HomeMy WebLinkAbout1715 TAMARACK AVE; ; 70-1033; PermitBUILDING PERMIT APPLICATION 1
7o-/ 0 :i_ ~ City of CARLSBAD, CALIFORNIA
Applicant to com';r/lirrlumbered spaces only.
OCT 22·70
ARCHITECT Oft DESIGNER MAil. ADDRESS PHONE LICENSE NO.
ENGINEER MAIL ADDRESS PHONE LICE.NS£ N O.
5
LEN DER MAIL ADDNESS BNAN CH
8 Class of work: 0 NEW 6..JolTION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE z:.:.: I PERMIT FEE I·-,~ I L.. ,-~
SPECIAL CONDITIONS: Type of v.
Const. -N
._;z.. -r ~L Size of Bldg. t------------------------------1 (Total) Sq .• J?qg 'j/
Occupancy ...-
Group J -....I
No. of
Stories I
Division
Max.
0cc. Load . . , ,Gi t-:-::::-~=~:--=::==~-i-::":"~:-:::===::--7"""--,r.-::~~:-:""::-:-:=:'."'."'."'.".'::::-::''."'."'i Fire ~ u se -/ Fire Sprinklers
,. ')T~~ OFFSTREET PARKING SPACES:
APPLICATION ACCEPTED BY,P (XtYJLANS CHECK4v /ti r:!...AO~J),,YJ~NCE sv t-z_o_n_e......:-,.,.J=------+-z_o_n....;.._,. __ --l'-----'--R-e_q....,u,..,1r_e_d_O_Y_e_s -~--0-i
--"-J No. of /
1 Dwelllng Units Covered "2.,___ Uncovered -
NOTICE Special Approvals Required Received Not Required
SEPARATE 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.
A LL 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 N OT
PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF A N Y OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONST RUCTION.
SIGNATURE o, CONTRACTOIII OR AUTHOlltlZED AGENT (DATE>
SIGNATURE 0,-OWNER 11, OWNER BUIL DER) (DATE)
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.O. CASH PERMIT VALIDATION CK .
INSPECTOR
FnF'm 1 nn 1 o..,;o
M.O. CASH
0 L
:i: 0
5PAID .~ ..
70 -IDtJ/.;. City of CARLSBAD, CALIFORNIA OCT -9-70 868**** 7.6) -cc 0 :0 M Applicant to complete nu bered spaces only. .. ..
MECHANICAL PERMIT APPLICATION 4
JOB AODi. ESS
~t17h}/2 /JGK 1/..VENVE' /7l_~
LOT NO, I OLK 1;•~;lsbad ~ ~ LEGAL I (0 SEE ATTACHED SHEET) 1 DUCA, Manor Unit 1 N ,:::,-
OWNE.R --MAI L ADDRESS ZIP PHONlt )
2 ""' Richard E.Gever 690 Elm Ave . Carlsbad 92008 ~ ~ CON TRAC TO" MAIL ADDRESS PHONE. LICENSE NO.
3 Rogers Sheet Metal 1903A W.Vista Wy . • Vista. Ca . 724-0211 1416 ~ ~ ARCHI TECT 0 .. DESIGNER MAIL ADDRESS PHONE LI CENSE NO,
4
• ENC INEUI MAIL ADDPIESS PHONE. LICl:NSI NO.
5 " LENDUt MAIL Aoo,uss BRANCH ~
6 oceanside Federal Savings P.O.Box 210 Oceanside :lo
USE OP' 8UILDI NG -~ 7 Dwelling
8 Class of work: Jtl NEW 0 ADDITION 0 ALTERATION 0 REPAIR / ~
9 Describe work: F.A.U. ( 100,000 B.T.U. ) & Ventilation
Type of Fuel: Oil D Nat. Gas IX LPG. 0
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Units-H .P. Ea. $
Refrigeration Units-H .P. Ea.
Boilers-H .P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
Forced Air Systems-B.T.U. M Ea. 4 00
APPLICATION ACCEPTEO BY. PLANS CHECKEO BY
A~EBY Gravity Systems-B.T.U. M Ea. ~ Floor Furnaces-B.T .U. M
Wall Heaters-B.T.U. M
' I NOTICE Unit Heaters-B.T.U . M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
T ION 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 AND 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 G IVE AUTHORITY TD V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I ~ :;,__, ,HJ (2~ ~,~~ /t)hr1 ,
SIGNATU"E o, CONTRACCJ Ollt: AUTHORIZED AGENT (f>ATII') -
PERMIT $ ~ nn
SIQNATU"t OP' OWNER (IP' OWNEllt: 8UIL0Eft) {DATE) TOTAL FEE $ '7. nn
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CASH
INSPECTOR
CITY OF CARLSBA~ SEWER
BUILDING DEPARTMENT. PERMIT. APPLICATION
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. N O. CONNECTION DATA
CONTRACTOR'S STATE CARLSBAD BUSINESS Lateral Charge Computation
LICENSE NO. LICENSE NO.
30' H., 10' V. @ 4" = ___ b" ----
Add. Horiz. @ 4" = ___ b" -NO. DESCRIPTION OF WORK FEE ----
HOUSE SEWER CONNECTING TO Add. Vert. @ 4" = ___ b" ----PUBLIC SEWER @ $3.00
SEPTIC TANK, SEEPAGE PIT OR
P ITS @ $15.00 Total Construction Cost
OVERFLOW SEEPAGE PIT, ORAINFIELD EXTN.,
CESSPOOL. ORYWELL. MANHO LE @ Sl5.00 10% Service Charge
HOUSE SEWER CONNECTING TO Total Lateral Charge PRIVATE DISPOSAL SYSTEM @ St.SO
CONNECT ADDITIONAL BLDG. OR Lat. No.: Logged in Plot: WORK TO HOUSE SEWER @ St.SO
ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ S2.00 LINE COST DATA
0 $ A. D. & Assmt. No.
LINE COST:
OWNER'S I PERMIT s 2 00 C. C. @ __ I dwelling
AUTHORIZATION TOTAL FEE P. S. @ __ / dwelling
OTHER I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT TH E ABOVE DESCRIBED BUILD, TOTAL ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF
OWNER OR Grand Total, Lateral, etc.
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 V) V) STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-
BAD AND STATE OF CALIFORNIA OR T HAT I AM THE LEGA L
St. NORTH
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP• ENGINEERING SEWER DEPT. ERTY.
SIGNATURE Signed I Signed OF PERMITTEE
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By __________________ _
PERMIT VALIDATION