HomeMy WebLinkAbout1727 FOREST AVE; ; 66-9563_misc; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 -Ext. 36
For A licant to Fill In
Owner's Name P v'tlJR..#A; d-?.ff<L-,
Mail Address I 7~ 7 ~ J. z~L-el--z<-.~ ~-<'~Z ,c£ Contractor
Contr. Address ,;f O /f-f ~ ~/L? .,,.._,:,
To Const., To Add 0 To Alter 0 Convert D
To Move From------------------
Type of Const. -.::=:a.'9£....../c;,_'z.--.=.~=-.:::7'?-...::........:!=--~..:.---------
Fr11me, Masonry, etc.
To Be Used For __ .1.b:>-..--P--'--~--=='----------
Kind of Foundation ~ C-No. of Storie.__ ____ _
Floor Space ( Sq. Ft.) -,~/'--'-(l__.._(?__,(7.c...r ________ _
G11r11ge Floor Space (Sq. Ft.) Attached !fo t? 0
Detached _______ _
/? L' /I JI 3 /-I I Legal Description /"£1:.., t~ <. d .fl
Lot Block
Subdivision d-£ ·,&_~>t.. L--<... ..::Z1.......;.. J or
7f!t~~tt-~?'J;,,
Section Township Range
No. of Existing Building --------------
Will this cons:J,uction include any plumbing inst11l111tion or 11Jter-
11tion? Yes '{'J No 0
JSign11ture of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS A PPLICATION
AND STATE THAT THE ABOVE IS CORRECT A NO AGR EE TO
COMPLY WITH A L L CITY A ND STATE LAWS REGULATING
J BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY C ITY OF CARLSBAD AND
STATE OF CA LIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE O / / /:) 1.3,, · · · f?
OF PERMITTEE~"L/.-~
Appllmtion I or BUILDING Permit
Building Permit Fee
$-<" S-8 -
OCT -7·66 ~':!0 1J26******S8.S0
Buildin De t. Use Onl
Building Address / L.~ ~ A ~ ~
St. Near ?£~~ '<",/(
Set Back Bid . Valuation
Front P.L.
Side P.L.
Rear P.L.
Group
~
Zone
R--I Approved by
Contractor City Bus. Lie. No. ------------
System
ln{pection Record
Utility Company Notified -Date, ______ By, ____ _
Final
If II check is tendered for payment for the above fee 11nd the
check is not honored when presented for payment, your
building permit will be immed;~tely revoked.
· of Carlsbad Building Dept.
Permit void rr work is not commenced within 60 deys of luuence.
CITY OF CARUBAD
BUILDING DEPARTMENT
LEGAL
DESCRIPTION
FOR APPLICANT TO FILL IN
LOT NO.
BLOCK TRACT
USE OF
BUILDINGS
CONTRACTOR ,',f/A,IOA., .$7?,.A"l
ADDRESS
CITY TEL. NO.
CONTRACTOR'S STATE CARLSBAD BUSINESS
LICENSE NO. LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER • $3.00 ~
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $!5.00
OVERFLOW &EEPAGE PIT, DRAINFIELD EXTN., • CE&SPOOL, DRYWELL, MANHOLE $!5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM • S l.!50
CONNECT ADDITIONAL BLOG. OR
WORK TO HOUSE SEWER • $1.!50
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00
• •
OWNER'S I PERMIT s 2
AUTHORIZATION TOTAL P'EE L5
~
00
i:?£..
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
ING TO THE PUBLIC SEWER.
SIGNED THIS-----DAY OF---------
OWNER OR OWNER'S AGENT ----------------
ADDRESS
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 PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
ANO/OR LICENSED AS REQUIRED BY T OF CARLS-
BAD AND STATE OF NI O I AM THE LEGAL
OWNER OF THE A ESI IAL ROP.
ERTY.
SIGNATURE OF PERM ITTEE ,L_.,c..___;=------------
BUILDING
ADDRESS
NEAREST CROSS ST.
1727
SEWER
PERMIT • APPLICATION
AUG-1-68 ~P:~o 096*******5.00
OWNER E.MIL
MAIL
ADDRESS SA~
TEL. NO.
CONNECTION DATA
Lateral Charge Computation
: :: 7.~ cri~~k--
,0% Service Chorge rl,6" # 'f..C'4CJ l}';-::--::--=-,,,,,-
~otol Loterol Chorge /26.50
30' H., JO' V.
Add. Horiz.
Add. Vert .
Let. No.: Logged in Plot:
LINE COST DATA
FOR SEWER LOCATION
NORTH
SEWER DEPT.
Signed _______ _
This Is , Sewer Permit When Properly FIiied Out, Signed and Validated
lnued By -------------------
PERMIT VALIDATION
CITY OF CARUBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOT NO.
BLOCK TRACT
USE OF ,/J
BUILDINGS #C ~..r/OE°,,._71'_. '-
ADDRESS p) C), ,,gQ V ? ~ J
TEL. NO.
CONTRACTOR"& STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO PUBLIC SEWER • 13.00
SEPTIC TANK, SEEPAGE PIT OR PITS • 19.00
OVERFLOW SEEPAGE PIT, DRAINl'IIELD EXTN.,
CESSPOOL, DRYWELL, MANHOLE • 115.00
HOUSE SEWER CONNECTING TO
--~~P~R~IV~A~T~E=-=D~l~S~PO..;;..;;.SA~L~S~Y~S~T~E~M __ O~~l_l._9_0-t---~
CONNECT ADDITIONAL BLOG. OR
WORK TO HOUSE SEWER O 11.150
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O 12.00
OWNER'S
AUTHORIZATION
• • I PERMIT
TOTAL P'IEE
S 2 00
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
ING TO THE PUBLIC SEWER.
SIGNED THIS-----DAY OF---------
OWNER OR
OWNER'S AGENT----------------
ADDRESS
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 PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE AB~O DESCRIBED RES~D NTIAL PROP-
ERTY. ' . . .4 /1 /1 SIGNATURE ~ C,/ . O F PERM ITTEE ...:__!i,_;~.::___::c.=.... ____ ~----
SEWER
o~~oa PERMIT • APPLICATION
-15-66 !':!D1,0J*****126.0Q
• 15-66 !~1,o1a•••• •••S.00
BUILDING ADDRESS
NEAREST
CROSS ST.
/4--q?.3-~
OWNER .CMlt.... ~/11~1,m•••••'II )0.00
MAIL
ADDREss I z .:z.. z 1=-C/1":,1'4. ~ s r
CITY (?,4-;tl-)...~ ~Ir/.> TEL. NO. 7 .:,.9'-!JJ'°?~
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @
Add. Horiz. @
Add. Vert. @
10% Service Charge
lat. No.:
4"
4"
4"
= --6" ---
= __ 6"=--
= --6" ---
Total Construction Cost
Total Lateral Charge
Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. ---------------
LINE COST: -----------------
C. C. @_}_ / dwelling --------
P. S. @ __ / dwelling -------------
OTHER -------------------~1) ~c. TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
~ ----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed --------I Signed --------
This Is • S.wer Permit When Properly Filled Out, Signed end Validated
Issued By -------------------
PERMIT VALIDATION
OTY OF CARUBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FIU IN
LEGAL
DESCRIPTION LOT NO.
BLOCK
USE OF BUILDINGS
CITY
TRACT
fl r:, ,J l
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
2o f 3u2
NO. DESCRIPTION OF WORK FEE
J HOUSE SEWER CONNECTING TO ' "c., PUBLIC SEWER • $3.00 , SEPTIC TANK, SEEPAGE PIT OR r
PITS • $!1.00
OVERFLOW &EEPAGE PIT, DRAINl'IELD EXTN.,
CEB&POOL, DRYWELL, MANHOLE • $!1.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 0 $ I.BO
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • SUIO
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00
• •
OWNER'S PERMIT • 2 00
AUTHORIZATION L P'l:E
,-au
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
ING TO THE PUBLIC SEWER.
SIGNED THIS-----DAY OF ---------
OWNER OR
OWNER'S AGENT-----------------
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL CITY ORDINANCES ANO
STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY THE CITY OP' CARLS•
BAD AND STATE OF CALIF OR THAT I AM THE LEGAL
OWNER OF THE A SC BED RESIDENTIAL PROP.
ERTY.
SIGNATURE
OF PERM ITTEE
CITY
SEWER
PERMIT • APPLICATION
m -3-66 !'~' m•••• ••*5.00 :;.7
TEL. NO.
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = __ 6" ----
Add. Horiz. @ 4" = __ 6"=---
Add. Vert. @ 4" = __ 6" =---
Total Construction Cost
10% Service Charge
Lot. No.:
Total Lateral Charge-----
Logged in Plot:
LINE COST DATA
A. D. & Assmt. No. ----------------
LINE COST: -----------------
C. C. @ __ / dwelling -------------
P. S. @ __ / dwelling -------------
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
~1-----------------1~
St. NORTH
ENGINEERING SEWER DEPT.
Signed ---------Signed ---------
Properly FIiied Out, Signed and Validat.d
Issued By ---------·----------
PERMIT VALIDATION
CITY Of 'WlSBAD
BUILDING DEPARTMENT
OWNER
MAIL
ADDRESS
CITY
CITY
STATE
LICENSE NO.
Z,o ¥ 102
CARLSBAD B
LICENSE NO.
NO. ITEM FEE
rz__ TOILET @ $1.25 ? ~ I BATH TUB @ 1.25 I 7 r
-I-SHOWER @ 1.2!5 I 1, ,,,....
·7 WASH BASIN @ 1.2!5 '2-. ~-0
_j_ KITCHEN SINK @ 1.2!5 J z., j
I DISHWASHER @ 1.2!5 I 2,.. i . . _j_ LAUNDRY TUB OR TRAY @ 1.2!5 J 1.., J
I AUTOMATIC WASHER @ 1.25 J 1..,)
I WATER HEATER Br VENT @ 1.50 _j_ ~
I GAS SYSTEM 1 TO 1 !5 r I s-o .30 EA. ADO. @ 1.50 r ' FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2 .00
MISC. WATER PIPING @ 1.!50
I GARBAGE DI SPOSAL @ 1.00 -L u"
VACUUM BREAKER OR BACK
FLOW DEVICES 1 TO 5 @ 2 .00 -
GRADING PLAN
I
PERMIT s 2 00
YES0 NOD TOTAL FEE s t_A' Si)
I
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY W ITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI•
CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR T AT I AM THE L EGAL OWNER
OF THE ABOVE DESCRIBE IDENTIAL PROPERTY.
PLNING
PERMIT • APPLICATION
OCT -J-66 ~P~:o Z86******18.50
NEAREST
CROSS ST.
GROUP
/7:>-)
I ZONE
Inspection Record
APPROVALS DATE INSPECTOR'S S IGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXT URES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
This is.,.4" Plumbing Permit When Properly Filled Out, Signed and Validated.
Pernlft void if work is not commenced within 60 days of date of issuance.
BUILDING PERMIT APPLICATION
~ ~~ '=' -;, City of CARLSBAD, CALIFORNIA 92008
Permit No. --. --Ph 729 1181 Applicant to complete numbered spaces only. One -
JOB ADDRESS 0 :ri -z fl\
l QsElt ATTACMEO SHEET)
ZI p PHONE OWN£" .... . MA IL ADDA t.SS
~ -111" YJ.~'IIIO
PHONE l.lC[N5[ NO.
2 ~ fllAf'\f ,~. fhl"llA"'
CON TRAC TOlll ' 3
MAIL ADD~ESS ,/ ,
., ..
~ "<,•
PHONE LtC£N5[ NO. ARCHITECT Ol't DCSIGNEft
4 ~.1~ • .,.~r ;?)
MAIL ADDRESS
ltNGIN~'-R f ., MAI l. ADDRESS PHON£ LIClNSE NO.
5 i1 I "' .,;,~ ,,.,.--.
LEN OE" . MAIL AOOJt[SS BIIIANCH
6 N~1.,n-
use OJ' &UILDING \
7
.-... J, n •-> r,; if, C.~I', I\ LJ' J --~ -. --= 8 Class of work: ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR OMOVE ~REMOVE ;~
9 Describe work: !l:'~r ,.. ,.,1 ~ -. . . ,J I
10 Change of use from
Change of use to
11 Valuation of work: $ .... ,,.., r/l.11(.,) PLAN CHECK FEE
. SPECIAL CONDITIONS: f--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Typeof
Const.
/CJ*f-1----------,.----------.-----------t Fire MM•n~/"' Zone -APPROVEO FOR ISSUANCE av
No. of
Dwelling Units ,
-
Occupancy
Group
No. of
Stories
.
I PERMIT FEE -:,_ no -·-Division
Max.
0cc. Load
'
Use ' Fire Sprinklers
Zone ? 1 Required 0Yes
OFFSTREET PARKING SPACES:
Covered I Uncovered
'· 0
QI ...
0
0
ll
fl\ ..
(/1
~
'1
~~ '~ ~
I~ -~
.V'··
NOTICE .... Special Approvals Required-5 Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING. HEATING, VENTILATING OR AIR CONDITIONING.
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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO 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.
SIGNATUlll:t o, CONT .. ACTOPI OR AUTHOJIIIZ.tO AGE.NT (DATC)
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
WHEN PROPERLY V.ALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
M.O. CASH
-u
(t)
3 -· -:z
?
~
'
//1!
0 ... Cl)
li 0 ...
/,A"i .,,-City of CARLSBAD, CALIFORNIA 92008
z .. 3
"' > -· " 0 ....
Permit No. .,, 0 "2 Applicant to complete numbered spaces only. Phone 729-1181 :: 0 .. .
0 0 ~
ELECTRICAL PERMIT APPLICATION
JOII .. DOIi ESS
''/-;; /7 7 /l.h /,_J J 7 I LOT NO. .,. I !ILK i TIIACT'L,.1L/J / / QsEE .. TT .. CHED SHEETI 1..lGAL JI
.
1 OUCII. JI/ /i I , . .,.Y/,, ,f •
OWNE"
1//1 /,
/.) j M .. IL AODIIUS ZIP -?t;-/ dt/:ON~ ·~ 2 l v" of .1 , ,, " _ _ _ ··-~ "Y.l~ r'IU
CONTfllACTOA -J w
MAIL ADD .. l:SS PHONE. LICENSE. NO. ~ 3 v1 J11 ~A-/ ~ .. IICHITECT 011 DEIIIGNUI MAIL AD0"S:SS PHONE LICENSE. NO, ~t 4
r-
ENGINCE,it MAIL AOO .. ESS PHONE LICltNSC NO, ~
5 ' ~.
LI.NOi.fi MAIL ADOfU::as .fllANCH r\.
6 ~~ USE 0~ IUILDING
7
,.,
1, 1, 8 Class of work: 0 NEW i'.0 ADDITION 0 ALTERATION 0 REPAIR
r
/:F/J /(PhA~;// 9 Describe work: llA/7[_// ~ -
t,, u! / ~J?/1 /i 1///, '
t/ {/ PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
~( ~6
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY: PLANSCHECKEO BY: APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
/ /i/fk FUSE OR BREAKER
/V-...fi.. NEW SERVICE ON EXISTING BLDG.
--FOR EA. AMPERE OF INCREASE ~3 1. NOTICE IN MAIN SERVICE, SWITCH, FUSE ll5/; u21 51 ) THIS PERMIT BECOMES NULL ANO 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 DAYS AT ANY TIME AFTER WORK IS COM-
MENCEO. 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD• 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
SIGNATUIIE o, CONTIIACTOII 011 AUTHOJlllED AGENT (DATE) .__
~.qq. . ,-.1-~ / /./5 /'7d MINIMUM PERMIT FEE ~ . ·y ) ~{.d.-.C.rLt. 'J.. ~ ~
A ~-~ o, OWMl'.'Ji fl~Dl:'t Q.&:TC)
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
1-17-7 Rou h
... ;f, 7
USE SPACE BELOW FOR NOT , FOLLOW-UP, ETC.