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.
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owm /4 / ~ccl:t>, MAIL AOOflltSS 2 IP "HON(
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ASSESSOR'S
PARCEL NUMBER
~--· PAGE I PAR.
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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.
< .. -
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( . 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 ----------------