HomeMy WebLinkAbout2652 Highland Dr; ; 72-268; PermitBUILDING PERMIT APPLICATION
P . ,,.,1 ~ ,.., /ie7. City of CARLSBAD, CALIFORNIA 92008
erm1t No. -:;t~ ~~~~ Ph 2 Applicant to complete numbered spaces only. one 7 9-1181
8 Class of work: □MOVE
9 Describe work:
10 Change of use from A /-1
Change of use to /A ,
11 Valuation of work: $ PLAN CHECK FEE PERMIT FEE oO -
-----------.-----------,..-----------Fore
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 60 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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.
•tCNAT fl 01' OWN[III I,. OWNCIII •UILDI'") DATC
Zone
No. of
Dwelling Units
Special Approvals
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
Division -
Max.
0cc. Load
No
Received Not Required
M.O. CASH
Dote
Aediff""
4S 465
Signed
SEND PARTS 1 AND 3 WITH CARBONS INTACT.
PART 3 Will BE RETURNED WITH REPLY.
7--/0--72
l
To
Dote
Retliff,..
4S 465
Dote }-/ O
Signed
Signed
SEND PARTS 1 AND 3 WITH CARBONS INTACT.
PART 3 WIil BE RETURNED WITH REPLY.
£:tr( ;J~/!£J
To EJ;;t;:;
DUPLICATE
Dote
A•tlifJ-
4S 465
Sigoed ~
Signed
SEND PAIITS 1 AND 3 WITH CARBONS INTACT.
PAIT 3 WIU BE RETURNED Willi REPLY.
I
I
I
I
I
PLUMBING PERMIT APPLICATION
Permit No .. · City of CARLSBAD, CALIFORNIA 51* 2
Applicant to complete numbered spaces only.
JOB ADDA t::5.S j ~ 0 L -0 J IL ~ 0 CD
f"'
.,, -~ /4/J z lll3 .. ~
.. _
~II )>;::;.
LOT NO. Im ,; I T"ACT gz
LEGAL I Qst::£ ATTACHED SHE.£TJ 1 D£SCO. ll~ . . 111 Ill OWNE,. '/ f/-J J ~~ MAIL ADDA£S5 (,,,} )/ ,/, ZI p PHONI. Ill
( ,
(./'i J I;' 2 , 1, 1 -1J COHT .. ACTO,. I , MAIL ADDRESS fl I___. PHOM[ LICEN5t. NO. k,
3 ,'/" _/4 / .I. j fl L1I 'l> r,,, -
AACHITECT OPI OESIGNUI MAIL AOOAE.95 . PHONE LICENSt. NO. ' ~ 4
' "' ~
ENGINEER MAIL A001'E55 PHONE LICENSE NO. ' -5 -~
LENDER MAIL AOOlltE.SS IAANCH
6 '~
US(. OF' BUILDING
7 '
8 Class of work: □NEW □ ADDITION 0 ALTERATION 0 REPAIR I~ 1-Y_, ~ L 9 Describe work: ~ J' /4
7
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: -WATER CLOSET (TOILET) $ -I
1-BATHTUB ; ' 7 LAVATORY (WASH BASIN) -.... ,..,... -SHOWER
I KITCHEN SINK & OISP. J ~" I DISHWASHER , \-..)
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
-:;p_~_D, ~ii<<' 0. P.~. (() I CLOTHES WASHER I .1-,}
I WATER HEATER J ~A -NOTICE URINAL
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC• DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR -SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. I GASSYSTEMS:NO.OUTLETS J ~"'71) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS I WATER PIPING & TREATING EQUIP. ~ °SI-I'\
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 STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER
yt CESSPOOL
SEPTIC TANK & PIT
/1 ?2_
SIGNATURE. o, CONT .. ACTOft OR AUTHORIZED AGE.NT (DATEI
PERMIT $
SIC.NATURE 01" OWNER IIP' OWNER 9UILDEft DATE) TOTAL FEE $ . ·~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ..
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
~7/
ELECTRICAL PERMIT APPLICATION (
0 0 ~ n j\t~ ..... z ..
City of CARLSBAD, CALIFORNIA ' .. ~ ~ " 0 "
3
Applicant to complete numbered spaces only. l'I .. ( .. ' JOI ADOPI r::ss ) '.)
26t;2 l!l G1fLAND mnn (I"-' L.OT NO. I BLK I TftACT LUAL I tOSitE ATTACHED SHEET) ' 1 DESCft. ll"I
I OWNI: .. MAIL ADDPIE.SS ZIP PHONI. ,~J 2
CONTPIACTO" MAIL ADDRESS PHONE LICENSE NO,
3 C,. RI.Sa,ln ~-•;C l'ttl C SF.RVT Cf:'. 269746 ' ,.,,; '4'1VOT.T l l.W ?~0-1~~ .. ~ A"CHITECT OPI 01:SIGNEIII MAI L AODPIESS PRONE -LICENSE NO,
4 \ I .,
ENGINEEft MAI L A00flt£.SS PHON E LICENSE NO, \I\, 5
L E.NOEPI MAIL ADDfllESS IPIANCH '" 6 . ~.
USE 01" BUILDING ~ 7 Jif"OI ~ FA>ULT DWEILING ~
8 Class of work: ]P NEW 0 ADDITION 0 ALTERATION 0 REPAIR ' ·\
9 Describe work: ~T.'li'r.'l'~Tf!AT t,rr P.TJJti
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: Total RECEPTACLE Outlets
LIGHT
SWITCH
Total
LIGHTING Fixtures
APPLICATION ACCEPTEO BY: PLANS CHECKEO BY: APP~ANCE BY: FIXTURES c¥? RANGES CLO.DRYER WTR. HTR.
NOTICE GARBAGE DISP. 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 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 O R NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE NO. TRANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NO. LAMPS
TEMP. POWER UPOLE UuNDGD.
j ' ,/ SERVICE 0·200A 25 vu
, /l~r:-201·400A \
, ~ 5/il.Q/72 □NEW 401·600A
;SIGNATUll't OP' CONT .. ACTO .. 0" AUTHOPIIIZIED AGENT D CHANGE OVER 600A
., PERMIT ISSUING FEE $ :, nl'\
Slt:.M.&.TU"E OP' OWNC,I (I,. OWN£" BUILD! .. OAT[ TOTAL FEE $ z·t 00
WHEN PROPERLY VALIDATED UN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1
AUDIT
S:n""' 1 n '1 Q.f;Q .,.n.nF ft .... OJ.A: INTFRN TIONAI C".nNFFAF'N<".:F O F RIIILn1Nc; OFFlt":IAI" "o !110. LO"' lltCUll.ll'!II PA!II. nl'N t" L ll"OIUHA. 1101
r
)
_IN_T_E_RD_E_P_AR_T_M_EN_T_A_L_I_N_F_O_RMA_T_IO_N_SH_E_ft_ E CE IVE D
BUILDING DEPARTMENT: 0/
PLAN RECEIVED BY: _____ .c4L ___________ DATE: _________ _
MAR 7 1972
BUILDING ADDRESS:¾£~
OWNER: ~/--i,v~~. @ ,
CONTRACTOR: ~
CITY OF CARLSBAD
81:JildiRg Dc~artment
'7S7,..7 <J 1-0
PLANNING DEPARTMENT:
PLANS RECEIVED BY: __ ...,_~~'"""""-....S:...,....,__,_,"'~~--=-----DATE : __ 3_-_7_-_7_Z... ___ _
UNITS PROVIDED: ___ __,_ ______ ALLOWED: ___ ___,~ ____ ZONE: f-, I-Ff_f
PARKING SPACES PROVIDED: ';2 REQUIRED: ___ ':2.,--'------
SETBACKS : ____ C,__,,/C ......... ______ PROTRUSIONS IN SIDEYARDS: A/ 0--?r:t e ->
APPROVAL TO ISSUE PERMIT ~) Q DATE: ..J -.). o -;12._
OCCUPANCY APPROVAL: //7/.J -d DATE: 7 -/c> -7?-____.u:>:-c,-'"'~_."""--+J-----
ENGINEERING DEPARTMENT:
PLANS RECEIVED BY: -----~----=--(2__ -N\, C. w e. \. \, DATE: 7/3/7:t_
RIGHT OF WAY: 4n' INDUSTRIAL WASTE /JA
IMPROVEMENTS b:) r) /..J ______ ___._.;_ __ _ SEWER CONN. E Y l ~ l I A)(-,
tlo
~ of< .. WATER CONN. Fi v /5 l l tJ(7 ~oC DRIVEWAY LOCATIONS -----------=-
EASEMENTS: /-l'o !V.I!!: DRAINAGE S H-4 ~r Dra m --------------
LEGAL DESCRIPTION: Ptffe L 'Sp ,,¼ , 5r-c. ~I J '1 H $ J Q 4 w
/1 ::5:S.f'SWt2'5 /'{ 0 -I S"" ~ -I ~ O -~
Tf/1 5 /5
FIRE DEPARTMENT:
PLANS RECEIVED BY: DATE: ------------------------
FIRE PROTECTION EQUIPMENT FIRE ALARMS ------------------
EXITS: ----------------------------------
FI~ HYDRANTS (location) _______________________ _
SPECIAL HAZARDS: ---------------------------
APPROVAL TO ISSUE PERMIT DATE: ____ __._____ ------------
APPROVAL FOR OCCUPANCY: DATE: ------------