HomeMy WebLinkAbout1301 Pine Ave; ; 76-15; Permit' 0 ~ BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No
JOB ACOR £.55 ASSESSOR'S
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CON T RAC TOA J( I t MAIi: A00A£55 PHONE LICENSE NO, STATE CITY
3 ,.0
AACHITECT OR DESICNE" MAIL ADDR ESS PHONE LICENSE NO.
4 ).J -oft, e
(HCINE [R . MAIL ADDRESS PHONE LICE."45£ NO,
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COMPENSATION INS, CARRIER MAIL ADDRESS 9AANC"4
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USE Of 8 UI LOI NC ,-i,.-
7 7 f;n J .,.
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : \ k J 0 :')C\ -t'""Q \I) \'1@ ..... t::>' ""'· _,I :~:1
"
10 Change of use from
Change of use to
11 Valuation of work: $ _r e:n::7 ~ ;l, C/ '" <J Q(!T)
PLAN CHECK FEE s / -I PERMIT FEE $
eiO
' MICRO FILM FEE
SPECIAL CONDITIONS: Type of " ' Occupancy -,-
Const. -Group l -
Size of Bldg .. (,,o No. of I Max. ~
(Total) SQ. Ft. Stories 0cc. Load
Fire 5 Use ~ J Ftre Sprinklers
APPLICATION ACCEPTEO av PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required 0Yes -0No
fl 4.d/-s-No. of ~ OFFSTREET PARKING SPACES·
b Dwelling Units No. !No.
DATE Covered SQ. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, OR IF FI RE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-'----~-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT.
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.
SIC.NATUJII:~ o, CONTAACTOIII Oft AUTHOIIU?ED AGE.NT (DATE!
CJ.~ Gt • f \l~ ct L . 'i J
SIC.NA"f'iJJll:r 0,,. OWNER 11, OWN[JII: 1JtLD£") (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
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.
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BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. /_ ._/'._ ~
Joe ACOR [SS /tJb'r. ASSESSORS .r
/ J,;,:~ / ~,;AJ e >h.e frv.PJ~ ,.& I /~ PARCEL NUMBER I LOT NO. , ·L• I T~ACT r ~ ..._ .,,.,,.
BOOK'.rA!E .i PAR,
LC GAL 9 £.E A~CHCD SH<CTI ,
1 ouc~. 1?' J ~:. f / 7 ( ,,, .// 1~· , ti_ ' 2 OWN/~_;,, /h ~; e. ~L,r,,~,.., / MAIL. ADOIIII £5S ?IP
/ .~)'~ ,2t_ ~~'HONE , -~ J /1.itr L)ld" / ,,' ~•.:::1 ~· ;.,,d': t/ 7
CON TIIU,C TOfll -MAIL ADOfll[S~ PMONC t/"LICENSE NO. STATE CITY
3 r-£i-. ... .,,, ' AIIICHIT[CT OR DESIC:-Nt.PI
4 .h't./#(
MAIL AOOR£.SS PHONE L.ICCNSC NO.
[NCINCllllt ,. MAIL ADDRESS PHONC LICL"iSC NO.
5 A/ON<!.
COMPENSATION INS. CARRIER MAIL A001f11ES5 8,.ANCH
6 _f$l n1., e " use OP' 8UILOINC ,. ~ 1r> ~1-1t~ 7 I -' • / r/:;·.· /, l # f ff/ .J ., : C
8 Class of work: O NEW 0 AD DITION 0 ALTERATION 0 REPAIR OMOVE 0 REMOVE \ -
9 Describe work: J~./.G s..J /ri~ / .. ~~ti/ ..>A,, d__..,,~ ~ _/~,,; ... h' j ;,.;· ~..J " /'
"' . /r " ----~ . . F
. -. J' l'.J._ /-S-rj),,/f ri,. /I ~; ~ _A .I / .x .J I
~c --I
10 Change of use from
Change of use to
Valuation of work:$ -v I PERMIT FE·: $
-,;-11 ~OrJ"0 ,, ~--PLAN CHECK FEE$ -SPECIAL CONDITIONS 1..,:' MICRO FIL.M FEE Type Of Occupancy
Const Group
s,ze of Bldg. No. of Ma~
(Total) Sq Ft. Stories 0cc Load
Fire Use Fore Sprinklers
APPLICATION ACClPTEO 8YJI" PLANS CHECo<EO BY APPROVE O FOR ISSUANCE BY Zone Zone Required 0Yes 0No -I OFFSTREET PARKING SPACES
D~,,c,,.
No. Of
,) Dwelling Units No. !No. DATE -Covered Sq. Ft. Open
NOTICE Special Approvals Required Rece111cd Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. ,
APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. 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. .
SIGN.ATUftt. o, CONT1'ACTO .. 0 .. AUTHO,tJZltD AGltNT IOATEI /, '-A~. (f
,,,.
i .~ L-~ Le::• . > H~ t 1l
~IC.NATu,tt' o, OWN[fll Hf" OW~CIII IUILD[ .. ) -DA Tl
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD 1~-r..f . ~s--
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.
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