HomeMy WebLinkAbout2730 JEFFERSON ST; ; 75-1803; PermitBUILD NG PERMIT APPLIC TIOhJ -
city of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No --JO& AOOR ESS ASSESSOR'S
7~0 Jt.· -c<Si /?IA PARCEL NUMBER -~ . ;
LOT NO. r ·LK I TRACT BOOK PAGE I PAR,
LLGAL I tOstE ATTACHED SHEETI l o£SCR. , .. I ..S/? ). ,) -..
OWN EA MAIL AOO .. ESS ZIP PMONE
2 -~ _.·4 f)c~Vc:L . ::...It. / / :"' lk,(.A~-
CON TRAC TOR MAIL ADDRESS PHONE LICENSE NO. STATE CITY ·~ 3 T-,.:r-;:be f 9 · .. ./ 'C/t-/C 2dlb //6 7 ~~-I,., --' -,J
ARCHI TECT OR OE.51CNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDR ESS PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH
6
use or BUILDING
7 .,..-'/ -/, r~
8 Class of work: , El NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: SU/, I ,, /sUc-I ' L --y.--o '/
10 Change of use from
Change of use to
11 Valuation of work: $ ,/// I I 1C/ PLAN CHECK FEE$ , PERMIT FEE $ --
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
, . Const. Group
/ } t' . /' ,. ,../., .,,,; Size of Bldg . No. of Max.
(Total) SQ. Ft. Stories 0 cc. Load
Fore Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone ReQuired DYes DNo
DATE//k./1
No. of OFFSTREET PARKING SPACES:
/ Dwelling Units No. !No. DATE Covered Sq. Ft. Open
NOTICE Special 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 ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ENGINEERING DEPT.
ALL PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER D~PT.
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.
-· r..C,<' ..,,.. /," .·, ,I •
SIGNATURE o, CONTRACTOR OR .t.tTHORIZEO AGE.NT (CAT£!
,.
SIGNATURE 0,. OWNEA 1, OWNE" 8UILDE!lt) (OATEI
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
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
10-23-75 See corrections enclosed: T. Mata
10-27-75 Steel and Bonding; Gates locked up could not get in. T. Mata
12-5-75 Pool fence is wrought iron and will have to be grounded because
parts of f e nce are within 4' of water edge. T. Mata
27Jo :SEFPEl?JOJ./
ro ~2Tcc &.(J/.1 Date '3,.../ .7-7t:'
{i) C/~NH;1 r · h w;;/ S w11w1~1Nt
\..;' fo o/ (tlj /1·/.cJF C'ol'f'Rec77~f
/J trt:: 77) k'ck' C 1) Re (.) ~
'' II ~ 7jft£ e ,, VENT 1w /JEATEl2
~(! IJHJ-LQT BF (! &rI. fw?4.1JT 1./ .SE
7
/1.P:P/?11v,P F//Ti~t, /'JL rpsF <' 1.r,,,1~L.7
(j; OAcl-..A-#J.s,V Ol?A1J.I /v.GE~J ~ At 'I? G--a P A Hn nl r o I!
DUPLICATE Signed
$1) p IHZ'() YEl.l/£ll. /.L~K 1./ 111
Q,() Hk or iJ w E pr I J::"" .lib r ·r TILE
~
Date
Aedif/nn
4S 465 SEND PARTS 1 AND 3 WITH CARBONS INTACT.
P.S. ~ ~4,.c1Z:-~z;:;-~ Poly Pok 150 sets~4P46 PART 3 Will BE RETURNED ~ITH REP .
~,L ,6 ho ~ cl?~ i-~{j~/-
0 0
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA .
Applicant to complete numbered spaces only.
JO& A.DOR ESS
-730
I
LOT NO,
LEGAL 1 DESC". .?LS'3;t:JD
OWNEllt MAIL AOOlltESS
2 ., ...... 7r)i. --... ~-I
CONTIIIACTOR MAIL ADOAESS
3 .-;:_· Tc'-
ARCHITECT Ollt 0£.SICNE .. MAt L ADDRESS
4
ENGINEEllt MAIL AOOR[5S
5
COMPENSATION (NS. CARRIER tr.A.AIL AODlltESS
6
USE Of' BUILDING
7
8 Class of work: 'lSl.,NEW 0 ADDITION 0 ALTERATION
<J Describe work: /A.JST rlt.. L
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISS1JANCE BY
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 ANO EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO 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.
21 p PHONE
PHONC LICCNSC NO.
rJ-zo<fl:,
PHONE LICENSE NO.
PHONE LICENSE NO.
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER _kf:;tc;,t.._
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
I
STATE CITY
/ <J-lb 7
Fee
$
I .> o .
~~~~~~~~~~~~~~1-~-t-~----1
SEWER // /-7'%~k CESSPOOL V / . ./ -~ SEPTICTANK&PIT .. · / I' /~/6 /.s--RO-OFD-RAINS ___ _
SIV,NATUlltE Of' CONTJltACTOIII UPII AUTHOlll:IZED ).GENT ... / PERMIT $ (
SIC:NATU1'[ 0,. OWNCII (I ,-OWN[II IUILOEAJ (OAT[) TOTAL FEE $ (,,7 I {
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 REPORTS
DATE ITEM REMARKS INSPECTOR
.
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.