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HomeMy WebLinkAbout2735 Jefferson St; ; 64-6338_misc; PermitCITY OF CARLSBAD BUILDING DEPARTMENT 729-118 1 -Ext. 36 Appli<alion for BUILDING Permit Building Permit Fee For A licant to Fill In J3 - Owner's G11fe1as} ,~NC.l C,,1N/$ * M11il Addresso2 7:JS c~FFi:« .Sa '!I Sr:'t-----------"""""-,..._-'------.. Contractor ____ _.CJ_,,.'-"'Wic.l'tl,:x.._..f!.....,B..__-------- Contr. Address ----=--,...S::::,....J..4,¢1~M1!:J.C£:,__ _______ _ To Const. 0 To Add rn,/' To Alter 0 Convert D Type of Const. __ Y--'--"A..::_,::.,,~:=..~---'=,_, _______ _ Fr11me, M11sonry, etc. To Be Used For _D«-=-=>"-+J)--=->-{j...X,..,dJ...,._ __ _ Kind of Found11tion (!~ t No. of Stories, _ _._/ ___ _ Floor Sp11ce ( Sq. Ft.) __ l_:;_:;z._CJ __________ _ G11r11ge Floor Space (Sq. Ft.) Att11ched-----=----- Det11ched ________ _ Leg11I Description _ _:,,====----------- Lot Block SuSdivision ------------------or Section Township Range No. of Existing Building --------------- Will this construction indud~ plumbing installation or alter- 11tion? Yes O No ~ Sign11lure of Applicant 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 REQUIRED BY CITY OF CARLSBAD AND STATE OF CA IA OR THAT I AM THE LEGAL OWNER OF THE ABO RIBED RESIDENTIAL PROPERTY. St. Near Set Back Front P.L. Side P.L. Gar11ge Rear P.L. Other Group Approved by Contractor City Bus. Lie. No. ------------- Water Meler Sewage Disposal System Inspection Record Utility Company Notified -Dale, ______ BY·----- Finol If II check is tendered for payment for the 11bove fee end the check is not honored when presented for p11yment, your building permit will be immediately revoked. City of Cerlsbad Building Dept. if wor~ is not commenced within 60 d11y:; of issuance. APPLICATION FOR Bu .. ~ DING PERMIT 5022 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 • Ext. 36 ?Pi:::e ~~i~:) .... <!.P~·!J(-"s .. ~. (Fi·~#·········iiJdi;j····--·····Mailing Contractor ............ ~ ................................................ Mailing Address ( Please Print) Street City Phone To Construct ~Add O To Alter O To Repair O To Convert O To Move From ............................................................. . Type of Cons(F;~·;,;·~·.-·~it;/ind of Foundation ............. :::::::::= ......... No. of Stories ...... :=::-To Be Used f{O~~~ Floor Space of Proposed Construction (sq. feet) ..... ci?:.9..4.k .. ~onst. Valuation $ .......... :;;;. .. ?.<?...~ ........... ~ .............................................. . attached 0 Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ..................................................................................................... . LEGAL DESCRIPTION -Lot Block Subdivision or ................................................. --.::._--··~z······ ............................................... Section .................................... Township............................ Range ........................... . ~'~:::~ ~~~~~%~ :; ,~;;,::::::::;::::::~:::,;: :~::::::;;~; : : : ;,~~;:~: SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES .............. .. NO.~ 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 BUILDING CONSTRUCTION. If a check is tendered for payment of the above fee and t he check is not honored when presented fo r payment, your Building Permit will be immediately revoked. SIGNATURE OF 11) ~ c~ PERMITIEE Y.. . .f._(~ .... L..~ ................................................... . Front Yard Set Back ................................................................... . Driveway Permit Required Yes ( No (KFee ..................................... . Side Yard Set Back ..................................................................... . Grading Permit Required Yes ( ) No(~ .................................................. . Rear Yard Set Back .................................................................... -Sewer Disposal Plant Capital Cont. Fee ................................................................... . Distance Between Bldg ............................................................... . Sewer Pumping Station Capital Cont, Fee ................................................................. . Off Street Parking Spaces ......................................................... . Sewer Main Line Cost ..................................................................................................... . Sewage Disposal System ............................................................. . Sewer Lateral Connection Charge ............................................................................... . Zone • Residential ( Water Stocked Lands Charge ........................................................................................ . Zone . Commercial Water Main Pipe Line Fee ........................................................................................... .. Variance Water House Service Charge ................................. . ..................................................... . Eng. Check By .............................................................................. . Water Meter Charge ..................................................................................................... . Sub Total ..................................................................................... . Plans Approve~r--····A"'f7·:····/··········--·--·----·····--···················Plan Check Fee ···--··--······;···;·;;·········--·--···----·--····--·······------················· Approved by ....... .f..L ....... f;:} ....... ~.~ ................ Building Permit Fee ..... -:2. ................................................................................... . p. 6 ~ Date .......... £ ..... 0 .... ~ .............. ~............................................... Total Charges ...... . .............................................................................. __ _ • INTERDEPARTMENTAL INFORMATION SHEET BUILuING DEP T. ~ PLAN RECEIVED BY -----~·....::~ ________ DATE W .?/?J.... BUILDING ADDRESS ' OWNER ~ CONTRAC~I.-(.<( d p·~,ANNING DEPT . • • &il3IIII I 7 .. 17-___ ZONE £-L UNITS PROVIDED ALLOWED ~-----'-~------- PARKING SPACES PROVIDED REQUIRED / / ~----'--'-----------___ .;._,,_ ___ _ SETBACKS PROTRUSIONS IN SIDEYARDS -~ -::s-~-r--1:--,,,-J--~---;-.s--r---~----.-'>----, ....... ,:;, I M ..... , r .a.-v ~ -:<:--b-~-'i1-,-~---J. J I t: r 5 t d~ v,-. _,,./ I JS T a b ~ ?. J / a......._ cl ~ ..., .e... A...,c y,,..__/ .. LI >!--~·-•"' I P a /~.t Si"' Tb L p,. ISSUE PERMIT DATE OCCUPANCY DATE ---------------------------- ENGINEERI NG DEPT . . _..&&,..... • R. O. W. INDUSTRIAL WASTE ----------------~ --------~ • IMPROVEMENTS _______________ ~SEWER CONN. __________ _ DRIVEWAY LOCATIONS ____________________________ _ EASEMENTS ________________ ~DRAINAGE~-------'------- LEGAL DESCRIPTION----------------------=--"-:--'------~ ISSUE PERMIT DATE OCCUPANCY DATE --------------------------- FIRE DEPT. -·· -SPRINKLING SYSTEM~------------------__!..;;__ ________ ~ FIRE PROTECTION EQUIPMENT FIRE ALARMS --------------------- EXITS-----------------------------"".:--------~ FIRE HYDRANTS (location) __________ _._ ______________ ~ ISSUE PERMIT _______ DATE ______ OCCUPANCY _______ DATE _____ _ WATER DEPT. COMMENTS-------------------~---------------... -.·• .. . . ISSUE PERMIT DATE OCCUPANCY DATE --~--------~ -----~---------- INTERDEPART.,'.SNTtlli INFOR.i.'1.ATJON SHEET . ---, BUILDING DEPT. ~-lllil& = RECEIVED PLAN RECEIVED BY BUILDING ADDRESS ' oWNER ,Ez BA Co pp, N CONTRACTOR B c>b rho :wt.°' s PLANNING DEPT. UNITS PROVIDED ____ ..;...7 _______ ALLOWED __ _,,,_ ____ ZONE ~ p PARKING SPACES PROVIDED REQUIRED 7 ---~"--------------~-i::.__ __ _ SETBACKS __________ /< _________ PROTRUSIONS IN SIDEYARDS_~c::2~/.=<-- o e-rv2 1 Z-P · c.,,...-& , , 7 I 7 Dv:o ll<d-;;;= J c/ ISSUE PERMIT ~& DATE i -/~-7..,...-0CCUPANCY ______ DATE ____ _ ENGINEERING DEPT. r• ,..,.:M'.l 122 • -R. o. w. _ __;3~o~i/~6~o::__ __________ INDUSTRIAL WASTE __ ~jJ_,_,Q-____ _ SEWER CONN -ff.JC . &.... /~76../2.,<r-C.- IMPROVEMENT S_:-6-'y"---r s-_iT--'-/-'-,J_..-::..:..,,.__________ •"' ,9 so0_,. c , P DRIVEWAY LOCATIONS tii!!Jb. f'.e,. ,n~T K.,, c;v1re.d EASEMENTS µrnJ~-_ DRAINAGE TO )7'/l..ti..a. t I o ,2. "Sflt:c1 &rJ.,>J ----'--='-'==~==::a--..---------j ISSUE PERMIT _.:::;:.._,;.__.,,,i.-_DATE ~ -1-c.. -7Z OCCUPANCY _____ DATE ____ _ -~--::~~~-~----'--r----r-i---...----------------------------------------------------~--FIRE DEPT. • 111-. SPRINKLING SYSTEM--------------------''-----------~ FIRE PROTECTION EQUIPMENT ::):S PC/2.... Ph/JIV~ FIRE ALARMS _______ _ ~XITS _________________________________ _ 'IRE HYD~TS (location) ___________ ~-------------~ ISSUE PERMIT . .4-lf)~._.4_DATE (o-7-72.. OCCUPANCY ______ DATE __ _ WATER DEPT . COMMENTS ----------------------------------r-·- ;;. ;uE PERMIT DATE OCCUPANCY DATE ---------------------- J h e C h U- r C 0 n t h e . 0 . UI (Affiliated with The Southern Baptist Convention) Telephone: 479-4111 Mr. Ray Green Building Department City of Garlsbad Carlsbad, Ca Dear Ray, May 9, 1972 6038 CUMBERLAND STREET SAN DIEGO, CALIFORNIA 92139 I should appreciate it if you would attach this letter to whatever it needs t• be attached to. I herein express my intention to grant easement rights of access and egress into the parl{ing facilities planned for the lot North and adjacent to 2737 Jefferson Street in Carlsbad and express my willingness for the City Attorney to instruct regarding the legal wording. I should appreciate this matter being made concurrent with the close of the escrow appertaining to the subject property, thus allowing permits for construction to be issued immediately. CC Mr. Robert Thomas -Buil Copy for personal file EZRA M. COPPIN -Pastor