HomeMy WebLinkAbout1175 TAMARACK AVE; ; 69-853; PermitX
CITY OF CARLSBt
BUILDING DEPARTtJ. __ , _
729-1 181 -Ext. 36
Appll~;,r LENDnr'NiUiiB1ti&R)Permil
Building Permit~
For A Ii cant to Fill In -8'.£3 SEP -l-69 !'~~o .(i~g. t~~5
Owner's Nomi' --zi?i,v/p)t/} /fift;A#
Moil Add ress -----------------
Contr. Address _______________ _
To Const. ~ Add 0 To Alter 0 Convert 0
To Move From ____ ,,,,,:,, ______ -=---'----
Type of Const. __ b _ _,,_"f?~~B ........ _~__,'--"e""---------
etc. Frame, Masonry,
To Be Used For ~/J~UJ=:......e..::.f:_.,_/_l ...!....:J .)l::....c.
10 -=''------
Kind of Foundation C Q.IV' (!. No. of Stories £2
Floor Space (Sq. Ft.) -=2=-"'S-,:.._J,/J':"--L1_...:..~..,,.__~---7'%--4L-
Attached -4,.bz r_.
Garage Floor Space (Sq. Ft.) De tached _______ _ ~ Legal Description -----''--------------Lot Block
Subdivision C A:J.11,e.:,_k __.::cO _ __.O-'-'E ...... ,IL--S~o _.__I _ or
Section Townsnip Range
No. of Existing Building -------~,,,__--_____ _
Will this constr1k£include any plumbing installation or alter-
ation? Yes ~-No 0
Signature of Applicant
I ACKNOWLEOGE THAT I HAVE REAO THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT ANO AGREE TO
COMPLY WITH ALL CITY ANO STATE LAWS REGULATING
BUI LOI NG.
I CERTIFY THAT I AM PROPERLY REGISTEREO ANO/OR
LICENSEO AS REQUIREO BY CITY OF CARLSBAO ANO STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE OESCRIBEO RESIOENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE ----------------
Building De
Building Address //2.s: /AM.iAAck
Front P.L. Main Bid
Side P.L. Garage
Rear P.L.
Contractor City Bus. Lie. No.
Inspection
Utility Company Notified -Dale ______ By ____ _
Final
If a check is rcnder~d for poyment for the above foe and the
check is not hcncr•.'d when presented for payment, your
build;,'.g permit v,il1 be imrr.cdialely revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance,
CITY OF CARLSBAD SEWER
BUILDING DEPARTMENT PERMIT • APPLICATION
~,.. 2:8-''1
_, 11-69 -cc ......... 50.00
FOR APPLICANT TO FILL IN
L EGAL /4-LA-J,,/1 /,J() D~t '\,.( BU ILDING LL75 T /ff.-( A,/Z.-,4-t:,,IC DESCRIPTION LOT NO. ADDRESS
BLOCK TRACT NEAREST
CROSS ST. A-0 A,-,( S. USE OF gt_,;;;' s ! BUILDINGS OWNER .,., 7" 19-12-A-A/ ~ Q
MAIL
CONTRACTOR ADDRESS
ADDR ESS CITY TEL. NO.
CITY TEL. NO. CONNECTION DATA
CONTRACTOR·& STATE CARLSBAD BUSINEU Lateral Charge Computation
LICENSE NO. LICENSE NO.
\.. 30' H., 10' V. @ -4" = __ 6" ---'\ Add. Horiz. @ -4" = __ 6" -NO. DESCRIPTION OF WORK FEE ---I HOUSE SEWER CONNECTING TO Add. Vert. @ -4" = __ 6"=--PUBLIC SEWER • f3.OO
SEPTIC TANK, SEEPAGE PIT OR Tot11I Construction Cost PITS 0 flS.OO I OVERFLOW SEEPAQlt PIT, DRAINP'IELD EXTN., 10% Service Ch11rge CESSPOOL, DRYWELL, MANHOLE O flS.OO • HOUSE SEWER CONNECTING TO PRIVATE D ISPOSAL SYSTEM 0 ft.ISO Tot11I L11ter11I Ch11rge
CONNECT A DDITIONAL BLDG. OR L11t. No.: Logged in Pl11t: WORK TO HOUSE SEWER O fl.ISO
ALTER, REPAIR OR ABANDON HOUSE SEW ER OR DISPOSAL SYSTEM O f2.00 LINE COST DATA
• • A. D. & Assmt. No • B+/Z:T OF
LI NE COST: °ScJ.IJ.Qllt.l S.lQ W
C. C. @S'!, ~/ dwelling -5'0~ I s l:l 00 OWNER'S PERMIT
AUTHORIZATION TOTAL l"EE P. S. @ __ / dwelling
OTHER ~ I HAVE A T THIS DATE A CONTRACT WITH THE HEREIN ~ CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-TOTAL So I NG TO THE PUBLIC SEWER.
SIGNED THIS DAY OF Gr11nd Tot11I, L11ter11I, etc.
OWNER OR
OWNER·s AGENT FOR SEWER LOCATION
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICAT ION AND STATE THAT THE ABOVE 18 CORRECT ..: ..: AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND V) V) STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. NORTH AND/OR LICENSED AS REQUIRED BY THE CITY 0 1" CARUI•
BAD AND STATE OF CALIFORNIA OR THAT I A M THE LEGAL OWNER OF THE ABOVE DESCRIBED )USIDENTIAL PROP. El NEERING SEWER DEPT. ERTY.
SIGNATURE Signed 1Ql'.,4c, l' I Signed O F PERMITTEE
This Is • s.-r Permit When Properly RIied Out, Signed end Velidated
294 luued By --------·---------
PERMIT VALIDATION
~ PERMIT NO. ____ ......, TOTAL FEE $ ~?-£} __ _ CITY OF CARl.::,SAD
BUILDING DEPARTMENT
729-1181 -Ext. 36 I • 7. cJ-!rT? . App ,cation 'lor' ELECTRICAL Permit
For Applicant to Fill In Buildi•~ptnU"'p~o., ;,******7,
PERMIT FEES: Each F ee
Item R.ecpt. Sw. BUILDING ADDRESS:, , ..
{RV
//?~u -_p' /,) ~,. -
Light mg fixtures w ballast for each 10 $ 1.00 ~,Oc.,
St. Near f1... P~ SIi y -_.,, .A -• Elec. Ranges, Clothes Dryers, Water flu,Hers .50 , ~ (.
,!~~ Dislwlashers, Garbage OWNER~ .J'~-.J ----~r-~ Elec. Space Heaters -tl Disp/sers, Auto. wishers, Sta. Cooking Units .50 /,~( <::""----(7 ADDRESS:
MOTORS: Per each motor H.P.
0 to 1 $ .25 CITY:
1 to 2 $ .50
2 to 5 $ 1.00 TELEPHONE NO.
5 to 15 $ 1.50 State City Business
15 to 50 $ 2.50 License -=<:::: License ,.
50 to 200 $ 5.00
If< -I B/2,R Group --r:::-r Zone SIGHS:
No. trans. Ea. $ 1.00 -.
No. lamps over 50 ea. $ .50 Inspection Record:
SERVICE: 0 to 150 AMPS $ 10.00 ft),00
For each additional 100 Amps. $ 2.00
Temp. Power Pole, 100 AMPS or LESS $ 3.00
For Each add'I Meter, over one per service $ 3.00
MISC:
Approvals Date By:
SUPPLEMENTARY PERMIT FEE: S 2.00 Conduit
~,1 Temp. Power
TOTAL: R. Wir1nq
Fixtures
S.D. G. & E.
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
ST ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FINAL:
WI TH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
WI RING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE
CITY OF CARLSBAD AND THE STATE OFCALIFORNIA OR THAT
I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI-
DENTIAL PROPERTY. ~◊O c-----:1 ~!M SIGNATUR -/J~ ~
PERMITTEE. ./ AJ,; -
/J
.o 0
........
CITY OF CA
BUILDING DEP I ENT
729-1181 -Ext. 36
PERMIT NO. ~ TOTAL FEES ----
1• 7t?-fS~ 7,.&o App 1cafion or MECHANICAL Permit
For Applicant to Fill In
HO. ITEM INST ALLATIOH ANO OA: A:ELOCATIOH EACH AMT. JAM 23·70 ~cc3261f*******7. PAID 00
For the installation or relocation of each forced-au or gravi•
ty type furnace or burner, including ducts and vents attached IA",<1 d to such appliance, up to and Including 100,000 B.t.u.'s S 4.00
For the Installation or reloc.ation of each forcNl-air or gravi• tt type furnace or burner, including ducts and vents attached
to such appllanc• over 100,000 B.t.u.'s S 5.00
For the installation or relocation of each floor furnace, in·
eluding vent. S 4.00
For U1e Installation or relocation of each suspended he,iter,
recessed wall heater or floor mounted unit heater S 4.00
For the installation, relocation or replacement of each ap~ Building Dept. Use Only pllance vent Installed and not included In an appllcr1tlon. S 2.00
For the repair of, alteration of, or addition to each heating
appliance, refrigeration unit, comfort cooling unit, absorption
BUILD INC ADDRESS // 7 c:;-~ -_L /J~J-f unit, or evaporative cooling system, Including lnstallatlon ol -~
controls regulat•d by this Code. S 4.00 -~
For the installation or relocation of each boiler or comp,es-
sor to and Including three horsepower, or each absorption
system to and Including 100,000 B.t.u.'s. S 4.00 5TRl:'ET NAME
For the Installation or relocation of each boiler or compres-
COM TRAC TO~
sor over t11ree horsepower to and including 15 horsepower, or
each absorption system, over 100,000 8.t.11.'s to and lnclu-
ding 500,000 B.t.u.'s S 7.50 I' ,,/4,,,/l~ ~ For the installation or relocation of each boiler or compres-nw•"" -J'A / ~ ---~ --sor over 15 horsepower to ••nd including JO horsepower, or --each absorption system over 500,000 B.t.u.'s and including
, -~~ I 1,000,000 B.t.u.'s. Sl0.00
.------«:::"'~ ---,.
For the Installation or relocation of each boller or comprts-
sor over :,o hors,power to and including 50 horsepower, or for
each absorption system over 1,000,000 8.l.u.'s to and in•
eluding 1,750,000 B.t.u.'s. 515.00 r,yy
For the Installation or relocation of each boiler or retrlgera~
tion compressor over 50 horsepower, or each absorption ~ systtm over 1,750,000 B.t.u.'s. S25.00 CITY BUSINESS LICENSE NO.
For each air handling unit to and Including 10,000 cubic feet
per minute, including ducts attached thereto. S ).00 ...,
For each an handling unit over 10,000 cubic feet per minute. S 5.00 CITY BUSINESS LICENSE NO.
For each evaporative cooler otlter 111.111 portable type. S ).00 / __ ,
For e;1ch vent fan connected to .l single duct. S 2.00 r.Rn11p
For each ventilation system which 1s not a portion of any
heating or air conditioning system authorized by a permit. S ).00
For the installation of each hood which Is served by me• INSPECTION RECORD
chanlcal exhaust, Including th• ducts for •ach hood. S ).00
For Uie installation or relocation of each domestic typo
incinerator. S 5.00
For the installation or relocation of each commercial or
Industrial type Incinerator. S20.00
For tach appllanet or ploc• of oqulpm,nt rtgulat•d by this
Code but not classed In other appliance categories, or for
which no other fe• Is llsttd in this Code. S ).00
For the issuance of this permit. S ).00 l'C'AO
7.£?0
I ACKNOYiLEOGE TH.AT I HAVE Rt::AO TH£ APPLICATION ANO STATE THAT
THE ABOVE IS CORRECT ANO AGREE TO COMPLY WITH ALL STATE ANO CITY
LAWS REGULATING THE MECHANICAL CODE OF THE UN IF.ORM BUILDING CODE,
I CERTIFY THAT AM PROPERLY REGISTFRFO ANO OR LICENSED AS RE-
QUIRED BY THE CITY OF CARLSBAD ANOt TATE OF CALIFORNIA OR THAT I
AM THE' LEGAL OWNER OF 9j;B~ OE Rtser;,:·R':f!RTY~"'fc nATE JO• FINA.LEO
SIGNED BY PERM!-_;:. ./ -i ; --. l'1, /) 171_,,,,~ -51-'( _/ '-'---"-,..__
l
i .
l I.
1
INTERDEPARTMENTAL INFORMATION SHEET·// ./ ... ' . .
-~7-~ /4q . DATE: ----------------
BUILDING DEPARTMENT
OWner '.s Name--:/ Ju ,,,(!.,,,{ .J'a/u ;,r
Address ____________ ____. ____ _
Contractor ~ -
Address ------------------
Approval to Issue Permit _______ _
Permit No. --------------
Lot No. ----------------
Leg a 1 Description//~ 7'r
Certificate of Occu~ancy _____ _
PLANNING DEPARTMENT
Parking Spaces P rovided Required ./
Setbacks .,,, Zone, ,;
)
REHARKS: IZQI£,
Date ~£,vii Date
Ar:iproval to Issue Fermit Approval for Occu8a ncy
.)
i .. ENG INEERHTG DEPARTMENT . . • ..
Irnprovements __ q_~/~.$'~;1~""'-~-~·-------
Driveway Locations ___ C>_/c_· ______ _ . Water Connection i'A-JZ::r Of: S-v80,v1Svo ,J
Industrial Wa s te ,,O:.,,t;J. ---~---------
REMARKS :
_&-n--,' r /4-
Date ¥ ~/4 ;z Date_• ___ =z.--,,/_~?:x:.......,.</-L?_;;;;JJ _____ _
-~~prov21l to I ssu e Pcrrni~~~~·---Approval
-7 I //
for Occupanc y-r~
/
' .
I h c1vc r ead the ab ov e informc1 lion a nd ag r c0. to co mply with the r cquiremont..s
s e t forth .
S igna tu r e _______________ _ Date --------------