HomeMy WebLinkAbout1420 YOURELL AVE; ; 71-873; Permit1
App/21:om;;,l?;;;.. ,pace, on~ily
0 0 ~ .. z
of CARLSBAD, CALIFORNIA "' ► " 0 0
" flr.T 1A-'71 5PAJD . .,E:...,. •• i. ... •S: .00 JOB ADDA ESS ---
I L/-7-..tJ t/kuL!ltf :5:c -
BUILDING PERMIT APPLICATION
LOT NO.
«LK I T•ACT LE GAL I (□SEE A TTACHED SHEET ) 1 DESCA, Ii ~ OWNER 'inw, .. =I. w~~O:AESS
ZIP PHONE: I' 2J'J'ti,. y a;t;, O_AJ!-; <::) .
CON TRAC ;;R I /-q) i MA:rJOAE({b ~ nLVt j PHONE LICENSE NO, ....... f('-
3 -' "' ~ r,~ --1:i (./ f U'1, ~ ./,1 111./~
ARCHITECT OR DESI GNER MAIL ADDRES S PHON E LICENSE NO,
4 C'\ 1' ~ --i . ENGINEER M A1l. A DDRESS PHONE LICENSE NO,
5
-L ENDER M AIL AOD,.ESS BRANCH
6
USE OF' BUILDING
7 / ~ /
~EW
~J 8 Class of work: _yrnuulTION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Oescribe work: I ,t,J AAJ .I~ -e I
J I)_/) ' ~ _J
.....
-I µJ
10 Change of use from
'' . '
Change of use to
11 Valuation of work: $ I 3 1 1ot7,sg PLAN CHECK FEE ---I PERMIT FEE t4~
SPECIAL CONDITIONS: Typeof-:ii::;:. .t,...} Occupancy .f;J
J ' ' I I I Const. ,-Group r: Division
/VOi 7D lJ,L l/Sf Cf t/', &( J Size of Bldg. ;:sv No. o f ~ Max.
Y, ~r-A II/"\ 1 (Total) Sq. Ft Stories 0 cc. Load
, , ---Fire _:s Use R-I Fire Sprinklers i--
APPLl~Y: '}!{/(t?c;d APPAOVED~NCE B= Zone Zone _ Required □Yes ~
OFFSTR'EET ;t-RKING ,j.,A CES: ~ No. of / Dwelling Units Covered,.::?~ J>S'O ~ ncovered
P' NOTICE Special Approvals Required Receilfed Not Required
SEPARATE PERMITS ARE REQUI RED FOR ELECTRICAL, PLU MB-ZON ING
ING, HEATING, V ENTILA TING OR A IR CONDITIONING. HEALT H D EPT. T HIS PERM IT BECOM ES NULL A ND VOI D IF WORK OR CONSTRUC·
T ION A UTHORIZED IS NOT COMMENCED WI THIN 60 DAYS, OR IF FIRE D EPT.
CONSTRUCTION O R WORK IS SUSPEN DED OR A BA NDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME A FTER WORK IS COM·
MENCED. OTH ER (Specify )
I HEREBY CERT IFY THAT I HAVE READ A ND EXAMINED THIS A PPLICATION ANO K NOW T H E SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF L AWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WH ETHER SPECIFIED HEREIN OR N OT, THE G RA NT IN G OF A PERMIT DOES NOT PRESUME TO G IVE A UTHORITY TO VIOLATE OR CANCEL TH E
PR01~NS OF ANY OTHER STATE OR LOCAL L AW REGULATING
CONSTR CTION 71 T HE PERFORMANCE O~STRUCTION.
V h d i l:'J-~ .. _t QJ) ,;,, 0. _
V 5 1GNA"rUAE <H' CONTRACTOR OR AUT7£0 AGENT (DATE)
$1CNATURE 0 ,.. OWNER 11, OWNER BUILDER ) (DATE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CA SH PERMIT VALIDATION CK. M.O. CASH
INSPECT OR
s=" 1nn ,.o
ELECTRICAL PERMIT APPLICATION ~. h 5PAIO : ~ / /-/ Q(j 2--City of CARLSBAD, CALIFORNIA NOV ?2-11 -cc5lJ7**1t•1 *l ·60
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t--------'--rl~LOT":;;:;-NO. ~, / ~-~LK -r;:;";"'.,TAAC;-;-T ------------}..} .. -~ \ 1 ~~=~~. / (Qsct ATTACHtD SHEET) ,~ I \J
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24 1 h /-f,;., -/ L/ -Zo K~ .. I J Ca..rlsb"'-,..J j '
f-3-/=-=o~~~T-=-A~':":c:"":~:::o.=-A~....:......t:...LE,....!...J;i:5e~,-r _f_r __ /_r._' ___ 2_LJ_""'.;:.::.A:-!,==L ,/, ~A-=-DD~A:-::E~/?~' ...,',J,,,_4:...,.., ,rL-1-.d~f-., J--=f'!::.::,==:.L,...!.=.7~PH!::::..: ?N~~~::.ld.,4...---:,-, ~-------<--c--L 1-C-EN-~-.-N-;-· -. c;-y--~-c,-<...-. -l~ I
4 AACHITtCT OA DESIGNER MAIL ADDRESS .,, PHONE CI i:s;, 2 12520.3
EN~INEtFI MAIL ADDRESS PHONE LICENSE NO.
5
LEN DUI
6
US£ o, BUILDING
7
~=~~:-;------·-----"'-AIL-A-DD-A-ES-5 -------------1-AA-NC------~--lr ~ ~
J \ 8 Class of work: 0 NEW ~ADDITION □ ALTERATION □ REPAIR ~ ~ l:3
t-------. -------------------_---,-----l~t-~ -t>\
9 Describe work: I · ' ,,,--,.,, -L /,;') A' I' , -~' ·· U/ I re, l.P) d , r ~-'"'S'n,,,,n, < 1/eht J ./ /') 71 ,/,9 <:;"' c--~ lJ : ,... ,..., ...., .,.
SPECIAL CONDITIONS:
APPLICATION: ~Y; PLANS CHECKED SY: APPROVED FOR ISSUANCE SY:
II \ NOTICE
THIS PE~MIT BECOM_ES 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 APPLICAT ION 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.
51GNATUIIIE o, CONT,.ACTO,t e.f'THOftlZED AGENT (DATE)
., 111r o, OWNCft 1, OWNCIII &UI LDEIII lDATE)
RECEPTACLE
LIGHT
SWITCH
LIGHTING
FIXTURES
PERMIT FEES
Total
Outlets
Total
Fixtures
RANGES CLO. DRYER WTR. HTR.
GARBAGE DISP. STA. COOK TOP
DISH. WASH. CLOTHES WASH.
SPACE HTR. STA. APPL ½ H .P. MAX.
MOTORS: H.P.
NO. TRANS. SIGNS
NO. LAMPS
TEMP. POWER □POLE LJUNDGD.
SERVICE 0·200A
201·400A
□NEW 401·600A
0 CHANGE OVER 600A
PERMIT ISSUING FEE
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
\
No. Each Fee
$ 2 ()()
M.O. CASH
0 a ~':~o 6~30***
~ ~~ City of CARLSBAD, CALIFORNIA DEC 17-71 ~•t iO 0 :II
MECHANICAL PERMIT APPLICATION 4
Applicant to complete numbered spaces Ofly. "' .. ..
JOO ADD•~/ r-/os:_Sj ICf-2€) >1..-~.,~~Pf ~ • 4t ~ ~ ~ I LOT NO. I OLK I TRACT V ' "ii~ ~ LEGAL <Ostc ATTACHED SHEET) ~ 1 Dt sc•. ' !I,,.
OWNEl't ,/__{) MAIL ADD•~I ZIP PHONE ~~ ~ 2 IL/-~ .-17 ~; _ , .,_ <JY; Vt_A t ~ .... ..... f ~ 3 c;;?~ ~ /~c, q ~·Jw~·~,, "-?lo. e1-C/. r;,~o;;.d LICENSE NO. ~ ~~s-:~ ' ... ~ A"lin:H'1Tt'"CT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO, ..
4 ('-l >-. 1!:NGINEER MAIL ADDRESS PHONE LICENSE NO. ~ .. 5 "
LENO ER MAIL ADDRESS BRANCH ~. 6
USE OF BUILDING
7
8 Class of work: NEW □ ADDITION □ ALTERATION □ REPAIR
9 Describe work:
-
Type of Fuel: Oil □ Nat. Gas fl" LPG. □ PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
..K"' Air Cond. Units-H .P. Ea. $
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea. --I Forced Air Systems-B.T.U. M Ea. .,,. e:11 fJ
APPLl~PTEO BY: PLANS CHECKED BY APPAOV.Y rUANCE BY Gravity Systems-B.T.U. M Ea.
IJ/CJ Floor Furnaces-B.T.U. M
./ l Wall Heaters-B.T.U. M
NOTICE Unit Heaters-B.T .U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS 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 STA TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
-,,,
4,,,vd~,/4'-~ 0 )>/1"7/J/ ,__
SIGNATUII-~ Or CONT•ACTOft D• AUTHD•IZED AGEN/ Y'"Tt l/
PERMIT $ ':]' oO
TOTAL FEE $ 7 00 SI GNAT IU o, OWNE.,t IP' OWNER IUILOEA ' DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
CITY OF CARUBAD SEWER
BUILDING DEPARTMENT PERMIT • APPLICATION
KEY f _,. /v2?
FOR APPLICANT TO FILL IN
LEGAL BUILDING DESCRIPTION LOT NO. ADDRESS '
BLOCK TRACT NEAREST
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"=--
NO. DESCRIPTION OF WORK FEE Add. Horiz. @ 4" = __ b"=--
HOUSE SEWER CONNECTING TO
PUBLIC SEWER 0 $3.00 Add. Vert. --@ 4" = __ b"=--
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $11.00 Total Construction Cost
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN .•
CESSPOOL, DRYWELL. MANHOLE @ $11.00 10% Service Charge
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.110 Total Lateral Charge
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER @ $1.110 Lot. No.: Logged in Plot:
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00 LINE COST DATA
• $ A. D. & Assmt. No .
LINE COST: -
I s __g_ 00 C. C. @ __ / dwelling OWNER'S PERMIT
AUTHORIZATION TOTAL FEE P. S. @ __ / dwelling
OTHER I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-TOTAL I NG TO THE PUBLIC SEWER.
SIGNED THIS OAY OF Grand Total, Lateral, etc.
OWNER OR
OWNER'S AGENT FOR SEWER LOCATION
ADDRESS
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 PLUMBING ANO SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. NORTH ANO/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-
BAD ANO 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 PERMITTEE
This is e Sewer Permit When Properly Filled Out, Signed end Velldeted
Issued By __________________ _
PERMIT VALIDATION
----------------------------------------------,.
DATE: PLAN
INTERDEPARTMENTAL I,T SHEET
RECEIVED , 1e/i w
BUILDING DEPT.
BUILDING ADDRESS : __ /~+----=~:;_O_·_~-,....-~:...=..~-=-a..------------
LEGAL:
OWNER' -s -A-DD-RE-SS_AN_D_N_AME_:-=--=--;-i;:A--~,~~~~-k&~-'IJ-J~t-~:~M~~A~~~~;~u~_-JuL~~·l,~-::~-~~,~-=--=--=
CONTRACTOR: ____ {9-__ u_;'-"-'-____.Af...____-t_~~------JOB. SUPER. Qa-4,.,.i-t?(J. .. p Q,. .J
COMMENTS: --------------------------------
PLANNING DEPT.
PARKING SPACES PROVIDED: ./ REQUIRED: -· ZONE -----
SETBACKS ~ PROTRUSIONS IN SIDEYARDS
p yJA ~ ~~ ~ C2t?:'
ENGINEERING DEPARTMENT
RIGHT OF WAY /£/ ~Y-.r/f/7 INDUSTRIAL WASTE }./ l¼-----L--;,,__....:.... __ __.___ ~-1-14-1 i_
IMPROVEMENTS !z -..,c -SEWER CONN. S o~ C. ,C. #. IO-Z.. C, -------'------------
DRIVEWAYS LOCATIONS_-1./£=--✓'-----------WATER CONNECTION __ -_-:__-___ _
EASEMENTS JV",,,--DRAINAGE ;<I Ir}-----------------------"-"-....;.;;.. ______ _
I REMARKS: _____ ---!::==--------------------
DATE: /,? • / f ,.. 7 /
DATE: ol -Y -7Z,
APPROVAL TO ISSUE PERMIT ~
APPROVAL TO OCCUPY~✓--~~~:;::/4·:~:~✓ef-_-_-_ ,.~~~~~~~~~=
FIRE DEPARTMENT
FIRE PROTECTION EQUIPMENT FIRE ALARM(S) -----------------
EXITS PERMIT REQ•D ----------------------------
SPECIAL HAZARDS -----------------------------
FIRE HYDRANT ------------------------------
DATE: APPROVAL TO ISSUE PERMIT ---------------------
DATE: APPROVAL FOR OCCUPANCY ----------------------
OTHER COMMENTS: -----------------------------
Dote~U~ Signed
Aelfiff"" SEND PARTS 1 AND 3 WITH CAR80NS T • ,. / 71-
45 465 PART 3 Will BE RETURNED WITH LY ' / , "f ,..
C
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