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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. .. z 0 :;: "' ~ u "' C 0: e ~ 0: .. z 8 "' "' C ., 5 ~ "' z ~ z 0 ;::: C .. z "' .. ,. 0 u .. "' "' " "' i 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 _Ll-Ql...!,~t.Q!K..e..s:r___:t~~~~~~---~~-" 0 ~· ~"~-21~3~-9::.!._I 3 ~q Zsoo PERMIT NUMSER -!.-'-'-'~-------'--C-"=:_-'--'..J.-"""'""..__,:~1 .. 'M""~;~~l ~m'b, 5,T:"3~ °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 ' ~ u:: >, ;, 0 a. E 0 r I "' 0 CJ c ro u . a. a. .,: I ~ C a: 0 00 00 0 00 00 .,: I 3 S'. Qi >- " 00 0 u 0 0: rn '<ii 0 §: " u C rn C u:: ,::_ C 0 i" CJ 0 u 0 C. 00 C 2 re ,: 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~ --~ ! ·- ! ·--·-----------~ . ---------- I i ---------- ·----------------------------~ . ---·-·---------·- ---------- . --. . ··-------· . . - . ------------ .-'--------