The URL can be used to link to this page

Home My WebLink About1371 POINSETTIA AVE; MULTI-PERMIT FILE; 82-26; Permit.,, z 0 j:: C II: C ..J 0 ... 0 C i[ 0 (.) z 0 -----j:: C .,, .-----ffi II. :IE 0 (.) .,, ic ... " II: 0 3 il D I her• _ • 'affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. L,c No ______ Class _____ _ I hereby alfirm that I am exempt from the Con-~~o;·~~==;:; ~,~':~~~~l~~; county which requires a permit to construct alter, improve, demolish, or repair any structure, priof to its issuance also requires the applicant f0t such permit to ftle a signed statement that he 1s licensed pursuant 10 lhe pro,,ls10ns ot the Con- tractor's Ltcense Llw (Chapter 9 commencing with Section 7000 of Division 3 ot the Business and Prtr fessions Code) or that 1s exempt therefrom and the basis f<>f the alleged exemptt<>n. Any vtOlation of Section 7031.5 by., applicant tor a permit subjects tne appu-'nt to a civil penaJty of not more than five hunds,oll" dollars ($500). _as owner of the property, or my employees ts as their sole compensation, will do the the structure 1s not intended or offered fOf f 70'4, Bu~1 s ana Protessiohs Code: $= Lice Law does not apply to an · y builds or imprOYes thereon and '{,h U&h h1,isell or through his own em~ees, provided that such 1mproYeme:\tS are not intende1 °' offered 101 sale If. howeve<, the bt.11lding o, improvement ,s sokf within one year of comp~tion. the owner-builder will have the burden of proving that tte did not build or improve tor the purpose of sale). □ I, as owner of the property, am exclusively contractiOi with licensed contr~tors to construct the proiect (Sec. 7044, Bus,ness and Professt0ns Code: The ContractOf's License Law does not apply to an owner of praperty whO builds o, improves ~~~i~ ~~c~~:;!~ ~ft!r~~~~!:-: License law) . D lamexemplunderSec _____ ,B &P.C tor this teason ___________ _ □ I hereby affirm thal I have a certificate of consent to self-insure. or a certificate of Wortl.ers· Compensation Insurance, or a cen,hed copy thereot CSec 3800. Labor Code) POLICY NO. COMPANY □ Cooy IS hied with the city . □ Cert1hed CoPY IS hereby furnished CERTIFICATt OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 lhe permll 1s 10f one hundred dollars (S100J °' less) 0 I cen1ty that ,n the performance of the wor1l '°' which this pemut ,s issued. I shall not empk)y any person in any manner so as to become: sub1ect to the Workers· CompensatlOfl Laws of ca11torn1a NOTICE TO APPLICANT 11. aller malun~ th,s Cen, ftcate of Eicempt1on. you shoukJ beeome subject I? the wooers· Compen~t1on p,ov1s1ons of the Labcw Cooe, you must f0t1hw1th comply with such prov1s10ns or I.his penn1t shaH be deemed revoked O I hereby affirm thal there 1s a cons1ruch0f1 1end10Q aoency tor the per1ormance ot the work to, wtuch this permit 1s issued (Sec 3097, Crv1I Code) Lender's Name, ___________ _ Lender's Addtess __________ _ USE BALL POINT PEN ONLY & PRE~S HARD ,,...-,ii, APt .JcATION & PERMIT CARLSBAC ,UILDING DEPARTMENT 1200 Elm, Carlsbad, Callfomla 92008 (714) 438-6525 APPLICANT TQ..1".!LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS JOB ADDRESS A':.tT· 1 ~E:-4:eiONI BUSINESS LICENSE # VALUATION PERMIT NUMBER ,~,, fb\~ 1.,.-~.1 I tA-A~. '2..1., t \Z. 8-Z-Zp OWNER'S-ME (71:1:'57qs PRIME CONTRACTOR CONTRACTORS PHONE • ZONE µAt \5 I ..s;;_ DIZ.l \ t1 wpf'/r OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS UCEN8ENO. PLAN 1.0. # BLOG USE CODE 12ES,A-DD, LOT BLOCK I SUBDIVISION 1,zzi~~T?\.-0, DESIGNER STATE LICENSE # STANDARD PLAN# BUILe iiOOiit DESCRIPTION OF WORK DESIGNER'S ADDRESS DESIGNER'S PHONE _ _h)J2 _'r1~~ 1wr'\ ~~~--NO F/P FLR ELEV. OCCGP EDU ('.;!-... 0 ,,...,,/" :! 11i~ •~1.i:f\ ~ STORIES vO NO ~-3 CENSUS TRACT GP LA~SE I PARKING Sl'ACE I RES UNITS 1 GRADING f'.ERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CON~~ .-:-, 0 vO "'~ YO ND vO NO \I-.. , ,.. ~11in~ wrtifitd ., .. 1 'r,I"\ - SUMMARY/Ac®ru~~BMEiMI 7 I 8? I '-"'f '~I.I QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE 180, 1.16 EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·000-4220 l"'-7'7 ~;'") EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 01 ·000·4221 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000-4806 Cf(..{. 1·~ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000·4223 -;,-.-- EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·000·4224 7~ EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·000-4225 WATER SOFTNER ' RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) -...,./ SOLAR 01 ·000-4226 . TOTJ;L MECHANICAL STRONG MOTION 65·640-0519 I .49' TOTAL PLUMBING I FIRE SPRINKLERS ,- 01 ·000-4227 QTY. ELECTRICAL PERMIT -ISSUE /f,,(X) QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25-000-4933 BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS carlsbad 65·623-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65·624·0519 1 PH 3 PH PUMP San Oieguito 65·625-0519 I REMODE UAL TER PER CIRCUIT c;:;. , IJ/J PLAN CHECK FEE San Marcos ~5:626-~1? l . "' TEMP POLE 200 AMPS -l,,t>t:Uf'l( J::-, V1 l»J. ( 14-H V T-, <.If -1,,r:; 1 OVER 200 AMPS ~nr. ,1 .A'Jilj •• \..: ,/ TEMP OCCUPANCY (30 DAYSI I -y -- TOTAL ELECTRICAL l -,,oo TOTAL SOLAR TOTAL FEES PAYABLE r /~~-YJJ I HAVE CAREFUU Y EXAMINED THE COMPLETED "APPLICATION AND PEflMrT" AND DO HER£8Y Expiration. &.ype,mit ....... .,,lhe ........ Offic:laluncler ... ,,___otttu * AN OSHA PERMIT IS AE0UIAED FOR EXCAVATIONS OVEfl CERTIFY UNDER PENALTY OF~ THAT ALL INFORMATION HEREON INCWOING THE Codi allall expire II, Nm--and becOIM null and void. H Ille bul= DI' won, 5' O" D&f' AND DEM0UTION OR CONSTAUCTION OF DECLARATIONS ARE TRUE AND ClO ANO I FURTHER CERTIFY AND AGREE IF A PEflMIT IS autllorind by-" pannlt ia not c---=-ct -180 clays from the ol such STIIUClUflES OVER 3 STORIES IN HEIGHT permit. DI' If Ille ~ work .-1ac1 i,, euch perfflil ia or ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING 8UII.DINO CON-••••tc1ned • -11me Ille work la _,_teed tor" -1an -- STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND . , A 1i~alut DATE KEEP HARMLESS THE CITY oF CARLSBAD AGAINST ALL UA81UTIES. JUDGMENTS. COSTS AND APPLI7s SIGNATURE~ -rJ OWNER CONTRACTOR O EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -, ,_ ~ CZ'_, • ~ BY PHONE 0 1 1,.-IJBZ GRANTING OF THIS PERMIT --./'v _ . ~ -, _ I .. ~ u::: >, ai 0 a. E Q) I-- I -0 0 (!) c <11 .2 a. a. <( I -"' C a: ti. 0 1/) 1/) Q) 1/) 1/) <( I ~ .Q (D >- ui 1/) Q) (.) 0 a: <11 ~ 0 ~ Q) (.) C <11 C u::: C Q) ~ (!) 0 0 Q) a. 1/) C 2? "E 3 INSPECTION TYPE BUILDING FOUNPATION REINFORCED STEEL MASONRY GUNITE OR GROUI FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH 1 INTERIOR LATH & ~ALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR' MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTIEMS VENTILATING SYSTEMS DATE INSPECTOR CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN. APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS f CERT OF oc,~ 'og:..:A~N~C_;_Y_;_IS::,:S::.:U::.:E::.::D:.._ ____ ___. ___ ___J.__ ___ _ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS REQ IF INSPECTOR'S INSPECTION CHECKED APPROVA L SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASON.RY PILES CAISSONS .... . ' " ..... ' I ', I ' . • <' ~ .... \,, ~:---_ 'I' ' -. . ~ ~ , '".J I ' ✓ ,. ' f -, (' "" _";' -I ~ , -. '-'!· , ...... , ~--~ • ' 0 - -~ \.-,;' ~ . ' '\ ._I i, ,, . .. _ . -'"t ~do --11,,. I INSPECTOR'S NOTES DATE ' , . -.. "-· ~.J , ' ' I ( "f;;t!tc, ~ . .._ ! f, ''1..' _,.--;_ -\ ' ,-. ~" ' . ~• , '· r ~ I --· .. 0 ' ' > . . V ·- - f; -, ':... I ~• \ -- '• f ' . . ' II ) .. --• -. ~~ ' . ' · i · Ii v/ 1" "./ ,. " r-, .. -y ' . .i ,:f,. r I'---· -< \' -- ....... \ ', _, -" ---" ... t _:~. ',--C, I -,,,. ~ ·. ' ""' • ·- ~ .1 \ PLAN ID Bt-ilo JOB AOPREss l'31I fo1rJ61?f-:C1A: A\J-8. DATE f,-/0-fj,Z CHECKED BY:~qf--~.+------ CITY OF CARLSBAD BUILDING DEPARTMENT -ROO~ ADDITION CORRECTION LIST CORRECTIONS CHECKED BELOW ARE TO BE MADE ON PLANS Two identical sets of plans drawn to scale with the following information ·ar e required: )(. Dimensioned plot plan showing all existing and proposed buildings, legal description, job address, earth slope, driveway slope and lot drainage. B. Foundation plan and foundation details. ;;r·. S h o \'I f o u n d a t i o n p l a n s a n d f o u n d a t i o n d e t a i 1 s . ~-Provide 6 x 6 -10 x 10 wire mesh in slab, 4"clean sand, vapor barrier and 2 -#4 rebars continuous in footings. ;/. Show foundation details per attached soils report or furnish current soil . report. · C. Exterior Elevations ,;r. Show all =Xterior elevations. ~ Show window sizes, door sizes and locations. X Show materials used on exterior. /(. Show roof pitch and roofing materials used. ~ Sho\-1 adequ ~ abracing. o. Fr am ing sectio ::. 5Ho\.J C,AL-CULA1loNS AHD 6P'EllRCf\(1of\lS ~ \?cc>FTl20s.5t:S; ...-Y. Show comp1 e structural framing details, material sizes, header sizes, rafter sizes, j oist sizes and connection to existing building. Z. Show mat-er i als used on the interior -floors, walls and ceiling. /4 S ho \'I r e q u. i r e d i n s u l a t i o n p e r s t a t e l aw -R -l l f or ex t er i o r w a l 1 s , R-19 for c ei 1ing. ---4-:" Provid e :t-19 insulation1 in attic of existing building if addition is 30% of exi s~i ng building area . .h':' Two sto:-y a dditions require structural calcs for vertical and horizontal l oa ds. Th ~y sh all be signed by a .California licensed engineer or architect. E. Floor Plan < Show us~ of new a ddition and existing adjacent room(s) . ....-Z-. Show he a=rng provided for new addition. If electric, Title 24 ca1c5. 4-Show wha~ ha s hap pened to the light and ventilation in adjacent rooms. ~-Firepl a c :=: If metal show ICBO number. ,S. Show d i m~nsi on s a nd square footage for room addition and adjacent roo~s. ~ Provi de ex teri or lighting at exterior doors. /.: Provide adeq uate electrical receptacles. ~ Pr ovide GFI at a ll outside, bathroom and garage electrical receptacles. ~-Show room ceili ng and passageway heights. J,{J. Provide adequat·e emergency exit from sleeping rooms, 20 11 clear width, 5.7 sq ft of area, not more than 44 11 from floor, 24" clear height. y(_ Provide s moke detectors for existing and/or new .bedrooms. F. Genera l /2 Provide on e exterior electrical receptacle (GFI) if none existing. :...--r. Provid e bac kflow preventer for any new hose bibbs. /4 Show pro pe r attic and underfloor ventilation. ~ Window i nto carport must be fixed g lass. ~·-Show area of addition and area of ne\•/ gl a zing and area of glass remov ed . _/ C h e c k \>Ii t h L a Co s ta , P o n d e r o s a H om = s o r C o a s ta 1 C om m i s s i on f o r t h e i r r equirements . INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT ?!?~~~--"'EA(]EIVED BUILDING ADDRESS: _/-~~y~~Z-F-L_---1_~~=-.1.~=-~-==--=-------------- FEB O ( 1982 CITY OF CARLSSAD Bulldlng Department PLANNING DEPARTMENT /) " / i)'/0 0 c., ZONE_~"-___a_lT __ ~ _ _____..c. ___ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED ____ _..__ ______ UNITS PROVIDED __ / __________ _ PARKING SPACES REQUIRED PROVIDED_-=L):_z_i.:,i,,,,...------- % COVERAGE ALLOWED _____ y__,_CJ ____ o/_,,4._ ____ PROVIDED __ 0 __ ~~------ BUILDING HEIGHT ALLOWED '9 ::;s--/ PROVIDED D) ---'-~--,------ FRONT SETBACK: ALLOWED ____ _,_ __ PROVIDED __ +s.~+-\-\-(-; __ INTRUSIONS SIDE SETBACK: REAR SETBACK : LANDSCAPE & IRRIGATION PLAN COMMENTS: ~N=--..,A___.:__ _____________ _ ENVIRONMENTAL PROTECTION REQ: ~~.£-lie:--=-1~=------------------ ADDITIONAL COMMENTS : OK TO ISSUE: ~ I I -'~C.....U---'---DATE;;J//[~K TO FINA1 _______ DATE ____ _ ENGINEERING DEPARTMENT ~.o.w. _____ I NDUSTRIAL IMPROVEMENTS ~-------------- S~WER CONNECTION DRIVEWAY LOCATION S --------------------- GRADING PERMIT _______ EASEMENTS ___ ,--______ DRAINAGE ____ _ LEGAL DESCRIPTION ~ 11.a). ~ tv/E¾ ~ •/.!l:i::w,.,.,J,f / ';) ADDITIONAL COMMENTS ____________________________ _ OK TO ISSUE~__))ATE VS'Y/1/PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRiliKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION, _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ I ii • G PERMIT APPLIC TION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Perm 1I No ' JOB AOOJl:I [SS ASSESSOR'S I I Cc V. .,-, ,-iJl't= PARCEL NUMBER LOT NO, I 8LK I TRACT BOOK PAGE: I PAR. LEGAL I ,□sec ATTACHED 5 HCCT) 1 DtSCR, OWN(A ~t:..b.e ; II/'& MAIL AOOll:CSS ZIP PHONC 2 ;,; / /4 '/I' "'r v 7 '/ ' ..,?"., - CONT"ACTO .. /1tJDLJ MAIL AOOAtSS • r,..· PHONE l'V7..s STATE LIC, NO, CITY LIC. NO. 3 , ~ It;";_· )Lt,#, I i ' ,;'/, I J --V/ ;;, Ll'c'/ ,: ,-l I , A"CHIT[CT OA 0£.SIGNCA MAIL ADOAC55 PHON C ' LIC[NSC NO. 4 [NGIN EC.A M AIL AOORCSS PHONE LICENSE NO. 5 COMPENSATION INS. CARRIER MAIL AOOltCSS BIU,NCH 6 , - ~---~ ·~ . use o, BUILDING 7 NO. BDRMS NO. BATHS 8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: ,, ,,(,,I "1/ll't-a,, #'4?..-:'. /1~ -h7o 'f ..,, 10 Change of use from Change of use to 11 Valuation of work: $ I'! l ...,,,,. PLAN CHECK FEE$ PERMIT FEE S SPECIAL CONDITIONS: MICRO FILM FE:E: Type of Occupancy Const. Group Size of Bldg. No. o f Max. (Total) Sq, Ft. Stories 0cc. L oad Fire use Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone zone Required 0Yes □No No. of OFFSTREET PARKING SPACES, Dwelling Units No. !No. CATE: DATE Covered Sq. Ft. Open NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNlNG\QEPT. ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH OEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOI L REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE REAO ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS A NO OROINANCES GOVERNING THIS WATER DEPT, 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 SJ ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. , ~/ I ·Y 51GNATUfllt. a, C:ONTfltACTO,-Ollt AUTMOIIIIZCD AC.CNT IDATC) SIC.NATUfllE 0" OWNER 1,-OWNEIII IUILOCJlt) DATE) WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH TOTAL FEES$ ____ ::._/ ___ _ INSPECTOR' ... ----- --- . .1200 ELM AVENUE CARLSBAD, CALIFORNIA 920C8 TE LP.PHONE: (714) 729-1181 etitp of Q!adsbab ro: Homeowner J FKM: Building Dept. , City of carlsbad DATE: 2-6-80 SUBJECT: ~INAL JNSPECTICN -pool -1371 Poins·ettia Ave . 'lhe carlsbad Building Departnent reCX)rds shCM the r equired inspections including a final inspection have not been made on your property. It is important to have a pe1.mit but you must also have a rerord with our department of all inspections and finals. Building· pennits are void if work is not a:mrenced within 120 days of issuance. Upon selling your hare many lenders require proof of pennits, inspections and a final inspection. If not available a canpliance inspection is required ($25. 00) and any work not to rode must be a::,rrected, and pennits not obtained will be required. Our deparl:r.lent "M)uld like to have your hare safe and to keep the rerords of Please oontact our office for a FINAL INSPECT'ION. 'lhank you, carlsbad Building Department 729 1101 Rx-t. 48 ~3?-s-s-.2.S- , .. ·..: ........... .... A4#1'1'~""' -_.,,..,. -- INTERDEPARTMENTAL INFORMATION SHEET BUILDING DATE: A''S -~ui-H~2 7+-+-L-, -'--1 - BUILDING DEPARTMENT ~ , ADDRESS: /971 ~ ', , _ /;--. . CITY OF CARLSBAD ~ It£""---Building Department . -4r ;)[ -0 ~ /-/ ';;L PLANNING DEPARTMENT ZONE _________ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED ___________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED ----------- % COVERAGE ALLOWED PROVIDED ------------------------ BU IL DING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ______ _ PROVIDED ______ _ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: .AMOUNT : OK TO ISSUE: ENGINEERING DEPARTMENT l,JO lfl~ ' R.o.w. ;tJ/1 INDUSTRIAL WASTE MA IMPROVEMENTs· _ _,M.___"--~.;;.._ ___ _ ' SEWER CONNECTION --~~~'.4A _____ DRIVEWAY LO CATIONS __ 4)A_'JA ________ _ AM EASEMENTS_~/1.M_:..._ ______ DRAINAGE __ //.._~~-- LEGAL DESCRIPTION __ ~_,;:6,=J!=~o-:o::::::.>L~ad.£.~:::....=:.-'----'==-~----=---------------- GRADING PERMIT ADDITIONAL COMMENTS __________________________ _ OK TO ISSUE:fil DATE ~ 1l 79 PWI ____ OK TO FINAL ____ DA~E ___ _ -FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS _______________ _ F I RE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET _______ _ 11, n .. p ., MODEC NO.~---------., BUILD NG PERMIT APPLIC TION City of CARLSBAD, CALIFORNIA 92008 7 ./ J-tt,...., Applicant to complete numbered spaces only Phone 729-1181 Perm,t No JOB AOOlit ,:55 ASSESSOR'S .,,. /I V (:ff,,«.~._ l..t/ , -PARCEL NUMBER LOT NO, I OLK I :A~ec.f -BOuK PAGE I PAR, L(OAC I (0$tl ATTACH(O SHCfTJ J OCSCR. ;,}), "'~ (} 7 OWNC, ~· MAIL AOO,.ESS 21. PM0t4£ 2 --rQ~ :,I. ~ -~---, CON T,.AC TOR ? MAIL ADORCSS r ,,c '-PHON t STATE LIC, NO. CITY LIC. NO. I .. l~\y 7t7-,, 3 I ) ) , . . 1 ~ 'Yl-'>-t, ~ , . -, A"-CHIT[CT OR DtSICNt .. 1i ( MAIL AODA(SS ,r PHONE LIC[H5£ NO, 4 ~ (.. I ( ! :. • .,c ... '7 c.., , I ., I j I. [NCINCCR MAIL A0O1t[55 PHONC LICCN5£ NO. 5 COMPENSATION INS, CARRI ER -MAIL AOO"-C.SS IHU,HCM 6 i'l 4--.JL .-;., USE o, IVILDINC . " 7 NO. BORMS NO. BATHS 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE 9 Describe work : VlV>''t.f( .J.rot'-I ),,.,A ...... _-j f • t ,r-l "t V J . IJ ~ 10 Change of use from Change of use to 11 Valuation of work: $ /~on fl (,I I PERMIT FEE $ ~/ ~ J PLAN CHECK FEES SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy Const Group size of Bldg No Of Max. (Total} Sq Ft Stories 0cc. Load -.Fl. /1 Fire use Fire Sprinklers A~TlON ACCEPTED BY PLANS CHECKED BY ~"'"' '~"'"" .. Zone Zone Required 0Yes 0No , ~ OFFSTREET PARKING SPACES 7-( i., "1 I No. of Dwelling Units No. jNo. DATE TE 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 DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. 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. j' ) " ✓ ,. ' SIGNATUAl,,. CONTIIU,C TO" O" AU'THOAlllD AG[NT IOATC) 'IIGNATUJU 0,. OWN[A ,,-OWNUIII 8UILDt•} OAT() WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. 1\11.0. CASH PERMIT VALIDATION CK. M.O. CASH 'i?/ TOTAL FEES $ ________ _ INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL DATE USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. INSPECTION RECORD REMARKS INSPECTOR ·, p PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Applicant to complete numbered spaces only Permit No /,? ~ .,, 7 JOB ADOA C$S / jf ~;,r_<"> -_,,,-,,,-,i, ..,y~r r»£L< /7b,D -I LOT NO, I BL• I TUCT l.tGAL 1 otsc•. . OWNCIIII ' MAIL A.OOIICSS ZIP PHON[ 2 ~/'~AJS £~1"v.&-/21//,;,,e -~ ,---~ CONT!lAC'rO~ • ~ E ADD•ts• ,(~1,,tJ PH0Nt" ,,,, : ~(..I-STATE LIC, NO • CITY LIC, NO, 3 ._:_,. ,·-~ ~/c#AlS!Ji <" ~--¼ ~/)'Vi/"'-..: ,_/I½ vR -_._-J,l,~~-#1)¥?) Alittt-t ttc(T 01t··ocs1GN£11t . _5,cjl/J/~ F-"c~'~c»••t~ _,.Cc. PHONE Lit CH.SE NO. 4 /f,J/,. /9?1/ ,·-;-s ...-,~"/uT.,1,1 re D/E j?2?<~ CNGINCC,t --MAIL ACOA[SS ""PM ON'f LICENSE NO, 5 A./t"'J COMPENSATION (NS. CARRIER MAIi.. AODJIIESS 8'1lANC"4 6 C T/ .Jr& f¼A) I)·-· .. --. .,.V USC OF' I UILOING --., ~ \"' 7 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: ///J.~7J1/,/, r» / ,1_ 1, ·• '7: -,r_ -LA::-4-' k~ ~tnn:) ~ -1% ,_ , PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP . DISHWASHER A~~ ION ACCEP.TE0 ev PLANS CHECKEO BY APPROVED l'OR ISSUANCE BY LAUNDRY TRAY < 1 IJ , CLOTHES WASHER /•ftJ (,.. ,,,,,...._,,,, ,. OATE WATER HEATER .. NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN I --TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN I CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK -MENCED I GASSYSTEMS ND.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME T O BE TRUE ANO CORRECT Jr WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR ~ HEREIN OR N OT, 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. LAWN SPRINKLER SYSTEM I• U.(l;Y AD~ SEWER NUMBER CLEANOUTS CESSPOOL ~<-4?· SEPTIC TANK & PIT ?(, -0"',.A ,~?.> (', ( ROOF DRAINS ' .... SIGHATVfft Of CONT .. ACTO" ON AUTHO"JZ.ED AGENT / (OAr) -·1, , ISSUANCE FEE $ .,/_ TOTAL FEES $ I -•1CNATUII£ o, OWNUII (I~ 0WN£R SU ILOEA) IOA T t) - WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M,O. CASH PERMIT VALIDATION CK. M.O. CASH -~ INSPECTOR 111 17-.,,, p 019 :9 ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No JOB ADDRESS / _, // ~.?/.f'.u7-. c.. / I H hi'£. I LOT NO. I BLK. I TRACT ., //~ (QSEE ATTACHEO SHEET) LEGAL 1oESCR, / / /.J-' :7 OWNER /c:1)1.c MAIL ADDRESS ZIP ./ PHONE 2 .~1/if> ->""' , ///.,I= CONT_ijACT~R PHONE STATE LIC. NO. ,.oo p 31. D U. 3 ~te // ? MAIL ADDRESS r' I p;-~,;..rt:;;'Al'u '., /t'{,f r -~P/)/IV? L /:tr ~~~f//Y' .r~ ,;JTY LIC. NO. l:... /:,.,t:,yr, ARCHITECT OR DESIGNER ,S.,:/A,7",~ F.t?. ay ),il~~Ss(""tT PHONE 3 ?f-s' LICENSE NO. 4 , , /--) /?9Y-So ,/( .-, .,_.. / -14.s~ .. ... -41/J.S- ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 /vR COMPENSATION INS CARRIER .MAIL ADDRESS BRANCH 6 , 7'97L //~A.11'\ "" .. '.' , USE OF BUILDING . I 7 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work : /.-tJS r~ //, SP~ ~/;;,P ~ ?;4t'J c/-.:!. PERMIT FEES No. Each SPECIAL CONDITIONS: SWIMMING POOL WIRING, NO INCREASE IN SERVICE I NEW CONSTRUCTION, FOR EACH Al'f'L,ICATiQN ACCEPTEO BY PLAl)IS CHECKEO BY APPROVfO Ft)R ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER ~ (/ . ., , 't>ATEU. . -,f (;. I . NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, Al TERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, L~~£-,LI TEMP. SERVICE OVER 200 AMP. PER 100 k '-.. , ~ ·'f"'-j .Lt.AL)!"). I ?//A/9.,J? -I .._.-fGNAT\JRE Orf CONTRACTOR OR AUTHOR I ZED AGENT ,-r-TE J ISSUANCE FEE c;.1t;.NATURE: OF OWNE:R IF OWNER BUI DER DATE TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE! THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. { INSPECTOR .. ,_ Fee <_;-0 -0 ~ CASt:t,t')-V , INTERDEPARTMENTAL INFORMATION SHEET •BUILDING DEPARTMENT · , ADDRESS: /b) 11 q~ j&~J<:2 /-tJlt>-01 PLANNING DEPARTMENT DATE~ECEIVED · 1UL 1 7 1979 CITY OF CARLSBAD Building Departm ent ZONE LOT SIZE LOT WIDTH ---------------------------- UNITS ALLOWED UNITS PROVIDED ------------------------ PARKING SPACES REQUIRED PROVIDED __________ _ % COVERAGE ALLOWED _____________ PROVIDED __________ _ BUILDING HEIGHT ALLOWED PROVIDED __________ _ FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ------- PROVIDED ______ _ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS : ENVIRONMENTAL PROTECTION SCHOOL AMOUNT: ADDITIONAL OK TO ISSUE: ENGINEERING DEPARTMENT l R.O.W. _ _.8~J~~'----INDUSTRIAL WASTE ---~ ____ IMPROVEMENTS __ {i;l<__:__\.,_ ___ _ SEWER CONNECTION __ t-U-£/~<~ ____ DRIVEWAY LOCATIONS ___ D_/<... ________ _ GRADING PERMIT O /t.__ EASEMENTS D.( DRAINAGE___._.6_,../L.,._ __ _ LEGAL DES CRI PT I ON___:/;_,:3:c_Q'--'('--+e----J,,!~e.:::!.=~~"'-'\-.!:::v.,.,.::=-__,,{[):""',-~::_-_-_-_=-_-_-:_-_ -_-_ -_ -_ ---------- ADDI TI ON AL COMMENTS __________________________ _ OK TO ISSUEJJl( DATE } l7·7r PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPF iliKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ /9- PERM IT NO. ----Application for Grading Permit CITY OF CARLSBAD (letter code+ number) L=lot PUBLIC WORKS & BUILDING DEPARTMENT 1200 Elm Avenue 729-1 181 $=subdivision C=C ity contract FOR APPLICANT TO FILL IN Site Address ' Surety Bond Bond No. Legal Description L".IC1 Map No. Surety Company Subdivision Name Surety Address )wne r Phone Date Fi led Rec'd by )w ner' s Address • 9~ Cash deposit Rec'd by Date f i I ed 1.t $ ::i I ans by Civi I Engineer R.C.E. The fol lowing documents are required and sha 11 become a part of the grading permit when they Address Phone are approved. ntiot-J __ Grading plans __ Specifications Soi I Engineer R.C.E. Phone __ Soi I report Vicinity map __ Drainage structures Retaining wal Is Grading Contractor :Jott Phone _Compaction report Other Address Check if supervised SPECIAL CONDITIONS WHICH ARE MADE a rad i no A PART OF THIS PERMIT ::>arty responsible for overa 11 supervision I . Authorized hours of ooeration: 7:00 AM to Proposed use of grade site 5:00 PM, Monday-Friday. ,JerB 2. Haul routes are to be aooroved by Citv Number of cubic yards Engineer. Cut Fi I I Import Waste 3. Adequate provisions shal I be made for erosion and siltation control. I I I .... , 4 • Al I s I opes sha I I be planted per direction , of Parks & Recreation Director. Tota I Compacted f i 11 s ( yes or no) Proposed Schedule of Start Finish Operations (dates) I hereby acknowledge that I have read the app I i ca- tion and state that the information I have prov i dee INSPECTION DATE INSPECTOR'S is correct and agree to comply with al I City SIGNATURE ordinances and State laws regulating excavating anc Ground preparation grading, and the provisions and conditions of any Rough grading permit issued pursuant to this app l ication. . Compaction report rec'd . Signature of Permittee Planting & drainage Owner or authorized agent I Final certification rec'd. Grad in g permit fee $ Work completed • Surety bond released Permit Va Ii dation by /..d'A Date 1, /, .... / ~ Permit Expiration Date _____________ _ THI S FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED THIS PERM IT IS VALID FOR A S IX (6) MONTH PERIOD -~---0 ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 -. Applicant to complete numbered spaces only Phone 729-1181 Permit No Joa ADD" ESS . .' JI P~ .. •-J: ,· I H, , Ao ,t), I LOT NO, I OLK C T"ACT LICGAL I Qsct ATTACHE.0 SMCE.T> 1 cue~. OWN Cl' MAIL AODfllE.SS tip PMONt ......-:;::; a,~,. t ~-I\ ,A:) 2 , -!a.I ,... -J ~ , CONTflACTO,t ' MAIL ADOflE.SS PHOM E LICCH5£ NO, STATE!., CITY 3 ~/_~ .. I"", -4--, (\ /-'. l J. ~p~ Fi,,._ /, .. 7<"'1111'-~re ;I"/...,,./ -\. , \ '\ ,· I LJ Ai.CHITtCT 0" OESIGNUI MAIL ADOflltSS PHONE LICENSE NO. 4 ENGINE.E" MAIL .A.DOR [SS PHONE. LICE.NS[ NO, 5 COMPENSATION INS CARRIER MAIL AOO"CS.S l!IIU,NCH 6 USE 0, IUI LOIN G 7 --k ~-, ,, I , / r B Class of work: RNEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: ~/),/,} .._l',:,;,d,,',-.,,, A.~I\ ;?-,,,,,,,_ .,,1.,,,, ,-~ ..,,.~,-·--·-4 - ' ,/ . PERMIT FEES No. Each Fee SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT ' Io,;:;,. i'.Y:: NEW CONSTRUCTION, FOR EACH APPLICATION ACCEPTED 8Y PLANS CHECKED 8Y ,t,l'Pl'IOl(ED FO~ l~UANCE BY AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER I , .._<L ✓'i"t-f ._. ; ~ , ,· ~// DAtE -::-; /.., .. 7 q NEW SERVICE ON EXISTING BLDG. NOTICE FOR EA. AMPERE OF INr.REASE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAY!> AT ANY TIME AFTER WORK IS COf..1 REMODEL, Al TERATION, NO CHANGE MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, l&\f ....... Jil, : .. 1<, TEMP. SERVICE OVER 200 AMP. ?hk PER 100 ry,•>,I' . PERMIT FEE 10;;2 ; op/ . "'••1•r "" Nrtl • , OWMl.tll au !LOI.fl DATI 11, WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT \,,1 PLAN CHECK VALIDATION CK. M,O. CASH PERMIT VALIDATION CK. M.O. CASH./ 1 INSPECTOR • BUILDING PERMIT APPLICATION -Permit No.~----- Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 JOB AOOR ESS 0 '-t 0 ... ~i:/1,-; ',,!!. ,; /, z OJ ...__ "' ► LOT NO, I OLK I TAACT :u 0 CE~AL I QsEE ATTACHED SHEE.T) 0 1 DUCA. :u "' MAIL A.OOllltSS ZIP PHONE. Ill OWNt.A Ill 2 ._/;y (r/ (., &.1/ , (' '/ ·-¥ . -CONntACTOR MAIL ADOlltCSS PHONE LICENSE NO, 3 ~ APICHITCCT Ollt OC51C-NC" MAIL ADDRESS PHONE LICENSE NO. 4 -~ -. E:NGINlEPI ,/' 5 ,. MAIL AODR£55 PHONE LICENSE NO, . LENDE.fll MAIL AOO"tss 8111ANCH 6 U.SE: 01" BUILDING , .. 7 /,, ~ , r .. ,. (t) 8 Class of work: GNEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE 3 - :z 9 Describe work: .. ~ ,.!C '\ ~-"re_ ·~ ....;-_ ~/. .. -~ ,,, .-;. __ ----• . ✓ /,,,. ,i! _/ • --r 10 Change of use from /4 ',J -f0ry A/ I ~ ' I/ J . Change of use to I/, ,, r I, /V ,,..; 11 Valuation of work: $ -,__$ ~~:;~-:;. I PERMIT FEE ~,. .. PLAN CHECK FEE ~ --, -- SPECIAL CONDITIONS: Type of Occupancy ,INF,,v✓ ,& ., /h//.h '/.I f'rt Const. Group J Division } ! J , .. n. I h ,./ y r ~ l 't-,{ ;,,; F,, •? / ,, F s,ze of Bldg. ,, No. of Max. ;(t'!__ ,,t/, I-; J 1r (I ~ J ,.. ·-I. " /Total) Sq. Ft. Stories I 0cc. Load _j Fire Use Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required DYes ONo No. of OFFSTREET PARKING SPACES: . , I 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. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-HEAL TH DEPT. 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND 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 DR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. l -__ .... SIGNATURE. OP' CONTIIACTOII O" AUTH0,._111!:0 AGENT (OAT[) ""-fl r;. ,,. / ~ICN.A.TUPtE o, OWNUt 1, OWNE.1' au ILDEN DAT[) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ( BUILDING PERMIT APPLI CATION Permit No. .. ,_ ·,... 7 Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 JOB AOOA £SS AAC~I T[CT Ofll DCSIGNE" 4 1'.NGINE.E.A 5 .,,..,- LE.NOUI 6 -- USE o, 9UILDING -- 7 8 Class of work: D NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE ,pR£MOVE 9 Describe work: F L - 10 Change of use from Change of use to ... -- 11 Valuation of work: $ PLAN CHECK FEE I PERMIT FEE ~ 1-S_P_E_C_IA_L_C_O_N_D_I_T_IO_N_S_: _____________ ___. _______ ~ Type of Const. Occupancy Group Olvlslon Max. 1------------------------------~ Size of Bldg. (Total) SQ. Ft. No. of Stories 0cc. Load -----------,..----------.-----------Fire Use Fire Sprinklers APPLIC~AT-:SON ACCr PTfO BV PLANS CHECl<:EO BV APPROVEOJ.i>R l~UANCE BV l-z_o_n_e _______ -4--z_o_n_e _______ ----'.__R_e_Q_u_lr_e_d_□_Y_es __ □_N_o~ , .Al\ (,/_/ No. of OFFSTREET PARKING SPACES: I ~ ~ Dwelling Units Covered I Uncovered NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. 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 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. C.ICNA'r ltE 01' OWN[lt 1,-OWN[lt 8UIL0£11l) DATE) Special Approvals Required ZONING HEALTH DEPT, FIRE DEPT. SOIL REPORT OTHER (Specify) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O . CASH PERMIT VALIDATION CK. INSPECTOR Received Not Required M.O. CASH I~ '