HomeMy WebLinkAbout1726 FOREST AVE; ; 62-5202_MISC; PermitAPPLICATION FOR BlhtD.ING 5202
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -E><t. 36
?pJ::;. ~~i~:) ........ /~~;/l ....... j"~ . .' ................ j~j~j···· .. ····Mailing Address .. {,~:! C ..... ~~ 'Cily ...... e..~~~
Contractor ······---~---···· .................................... -Mailing Address-----~--~---·· .. -· .. ······---..................... .
(Please Print) Number Street City Phone
To Construct D To Add ~ To Alter D To Repair D To Convert D To Move From ·······l]j······-·····································-···
Type of Const .. ~Kind of Foundation ...... ~ .. , .... No. of Stories ...... .{ ... To Be Used for .~~~.L°Af~ ... i ...... .
(Fromo, Mosoary, Etc.) ~ (Ono Fomily Dwelling.fsi;·;;; Etc.)
Floor Spaco of Proposed Construction (sq. feet) ........ 6.8 .. 6'>. ................... Const. Valuation $ ............. :i2:.~ .. ~ .. -~ .... -~ ................................................. .
Floor Spoce of Garage (sq. feet) ....... b.0.0.. .. .. :::~~=~ ~-Valuation $ ... 2-v.'.l.l .. 9 ...... °. .. = ................................................. .
LEGAL DESCRIPTION ................................................................................................................................................................................................................................. ..
Lot Block Subdivision
or .................................................................................................................................. Section ................ ;7 = To,;n;_;, ........ z ....... Range .......................... ..
Located at .//~i~d··H;?.(~.d ................................. Street, Near ... /..~~ ......•.....................................•...•.••.•.
LAND AREA..... . ........................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ............. /".. ............................... (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
~ ADDITION? YES................ NO ................•
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 STATE LAWS REGULATING BUILDING CONSTRUCTION.
II o check is teadered for poymeat of the above lee aod the check is . --./' V ~,?
i:~:di:~;jj r:tikeJ'.'esented for poymeat, your Buildiag Permit will be SIG~t~~~fr~~'V~·············--·····
Side Yard Set Back ................................. . ................................... . Grading Permit Required Yes ( }
N7•······································
No ( ) ..................................................... .
Front Yard Set Back ................................................................... . Driveway Permit Required Yes (
Rear Verd Set Back ...................................... ······························-Sewer Disposal Plant Capital Cont. Fee .................................................................. ..
Distance Between Bldg ..................... . Sewer Pumping Station Capital Cont. Fee ................................................................. .
Off Street Parking Spaces .......................................................... . Sewer Main Line Cost ..
Sewage Dtsposal System .............................................................. . Sewer Lateral Connection Charge ............................................................................... ..
Zone . Residential ( ) .................... ··············· .............. . Water Stocked Lands Charge ....................................................................................... .
Zone -Commercial ( ) ......................................................... . Water Main Pipe Line Fee ........................................................................................... .
Voriance ~ ,$k ~-d-;)."J 3 'P, (:. Water House Service Charge ..................................... . ................................................. .
Eng. Check By ............................................................................... . Water Meter Charge ...................................................................................................... .
Sub Total ................................................................................... .
Plans Approv~·("-···/79····~·················Plan Check Fee ...
Approved by ....... /;;:. .. cl.,c .. ~ ................................................................ Building Permit Fee ......... 9 ... '?. ... i; .......................................................... : ....... .
/ /-~-c; "'L-. 0~ ~ Date ............................................................................................................................ Total Charges ...... "::"./..~ ................... _ .......... .-\_ ........................................... _
CITY OF CARLSBAD
BUILDING 'DEPARTMENT
729-1181 -txt. 36 7585
Owner's Name ...U!LL.!<l,..,~!.....!io4:........_!,,-..,<--L...Ll'.J...f------
Appli<afion I or 8UtlD1ING Permit
Building Permit F.ee
AUG 11.f-64 ~p~~
0 8501.f*******~.50
Mail Addross / 71-~ HJ re,s_T
Contractor 8 ,• r I {!) m e,y4'-,
4Ve , t----------'------~-'------
Contr. Address -----------------
To Const. ,!I... To Add 0 To Alter D Convert 0
o Move From ------------------
Type of Const. 112a 'S.bn Jr~
Frtfne, Masonry, etc.
To Be Used For f:e,,,../.a)n,,J Yl1 lua.J/
Kind of Foundation ~d€.l:J.o. of Stories -
£ / ,IY'G",;./'-L 1 . ~'O I Floor Space . Ft.) __,_L-'V""-"1_.c... ___________ _
Garage Floor Space (Sq. Ft.)
Attached _______ _
Lot
Subd ivision Le~ or
Soction Township
No. of Exist ing Building --1--------------
Wi/l this construction in~de any plumbing instollation or olter-
etion? Yes D No ~
s;,,.1,re of AppHco:~
I ACKNOWLEDGE THAT I H AVE R EAD THIS APPLICATION
A NO STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGU LATING
BUILDIN G.
I CERT IFY THAT I AM PROPERLY REGISTERED AND/O R
LICENSED AS REQUIRED BY CITY OF CARLSBAD A N D STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIA L PROPERTY.
SIGNATURE
OF PERMITTEE -----------------
Set Back / Bldg. Valuotion /. <"d
Front P.L. ( Main Bldg.
Side P.L. ) Garage
Rear P.L. ) Other
Group Zone~ Approved by
Contractor City Bus. Lie. No.
Woter Meter Sewoge Disposal Sysfom
Inspection Record
Utility Company Notified -Date, _____ _ By·-----
Final
If a check is tenderod for payment for the above fee and the
check is not honored when presented for poyment, your
build ing permit wil l be immediately revoked.
City of Ca rlsbad Building Dept.
Permit void if work is net commenced within 60 d ays of issuance.
CITY OF 'WlSBA~
BUILDING DEPARTMENT
OWNER
MAIL
ADDRESS
Walter Hill
1726 Forest Ave.
CITY Carlsbad TEL. No. 729 3306
PLUMBER Arrow Service Co. Inc.
ADDRESS 6424 Mission Gorge Rd.
C ITY San Diego TEL. No. 281 353
STATE
LICENC36°· 176711
CARLSBAD BUSINESS
LICENSE 7553
NO. ITEM
TOILET @ $1.25
BATH TUB @ 1.25
SHOWER @ 1.2!5
WASH BASIN @ 1.2!5
KITCHEN SINK @ 1.25
DISHWASHER @ 1.25
LAUNDRY TUB OR TRAY @ 1.25
AUTOMATIC WASHER @ 1.2!5
WATER HEATER a VENT @ 1.!50
GAS SYSTEM I TO 1!5
.30 £A. AOC. @ l.!50
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING 0 1.50
GARBAGE DISPOSAL @ 1.00
VACUUM BREAKER OR BACK FLOW DEVICES I TO !5 0 2.00
GRADING PLAN PERMIT $ 2
FEE
1 .50
--
--
_QQ_
YESO NOD I T OTAL FEE s 3. 50
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
PERMIT • APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
~G_R_O_U_P~~~~~~~~~'-'=Z=ONE=--22;--+-_;~;~~~~~-
lnspection Recora
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMB ING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
This is a Plumbing Pormit When Proporly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.
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I he1 .. .,y atflrm that I am Ucensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my lice:rs is in
'"" '"'J;ltl"i~ 11 'J Lrc NooJ.,'1"~Clas1 .L----,
I hereby att,rm that I am eiempt from the Con
~~o~·~~~~i;:: ~; ~~t~~~.1i~l~~e'8t;~~,\~,
coonty which requ,res a permit to construct
;;1lter. improve. demolish, or repa" anv s!ructure,
pnor to ,ts ,ssuance also requires the applicant lo,
such perm,t to hie a s,gned statement that he ,s
licensed pursuant to the prov,s,ons of the Con
trac1or's License Law (Chapter 9 commencrng wrlh
Sectmn 70CIO of o,v,s,o" 3 of the Business and Pro
less,ons Code) or that ,s exemp1 therefrom and the
t,as,s for the illleged exemp11on Any v1olat1on ol
Section 7031 5 by an applicant for a perm,t sub1ects
tne applicant to a c1v1I penally ot no1 more than trve
hundn!d dollars {S5(())
D I. as owner ot the property, or my employees ,..,ih wages as their sole compensat•on. w,11 do the
worl<., and the strucTure ,snot ,ntended or offered for
S.Ue (Sec 7044. Busmess and P,off'SS10M Code
The Contractor's License Law does no1 apply to an owner of property who builds or ,mproves thereon
and who does such worl<. h,mse1t or through his own
employees. provided that such 1mproveme.its are
not 1ntende'l or offered tor sale If, however the
buildmg or improvement 1s sold w1th1n one year of complet,on. the owner-bu1lde1 wtll have the burden
of p,o.,ng that he did not build or ,mprove tor the
purpose ot sale!
O I. as owner of the property. am e~c1us1vely
contract1n<jj with hcensed contractors to cons1ruct
tile pro1ec1 (Sec 7044. Business and Pm!ess,ons Code The contractor's License Law does not apply
to an owner of pmperty who bu1lds or ,mpmves
thereon, and who contracts for each pro1ects ,,nth a
contracto,tsJ license pursuant to the Conm,ctor·s
License Law)
0 I am e~emp1 "n<1e, Sec
!or 1h1s reason
B I!, PC
~reby alhrm !hat I ha•e a cert1t1cate of conseoi
10 self-,nsure. or a cen1t1ca1e of Workers
Compensation Insurance, or a cer1<11e<1 copy thereof
(Sec~e)
'°"°' NO .rrr ~ 08 1 ~4 l
COMPAN, Lei'\-> °T""' ~ f"\S. c.,,
~Y ,s flle<l with the city
0 Cert,t,ed copy 1s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(This section need not be completed 11 lhe permit
1s !or one hundred dollars ($1001 or less)
0 I cer1,ty that 1n the performance o! the worl< tor
which this perrrnt 1s ,ssued. I shall not employ any
person m any manner so as to become sub1ect lo
the Workers· Compensation Laws ot Caldom1a
NOTICE TO APPLICANT If. alter mak1n11h1s Cer11
f,cate ot E.empt,on. you should become sub1ec t'J
the Workers· Compens.it1on prov,s1ons ol the Labor COOe. you must forthwith comply w,th such
prOY1s1ons or this permit shall be deemed reyo~e<l
![ 0 I hereby aHHm 1hat tl\ere ,s a ~onstruc:,on
1end1ng a,;iency for the performance of 11\e wof1< for
wh,c'1 th,s perm,! ,s ,ssuea 1Sec 3(FJ7 C•.-,1 Code,
Lenders Name ___________ _
Lende< s Address-----------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS ~~~~~---~----------~----~~~~~~-'-'-'-'--==-:'-"-
CARLSBA, JUILDING DEPARTMENT Afo . ..!CATION & PERMIT
1200 Elm, Carlsbad, Callfornia 92008 (714) 438-5525
J08 ADORESS AV. ST. DATE OF APPLICATION BUSINESS LICENSE# VALUATION
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PERMIT NUMSER
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°f~:~·~NGAO~Res+ t\-0e,riu.e. _ l1°ro~0Z:ADrn ~\(\f, ~v?.laE955o$
COT BLOCK J SUBDIVISION I ASSrs~·::';;fla-'l3 I DES,GNSR --~\De STATE LICENSE#
DESCRIPTION OF WORK
DESIGNER'S PHONE DESIGNER'S ADDRESS l------,-.--~~----,-~-:-~-.-~~---::~~~----,----1
~, W-0....~t\€..O,.,"te€-_'. d ~ \Sf;).;)$ , , >cR ecev. NO occ GP EDU '
crnsus TRAC, -1 ce CANO use I eAR<,NG seACe
I- I 07 A STORIES -,, _3 LT. ,o ,o
RCS UN'Vi I
YO N 0
GRADING f:ERMIT ISSUED
I
REDEVELOPMENT
AREA
rO r-..0
TYPE
CONST
CCC LOAD Fl AE SPA
vO NO
ZONE 551
PLAN I.D. # BLDG USE CODE
"'$oL..AR..
STANDARD PLAN# BUILDING sa. FOOTAGE
Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE ?so QTY. MECHANICAL PERMIT -ISSUE 30o SUMMARY/ACCOUNT NUMBER
,___
EACH FIXTURE TRAP
EACH BUILDING SEWER
~ EA_~~ WATER H_E~TER AN9~~~
EACH GAS SYSTEM 1 TO 4 OUTLETS ----
EACH GAS SYSTEM 5 OR MORE '---+--
_ __,___
l I--
INSTALL FURN DUCTS UPTO 100.000 BTU ----------
UVtH lUU,000 BTU
i BOILER/COMPRESSOR UP TO 3 HP . -------
BOILER/COMPRESSOR 3 15 HP
VENT FAN SINGLE DUCT
-----------
BUILDING PERMIT -----=-R SIGN PERMIT ------. . ---
PLAN CHECK
TOTAL PLUMBING -- -
ELECTRICAL ----
MECHANICAL
>----
EACH INSTA~. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
~~~TE~ SOFT_NER
t,r:METALFIREPL;zE
MECH EXHAUST HOOD·'DUCTS -1 L. ~~~ OF EA FURNACE/HEAT_E_R_~
+ +---------fl--
MOBILEHOME
. ~ MOBIL~HDM!!-A-RK-IN_S_P __ _
SOLAR
---------+----
---j_~ /"2,?e,__::
TOT kl MECHANICAL --
----
STRONG MOTION
EACH ROOF DRAIN (.',JSIOE1 --,-+ '--j
FIRE SPRINKLERS 12 0 ·---· --S-O~L~A~R--~l~S~S~U~E~----bcc-------ll-:-~-~:-~~ ::~ILITI_E_S_F_E_E __ _
NEW CONST EA AMP:SWT !K_R_______ ·--~ COLLECTORS -·-------=------=-----==-SCHOOL FEE:_ ~ISTRICT ______ ._
3 PH __ · __ J_ STORAGE TANKS Carlsbad
TOT Al Pl UMBING ~~~~~ ----------1---------
QTY. ELECTRICAL PERMIT -ISSUE
-----
-------
e-----+-I P _H __
EXIST BLDG EA AMP1SWT:BKR I ROCK STORAGE Enc1111tas
~ -·· --------r-. =,-r _ PUMP San~~-
PLAN CHECK FEE San Marcos
I PH ]PH ~-----
,_______J___REMOOEL:ALTER _PER CIRCUIT
TEMP POLE 200 AMPS ~ r0_'JER_200 AMPS ---
TEMP OCCUPANCY {30 DAYSI -t--
1
---j
---_ __. ---1---------I-
----U--
:_ __ -----'
---
-----
-----
---+----
---
TOTAL ELECTRICAL 1 TQTAl SOLAR 13 .::70 TOTAL FEES PAYABLE I 13 ~o
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit isauedbytheBuildingOflictal und8fthe pro11isionsofth11
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUOlNG THE Code shall ex1»re by limitation and become null and vo1d. II the building or work
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVEFI s· O" DEEP ANO OEMCJLITK)N OR CONSTRUCTION OF
STRUCTURES OYEA 3 STOfflES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE JF A PERMIT tS auth~rized by such ~'!lit is not commence_d within 180days fro": the date of such . permit. or 11 the ~ildmg or work authoril.ed by such permit 1s suspended or
ISSUED. TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-L:•:b:'"c"'°:;,"ced:":'c'C'!!"~te,•me,!•1•!!!!tte~,~fh~e!..!!w~o~<k!..!_!i,c'"o~m~me!!!!~nce£!!d!.!Jfo~,J•!J!~'Ci,iodo,J_~oLI l180!!Q.~da..,,L-,::::-~~~~~~~-------,.,.-----------~
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND A!PLICANrs SIGN.ATURE .. ~ ,OWNERD CONTRACTOR D 7ifVEO BY . t· DA.TE .
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE J/117 t: ~ J >II .... -. ...... I -,. ,,, --?I_~,
GRANTING OF THIS PERMIT. f fj_t,l,t,l.y'--A.. . t.."11-,/ BY PHONE D _:: f'Tt)/Vl().).)v(... I /; (.,) U
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROOND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING ,I
G. F. I. -SMOKE DETECTOR.
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS.
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL £' < -
PLUMBING . "\ 'V" n:,u.-,, (~
ELECTRICAL .A_\..\,~"' • ' V I
MECHANICAL l(\ \
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF ocr· ~ANCY ISSUED
15 /;b o1
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL --
SOILS COMPLIANCE
PRIOR TO -~
FOUNDATION INSP
..
STRUCTURAL CONCRETE
OVER 2000 PSI .. PRESTRESSEO
CONCRETE
f----·-·-i-------··~ POST TENSIONED .
CONCRETE . ... ..
FIELD WELDING
I HIGH STRENGTH
. ... r--.. ·------------~
i SOL TS ·--------·--------------------· .. ..
I SPECIAL MASONRY
! ' ~--·· ----------r------
! PILES CAISS0Nt~ --~
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·----------------------------~
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