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HomeMy WebLinkAbout1284 PINE AVE; ; 72-1431; Permit1c2 --14-31 BUILDING PERMIT APPLICATION Permit No.--~--- Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Joe ACOR £S5 \ 0 '-::e 0 z (l) rn )> LOT NO. I BLK I TRACT ~ 0 L E GAL I t0SE£ ATTACHED SHEET) 1~ ,iJ 1 DESCR. WI f~ OWNEl'I ,j MAIL A DDRESS ZIP PHONE VI 2 \ \ ( L i ) \ I~-,,_ ' I CON TffAC TOR -e\\ MAIL 4DDRESS PHONE LICENSE o. 3 '.:\ ARCHI TECT 0 .. OESICNCR MAI L ADDRESS PHONE L ICENSE D. 4 --ENGINEER MAIL ADDRESS PHONE LICENSE "fO. 5 (;... 13' I~ LENO EA MAIL ADDRESS BRANCH 6 USE Of' BUILDING 7 8 Class of work : O NEW 0 ADDITION D ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work : I .. I () • I I 4... 5 O'>t.>..:, l l ~0.0 :MS ' -.M JI,_) \ .' ,iJ,,•.,..1.t' I 'I" r" f T ',1_, S, .,,,;A,t=-,i ,.,,,_, I,. 1?. ' , ~ 10 Change of use from Change of use to \_/ ,,..-_,h ,L---/;1 o,o 0 "-I PERMIT FEE ·~o JP.-' 11 Valuation of work: $ PLAN CHECK FEE SPECIAL CONDITIONS: Type of Occupancy -'\.l,I. Group L Division ~ Const. r Size of Bldg. No. of ( Max. (Total) Sq. Ft. Stories 0cc. Load - Fire ~ Use Fire Sprinklers APPLICATION ACCEPTED BV: PLANS CHECKED BV APPROVED FOR ISSUANCE BV Zone Zone Requlfed 0Yes QNo #~ No. of OFFSTREET PARKING SPACES: 4/fV' r,.../A~ Dwelling Units Covered I Uncovered NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING ING, HEATING, VENTILATING OR Al R CONDITIONING. HEALTH DEPT. . THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT. - CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A ! SOIL REPORT I " --PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-\ .; MENCED. OTHER (Specify) 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 I . HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ' r I PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING f I l CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ! l I t l I SIGNATURE OF CONTRACTOR OR AUTHOR!Z.E.O AGENT (DATE) l \ c ~ SIGNATURE 01" OWNEH (IF OWNER 9UILOER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR z 0 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 USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. ELECTRICAL PERMIT APPLICATIO , ..., Permit No .. _/~----~ .......... _,_ Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 J08 AOD" ESS ....,;, 1 ~~=~~-<OS£~ ATTACH!.C> SHE.ET) OWN£" ZIP 2 CONTIIIIAC1'0R: MAIL ADDIUSS PHONE I.IC tNSI. NO. 3 A"CHITECT O" DICIIIGNC" MAIL ADD111E55 PHONE: LICENSE NO. 4 I.NGIN!:£" MAIL ADC,.ESS PHONC LICIEN:5 NO. 5 LE.NDltfl MAIL AOOA£S5 IUIAN(;t,l 6 US£ o, BUILDING: 7 8 Class of work: ONEW El ADDITION !2r ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Each Fee SPECIAL CONDITIONS: NOTICE 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. AL.L 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 THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. } (DATEI ~ OWNEfl 1, OWN E.1111 BU 11 .. D!." DATE: ISSUANCE OF EACH PERMIT NEW SERVICE ON EXISTING BLDG FOR EA. AMPERE OF INCREAS IN MAIN SERVICE, SWITCH, FUSE OR BREAKER . REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE TEMP. SERVICE UP TO AND INCLUD· ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 MINIMUM PERMIT FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. INSPECTOR M.O. CASH "'tJ ... <n 0 .., .. 3 ,. -· " .... " "2 ~ 0 .. . PLUMBING PERMIT APPLICATION Permit No. City of CARLSBAD, CALIFORNI~ Applicant to complete numbered spaces only. Joa AOOR ESS 0 L -i:J :; 0 (1) ' ,_,,. I u z ID~ 3 I -ft1 )>;:;: LOT NO. I BLK I T~ACT ;u g :z LE<iAL r (QSEE ATTACHED SH~ETJ 1 OESCP. I• :u? -11 ft1 MAIL ADD,-£S5 tip PHONE V> OWN£, .. V> 2 L: i \~~r.r"tl I ,,n A~ I I Jt,\I 1 CONTRACTOR • MAIL A.ODRESS PHONE LICENSE NO, 3 .:,~tf 1-,. ARCH ITECT OJ\ DESIGNER MAIL ADD~ESS PHON£ LICENSE NO, lb. 1~ 4 _-<' ' I~ I~ ll\ £NGIN££R MAIL ADOA£.55 PHONE LICENSE NO. 5 ( _, LE.NOE'4 MAIL ADDRESS !I RANCH . 6 c-t{ USE OF 8UII..OING I• 7 -8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: ,-~ n.-.""' \ ~ (,1". . I) .. ~., f "'? l. ,J _<' ........ ., . { ..tJ 1) 1Jr ~ ~ ..__ . ..._q ... ,..)(..., ' PERMIT FEES ' No. Type of Fixture or Item Fee SPECIAL CONDITIONS· WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATIOIII ACCEPTED BY. '''~'"'~~ '"';::)~'"cr" LAUNDRY TRAY r.J/Y'--CLOTHES WASHER WATER HEATER NOTICE URINAL THIS PERMIT 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 MEN CED. GAS SYSTEMS, 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. t _, ) 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 SEWER ... CESSPOOL . / SEPTIC TANK & PIT -~ -~ SIGNATUft£ OF CON!AACTDR ..OR-AUTH0"12ED A,t-...T (DATE) PERMIT $ I I TOTA L FEE $ SIGiNATU"E OP' OWNER (If' OWNER BUILDER DATE) I WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA LIDATION CK . M.O. CA SH INSPECTOR APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM CITY OF CARLSBAD ENGINEERING DEPARTMENT 729-1181 EXT. 35 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUILDING LEGAL DESCRIPTION REMARKS: EXISTING BUILDING LATERAL LOCATION ST. i-: en LATERAL NO, _______ INSTALLATION DATE------- BUILDING DEPT. ISSUED BY ----"--..:..::...:.___;;_.:....:.... _________ _ DATE ISSUED ----------------- VALIDATION LATERAL CHARGE COMPUTATION STANDARD 4" (Max. H. 30', V. 10') _________ _ OVER 30' H. ___ @=~· ___ FT. _________ _ OVER 10' V. @ FT. _________ _ STANDARD 6" (Max. H. 30', V . 10') ________ _ OVER 30' H. ___ @, ____ FT,---------- OVER 10' V. @ FT,---------- TOTAL CONSTRUCT! ON COST-----=----- SERVICE CHARGE (REPAVING ETC.) ____ __;_,_...c..._ __ TOTAL LATERAL CHARGE ____ ___;;__;:._ __ _ LINE COST DATA ASSESSMENT DIST. NO,-------------- FRONTAGE ____ COST PER FT. ___ TOTAL __ _ OTHER-------------------- CONNECTION FEE NO. UNITS ___ COST PER UNIT ___ TOTAL--- PUMP STATION FEES NO. UNITS ___ COST PER UN IT ____ TOTAL--- TOTAL CHARGES (LATERAL ETC.) ____ 2~~~9:-__ SD __