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Home My WebLink About2564 STATE ST; ; 76-5784; PermitMODEL NO. _________ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. ,/Phone ~9-11_81 Permit No. - JOB AOOA CSS s~S6 I ~ .. ~?'/6;~£!!~ ASSESSOR'S ~~L/ PARCEL NUMBER LOT NO. I I LK RAC T. V Bvv" PAGE I PAR, LtGAL I /' '-I., 10sec ATTACMEO 5HC[T) 1 D<SCA. f I -- OWN CR MAIL AO01':CS5 (, ZIP PHONE 2 rli /1 ,)JJ') ~ )I //Utt 'd• I I /,;-11, j(J I ~ II / {? LI CONTA ... CTOR MAIL ADDRESS ••o;~~ STATE LIC, NO, CITY LIC, NO. 3 I , I \.l ) ( ..:. . ..I ✓tc. 'l ,.5.j 7 I .. , I:< I I I _.I • .,, y I -r ' . ..), .- Alll:CHITCCT OR OCSIGNCR MAIL AOOACSS PHONE LICENSE NO, 4 ENGINCCllt MAIL ADDRESS _,J.,./, J t ~ y~-· LlCE"'ISC. NO. 5 I ..,/,. f rl ~ .) /J·· J J ii I (1,it l J...J, 1J -COMPENSATION INS, CARRIER ""'4AIL AODIH.SS 8111:ANCH 6 use o, &VILOINC. 7 II> ' J I I ("' I . i I Np. BDRMS NO. BATHS . ' 8 Class of work: !21--N EW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE d 9 0 escribe work: C,r) f'\ 61_-. Q ,l I l" .,:k (fr~½(~~.1~ 7 ' 0 ( .... ~"' IJ l ,J,/A dv \) ~~ ' ~~~ 1/r ~rvl'':J, ~, Sh r') p /] I t\JCJ 12.P./I'\ {. ~ 5> I T ._J V" ~ r ,:,1 . I 10 Change of use from -('' I V/ Change of use to Valuation of work: $ /?-/ I PERMIT FEE $ r. 11 t PLAN CHECK FEE$ I ~ -·' SPECIAL CONDITIONS: MICRO FILM FEE Type o f f I Occupancy -< Const. -4 Group /_ - Size Of Bldg. No. of I Max. (Total) Sq. Ft. 7t,,,&:. Stories 0cc. Load Fire Use Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE OF OR ISSUANCE BY Zone ,...__ Zone ....__ Required 0Yes ~ N o. of OFFSTREET PARKING SPACES: Dwelling U nits ~ _) No. 'No . DATE DATE ~ Covered Sq. Ft. Open NOTICE Special Approvals Required Received Not Required SEPARATE PERM)TS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CONDITIONI NG. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMM ENCED WITHIN 120 DAYS.On IF Fl RE DEPT. CONSTRUCT ION 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 T HAT 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 TYPE OF WORK WILL B E COMPLIED WITH WHETHER SPECIFIED WATER DEPT, HEREIN OR NOT, T HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY O THER STATE OR LOCAL LAW REGULATING CONSTR'JCTION OR THE PERFORMANCE OF CONSTRUCTIO N, SIGNATU"[ 0 ,. CONTPIAC TOIII: OIi: AUTHO"IZ:CD AGENT (DATE) SIGNATuii.c oir OWN[,. lir OWN[" 9UILOEIII) DA.TC) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M .O . CASH PERMIT VALIDATION CK. M.O. CASH TOTAL FEES $ __ i __ -_l ___ _ INSPECTOR .. INSPECTION RECORD DATE REMARKS INSPECTOR 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. ALL INSPECTIONS INCLOSED IN ENVO LOPE ) ' , MODEL NO. __________ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 hone 7 9-1181 Permit No. tO scc ATTACHED SHCCTI PHONE 2 ASSESSOR"S PARCEL NUMBER B K PAGE •. Lo - PAR. STATE LIC. NO, CITY LIC, NO, 3 4 •w~• 5 J:-. LICEN S C. NO. 8"4NCH 6 lJSE o, BUILDING 7 NO. BDRMS NO. BATHS 8 Class of work: 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: --' {' (),,._ 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CH ECK FEE S 1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: __________________ ---t Type 0 Const. 1---------------------------------i Size of Bldc,i_ / (Total) Sq. Ft. , ~ APPLICATION ACCEPTED BY PLANS CHECKED BY F ire APPROVED FOR ISSUANCE BY Zone DATE DATE NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· ING. HEATING, VENTILATING OR A IR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 KNO W THE SAME T O 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 L)OES 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) No. of Dwelling Units Special Approvals PLANNING DEPT. HEAL TH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specif y) ENGINEERING DEPT. WATER DEPT. Occupancy Group /- No. of Stories use Zone PERMIT FEE $ I MICRO FILM FEE , Max. 0cc. L oad Fire Sprinklers Required D Yes LlNo OFFSTREET PARKING SPACES: No. Covered Required Sq. Ft. Received No. Open Not Required ATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH r,. I TOTAL FEES$ ________ _ INSPECTOR INSPECTION RECORD DATE REMARKS INSPECTOR 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. ALL INSPECTIONS I NC LOSED I N ENVO LOPE tj MECHANICAL PERMIT APPLICATION c·t f CARLSBAD CALIFORNIA 92008 I Y 0 ' . 7tf_ 9':-Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. JOB ADD" CSS ·' _') ,-, ,j ~ t:l.1~17 .r2Z [7_ ., LOT NO, ~ ILK TA ACT .. J;/4, tOscc ATTAC~ED SHEET) 1 ~~~~~-.1 ' f J'.,O 207. J/. " J./7 n ►.6~ _,,;zl ADlraES5i) ll P PHONE t-'d • -~ /,1 ~ 72 9-Of'r/ ..rr.i~fJy 3 toNT:Joft £ ,,h MAIL ADDRESS PMON [ STATE LIC. NO, CITY LIC. NO. /1✓.~ ,, ~ r A '/(J _ ANC~T}C' 01111 OE:SIGN[,I" ... J/;/ ,--r/lL A000£55 Pl'(ONC . L ICENSE NO, 4 1=-A✓ A,_: Uf'GlltUlf .. MAIL AOOIIIESS PHONE LICENSE NO, 5 I/ ~ Lf.NDUI MAIL •oo.-css BIU,NCH 6 7 usr o'f)u1Lo1•G r j '~.,-.. , 8 Class of work: ~ 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: I Type of Fuel: Oil D Nat. Gas D LPG. D PERMIT FEES SPECIAL CONDITIONS: No. Type of Equipment Fee K" Air Cond. Units-H.P. Ea. ol. ff. j)U. 11~4/J,, s -Refrigeration Units-H.P. Ea. ·v . Boilers-H.P. Ea. . Gas Fired A .C. Units-Tonnage Ea. Forced Air Systems-B.T .U. M Ea. APPLICATION ACCEPTEO av PLANS CHECKEO BV APPROVEO FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea. ~ __;;// Floor Furnaces-B.T.U. M Wall Heater~-B.T .U. M NOTICE Unit He1iters-B.T.U. M THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-Evaporative Coolers TION AUTHORIZED IS NOT COMMENCED WITHIN l20 DAYS.OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF l20 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan MENCEO. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS Air Handling Unit-C.F .M . TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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. ·1 Sl-:::Y2CONTUCTOJ/~Y /);'JJA' ISSUANCE FEE $ ' TOTAL FEES $ "°'J..) , r; s1,...11.•11al _,,.~WNI:"-H,..O_it:"-~ I uaTEr -,--WHEN PROPEfKY VALIDATED CIN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR . --~ .. r ... ,, PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. -7 ,· -S/c>c( JOII ADDA CSS /,. --✓ ,-~-~...) 'I _) \-:. (/ "' .,, LOT NO, I oL• --I T:ACFP ~ , f d'-tf ,(4~/-1 ~~:~;. ..J..1 OWN[fll {).,. l A ~7~L AOD•ESS %1. PMONC 2 7)/ "" J..I 7 "").l~-0 9,JJ J <1'1 ~79 f')N T•Ac"ro• It. " . . -~Art. ADDRESS , PHON C -. STAT"E LIC, tlb. • CITY/1..IC, NO, 3 . ::) , r j L1 n I,\-/J,l'J I "' .UOHI T£CT O• 0£51C><n, -V MAIL .A.0011[5$ PHON C LICCNSC NO. 4 C A, .J:I ~ -( -7/. UrlCINECR ·-. . ~ -. ~AIL ADDRESS PHON[ LICENSE NO. 5 ,, COMPENSATION (NS. CARRIER MAIL ADOIIIC55 BfllANCH 6 17~-?~ /, l1rh l 7 usron:b~ .. /" , . . -. ~J 8 .... -, ,,. Class of work: 1 NEW 0 ADDITION □ ALTERATION □ REPAIR 9 Describe work: PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: 0 WATER CLOSET (TOILET) S/_,: --BATHTUB LAVATORY (WASH BASIN) 1 SHOWER K ITCHEN SINK & OISP. DISHWASHER APPLICATION ACCEPTE O 8 Y PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY CLOTHES WASHER ,/ DATE WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF 0 FLOOR-SINK OR DRAIN /_J ... ~ CONSTRUCTION O R WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM--SLOP SINK MENCED. GAS SYSTEMS: 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 AND 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 G IVE 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 7 SEWER NUMBER CLEANOUTS /,,· ... e--· CESSPOOL SEPT IC TANK & PIT '} ROOF DRAINS -:;70• co~•;7::"77.Z (DATE) -1/4 /2y ISSUANCE FEE $ ...., ' ) TOTAL FEES $ /J,./ .,_-,,...~ -I T ~P' OWHt,-0 OE• -I CD.-.~J .... WHEN PROPERLY VAt'lDATED (IN THIS SPACE) THIS IS YOUR PERMIT / PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7 29-1181 Perm it No. JOB ADDRESS 5 MAIL ADDRESS BRANCH 6 7 8 0 ADDITION □ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES 1-SP_E_C_IA_L_C_O_N_D_IT_I_O_N_S_: __________________ SWIMMING POOL WIRING, NO INCREASE IN SERVICE AP'PLICATIOP; ACCEPTED BY PLAP;S CHECKED BY APPROVED FOR ISSUAP;CE BY DATE NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 APPLICAT ION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCEl> 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. NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER NEW SERVICE ON EXISTING BL G. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER 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 ISSUANCE FEE TOTAL FEES I DATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. INSPECTOR No. M.O. • Each Fee CASH REQUEST D FOU TION ~EINFORCING STEEL ~ASONRY 0 GROUT -GUNITE 0 FLOOR AND CE ILING FRAME D SHEATHING 0 FRAME 0 EXTERIOR LATH D INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING D UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING 0 SEWER AND PL/CO D TUB OR SHOWER PAN 0 GAS TEST D WATER HEATER D FINAL TIME: ;<J./½ , ____ DATE:$-/-./~ 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING D ELECTRIC SERVICE D CEILING HEAT □· G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: ~NDAY □ TUESDAY □ WEDNESDAY □ THURSDAY D FRIDAY '□1.~. D P.M. SPECIAL INSTRUCTIONS ___________________________ _ PERSON TAKING REPORT ___ ____..__ __ _ -'- ---1; µv-P# ~J ~tbT rff __w~_,t,J~ ------c'.)/4 µJfi µ cv{-d?V/J/~ c4'-,l/ ~ 2 ~ {?~ ~µo/,!:<!dt dJ_,._J 4-.,e_ 3 -fr+-~ -::-- REQUEST FOR INSPECTION T'I ME· 61-:,y\l) :~:::TOR ~ ---r :1~~ ADDRESS~$(, C/ 11 r II ~ . a <r-\ DATE: -/ ~ S _. 1 'i ----,------ BUILDING D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUNITE D FLOOR AND CEILING FRAME D SHEATHING D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING D UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING 0 TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY □A.M. O P.M. ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT D G.F.1. 0 SMO DETECTOR D Fl AL MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL D WEDNESD~RIDAY REQUESTED BY ____ ~--------='-----1~-----PHONE NO. ____ 4; __ ' __ _ ';-ERSON TAKING REPORT ________ _ ttJJ o f----'lo ~ 1J ~e--1 a~~ R~- .,_ . ;/~ f-J/l .. r.t/4/ .~.J;:t --1'~uL~ ~,/;;1¼.J t3 /<.. 7 Q ~,~ 3A~~ I-10-7 7 1)'7 ~ ./1'£-e Mcur-f . ~ ,J-~j wJ <f) k 7 0 ? llwt._ ) 2--f..-J -1, @{<-?o ~~An~ ~ 4) ~ ' G-- (f µ/ ~ ~ d/<-- -------- /J /,<___ 7 0 ct; .,,,t,J di /i-3o-7.:? / 2-/ 2·-7? ½ c1,,,,t/ fJ K 7 o ' ~~ d'-2 r"-?_;? 1~~/-~ 0 tut,{ ,A.,J,(,u ~ --;t M..-<!~ ~ 1h~ c;-,-t~ 9-I f -7.;, :Jo-~ 1-~, ~ ~ ,A)J ,Jfk_ ~ pr1v~. 0 {{ ? ~ f <>--wt_ CLu.?f . ,1-f_ 2 2-· 7 :? ___,___ :L,,{/ tJ f'(.. l O ·-/l ·L,,....__n_J j_ _ ,!. C:,a- , 'I /I ~ /'~~ ,,l-p, ~r~,1~ faJ/ f~-1 ~ / f' r, /.. C 1-,, ~ ~I-ft> I t' 'pl:.,),, 6' /,C ? 0 p (/J..A_ 7-lif-·7? 11d ~~ ~ · ~.ht ~ ,,-(~-,,_ -tJ~ _,w_d1_ ~' ~-/ro' ~ ~ ~ -:J -Z I-? 'J tJ) ~A..J/4~ ~- CLA.{_ i_)( ~- , . •. :~~T . -;s:.:25=&,V'~ _otc 2 -1916 . ' . ... . .... ~...--. ------tSc~H+fQf.~-L~~~ g~:S~~~P _ , . -. "I PLANNING DEPARTMENT ", LOT ~ 1 IZiE __ .;; _·~_: __________ OT WIDTH, _________ ZQNF i~m' .:., ',✓,J UNITS_.~R~_t}.~ED _____ ...,,LLOWEO. _____ PRKG. SPACES PROVIDEO ____ REO._~_ 1 t.1 4 % OF COVER~G ______ ALLOWEO _____ BLOG. HEIGHT _____ ALLOWED ,. -,-~ . 1 (, •, "~ , ~ ' r( ~ t f / FRO~,\.. SET~ACK ____ SIDE YARD . REAR YARO _____ .INTRUSIONS -.\[!, . ENVI R€)NME~;J"AL PROTECTIO~ ,.REQ'TS. . ~NOSCP.-.P~J~ (} fl.. O,,(! r:~ . ,;1 ~ 1·ft: · --b -~ 1 r · , , . ·-I\ r1.#-Aoo rr.w.NAu,, ~OMMENTS • DZ4'.~ <_ll,1 ~• f: :fo Q€ ,., rt'.,t ttf £4) S: 1a6(EI~ <tf '!St;{' </)~ :·.•t . 1 -m;· r , . y_· .I ··~ t ,f ·' !, ., ~)i . V I , ... • -~·. . .,.:./. . . t .. t :1 'i ...\, , I I APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM CITY OF CARLSBAD ENGINEERING DEPARTMENT 729-1181 EXT. 35 FOR APPLICANT TO Fl LL IN BUILDI NG ADDRESS OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUILDING LEGAL DESCR IPTION REMARKS: id 2008 EXISTING BUILDING nd ' p o. 1722 LATERAL LOCATION ST. LATERAL NO. _______ INSTALLATION DATE------- SE 1897 BUILDING DEPT. ISSUED BY --"----"-'-~....:.......:......:c..:..------'-""--"----- DATE ISSUED--~.;;.;..1,...:..;,;;....J,,.'-'-'--,.;__ ........ :a..............;c...:....-'----- VALIDATION LATERAL CHARGE COMPUTATION STANpARD 4" (Max. H. 30', V. 10') _________ _ OVE R 30' H. ___ @_,,L-___ FT. _________ _ OVER 10' V. @ FT. _________ _ STANDARD 6" (Max. H. 30', V. 10') _________ _ OVER 30' H. ___ @,__ __ FT. _________ _ OVER 10' V. @ FT.---------- TOTAL CONSTRUCTION COST---------- SERVICE CHARGE (REPAVING ETC.) _________ _ TOTAL LATERAL CHARGE---------- LINE COST DATA ASSESSMENT DIST. NO.-------------- FRONTAGE ____ COST PER FT. ___ TOTAL--- OTHER ___________________ _ CONNECTION FEE NO. UNITS---=--COST PER UNIT-=-:.,._,.(_TOTAL--- PUMP STATION FEES NO. UNITS ___ COST PER UNIT ____ TOTAL--- TOTAL CHARGES (LATERAL ETC.) _______ ..:__ __ • • APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM CITY OF CARLSBAD ENGINEERING DEPARTMENT 729-1181 EXT. 35 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUILDING LEGAL DESCRIPTION REMARKS: EXISTING BUILDING LATERAL LOCATION ST. LATERAL NO. _______ INSTALLATION DATE--------11 BUILDING DEPT. ISSUED BY _________________ _ DATE ISSUED-~---=-'----=------------ VALIDATION LATERAL CHARGE COMPUTATION STANDARD 4" (Max. H. 30', V. 10') _________ _ OVER 30' H. @ FT. _________ _ OVER 10' V. ___ @ ___ FT. _________ _ STANDARD 6" (Max. H. 30', V. 10') _________ _ OVER 30' H. ___ @1-----FT, _________ _ OVER 10' V. @ FT, _________ _ TOTAL CONSTRUCTION COST---------- SERVICE CHARGE (REPAVING ETC.) _________ _ TOTAL LATERAL CHARGE _________ _ LINE COST DATA ASSESSMENT DIST. NO.-------------- FRONTAGE ____ COST PER FT. ___ TOTAL __ _ OTHER ___________________ _ CONNECTION FEE NO. UNITS ___ COST PER UNIT---TOTAL--- PUMP STATION FEES NO. UNITS ___ COST PER UNIT ____ TOTAL--- 1 5"_3 TOTAL CHARGES (LATERAL ETC.) _ __,?--"'--------- TYPE OF PERMIT □ -S- 0 APPLICATION FOR s I G N PERMIT CITY OF CARLSBAD BUILDING DEPARTMENT 1200 ELM AVENUE CARLSBAD, CALIFORNIA 729-1181 owner·s NamAc411--r.bd.. '7JoAI! 0 FEE: PERMIT No. PHONE I PLEASE PRINT)? /ILAST'f_ l~STI Contractor If..' C'/A,a(/IJ...) -,trrd .F (PLEASE PRINT) Mai Ii ng Address __ ......... ,;"----="""/2 __ / __ A_y--------- NuMBER STREET CITY PHONE State Contractor's License No. /9J.sJ:q. 9 C lassification I}/ City License No. _________ _ Person or Firm -r7' n I / in control of PropertyL.Ll.PAr"1.f ✓t1r/N,v.) Mailing Address--........ -----------------NUMBER STREET CITY PHONE LEGAL DESCRIPTION -------------------------------------1 LOT BLOCK SUBDIVISION LOCATION: FRONT: ____ feet from center line of street t~~ S~, ;J feet from ceo S' 1 .. o ,<JSl(J;N Valuation of Sign $ 1 t.P rea of sign # square feet. ,. (J(J Building Permit Fee$ __ ...;::U;a;.... ______ _ -;;~" Plan Check Fee$ ____ -:, _______ _ ELECTRICAL PERMIT Each Sign $5.00 First 2 Trans. $3.00 each. add'/ @ .50 each. 1 to 10 lampholders .25 11 to 25 .50 26 to 50 51 to 100 101 to 200 1.00 2.00 3.00 THIS SPACE FOR LOCATION SK SHOW NORTH ARROW DIMENSIONS Material: Panel Show advertising copy below. Height ... & ___ , ___ Length __ .... /_;) ____ Uprights ___ -_-_-_-_-_-_-_-_-_-_-,------------------~ Number and size of posts ________ Bracing ________ _ Number and size of braces If neon, show colors ___ _ Depth in ground Reflector material? ____ _ Distance between panel and ground Illumination? _____ _ Reference to plan on file Copy on both sides? ___ _ CALL FOR ALL INSPECTIONS INCLUDING FINAL. INSPECTION REUUIRED ON FOOTING EXCAVATIONS BEFORE SIGN IS ERECTED. APPROVED PLANS SHALL BE KEPT ON JOB. "'DQ ~::E i;z mm -,,:o :!! z .... r )> en .... !:; 0 0 r ,., \ '7 Z9-09S I STO(K No. 753 }J ~ 8 '} MADE IN I.. ~ I,