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Home My WebLink About2656 STATE ST; MULTI-PERMIT FILE; 63-5398; PermitAPPLICATION FOR BU\~ DING PERMIT 5398 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 -Ext. 36 ?,;;;:;, ~;r.:1 .'/ /2.~f.!;j(-]7.H'iL,f ~ ---fMiddi;j -M,m., Add"" ·· .:?,N:l[/; ~4,L"½~Ph:.~ Co""''"" ~Pi~ '. -Moill•g Addm, 9'£.;i,-~t ['i;~ To Construct D To Ad& To Alter D To Repair D To Convert D To Move From ...................... d~·~·~~ ............................... . Type of Con~.~······ ......... ~ation ........ ~.L--.No. of Stories ......... /. ... To Bo Used for ··~···\.······· .. ··· ( Frame, Masonry, Etc.) ( Ono Family Dwelling, Store, Etc.) s-: ry .2 ,,-(!!. Floor Space of Proposed Construction (sq. feet) ./J ...... r..1.7-................ Const. Valuation $ .... / /·····/.··········~····~·······················--···················· .. ····· .. attached D Floor Spece of Garage (sq. feet) ....................... :-:::= .............. detached OConst. Valuation $ ........... -................................................................................ . LEGAL DESCRIPTION Lot Block Subdivision or .................................................................................................................................. Section .................................... Township............................ Range ........................... . , ... ,., ., ~t£f~ -L±q~-;gt"·'· ""' ~w ~ ~--- LAND AREA ...................................... NUMBER OF EXISTING B'ePI I lli5 .)N PROPOSED BUILDING SITE .................... Z ....... , ................ (INDICATE 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 e check is tendered for F·ayment of the above fee end the check is not honored when presented for payment, your Building Permit will be immediately revoked. SIGNATURE OF PERMITTEE ............................................................................................... . Front Yard Set Back ··--······· ........................................................ . Side Yard Set Back ..................................................................... . Rear ,Yard Set Back ..................................................................... _ Distance Between Bldg ............................................................... . Off Street Parking Spaces ......................................................... . Sewage Disposal System ............................................................. . Zone -Residential ( ) ......................................................... .. Zone -Commercial ( l'1 ) ....................................................... . Variance I"' Eng. Check By .............................................................................. .. Driveway Permit Required Yes ( Grading Permit Required Yes ( ) No ( ) Fee .................................. .. No ( ) ...................................................... . Sewer Disposal Plant Capital Cont. Fee .................................................................. .. Sewer Pumping Station Capital Cont. Fee ................................................................ .. Sewer Mein Line Cost .................................................................................................... .. Sewer Lateral Connection Charge .............................................................................. .. Water Stocked Lands Charge ....................................................................................... .. Weter Main Pipe Line Fee .......................................................................................... .. Weter House Service Charge ....................................................................................... . Water Meter Charge ....................................................................................................... . Sub Total .................................................................................... .. CITY OF CARLSBA' BUILDING DEPARTM L ( 729-1181 -Ext. 36 For A licant to Fill In Si: Owner', Nal; ~f/,,. Moil Add"" -~-&. Contractor _..,,,,,::::i...::=--==--.,J:,.----------- Contr. Address __ .,.Q.=-=-tt./Y")=--~"-'L'--... .)'---------- To Const~ To Add 0 To Alter 0 Convert 0 To Move From __________________ _ Type of Const. __________________ _ ,Frame, Masonry, etc. To Be Used For IV Kind of Foundat:=f,J No. of Storie>------ Floor Space ( Sq. Ft.] _,,..._.?t"-'~~:..,,~=---=-· -J±,,,,'""'--'...,_, _______ _ 7/ L:ed ________ _ Garage Floor Space !Sq. Ft.) Detached ________ _ Legal Description Lot Block Subdivision __________________ _ or Section Township Range No. of Existing Building ______________ _ Will this construction Ln¥e ony plumbing installation or alter- ation? Yes D Norl,._ Signature of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY WITH ALL CITY ANO STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD ANO STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DES IBEO RESIDENTIAL PROPERTY. Applicafio ;f&f 91\Jffmlf fl*Permit·~0 Building Permit Fee Set Bock Bldg. Valuation Front P.l. Main Bid Side P.L. Garage Rear P.l. Other G roup Zone Approved by Contractor City Bus. Lie. No. Woter Meter Sewoge Disposal System Inspection Record Utility Company Notified -Date .. _____ _ By, ____ _ Final If a check is iendered for payment for the above fee ond the check is not honcmd when presented for payment, your building permit will be immediately revoked. City of Carlsbad Building Dept. Permit void if work is not commenced within 60 days of issuance- 1 1/ 0 0 ~ z .. City of CARLSBAD, CALIFORNIA MA.ft 2~-71 ~P~:o 1151**-.~ •113 50 ,, BUILDING PERMIT APPLICATION Applicant to complete numbered spaces only. M UI UI J~d// ~~, ~ ~! -· -~ ~;~-.t~:zsAZ" ~ACT ?ff~ ;?;•:;a?J:. SHEET) ~ t ~~;~~-.I -~ ,, ... .a I?.. /) ~\' 22'"&-t J: --, :;/ --=-A z-1' :Jl~A4S s-' h~ s:t'~ Z I Pf./ PHONE ~ ~ CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. ' I ~-,, /\. I ·-ij ~ 1--J(RCHI TECT OR DESIGNER -MAIL A DDRESS PHONE LICENSE NO. 4 n.-c-,u· -' •A__ 1 ENGINEER MAIL ADDRESS PHONE LICENSE N O. ,[:I ~~ 5 ~.r-.. ~A.__ 1 - L EN DER MAIL ADDRESS BRANCH 'I ~ 6 I~~ l US£ 0,-BUILDING 7 8 Class of work: ~ DDITION □ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: 10 Change of use from . ·' Change of use to 11 Valuation of work: $ 415"f-~ PLAN CHECK FEE I PERMIT FEE 4..~, S-0 SPECIAL CONDIT I ONS: Typeof v ,t Occupancy Co nst. _ -/ Group 7 Division z.__ Size of Bldg, No. of I Max. (Total) Sq. Ft-4'~ Stories 0cc. L oad Fire Q use c_ Fire Sprinklers APPLICATION ACCEPTED BY: ~ (~ Zone Zone -Required O Yes IA't<o" No. o f OFFSTREET PARKING SPACE~~ ' l) Dwelling Units Covered I Uncov ed NOTICE Special A pprovals Required Received Not Required SEPA RATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING ING. HEATING. VENTILATING OR AIR CONDITIONING. HEAL T H DEPT. THIS PERMIT BECOMES NULL AND V OID IF WORK O R CONSTRU C· T ION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT . CONSTRUCTION OR WORK IS SUSPENDE D O R A BANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT A NY TIME A FTER WORK IS COM· MENCED. OTH ER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE T RU E AND CORRECT . ALL PROVISIONS OF LAWS AND ORDIN ANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W ITH WHET H E R SPECI FIED HEREIN OR N OT, TH E GRANT ING OF A PERMIT DOES NOT PRESUME TO G IVE A UTHORITY TO V IOLATE OR CANCEL T HE PROVISIONS OF AN Y OTHER STATE OR LOCAL L AW REGULATING CONSTRUCTION O R THE PERFORMA NCE OF CONSTRUCTION. 'W. -J /) . 51GNA:r, ;;;,.RAC TOR OR A'f)'40R~ ,,,tu ' .,,< ~ ',e , ~ ,,-V :;;ft°1,1 S1GNATURE 0 1" OWNER (lpr-OWNE R BU I LDER) ,, IIOATE, WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VA LIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR Form 100.1 9·69 REORDER FROM : INTERNATIO N AL CON F ERENC E O F BU I L DING OFF ICIAL S e eo so. LOS ROBLES e PASADENA, CALIFORNIA 91 101 7 !/~ PLUMBING PERMIT APPLICATION 2 0 .. 7 ') 151 I :f 0 z • -City of CARLSBAD, CALIFORNIA .. > " " a • 1 .. , " Applicant to complete numbered spaces only. ~ ,. .. .. JOB ADDA ESS ,,, f j-T r ,J --r ~ ' . ' ; ~ LOT NO, I BLK I UACT Qs11 ATTACHED SHCCT) LEGAL I 1 DUCII. " ...... OWNCfll MAIL ADDfll ESS ZIP PHONE 2 , I 1 r1i1 (. ' :;) h'rl . (7 . ~ /,.../ ~ ...,rl _,,, .,. t 7 I :, COHTfllACTOflt ,,., r MAIL ADDPU.SS PHONE. LICENSE HO, 3 .. 7 I .S7t-JT€ ?fJ.. <,,;() ~-' ~ ' C~///cC: ) AfllCHITECT Ofll DCSIGNCA MAIL ADDAESS PHONE LICENSE HO, I I 4 -f ENGINEER t.AAIL ADD,.E.SS PHONE LICENSE NO, "b 5 -' LCNDU• MAIL ADDfUSS 8fllANCH r 6 USE o,-BUILDING r,.. If " (.::" . 7 / (_ 8 Class of work: cfN'"ew 0 ADDITION 0 ALTERATION 0 REPAIR \ -9 Describe work: Aft-:_ t 1.,J A ,n1 /~ / ,,J C ........... I r ~ PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: ( WATER CLOSET (TOILET) $ I ,~ BATHTUB I LAVATORY (WASH BASIN) I )I SHOWER KITCHEN SINK & OISP. DISHWASHER APPLICATION ACCEPTED BY, PLANS CHECKE O BY APPRO\IEO FOR ISSUANCE BY. LAUNDRY TRAY I CLOTHES WASHER /'j I\ (/J\ WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOi DI F WORK OR CONSTRUC-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 ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED 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. LAWN SPRINKLER SYSTEM I SEWER I/ t -CESSPOOL < SEPTIC TANK & PIT / // I ._.. ---SICNATURE OP' CONTftACTOII O" AUTHOfllZCO AGltNT , (DATE! PERMIT $ .. / !!ilGN.&Tll"E OP' OWNtll IP' OWNCft 8 UILDlt" OATE TOTAL FEE s / / .c.;;, WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT - PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH AUDIT Form 100.2 9·69 "E0"0CR ""OM: INTERNATIONAL CONFERENCE OF BUILOING OFFICIALS e eo so. LOS "09LES e PASADENA, CALl,.ORNIA 9\101 ' INTERDEPARTMENTAL INFORMATION SHEET DATE: ___________ _ BUILDING DEPARTMENT owner's Nam e{'~~ ~z2dL Address 2-:CsG ~ ~r ,,_ Contractor_~? _______ ,_J-__ 2--, __ J' __ A ______ _ Approval to Issue Permit . --------- Permit No. ---------------- Lot No . ------------------ Legal De scription 0{/;ff), (pf 1./< · Certificate of Occupancy -------- PLANNING DEPARTMENT Parking Spaces Provided ________ _ Required ----------------- Setbacks __ \_\)_~--·)-(H ........... >/S_o_L~~~,(~(0 ........... 6-·~a,-·-c-D-~~~b~O~G-~<.....-¥¥-:--,----,-\0~'-.)~==\-------- Remarks: __ 1~0----·=-.S~~F-l-_,__~~-c~~---'V3? ....... ~,Qa::::o,-, ...__ __________________ _ Date --------------------Date ------------------- .Approval to Issue Permit ________ _ Approval for Occupancy u.J-e!.e , ENGINEERING DEPARTMENT Right of Way __ +/ =f)_ 1 _~e~~~...._o....,_~%-N)~'------Industrial Waste ____ _._N__.A_._ _____ _ Improvements ___ ~-=--......... '-s~-~i-t~t0-,~-------Sewer Connection __ ~g-~..___/_S>r-'-r_/\.J_G~~----- Driveway Locations c:> ~ _____ ....__ _____ _ Water Connection G:, 't I~ n ~/'J '4 Easements /\)/Jc Drainage L J /1/Vt..o tt" ::tQ S-nuJL----< Remarks: ---------------------------------------- Date ------------------- Approval for Occupancy ________ _ FIRE DEPARTMENT Fire· Prote ction Equipme nt --------Fire Alarm ·---------------- Exits -------------------Permit Required:__ ___________ _ Spe cial Ha z a rds _____________ _ Fire Hydrant ______________ _ Date Date --------------------------------------- A~prova l to Issue Permit ---------Approva l for Occupancy ________ _