HomeMy WebLinkAbout2705 MADISON ST; ; 68-631; PermitCITY OF CARLSBA,..-
BUILDING DEPARTM~f
729-1181 -Ext. 36
F A I' t t FIi i or \PP ,can 0 I n
Owner's N ,mr&11-/J l5J--l N 'P_ (') , Qn /I) A.JFJ-L
M,;J Add,w c;t2I /II/ /£Si 0/v ..itJ}s IDE
Controctor Q vJ NE/?.,
Contr. Address
To Const. 0 To Add 0 To Alter~ Convert K"'
i.:::~ N Lrt?RT <3 11 R /6,-<!, E ro ,L / LI //1/ 0, fl. £'1,-!4 -
Type of Coost. E£/J:flll E
Frame, Masonry, etc.
ro Be Used Fo,lL<:16 RP# G JloM(i l?i:>IZ ,J+E" _ (tFD
)!
Kind of Foundation C..0NC ' No. of Storie~
Floor Space (Sq. Ft.) Jr
Attached 4<20 Garage Floor Space ISq. Ft.).
Detached
Legal Description
Lot Block
Subdivision or
Section Township Range
No. of Existing Building
Wii/ this co~ include any plumbing insto//ation or olter-
otion? Ye No D
Signoture of Applicont
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIR~D BY CITY OF CARLSBAD AND
STATE OF CALIFORN~C THAT I AM THEr:}Jz,L OWNER
OF THE ABOVE 0£SC D RESJDEW~R RTY.
SIGNATURE ~ /J /. ,. Ill
OF PERMITT v
Applicationor BUILDING Permit
Building Permit Fee :2-::!, ~O
?,8--&3/ OCT 23·68 5PAIU .-• i'.50 -"'ci:"5149* * ... * *i'.' _
Building Dept. Use Only
B,;fd;,g Add,,s, ~ g M If DI S-G?N s:z:
St. Nea, ,,L..A,.t!S '1.N It C, f<JV£
Set Back \. Bldg. Valoat;oo '::J &CJO~
Front P.l. ' Main 8/da.
Side P.L. '\ Garage
Rear P.L. '\ Other Groft 2B-p App~
Contractor City Bus. Lie. No.
Water Meter I Sewage Disposal Sys,f-em
Ex Is 'T E,r1 S: T
Inspection Record
Utility Company Notified -Date_ By
Final ------
Jf a check is Tendered for payment for the above fee and the
check is not honored when presented for payment, your
buildi,19 permit will be immediately revo~ed.
City of Carlsbad Building Dept.
Permit void if wor~ is not commenced within 60 days of issuance-
CITY OF CARlWAD
BUILDING DEPARTMENT
729-1181 • Ext. 36
PERMIT NO.+~~ TOTAL FEE $ ~
For Applicant to Fill In
Application for ELECTRICAL Permit ,.
. OCT :>J-fi8 ~t~0 'il51**** ***i:'.G.U Building 'Depf Use vnry
PERMIT FEES: Eoch Fee
Item R ecpt. Sw. BUILDING ADDRESS:
-" /7 .. o ~9/J.t;"-< ,,;:✓-~ .. --
' I" Lighting fixtures wiballast for each 1n $ 1,00 -
St. Nii,1r
Elec. Ran!=jes, Clothes Dryers, Water ~l\;ctters .50
OWNER,~ P. t6J 'l:) • . -# (,J .
Elec. Space Heaters Dishwashers, Gar!Ji:l!Je
Disposers, Auto. Washers, Sta. Cooking Units . 50 ADDRESS· --.. ~
MOTORS: Per each motor H.P. .....
0 to 1 $ .25 CITY:
1 to 2 $ ,50
2 to 5 $ 1.00 TELEPHONE NO.
5 to 15 $ 1.50 State City Business 15 to 50 $ 2.50 License License
50 to 200 $ 5.00
SIGNS: Group Zo11e By
No. trans. Ea. $ 1.00
No. lamps over 50 ea. $ .50 Inspection Record:
SERVICE, 0 to 150AMPS $ 10.00
For each additional 100 Amps. $ 2.00
Temp. Power Pole. 100AMPSorLESS $ 3.00
For Each add"I Meter, over one per service $ 3.00
MISC:
-A ~ ,, . ',-Y --r;rJ ., ,i
Approvals Date By:
SUPPLEMENTARY PERMIT FEE: $ 2.00 Conduit
a~ Temp. Power
TOTAL: R. Wirina
Fixtures
S.D. G. & E.
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FINAL:
WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
WIRING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE
CITY OF CARLSBAD AND THE STATE OF CALIFORNIA OR THAT
I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI
DENTIAL PROPERTY-
/'_p ()rfz2 SIGNATU_R_~ -, ,., =·
PERMITTEi;:.
~
mY OF CARLSU"'
BUILDING DEPARTMENT
~IMING ~~
PERMIT • APPLICATION
OWNER z 8-(9'£}~~
~p:~D5152**** MAIL Ci./~ OCT 23-68 * ADDRESS 't) _________
°=~ NO.
:g~~Di~SG ~ 705~ V"\
CITYW~L.
PLUMBER
NEAREST
ADDRESS CROSS ST.
CITY TEL. NO. GROUP #-I ZONE °@.-p STATE CARLSBAD BUSINESS Inspection Record ' LICENSE NO. LICENSE NO.
NO. ITEM FEE
~ TOILET • Sl.2!1 !'L lYO·
BATH TUB • 1.2!1
/ SHOWER • 1.2!1 I 2-S-
.~ WASH BASIN • 1.215 2 £Q
KITCHEN SINK • 1.215
DISHWASHER • 1.2!1
LAUNDRY TUB oA TRAY • 1.2!1
/ AUTOMATIC WASHER • 1.215 I 25'"
WATER HEATER 11: VENT • 1.50
GAS SYSTEM 1 TO 115
.30 l!:A. ADD. • 1.!10
FLOOR DRAIN OR SINK • 1.2!1
LAWN SPRINKLER • 2 .00
MISC. WATER PIPING • 1.150
GARBAGE DISPOSAL • 1.00
VACUUM BREAKER OR BACK
FLOW DEVICES 1 TO 15 • 2 .00
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GRADING PLAN PERMIT s 2 00 GAS PIPING
YES □ NOQ TOTAL FEE s q .50 GAS VENTS
PLUMBING FIXTURES I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO MISC. 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 GAS TEST
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE FINAL OF PERMITTEE
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.
CIJY OF CARLSBAI'
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO.
BLOCK
USE OF ,£ BUILOINGSNf ~
CONTRACTOR
ADDRESS
CITY
TRACT
TEL. NO.
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER • S3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 SIS.00
OVERFLOW SEEPAGE PIT, DRAINP-111:L~TN.,
CESSPOOL, DRYWELL, MANHOLE O 15.00
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM • ~150 I
CONNECT ADDITIONAL BLDG. OR -~~ WORK TO HOUSE SEWER O SI.
ALTER, REPAIR OR ABANDON HOUSE .oA. SEWER OR DISPOSAL SYSTEM O S2.
• ,I
I \
I OWNER'S PERMIT s 'a
AUTHORIZATION TOTAL l"IH
00
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-
ING TO THE PUBLIC SEWER,
SIGNED THIS -----DAY OF ---------
OWNER OR
OWNER"S AGENT ----------------
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
STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
ANO/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE ESCRIBEO J"'J,;Jl~'r,,J~L PROP.
ERTY.
SIGNATURE
OF PERMITT
SEWER
PERMIT -APPLICATION
C 4,_ 9PAIO 6 a -g, 32-OCT 23-68 _ c:cs1s3*****r.)U.l,ll
NEAREST / /9-E
CROSS ST. ~ .<; « N ,4 D R I u
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = --b"=--
Add. Horiz. @ 4" = --b"=--
Add. Vert. @ 4" -b" -
~otal Construc~on cfiiX/~76 .
10% Service Charge
Total Lateral Charge ____ _
Lat. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE Cf:?~: h
C. C. ,S~O I dwelling _S~c_.4_. ___ %z.so.a::;
P. S. @ __ / dwelling _____________ _
OTHER ---------------r4~---•_J
TOTAL !J>2S),0
Grand Total, Lateral, etc.§,zj;a 1 0
FOR SEWER LOCATION
NORTH
SEWER DEPT.
Signed ________ _
end Velldated This 11 e Sewer Permit When Properly ~~ned
l11ued By --,if,f;,,t.~~::ao'l~•~-"r----------------
PERMIT VALIDATION
0 a ,
" • BUILDING PERMIT APPLICATION 1
> ~4 ,Z/J-?.Zt.City of CARLSBAD, CALIFORNIA AUG ?1-70 t~~0 J077**~ ~ *90 0
Applicant to complete numbered spaces only. " " " JOB ADDR ES$ ,
,:270~ /Miff) IS~ JJ Sv CLH? I .ll An 1A[t'°r ' ~ ~ LOT NO. I"' I TRACT ' ,.
1 ~~;~~-tDSEE ATTACHED SHEET) • ~
OWNElil MAIL ADOll;ESS '" '"
0"/4.-vl $o/l 7 ~
2 'f?ull/(/J/!Dt, i71JCEP E, 10,1 ~./ /]-JP ~f//l(r S'f✓ C'/1.RtJ /f. 0 ~ CONTRACTOR MAIL ADDRESS PHONE ' LICENSE NO. ~\ 3 "' -• -~ ~-7 _,,....-r ' ARCHITECT OR DESIGNER < MAIL ADDRESS PHONE LICENSE NO, ' 4 ~ ENGINEER ) MAIL ADDRESS PHONE LICENSE NO, " 5 ' ' LENDER 1 MAIL •ooRESS BRANCH ..
6 ~ USE OF BUILDING \
7 /-/,) i,,.-, Ee ~o~ Atrf/J. '\,, ' .
P(°ALTERATION ' 8 Class of work: □NEW □ ADDITION □ REPAIR □MOVE □ REMOVE 1-
9 Describe work: I(' r-::,/{ (°/A,) ,1-t) I) ~ \ ,, F CJ. t1 f £'Tr .
/,,()Sy/JtL A7/0A) ,.,~ ,fJj A('A/1'..-r. Lll:f S Do,.,R
10 Change of use from
Change of use to
11 Valuation of work: $ /,, /J~O !:!!-PLAN CHECK FEE I PERMIT FEE ~~ -SPECIAL CONDITIONS: Type of Occupancy
Const. Group Division
Size of Bldg. No. of Max.
(Total) SQ. Ft. Stories 0cc. Load
Fire -.3 use <!. -z-Fire Sprinklers
~No APPLICATION ACCEPTED BY. PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone ReQulred DYes
~-;J. ;).;;;_ OFFSTREET PARKING SPACES: ,
No. of
\ Uncovered Dwelling Units Covered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING. HEATING. VENTILATING OR AIR CONDITIONING. HEAL TH 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 ANO 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 01'" CONTRACTOR OR AUTHORIZED AGENT (DATE)
7.,,,,?r?/2, J_.//// P-.;)f-? !J
" ' 01'" OWNER II'" OWNE BUILDER DATE
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
i:;-,.. ...... ,nn, a.~a REORDER Fl'IOM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e !50 so. LOS ROBLES e PASADENA, CALIFORNIA 91101
\1 a
I
\J
~
\ ,