HomeMy WebLinkAbout1355 FOREST AVE; ; 71-272; Permit71-:2.7'1-
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City of CARLSBAD, CALIFORNIA 5P.UD . -i >
19·71 O' .. -"W.,.•"•; 0 ;Jt
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BUILDING PERMIT APPLICATIO~ -==--
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LOT NO.
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LEGAL I <OstE ATTACH ED S HEET) 1 OESCR, If fl OWNE~ MAIL ADDRESS ZIP PHONE
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CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. ....
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ARCHI TECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO, ,1 J~ 4 --
ENG INEER MAIL ADDRESS PHONE LICENSE NO,
5 ---?\i
I~ L EN OER MAIL ADDRESS BRANCH
6 _...,
l USE 0 ,. BUILDING
f!ot.1l£
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7 b//FST° "\. ,.
"'\. b 8 Class of work : ONEW 0 ADDITION ALTERATION 0 REPAIR OMOVE 0 REMOVE h-
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9 Describe work: (' / J/V/:/(J F--x-.1 s 11)1 C (;._ ARA (;.F 77;'
(:' IIFfT /./ov.sE C)//Af( }Ff?J .,
10 Change of use from .
Change of use to {:_ I./ F.ST #c,-~.J£ ~
11 Valuation of wor~/ tJ. J ..;-,,e. oo PLAN CHECK FEE I PERMIT ~;,~GD.
SPECIAL CONDITIONS: 7 ,
Type of -Occupancy ~
R!///r,J V -Yot JO U..1:t.VE Const. -lL-Group Division
Jl. k ,,?!.J./1=u. fro ~neJk/l'J(. Size of Bldg. :/l No. of I Max.
FAr,•l;T'"b • ., .,-;., /.?~ f). I/ DUI ~/1 (Total) Sq. Ft. 0/4-Stories 0cc. Load
11
/UI ll -J? ., I / n \,' C:, Fire /3__ Use r<-1 Fire Sprinklers ~ APPLICATION ACCEPTED av PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required 0Yes
~{<JiL r-/?Y'--( (Y)L-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. HEAL TH DEPT.
THIS PERMI T BECOMES NULL AND VOI D IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FI RE DEPT.
CONSTRUCTION OR WORK IS SUSPEN DED 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 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.
( 'I It -11 )
SIGNATURE OF CONTRACTOR OR AU THORIZEn
7'./) dd~ -r-~ <; :;._ /f:1
7/
SIGNATURE OF OWNER (I,-OWNER 9U ILO"l'R -(DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
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71-5's' 0 c; :Ii .. z City of CARLSBAD, CALIFORNIA "' .. " 0
A!JG -2-71 ::,~ --"-,I ~
Applicant to complete numbered spaces only. - cc -1: -..
~
ELECTRICAL PERMIT APPLICATION~~ 3
JOII AODfll [SS
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J TPlACT
LEGAL I 0sc£ ATTACHED SH£CT) ~ 1 DUC~. ....-
OWNt.fl
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A,-CHITECT OR DESIGNI.Pl MAIL. ADOlllCSS PHONE LICENSE NO, ~r
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ENG IN Ell" MAIL ADDfll:ES5 PHONE LICENSE NO,
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L.EHDUI MAIL AODJtE.55 IPlANCH
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7 use 0~ 8VILD1NG ~ h ~~JI-~--(d~I ,J _() ~~ t -------ONEW 0 ADDITION 0 REPAIR ~ 8 Class of work: , cllATION /} i , .
A':~~ / J A f. ~ 9 Describe work: A _h},,1 ~,L -L ~ ~ r::;r--I I --/ _,, -
-
(4// PERMIT FEES
/~'"' Ila lj,I::: // o o No. Each Fee
SPECIAL CONDITIONS: Total JJ RECEPTACLE Outlets (/()
LIGHT
SWITCH
Total
LIGHTING Fixtures
APPLICA~;;::_y PLANS CHECKED BY
APPRO;,~BY FIXTURES
RANGES CLO.DRYER WTR. HTR.
NOTICE GARBAGE OISP. STA. COOK TOP
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DISH. WASH. CLOTHES WASH.
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SPACE HTR. ST A. APPL. 1/z H.P. MAX. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. MOTORS: H.P. 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 NO. TRANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NO. LAMPS
TEMP. POWER DPOLE DuNoGo .
{;)~e-~
SERVICE 0·200A
~
~~ )./~It,,,,. ' 201·400A I . DNEW 401·600A
Sl'GNATURE O'T t!>NTRACTO~ OR AUTHORIZEDl,f.GCNT' (DATE) D CHANGE OVER 600A
PERMIT ISSUING FEE $ p ~
!IIGNATU"lt OP' OWN& .. {IP' OWN~llt BUILD£") DATEJ TOTAL FEE $ /3 00
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
.,.....,..,,..,,.C'oC'a.irC' nc-•1tt1 r\lNt: ns::s:-1r.1At Se ft.0 SO. LOS .. 08L£S e PASADENA, CALIP'OlllNIA 91101
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ELECTRICAL PERMIT APPLICATION
Permit No. 7 "'?, -? J// City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numberedfspaces only. Phone 7 29-1181
JOa ADDllt ESS
I LOT NO,
LEGAL 1 DUCIII,
OWN[~ 1 \ • 2 ,j l ,i\N"\ ( r \) (2.sc.e
CONTIIIACTOIII
3
A .. CHITEC:T 0,-OESIGNC.fl
4
tNG:lNE.£.fl
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LE.NOE.Pt
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USC o,-BUILDING
7
8 Class of work: DNEW 0 ADDITION
9 Describe worf9,., /7 _
<O•c~ ATTACHED s,,n:1:T)
MAIL ADDflESS ZIP .. ~ -:x:;;(L.~~
MAIL ADDfltESS PHONE LICENSE NO,
MAIL A0D11t£SS PHONE LICENSE NO.
MAIL AOO .. I.SS PHONE. LICCNSC HO,
MAIL ADDIIIU:ss BlltANCH
~ ALTERATION 0 REPAIR
PERMIT FEES
•
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
1-,.-,-,L-1c-,.-T-,o-N-,.-c-ce-,-Te""o_e_v--. ... ,-LA_N_s_c_HE""c .. K""Eo~ev~---,[;f;-""",,~R .. o""vE""o~-,-,,l(1_ss---fiju"_N_c,_E_a_v .'4 AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION A~THORIZED 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.
(DATltl
OAT<)
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
~ PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK.
INSPECTOR
7
M.O. CASH
~c>
/
'l -s 331 /
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
'
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. . -i-1n~ VY\J 73 1 Q~
--7;,
Perm it No.
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
JOB AODR ESS
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LEGAL I LOT NO. I BLK I TIIACT Qs£E ATTACHED 5HEETI ~ ll • g ~
1 DESCII. ~ •
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CONTftACTOA MAIL ADDRESS PHONE LICENSE NO. t
~:-A-II_C_H_IT_E_C_T_O~A,--D~Es~,~ .. ~:~E .. ,,--~~~~~~~~~~~M~A~l~L~A~D~D=ll~ES~S;--~~~~~~~~~~P~H~ON~E;:-~~~~~~~~L~l~c7c~NS~[;:-;;-NO~.~~~~~I~ ~\
l!:HGINCE"
5
LENDER MAIL AOO ... ESS
6
8 Class of work: DNEW 0 ADDITION 10 ALTERATION
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9 Describe work: 04/e u<P...J ~ _-;~ -..1 s,,,,,./e
SPECIAL CONDITIONS:
/1
PHON£ LICENSE NO.
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
$
~~ ~-~
Fee
PLANS CHECKED BY '?/PPROVE F~R ISSUANCE BY t-~~-t-~LA~U-N-D~R-Y~T-R_A_Y~~~~~~~~-~~~~~+-~-+~----1 CLOTHES WASHER
WATER HEATER
NOTICE ' URINAL
THIS PERMIT BECOMES NULL AND VOi DI F 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 WOR K 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.
~! )-
' " c..; S1GNATUIII£ Of' CONTRACTOIII 0111 AUTHORIZED AG£NT (DATE)
I
DRINKING FOUNTAIN
SLOP SINK ..._
GASSVSTEMS:NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT
SIC.NAT JV' o, OWNEfll IP' OW-NtR 9UILDCPf) DATE) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
$
$
CASH
1
MECHA~CAL
0
PERMIT APPLICATION 0 L
:Ii 0
Permit No.7:,'":, ~ [ ~ City of CARLSBAD, CALIFORNIA 92008 z Ill • .. ..., 1:1: i1~ :~ "
Applicant-lo compl;te ,;umbered spaces only. Phone 7 29-1181
J OI ADDfll r.ss
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LOT NO, :_. ILK TlltAC T -
3
ARCHITECT OA D&SIGNt.fll
4
I.NGINEEPII
5
LENOEIII
6
USE Of' 9Ult.DIW<i
1
8 Class of work:
9 Describe work:
,'
SPECIAL CONDITIONS:
\ M A IL A0Df11£9!II
C"'~, .,_ 1 0
MAIL ADDlltE.SS
MAIL A DDftESS
MAIL ADD11t£SS
M AIL AODIU.95
tOsr.£ ATTACHt.D .SHEC:T)
ZIP PHONE
<"7 ., r,/ <:/ '? r/ <
PHONE ~ = ~ICENSE NO, f -
PHONE. LICENSE NO,
PH OM£ LIC[NSE NO,
8AANCH
0 REPAIR
Type of Fuel: Oil 0 Nat. Gas O LPG. 0
PERMIT FEES
No. Type of Equipment
Air Cond. Units-H.P. Ea.
Refrigeration Units-H.P, Ea.
Boilers-H.P. Ea.
Gas Fired A .C. Units-Tonnage Ea .
.A Forced Air Systems-B.T.U. M Ea.
$
Fee
0
:II
I'! "' "'
APPLICATION ACCEPTED av PLANS CHECKED BY
~
PROVE ·L {A. \1,.r~UAN,()cEsv 1----+--G_r_a_v_it_v_s_v_s_te_m_s_-_s_.T_._u_. __ ~~~~M~E-a_·~~~-+-~--.f-~--1 Floor Furnaces B.T.U. M
Wall Heater,-B.T.U. M
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 H EREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS A PPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. A LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
T YPE 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.
' (DATE)
StGNAT\Jlllt. 0~ OWN[,r (IP' OWNtfll ll!IUIL.DE:9' OAT£)
/
Unit Heaters-B.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator •
'I .-• l
• ,,17. --.I --
J
PERMIT
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CASH
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0
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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ACCORl.)11-J<; TO R 0.:5. ~ • 841
BASIS o( BEARING
Tl-IE Ctl-JTERUNE OF RS. G, <:30
(FOqEST AVE)<;;,,,Ov-JN .\S "l8~'58'E
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CARLSBAD
R[OUESr[o BY:
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PRE~AAED ~y: APPROVED BY·.
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