HomeMy WebLinkAbout1065 PALM AVE; ; 75-947; Permit0 0
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDA [S5 I ASSESSOR'S --i !-, r4/ /YI fJV/; PARCEL NUMBER ,
LOT NO. I OLK I fftACT eo ..... " PAGE I PAR,
LE GAL I 0sec ATTACHED SHCCT) t DESCft,
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MAIL AOO!lttSS -, ZIP PHONt
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CONTftACTOA --J MAIL AOOR[SS PHONE LICtNSt: NO. STATE CITY
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A"CHIT(CT OA OtSIG,..Eft MAIL AOOAESS PHONE LICtNSt NO,
4
ENGINECR MAIL AOOAESS PHONE LICC.NSE NO,
5
6coM~SAT~ON :)!;_7Jl:. .-MAIi.. AOOAC SS 8ftANCH
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ust 0,. BUILDING --Ii
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8 Class of work· 0 NEW (]"1(□01TION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: .P--:,,r.X 1/.J/_ .J'__..... .Af~ -_ _,, _/ /) -I/ ~_;L?/.,Q~ >,. -~ -If . V ,c -
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10 Change of use from
Change of use to
11 Valuation of work:$ c:;. -:;.,~ c,., J I /rk "'t:J Jc ,e-_1/_ PLAN CHECK FEE$ PERMIT FEE $
~
SPECIAL CONDITIONS: -J -• MICRO FILM FEE
Type Of J Occupancy
Const Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
~ Fire Use Fire Sprinklers
APPLICATION ACCEPTED SY PLANS CHECKED SY APPROVED FOR ISSUANCE SY Zone Zone Required OYes O N o J; .. &7-1.!J-? -No. of ~ , OFf'STRE:ET P~KING SPACES:
' No ;-:, I No. DATE Dwelling Units Co~ered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, V ENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· ~
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS. OR IF FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED O R ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· OTHER (Specify) MENCED.
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I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED W ITH 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.
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5IG~ATU .. l 0,-CONTAACTO~ 0" 1-UJtlO"lllO AG,£NT IOATCJ
(,,;11~ / / -~J !IC. .. /? r;;--
11111c;;M.&.T,tl:•£ o, OWNlll i'': OY'fM[':__!~1, f'l""t"~ "" (OAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE} THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR r ,o~
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 9-Jl!)---;J~ --0 -r -AA.~J 7, ... ~ --
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
7-14-75 5/8 bar around perimet_~r with #4 horizontal bar_ evUY._3 ' installed
before pour. T . Mata
7 --2-8 -7 S-F'rmnt:! -t"> 7K . ir-:--Nel s on
7-30-75 Drrwall and frame : O.K. B. Nelson
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ELECTRICAL PERMIT APPLICATION •I
City of CARLSBAD CALIFORNIA 92008 ' -'l--»--Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOI ADOII [SS , ,, ~ _i,_,._ . ~
LOT NO, IILK I T•ACT -
LEGAL I Q sr.E ATTACHED SHEtTI 1 ouc•.
OWHE.1111 ~ MAIL AOOPU.9.S ., tr ~-l"'"
ZIP Pli40Nl
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CONTfU,CTO" ---r -MAIL ADOIIIIESS PHONt -. LIC[NSt NO, ST ATE CITY ---,,,
3
,UICHITECT O" OllSIGNEIIII MAIL A00fl.[9S PHONE LICENSE NO.
4
~Nt.lNE.[1111 MAIL AOOAESI PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL AOOtlE.SS BIIANCH
6
-
7
US£ 0~ I UIL0ING 0 -:ff.,.. (J
8 Class of work: 0 NEW i;;:J ADD ITION 0 ALTERATION 0 REPAIR
9 Describe work: 0 "--:1J~ ~ --:I: --~~ /~ p ~~~ --_pgr .;l,u' ~
R 1' n _jJ &In A --{/4 -"
--~. ~/Jo~ r ~~ ( ~ a ~
I -n~-4'-_ = ~ Zi"~ .11--' ' PERMIT FEES
,_ /') _,, -.-~ l✓ J. I '-",-;. t.~l/.11--1 No. Each F8'
I SPECIAL CONDITIONS: ,
~ ISSUANCE OF EACH PERMIT
/ ol
I -1,
NEW CONSTRUCTION, FOR EACH ..)
AMPERES OF MAIN SERVICE, SWITCH, -APPLICATION ACCEPTED 8,Y PLANS CHECKED SY APPROVED FOR ISSUANCE 8Y FUSE OR BREAKER
/.__Jr( DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INC,REASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR N OT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INC LUO· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
PER 100
~ 810NATUlltE OP' COH1'"AC.TOfll o.-AUTHOfllZ.EO AGENT (OAT£)
t~AJ '-· .,,,. ~ ;,.-' ,I -,f I I J'9 --;. /~MIT FEE 7' '~
/ -.,.., .... ,.,IA& OP' ftl.Ml.\~" fl P' OWNtll aUILDCIII -~-0-A'PEtr -•
.I A ID .TED I HIS SP T I WHEN PROPERLY. V L A (NT ACE) H S IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR