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Home My WebLink About2652 Jefferson St; ; 70-1089_misc; Permit0 ~ ~ 0 z .. 7 rJ -IO f2 City of C~SBAD, CALIFORNIA ~,.~~o 1598**i "' Bl OCT 30-70 ••" DO q os "' Applicant to complete numbered s aces only. .. UI BUILDING PERMIT APPLICATION 1 Joe A.DOR ESS <l__p MA A .... ~ -Z-1 2 io.5"'2 ?{_~ I~ ~ " -- -I LOT NO. \J {I I ' 8LK I T•ACT 1 ~~;~~-t0SE£ ATTACHED SHEET) ~ . -II~ I 2 °l}(_c c..fi-e -v( @o.--<HMAfeSSL-- ZIP I PHONE ~ S"".tt--.. .... 6 I~ CONTRACTOR OMAIL ADDRESS -Fl'HON E I LICENSE NO. ,i , C) 3f}z,t~C ~ ARCHITECT O R DESIGNER MAIL ADDRESS PHONE LICENSE NO. ~' r 4 - ~ l'{i ENGINEER MAIL ADDRESS PHONE LICENSE NO. ~ 5 - LEN DER MAIL ADDRESS BRANCH ~ ' 6 \ ~ .. USE Of 8UILOING ~ ~,a r~e--ivt:-c r " ~ Ii~ 1(i;;i)_ -. _ e:q ~~ ~ £1~ (_A/'i{,, ~• A :Q. ''A.~??v / 1, i ,..,_,~1.t , I "" ~ 0 MOVE O REMOVE (} ~ 8 Class of work: ~ITION 0 ALTERATION 0 REPAIR It r),?1__p -~,,(./VJ~';{ .,,1i, d~ ../°L~?,ut~~ r 9 Describe work: -~ 10 Change of use from Change of use to 11 Valuation of work: $ /~ 7ot'/ e0 PLAN CHECK FEE<";::--PERMIT FE / --I }i: --(90 SPECIAL CONDITIONS: , Type1~ t,.../ Occupancy H Const. -Group Division Size of Bldg/,tr/<f.{J No. otP)/::1.{ fl{ N::: .. Max. (Total) Sq. Ft. Storie /) Al IJ W 0cc. L oad '6? Fire ? Use Fire Sprinklers Zone -..3 ~ -APPLICATION ACCEPTEO BY ·~ -w~· Zone Required 0Yes - No.of 4 OFFSTREET PARKING SPACES: ~ " /"' Dwelling Units Covered I I Uncovered , ,,, NOTICE Special Approv~ls Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT. 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 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. SIGNATURE OF CONTRACTOR. OR AUTHORIZED AGENT (DATEI • I (')F ~ 1/?~ t-i___ ".Ctdt....ATURE 01" OWNER (IP' OWNEAAllllLDER) (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 INSPECTION RECORD ..... ---J \ -. DATE -C REMARKS INSPECTOR .ffQUN!lAl'-Wilf16? t " .. 'c o, r T')n ' r r I SET BACK • ', . ,•, '\ ' I TRENCH ' '· - ------- - -- REINFORCING -- --------FOUNDATION WALL & WEATHER PROOFING ' ' ' .. -- CONCRETE SLAB ' FRAMING . - INT. LATHING OR DRYWALL -~--- EXT. LATHING - MASONRY v . \ --' -~ - -- .,. f ' FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. ELECTRICAL PERMIT APPLICATION ~. ~,.~~o 1073**11 *~~ti· CALIFORNIA rrn n-11 <OS££ ,HTACHED SH££T) ZIP PHONE. MAIL ADOAESS PHONE LICENSt NO. 0 "' "' .. .. CONTRACT/lo' u 3 l~ --4f,U/), """" / I--A_R_C_H_I_T£_C_T~OR~D-£-SI_G_N_£_R---'=---b,"-_~~~~~~~-M-A_I_L_A_D_D_R_£5-S~~~~~~~~~~-P-H_O_N_£~~~~~~~~-L,-C-E-N5-E~N-O.~~~~~~L~~ 4 JU H Cr----i :. ENGINEER MAIL ADDRESS PHONE LICENSE NO. ~~1~ >-o•• ~ ~ M.oc.oom, """'" i USE or BUILDINr. 7 8 Class of work: 'jtNEw ' , 0 ADDITION 0 ALTERATION 9 Describe work: SPECIAL CONDITIONS: PLANS CHECKEO BY APPROVEO FOR ISSUANCE BY v~CEf\TEOBY: ~ ~J I \ \ ) NOTICE 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 AND 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. 0 REPAIR \ {;sr/.) Ur_;, RECEPTACLE LIGHT SWITCH LIGHTING FIXTURES RANGES CLO.DRYER PERMIT FEES Total ;; Total Fixtures ;I:/- WTR. HTR. GARBAGE DISP. STA. COOK TOP DISH. WASH. CLOTHES WASH. SPACE HTR. STA. APPL. 1/z H.P. MAX. MOTORS: H,P, • SIGNS N.,O~S. TEMP. POWER LJPOLE LJuNOGD. SERVICE 0·200A 201-400A DNEW 401·600A No. r Each Fee ~ SIGNA()TU/R·~,o~ u ,T?RACJ:2-,TOR.--..OR AUTH~RIZ£1D AG~£ h'__..J(DATE) D CHANGE OVER 600A PERMIT ISSUING FEE $ ~ / t-~~~~~~~~~~~~~~~-1~~~r-~~1----... ,......,.;-"f'T1~ 5IGNA1'DR£ 0~ OWNER II~ OWNER IU!l:'DERI ,..._ {DATE) TOTAL FEE \d,....Lf-":::'._ WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT 1 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR r f, ii I INSPECTION REPORTS -~··••••n-c r DATE C: l -; '"1fiM"r REMARKS INSPECTOR I . \ " • \ " ' ~ ' ) ' . . ,. ' I • ,l ' ")i. j USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. I 4t • • ,. ... . t : ·- INTERDEPARTMENTAL INFORHAT ION SHEET . ·· ·. -RE.C.E·IVE J· ·:·· .. · . "! . . . DATE: ----------~~~----------------. · 910 ' ·. ... . . . .. . . . : BUILDING DEPARTMENT RLSBAD · ~ · ·• ·. ·t;r-artmeni · · · . ..... OWner 's Name B0 {s E /'J ~°lf-SZf,ER, · Permit ~ddress~C, ci ·JE Pf.£RSp/l/ /l-u£ Lot No. ___ ., ___ ~ __ ....;A;.;..;CiF~,1-=l.;...__ Contractor /J--Cf-t/ff 21 Address ---------------------------------- Legal Description VA er --------------- Approval to Issue Permit ________________ _ Certificate of Occu~ancy __________ __ PLANNING DEPARTr·lENT Parking Spaces Provided ___________ .,, _________ ___ Setbacks ----------------~------------- REI-1ARKS: -"------------------------------------------------------------------------ Date;...___.-C ... >-C-4~-;....,· G....=~~---1u0..c._ ___ _ Date----~~s;;M:6M~-T\-c.,__~V1---"-=~--1....,_~~------------ ENGINEERI!-TG DE PARTMENT Easements ______ __._t,4 ____ o _N_E___,-f ~//~o-w....;...;;'!l __________ _ Sewer ~ 4. .. '-3o ."1 Connec iori I.So~ q ~/°oo°-.0 A)ew Bl..D~ + 7.s-o~0 Due Of.Jr,;;~, Xmprov~ment s ____ .t3......_/<_~ ___ . ------------------AA -r;e. tz.A c -Fi 'I° ,_'5 rl'#~ Driveway Locations BJ::; -· EY/51''1",Jfr . · Water Connection As Uav1~D l ___ _.... __ _._____. ___ ........... ____ _ 2~dus tr ia 1 Wa s te _______ ... A/ __ ,4 ______________ _ Rn-11\RKS: ___________________________________________________________________ __ Date ,1¥"' . . Date_. _1_-___;f_g'_~-'-.1_2..... _____ _ ~~proval to I ssue Perrni _t ~ .Approval for Occupa ncy_~- . .. 7 . -·===---· I l\;.•v c read the obovc i n f orma tion a nd agr ee to com p ly with the requ ireme nt~ s.ct l:orth. Date ___________________________ __.:.:._ --------- ' . CITY OF CARLSBAD SEWER BUILDING DEPARTMENT PERMIT • APPLICATION FOR APPLICANT TO FILL IN LEGAL DUILDING DESCRIPTION LOT NO ADDRESS BLOCK TRACT NEAREST CROSS ST USE OF BUILDINGS OWNER MAIL CONTRACTOR ADDRESS ADDRESS CITY TEL NO. CITY TEL. NO. CONNECTION DATA CONTRACTOR'S STATE CARLSBAD BUSINESS Lateral Charge Computation LICENSE NO. LICENSE NO. 30' H., 10' V. @ 4" = __ 6" ---- Add. Horiz. @ 4" = ___ 6" -NO. DESCRIPTION OF WORK FEE -------HOUSE SEWER CONNECTING TO Add. Vert. @ 4" = -~-6"=--PUBLIC SEWER • $3.00 ----SEPTIC TANK, SEEPAGE PIT OR PITS 0~.00 Total Construction Cost OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN., 10% Service Charge CESSPOOL, DRVWELL, MANHOLE • $!5.00 HOUSE SEWER CONNECTING TO Total Lateral Charge PRIVATE DISPOSAL SYSTEM • Sl.!50 ---CONNECT ADDITIONAL BLDG. OR lot. No.: Lo22ed in Plot: WORK TO HOUSE SEWER • Sl.!50 '--ALTER, REPAIR OR ABANDON HOUSE LINE COST DATA SEWER OR DISPOSAL SYSTEM @ $2.00 • s A. D. & Assmt. No . LINE COST: ----- OWNER'S I PERMIT s 2 00 C. C. @ __ / dwelling AUTHORIZATION TOTAL FEE P. S. @ __ / dwelling I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN OTHER CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD· TOTAL ING TO THE PUBLIC SEWER. SIGNED THIS DAY OF Grand T otol, Lateral, etc. OWNER OR OWNER'S AGENT FOR SEWER LOCATION ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT ..: ... AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND V) --V) STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-NORTH BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP.. ENGINEERING SEWER DEPT. ERTY. SIGNATURE Signed ---_____ I Signed OF PERM ITTEE This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION CITY Of CARI.S8AD 0 BUILDING DEPARTMENT ADDRESS CITY TEL. NO. STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. NO. ITEM FEE '2.. TOILET @ $1.25 ,') #JO -:2-BATH TUB @ 1.25 ~ 0 ~ SHOWER @ 1.25 ".2_ WASH BASIN @ 1.25 _.2..__ ~ ~ KITCHEN SINK @ 1.25 ~ _4,-0 DISHWASHER @ 1.25 I LAUNDRY TUB oR TRAY @ 1.25 I 2< I AUTOMATIC WASHER @ 1.25 / -z.._~ I WATER HEATER & VENT @ 1.50 /~ I GAS SYSTEM 1 TO 15 / ~I'? .30 EA. ADD. @ 1.50 I FLOOR DRAIN OR SINK @ 1.25 / -1""7 ."7- LAWN SPRINKLER @ 2.00 MISC. WATER PIPING @ 1.50 :2 GARBAGE DISPOSAL @ 1.00 ,,,, ~o VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 @ 2.00 GRADING PLAN I PERMIT s 2 00 YES0 NOD TOTAL FEE s 18 :2 I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI- CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE ------------------ ->I.MING ;E? PERMIT. APPLICATION BUILDING ADDRESS NEAREST CROSS ST. GROUP FR -2-67 ~':~• 139*'*****18.25 Inspection Record APPROVALS DATE INSPECTOR'S SIGNATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL VALIDATION This is II Plumbing Permit When Properly Filled Out, Signed end Validated. Permit void if work is not commenced within 60 days of d11t11 of issuance.