HomeMy WebLinkAbout2873 Highland Dr; ; 76-1544_misc; PermitM OOEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 No.1& --/S-fL/ Applicant to complete numbered spaces onlw Phone 7 29-1181 Perm ii
Joe AOOR css 1 ~ / ASSESSOR'S 7 ) . , ~,.--, ",Y~~ PARCEL NUMBER
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LOl NO, ,--(_'/J 1 •L• I T• ACT BOOK PAGE I PAR.
LEGAL I (nSEC ATTACHED SH££ Tl l ocsca.
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OWNC,-ft ,~!~~. ,}, MAIL AP:O"'f55 ll P PMON£
2 --..A_;_:,-, " ,._ (• ,,.., ---• CON 1RA.9i.Orf II
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MAil. AfR~,S PHONE STATE LIC, NO, CITY LIC, NO,
3
AlltCMI TCC TOR OCSIGNCR MAIL AOORCSS PHON C LICENSE NO.
4
CNGIN [[R MAil AOOR[S.S PHONE LICE.NS£ NO.
5
COMPENSATION INS. CARRIER MAIL AOOIH.55 BRANCH
6
use OF li.l,,U,..PING
7 ' . 1-I --NO. BDRMS NO. BATHS ,,' . ' '
8 Class of work : □NEW 0 ADDITION _ \1 AL TE RATION 0 REPAIR □ MOVE □ REMOVE
I ~ ;_x ,fl -.,~J., ~tt-/b._D ~/4-d-t 9 Describe wor)',;, ~ A .17 I -\.
..-"'LJ~ \ -~> ..-.,A-~, 11 ~JI A~~#-~( ~ ~..1-t..--0
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10 Change of use from
Change of use to
.nt:ll. I
~ 0 11 Valuation of work: $ r1 ,-..Jrx;r PLAN CHECK FEE"g -PERMIT FEE S -
SPECIAL CONDITIONS: Type Of Occupancy MICRO F'ILM F'EE
Const .,.._ Group (..
Sile of Bldg ... , No.c/ ) r Max . ,,,, (Total) Sq, F t,. ' Stories 0cc. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED 8V PLANS CHECKED BY APPRO,lfEp Fe;, ISSUA!WCE BY ,zone Zone Required 0Yes □No
,.~:"/U'J ~f
OFFSTREET PA RKING SPACES.
Ing Units No. INo, DATE CATE Covered Sq. Ft. Open
NOTICE l I "'Special Approvals Required Received Not Required
SEPARATE PERMITS A RE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT.
IN G, HEAT ING, VENTILATING O R A I R CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AN D VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT.
CONST RUCTION OR WORK IS SUSPENDED OR A BANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFT ER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION A ND KNOW THE SAM E TO BE TRUE AND CORRECT. A LL PROVISIONS OF LAWS A N D ORDINA NCES GOVERNING THIS WATER DEPT. TYPE OF WORK W)L.L BE COMPLIED W ITH WH ETH ER SPECIFI ED
HEREIN OR NOT, THE GRA NTING OF A, PERMIT DOES NOT PRESUM E T O GIVE; AUJ'HORITY T O V IOLA TE OR CANCEL THE
PROVISIO NS O~NY CllTHER STATE O R L OCA L LAW REGULA11NG
CONSTRUCTIO OR THE PERFORMANCE OF CONSTR UCT Of'l, f "'II -/rl./. JIA
\ SIGNATURE o, CONtPIACTON 0111 4UTHOllltZED AGENT tDATE I
SIGNA TU,.£ o, OW NER ~1, OWNt ,. I U ILOt,_ DA TE)
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK., M.O. CASH PERMIT VALIDATION CK. M .O. CASH
(/ I V X <...:?) ~o --/ !' -'(QTAL FEES $ __ ___,;;;ll__;,:__ ___ _
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\_
: ...
INSPECTION RECORD
--
DATE REMARKS I SPECTOR ---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.
,,1
__________ .LA.d""--"-
1
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, -· • •
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PLEASE REPLY TO ---1)► SIGNED
DATE SIGNED
SEND PARTS 1 AND 3 WITH CARBONS INTACT -PART 3 Will BE RETURNED WITH REPLY
4S 474 Redi7rm e
Poty P-150 sets) 4'474
~S-0 0 0 •
Applicant 7 lmplete tz~ spaces on~'.ty
z ~i of CARLSBAD, CALIFORNIA JIM J0·71A-.i!!tnit-*• •• 5C
" • •
PLUMBING PERMIT APPLICATION 2
JOII AODR ESS 2f7~ -Lt o1 /)(lu1 d 1
LOT NO. IILK u I TRACT Osu;. ATTACHED SHEET) ~ LEGAL I ~ 1 DESCft,
2 OW,E(J,, d A ", ,) Q, MAIL ADDltESS
Q +' "jJ o:c, PHONE r--..l 't!1i!f . ~-') o--r-i.,_,, . ~
CONTIIIAC MAIL ADDRESS PHONE LICENSE NO, \l f-_ 3 . ;; ~ ..--' ARCHITECT OR OESIGNEl'I MAIL ADDRESS PHONE LICENSE NO. " ,,. '-
4 ~ ---•
ENGINEER MAIL ADDIU:ss PHONE LICENSf: NO, ~ \ 5 "' ...
LENDER MAIL ADDRESS IUIANCH \ -'f 6 !;i,,. t USE OF BUILDING
7 '-
8 Class of work: □NEW □ ADDITION □ ALTERATION □ REPAIR
9 Describe work: Lfh1_,M_J!_,~, -ff:., <;: /J I / J-U )
PERMIT FEES
No, Type of Fixture or Item Fee
SPECIAL CONDITIONS, WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
/" DISHWASHER
APPUCATIC N ACCEPTED BY: PLANS CHECKED BY APPROVED I b ~ANCE BY: LAUNDRY TRAY
\( / / CLOTHES WASHER
/ WATER HEATER
r~ NOTICE ', URINAL
T ERMIT BECOMES NULL AND VOID IF WORK OR CON!sTRUC-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. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEClf=IEO 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. 1 .n.wN SPRINKLER SYSTEM
'.,,,.. SEWER "" )rv-,
CESSPOOL
SEPTIC TANK & PIT
.SIGNATURE OF CONTRACTOR 011 AUTHORIZED AGENT ih,7/ "I-a J. AU) 'y/j c(JzAr(..k_ PERMIT $
TOTAL FEE $ s"i7NAFji=""'C"F OWNER IF 0 ER 9UIL0Eft DATE'.!
WHEN PROPERLY v'ALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
• .,.,..,..,.,.,. "•"••• ,...,T~1:10..1AT1n...,,1.1 rn .... ~~"""°"'l"F> n~ ~1111 ,..,,...,r. ns:,~1r1A1 « • ,._n '"" , "" •n•• .,. .. • .,,. ... .,,.., • .-., ,,.,...,.,,. "''"'
CITY OF CARLSBl"' SEWER
BUILDING DEPARTMENT PERMIT . APPLICATION
FOR APPLICANT TO FILL IN
LEGAL BUILDING D ESCRIPTION LOT NO. ADDRESS
TRACT NEAREST BLOCK 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" -___ b" -----
Add. Horiz. @ 4" -___ b" -FEE -----NO. DESCRIPTION OF WORK
HOUSE SEWER CONNECTING TO Add. Vert. @ 4" -___ b" -PUBLIC SEWER @ $3.00 -----
SEPTIC TANK, SEEPAGE PIT OR
PITS @ $5.00 Total Construction Cost
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN., I 0% Service Charge CESSPOOL, ORYWELL, MANHOLE @ $5.00 ' HOUSE SEWER CONNECTING TO Total Lateral Charge ' c-> PRIVATE D ISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLDG. OR Lat. No.: Logged in Plat: WORK TO HOUSE SEWER @ $USO
ALTER. REPAI R OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00 LINE COST DATA
@ $ A. D. & Assmt. No.
LINE COST:
I s 2 00 C. C. @ ___ / dwelling OWNER'S PERMIT
AUTHORIZATION TOTAL FEE P. S. @ __ I dwelling
OTHER I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRI BED BUILD· TOTAL ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF
OWNER OR
Grand Total, Lateral, etc.
OWNER'S AGENT FOR SEWER LOCATION
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT vi ... AND AGREE TO COMPLY WITH ALL C ITY ORDINANCES AND V) STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. NORTH AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-
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