO, I 8LK I TRACT LCGAL QsEE ATTACHED SHEET) ~ 1 DESCR,
20WN£R ~~ #. MAIL ADDIIIESS ZIP PHONE ~ J (I'. ~ 7/'11,._
3c ONTRACTOR~ _I~ MAIL ADOIIIESS PHONE LICENSE NO, ~ ,/
ARCHITECT OR OESIGNE,._ MAIL ADDflJESS PHONE LICENSE NO,
~' 4 ..--~ --=::::'. --'<C.
ENGINEEft MAIL ADDRESS ?HONE LICENSE NO.
5 ~ ~~
~~
LENDER MAIL ADDRESS BRANCH r'I ~ 6 -~,
USE OF BUILDING
7 ~ > .......... ~
~ . -8 Class of work: 0 ADDITION 0 ALTERATION 0 REPAIR \ I\ ~ ~ 9 Describe work: ---
PLUMBING PERMIT APPLICATION 2
00
PERMIT FEES
No, Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) ":l $ 4 S-b
BATHTUB I f {i"O
LAVATORY (WASH BASIN) ? 4 -ro
SHOWER E._ ~ oo
KITCHEN SINK & OISP. I I <:'0
DISHWASHER I . t ,,.-o
APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: -LAUNDRY TRAY 7'/ir-'cl/fr\._ ;:( //rt-CLOTHES WASHER I I "-0
WATER HEATER I I ~o
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-S·INK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM• SLOP SINK
MENCED. GASSYSTEMS:NO.OUTLETS I ~ I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. J .e:--o 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 ST ATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER ,., 110
CESSPOOL
SEPTIC TANK & PIT
.
Sl;A/47l°(J;,THO:rr
(DATE)
PERMIT $ ~ ~
TOTAL FEE $~ I 00 SlfCiNATURE 0,-OWAER llf' OWNER 9UILO£M DATt)
Cl WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M,0, CASH
INSPECTOR
Fnr 1 nn.~ Cl-9 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS ■ 150 50. LOS "Ol!ILE5 • PASAOtNA, CALIP'ORNIA g1101
• ..
.
R E C E i V E DERDEPARTME~TAL
. •,APR 3 0 1970
INFORHATION ~Jt~Jedaa 8U!Pl!na
'1JV9Sl~VJ ~O All~
.· .. . DATE: OL6i O C HdV ----------------CITY· OF CARLSBAD
Bu ilding Dep~rtment
BUILDING DEPARTMENT
owner's Name JO~ ~ Permit No. ____________ _
Address ·-6:k/s-~ ~<l ~ I Lot No·-----------
Contractor = Legal Description ---------
Address ----------------
Approval to Issue Permit ______ _ Certificate of Occu~ancy ____ _
PLANNING DEPARTMENT
Parking Spaces Provided _______ _ Required --------------
Setbacks _____ -=----,-----.,........,,,..-,_. Zone .. -,·o• F~ '-1ii.'t.i0 QeQ .-C-li-\--ec..--4C-. -,.J__..__&UG.--.
REMARKS= ~-Po& s.T .. u.:,. o~n "''-~
Date _________________ _ Date ----------------
A~proval to Issue Permit ______ _ Approval for Occu8ancy~,
ENGINEERING DEPARTMENT 7""1-/is 1s '"iH£ Zc-u()(l,t;L o{
Easements NA ------------------
A }:I f:. ')lf s,-,-I AJ t, /..I O V 'Sc ,4 ND -+J.I €
· · "R:, fl , /,, tJ / µ r., t:) -I 4 ,v t::''7'4/.I • IZ.... _
Sewer Connection r->C, sr/N'r
Improvements __ N_o_S_,J __ ~,_a_(_~ _____ _
Driveway Locations -----------Ok. · Water Connection F-Y.15"TJN/:;,
I~dustrial Waste ____ N~_A _____ _
REMARKS : __ e_/_l _~t_,___ .... l _1,0 __ .t1_0_' ___ ~_c..._A_~_kl_1:-_D __ K1 ____ w ___ c;;._()_· -/ ----------
~o' 4 c k
Approval
Date ___ c;;;;_·--=-s_--/_/ --./_.._~-'"""-~· __
to I s~uc Permit / t-
7
. Date-¥->
Approva l for Occupancy~~-~-----
---=============-===--·· I lwve r ead the above information and agree to c0mply with the r equirement.:£
set fo;:h.
Date ____________ _
----------1, /
r
J~} tJ u t r C "'\j ~ .:i. t ' ~ • ' J \. ~t ~ E" ... (\ \J :~ \ t ~' l: w .... .._ -' ! ' "3 l ., ~ \a~ ~ -V C: ~ -~ . ~
' ~ ~ -. r-;> l\i:: t· f. / 'I ,
\
\
\
\