HomeMy WebLinkAbout110 SYCAMORE AVE; ; 71-111; Permit)C
BUILDING PERMIT APPLICATION 1
0
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% "' ► "' 0 City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. FEB 10-71 ~P:~o 120••--** •3150
JOD ADDRESS J_. ,,,_ _ ----u a-~ ~ 0 ~ ,. ,,_ ....
LOT NO, u I 8LK LEG .. L I 1 cue•.
i°7Ri"u,44A d (1 ~
CON 'tlU,C TOR
3 ~
ARCHITECT OA DESIC.NER
4
ENGINEER
5
LENDER
6
8 Class of work: 0 NEW ~ITION
9 Describe work:
10 Change of use from
Change of use to
I T•ACT
MAIL ADDRESS
<:::-_ ..,_ --
MAIL ADDRESS
MAIL ADDRESS
MAIL ADDRESS
MAIL ADDRESS
-(/
0 ALTERATION
<□sec ATTACHED SHCETJ ~ ZIP PHONE
__,
PHONE LICE.NS[ NO, " ~ PHONE LICENSE NO,
PHONE LICENSE NO,
~
BJIIANCH
~/4) d,,/J-1~1 _..,J '--
0 REPAIR □MOVE 0 REJ6'VE
.
' \ ,
11 Valuation of work: $ 22t/(J oO
PLAN CHECK FEE -----I PERMIT FEE ~ . .s-Q_
1-S_P_E_C_I_A_L_C_O_N_D_IT_I_O_N_S_: _________________ ---1 Type of
Const.
,__ ____________________________ --., Size of Bldg.
(Total) Sq. Ft.
Occupancy
Group
No. Of
Stories
Division
Max.
0cc. Load
Use Fire Sprinklers
..
.. ~
• I
I.....____, i " '-... 1~ C> l
\ i ~) I
~ f
r::. p
~ ~ ll ~
Zone Required □Yes ONo
/ 1 NOTICE
SEPA~~ TE 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 T HE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
2]JlffL~G=
51GN•T RE Of' OWNER II" OWNER 8UILD£Jlt
OFFSTREET PARKING SPACES:
Covered I Uncovered
Special Approvals Required Received Not Required
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.l 9-69 REORDER FROM: INTERNAT IONAL CONFER ENCE OF BlllLOIN~ OFF'lf"'IAI ~ • •n en I n• •'"'•1 ... • o -. ...... .,.,. .... , , ..................... .
' 0 ~
:Ii 0 2/-~ City
z ..
of CARLSBAD, CALIFORNIA ., >
5~ 313** " "
Applicant t comple/e n JLed spaces only. ff8 ?5-71 -cc 1 ••• ~1! .50 .. ..
' PLUMBING PERMIT APPLICATION 2
JOB ADDA ESS A //0 'A -~fP-t./ ,/ ~ -~ LOT NO. , ILK I TRjlCT OsEE "TUCHEO SHEET) ~ l L£Gj1L j I 0£SCft. ~ I :,,.. " OWN[.ft GRA /'~ :•ILiRESS I) ZIP PHONE " 2 ./ . ~ -
3c~ &~ M"Xto~K J.L/u'h' (1 ;HONE
LICENSE NO, '-~ ' 'w i~ ,, :I. :...
ARCHITECT OR DESIC.NER / M"IL •oouss piro,n;-LICENSE NO. ... ..... ~
4 "----~ ENGINEER MAIL ADDftESS ?HONE LICl!:NSE NO.
5 t LENDER MAIL ADDftESS IIPIANCH
6 --
USE 0,. BUILDING ~ 7 ~ /J/.. ---.A--
8 Class of work: □NEW ¾oorno(J 0 ALTERATION 0 REPAIR
9 Describe work: A~-rE /l ""~ -J ./?,/~;!-./> , __ ,_,.,,
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: I WATER CLOSET (TOILET) s /, 57:)
I BATHTUB I ..c_--1)
I LAVATORY (WASH BASIN) / ' e:;;-l)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPL CATION ACCEPTED BY: PLANS CHECKED BY: APPAOVEO FOR ISSUANCE BY: LAUNDRY TRAY
fikY CLOTHES WASHER
I WATER HEATER I -~
NOTICE URINAL
THIS PERMI BECOMES NULL AND VOID IF 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 AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. 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 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 ~ ,11')
✓-L O,. ,-. CESSPOOL
~-;,r .... 7/ SEPTIC TANK & PIT
SIGNjlTU'E OF CONTRj\CTOR OR AUTHORIZED j1Q£NT (Oj1TE)
/
vflERMIT $ ..3 51")
SIGNATUR~ OP' OWNER CIP' OWNER BUILDER) DA TE) TOTAL FEE $/~ ,at!}
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
,·
INTERDEPARTMENTAL INFORM~~£I VlE ;)_
f~DA~l-97--1----
DEPARTMElfilTY OF CARLSBAD
· P . t iluUdiQ& Depa ent ermi No. ___ -=-·-·-------,
Lot No. -------------
Contractor -----------------Legal De scription --------
Approva l to I ssu e Permit_· ________ _ Certific ate of Occupancy ----.
PLANN I NG DEPARTMENT
Parking Spaces Provi ded ----------Eequired -------------,
Setbacks Zone ---------------------------------
Remarks· .
Date ~ l0--'l.\ Date
Approval to Iss ue Pe rmit ~ Approval for Occupancy
ENGINEER I NG DEPARTMENT
I
Right of Way ;J. f"r. Industri a l Waste /II I+.
Improvements /c >( I 5 r/ ,v(', Sewer ~ -(/2/~5,7/ Connec ~ 1/111 N~w Lr:iu"I(. --
Drive~ay Locations 1-f, /.l Water Connection € lft51' /,.Jt-,.
Easements tJ. f.J. . Drainage ~yt,1/lv~7
Re marks : A-'i'ln,"'toiJ 10 ~ JC I ';, J I N ,:_/ () /\)~ /: Cl, Yl'1 I I/,( 12..e.. s ,d'4ic...c.. ~
Date ______ :2.,__,· U._._o ..... / ....... 7 ___ ! _____ _
7 <::__ ~//' Approval to I ssue Permit __ _,,.-.._/c_--c; ___ _
/
Date ---------------
Approval for Occ upa ncy ____ _
__ .,,.
FIRE DEPARTMENT
Fire Protection Equipment ---------Fire Alarm ------------
Exits ----,-----------------Permit Required ________ _
Special Hazards --------------Fire Hydrant __________ _
Date --------------------Da t e ______________ _
Approval to Issue Pe rmit ---------Approva l for Occupancy ____ _
-----.. --..