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HomeMy WebLinkAbout2644 Madison St; ; 78-5895; Permit-M0DEL,"l0. _________ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces on y. Phone 729 1181 P t N -erm1 0. JO& ADOIII £'-S ;;J._ ~ J/. tr 11/o t l<"c, ,/ I SOT NO. I ... I TOAtT s-,;lt I ) tnsct ATTACHED SH([TJ Lt.1.AL ,,... l ocst~. lJ (, t :ANS owm /4 / ~ccl:t>, MAIL AOOflltSS 2 IP "HON( 2 ~/1.:t (.'. I.I ( #al/flJ 'I 9 2-bO ?' - 18'-sgc;,s- j-"" '/j -" ASSESSOR'S PARCEL NUMBER ~--· PAGE I PAR. -,. CON TIIIAC TOIIJ MAIL A0OfltC55 PHON [ STATE LIC, NO, CITY LIC. NO. 3 , .; "'-' '-' A,-CHITtCT Ollt DtSIGNtlll MA IL A DD" C 5 5 PHON[ LICCNSl. NO, 4 tNGINt[tll MAIL AODtlllS5 PHOM[ l lCt,..SE. NO. 5 COMPENSATION INS. CARRIER I MAIL ADOltlSS J. 81tANCH 6 -J ~" (_ '-.. . ... USI. 0,-8JILOING ~J. ~/~I A/ f:.. 7 r I!. t. -II -NO. BDRMS NO. BATHS 8 Class of work: ONEWk b AOOIT~ D ALTERATION 0 REPAIR 0 MOVE 0 REMOVE . 9 Describe work: ,, )(' ..JI 0 0L?fA_~Q_e_ . l)~/l1'. ,, . V V 10 Change of use from Change of use to 11 Valuation of work. $ 2 .,J>.-££.-0 7 &R'<:7 ;;_-PLAN CHECK FEE$ -2. 2-1 4 ,,,.. PERMIT FEE $ SPECIAL CONDITIONS MICRO FILM FEE Type o4 1\1 Occupancy M Co'l~t Group .......... .. I Size of Bldg .1,..,;; ('/ No. of Max. (Total) Sq. F\. ., Stories 0cc. Load /" Fire 7l!. use op F,re Sprinklers ~o APPLICATION ACCEPTED BY PLANS CHE CKE OBY APPR0V&0 F0'.YSSUANCE BY Zone Zone Requtred OYes / /~fl/ ,1)(' 0($ IOl'FSTRl;E-1, PARKIN~ SPACES -J No, of f FY' No lf !No. OATE Owellong Units Co~ered Sq. Ft. Open ' NOTICE Spl"cial Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT. ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH OEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC --- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE OEPT 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 ANO EXAMINED THIS ENGIN~ERING DEPT APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO OROfNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT, 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. ---SIGNAlUllllt o, CONT .. ACTOJI Ollt AUTHOlll.lC.0 AG[NT (DATt, '1 w /; ., ( WGNAT IU' t't,. OWNtlll 1, OWNlll ■UILOEfl DA.TC) 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 $ _~_'//_(fl ____ _ INSPECTOR ' ., '78--5gq5' INSPECTION RECORD DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY I FINAL ,{✓-,4' ~---r- ' I II.I V USE SPACE BELOW FOR NOTES, Fe >LLOW-UP, ETC. ELECTRICAL PERMIT APPLICATilON ,.,o City of CARLSBAD, CALIFORNIA 92008 1 '1 ' 1 1 7 3. o Tl Appllcanrto completenumberedspacesonly Phone 729-1181 Permit No J E · ~ -,91~~ JOB AODRESS 11&1,, I ' LOT NO. I BLK. I TRACT (OS££ ATTACHED SHEET) LEGAL I 1 DESCR. .. OWNER // /~✓-111, MAIL ADDRESS ;t /;.-('11 ZIP PHONE j,,,,,.,,-~-2 'd p; ..:-&c;: - CONTRACTOR -MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO. 3 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS CARR ER MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 ~ ~ 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWIMMING POOL WIRING, NO INCREASE IN SERVICE -NEW CONSTRUCTION, FOR EACH APPLICATION ACCEnE0 BY 'LANS CHECKED BY APPROVED FOlj ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER I I., ,~o / ,.J I .£ NEW SERVICE ON EXISTING BLDG . FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED. IN SERVICE, FOR EA. AMPERE OF ~ I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE 5 APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE!. GOVERNING THIS TVPE OF WORK WILL BE COMPLIED Wl7H WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TEMP. SERVICE OVER 200 AMP. PER 100 SIGNATURE OF CONTRACTOR OR AUTHORl?ED AGENT I (DATE) ISSUANCE FEE ·-.,,,L,v . -TOTAL FEES -c;: lft.NA,TURI! nF nwNER IF OWNER 8UI DER DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR RE~EST FOR_ INSPECTION ~IME: _ ____.a,._/9-;_7>_-_ ,. J _X) ·g --==« C:f::!. , d 11/-]P ~NSPECTOR _____ /_ : __ 7 ___ PERf11T NO. ____ ____2:j_..,__.,___ OATE: ___ '----"---~~- OWNER _____ ' ____ ( ___ ~k .......... __ <_~ __ f ___ / ____________ _ ADDRESS_.;_;~:::............l,____:.,__{J_(/....;____-...L../2....<:....-?i....::....c,___:l dl=---_....;;______;::........;;.... ____ _ C BUILDl~G ) 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING /J!!.FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY .VTUESDAY O A.M. /' O P.M. ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL □WEDNESDAY D THURSDAY D FRIDAY SPECIAL INSTRUCTIONS __ ----"--------------------------- _) REQUESTED BY__.,.._1 /_ .. _C_/_'J. __ L __ .... __ /_)_7 _______ PHONE NO. __ L __ Y_--t ___ _ PERSON TAKING REPORT ___ ._/ ____ _ rf4 § / 7o ;/~ ev-xf-- Y ~ , I-c/~ < -•-~ REOtfEST FOR INSPECTION TIME: ______ _ 1NSPEC0TOR ~ =Y:::Q ______ DATE:,//-/tj/-lf OWNER ______ C7;:;,_--~__.......,,.,,.,.'L?.~~-==-'-'-""~c......:::;...:::...----=:c....,-. ________________ _ ADDRESS _ __;o2:,._~=--..0'--."-V--~-L----=:::;___o.,,::::...ia<c:::~-=;;;;;....c.,c;.___;:__~,<---------- BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUN I TE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY THURSDAY D FRIDAY □A.M. D P.M. < .. - -/,I ~. ~-&~ 2 &OVlA-{ ~ 7rrr r1 o~ d4~~ JµA I ~ r~ ~ ~ + f _u:;? d ~ .,,w~ +-~ j~;., ,dL; -Ml..,,_ ~~ ctA-ut. I;-lt -7 r ( . INTERDEPARTMENTAL INFORMATION SHEET RECEIVED BUILDING DEPARTMENT BUILDING ADDRESS: ~ANNING DEPARTMENT ;ONE __ ~f ............. f~ ____ LOT SIZE UNITS ALLOWED LOT UNITS PROVIDED DATE: ---------N 0'/ 3 1978 CITY OF CARLSBAD Building Department WIDTH bf)( _______ ___. __ _ I PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED i-/ ------- PROVIDED Ok --~---- INTRUSIONS ✓ qo1, 35 I SIDE SETBACK: ' 0~ PROVIDED PROVIDED PROVIDED r ot- 6~ REAR SET,BACK: /2,,' LANDSCAPE & IRRIGATION PLAN COMMENTS: ~z --'-1-+-'---------, .------ ENVIRONMENTAL PROTECTION REQ: ) ADDITIONAL CO MME NT S: ~-----=------------------------- • OK TO ISSUE :~ (JJ,zi7-::A TE tdli 1 OK TO FINAL DATE ------------- ENGINEERING DEPARTMENT R.O.W. INDUSTRIAL WASTE IMPROVEMENTS --------------------- SEWER CONNECTION DRIVEWAY LOCATIONS --------------------- GRADING PERMIT _______ EASEMENTS ~ ()AP~ DRAINAGE ____ _ LEGAL DE s CR IP TI oN_~-------=-"-"-'~--'-A-'-1-I [J.__1-1-_____,o2~0-=3"-------'-1_1.,_.7'-~_-"3=-+-2 __________ _ r , ADDITIONAL COMMENTS ---------------------- FIRE DEPARTMENT SPFIITKLING SYSTEM FIRE PROTECTION EQUIP. ------------------- FIRE ALARMS EXITS _______________ _ ,FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: OK TO FINAL DATE ----------------