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HomeMy WebLinkAbout1730 Kirk Pl; ; 71-162; PermitIIAII -1-71 ~P~:o BUILDING PERMIT APPLICATION 0 t • z • Ap'?,(-;n~/;/,p/ete numbered spaces on~.ity of CARLSBAD, CALIFORNIA ~f " > , 0 0 , " " " J09 AOOR ESS /7,_j'cJ~~ t52d--, ~J ~j I LOT NO. '" r~/~/1 ~.,.;,-- LEC.AL (0~TTACHEO SHEET) 1 DES CR, , "?8"' , ./ ~ ~ i n·· 1.;ma ~ fJ~ , M.-.tL ADDRESS '" PHONE ' ~i JI}~ -/l ~ . .YfZ. 'in tO / /;fl/6, rJ~ ,,,;J./. L -01-l ''7/VJP' ~ ~i 3'."£'µ (}__(J {! o-() '3,_, f . V 6 ~AIL A]S0 0 '7 -Sra t;_,"··~y # '~~ ' ~ 'i '"'~~~~ '"'?!al/cU_ f MAIL ADDRESS PMON £ ;z!/ LICENSE NO, \\ ' ! 4 _i/1. J./. /l•f; S SI o'x__, , ES<!..., 7/s-J'~.;Lb '\ ~ ~! ENGIN£ER MAIL ADDRESS PHONE " LICENSE NO. ' 5 ~' LENDER MAIL ADDRESS Bl'IANCH 6 ' ~ ~ 7 US£ 01' BUILDING J)IJ,if ._ £-/ B,1d(I n-m dJ /;,ftL '· I - 8 Class of work: ~ □ ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE ~ ~ 9 Describe work: i ' 10 Change of use from f Change of use to t 11 Valuation of work: $ :?!Pi / ;lO uc1 PLAN CHECK FEE -I PERMIT FEE /~$ SPECIAL CONDITIONS, Type of 1t ,U Occupancy L Const. -Group Division - Size of Bldgt?t:9" No. of / Max. (Total) Sq. t. Stories 0cc. Load -- I -Fire < Us•,;;;>-/ Flre Sprinklers ~ PLl)iAj;P_N ,..,CEPTEO 8Y: PLANS CHECK 8Y: •~.,,,...."/~~v Zone zone -Required □Yes ~ f__{ . { ,F; ' i .. ~/:. OFFSTREET ~KING~CES: -No. of / Covered .:::2___ • S-;:;t:? ncovered -Dwelling Units © V NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• ZONING ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· HEALTH DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 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 HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PR~: GIVE AUTHORITY .i,%)¥10LATE OR Cw~L THE PROVI OF ~ER STAT O LOCAL LAW R U ATING CONST: U TION T E ANCE OF CON R CTION. • : •' ( ;7k,. A ~, •31 • rNyullE 01" CONTl'IACT"'"' OR AUTHOIIIZli.D AGENT lJ; 1 1/ SIGNATUf!E 01" OWNER II" OWNE" 9UtL0£1! DATEj WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. INSPECTOR Form 100.1 9-69 REORDER l""OM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e 150 SO. LOS ROBLES e PASA0ENA, CALlFORN!A 91101 / 0 • '11-$ 7 • • z City of CARLSBAD, CALIFORNIA " ► • 0 Applicant to complete numbered spaces only. JAN 15·71 s!'.ll!! 809** ~•1 •i .oo -cc • ELECTRICAL PERMIT APPLICATION 3 JOB ADDII ESS d: ,. /'l3o !P.YJ, ~,, /4 , /, L _ fl .nt,, .. , , , LOT NO, '" TIIACT (QSEE ATTACHED SHEET) r'\" a LEGAL I .:38 1 OUCII. ' .... ~' OWNEIII £1. £A.,,,,,~ MAIL AODIIESS '" Pl'IONE 2 ~ CONTIIIACTOII ,,!_.~ r,,....,, ~-MAIL ADDIIESS PHONE LICENSE NO, ~ -J 3 Q '-I ,:.,-.1. s..,__,, / "7,j'"<J. -·r,, 1n1 ~ I AftCHlTECT 0111 DESlCNIUI I MAIL ADDIIIESS PHONE LICENSE NO, ' 4 j\ "" IENGIIUER MAIL AOORESS PHONE LICENSE NO. ,. .,_ 1 ~ 5 ~ LENOEIII MAIL ADDIIIESS BIIIANCH > 6 ~ USE OP' BUILDING 7 ~EW □ ADDITION □ ALTERATION □ REPAIR ~ 8 Class of work: ~ 9 Describe work: M ., .,. 1/.,, /fl PERMIT FEES ,/fr:i.1~/•oef-' No. Each Fee SPECIAL CONDITIONS: ~~~ otel RECEPTACL Outlets ~~ ,~,_ LIGHT SWITCH Total LIGHTING Fixtures APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY FIXTURES RANGES CLO. DRYER WTR. HTR. NOTICE GARBAGE DISP. STA. COOK TOP THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DISH. WASH. CLOTHES WASH. TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF SPACE HTR. STA. APPL.½ H.P. MAX. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. MOTORS: H.P. I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO 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 NO. TRANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I NO. LAMPS TEMP. POWER lJPOLE LJUNOGO. SERVICE 0·200A ,Ao~ -l X~-I~ /k~h/ 201·400A □NEW 401-600A ~SJCJNATUIU!: O~jCONTIUC°TOII 011 7HOIIIZED ACEn• I (DATE) 0 CHANGE OVER 600A PERMIT ISSUING FEE $ !:) Otf T II_. "P' OWNEII IP' OWNEII BUILDltll fDATEI TOTAL FEE $ Au. 00 WHEN PROPERLY VALIDATED (IN THIS SPACE I THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR • .,.,..,. ... ranu, INT~RNATIONAL CONFERENCE OF BU1L01NG OFFICIALS e ~0 SO. LOS IIOBLElS e PASADENA, CALIP'OANIA 91101 CITY OF CARLSBAD ' SEWER BUILDING DEPARTMENT PERMIT • APPLICATION FOR APPLICANT TO FILL IN LEGAL BUILDING /7 .!> 0. k.., rt:.. ,L. DESCRIPTION LOT NO. ADDRESS BLOCK TRACT N EAREST CROSS ST . USE OF BUILDINGS OWNER MAIL CONTRACTOR ADDRESS ADDRESS CITY TEL. NO. C ITY TEL. NO. CONNECTION DATA CONTRACTOR'S STATE CARLSBAD BUSINESS Lateral Charge Computation L ICENSE N O, LICENSE NO. 30' H., 10' V. @ 4" = ___ 6" =--- NO. DESCRIPTION OF WORK FEE Add. Horiz. @ 4" = ___ ,, .. ---- HOUSE SEWER CONNECTING TO Add. Vert. @ 4" = ___ I," ----PUBLIC SEWER @ $3 .0 0 SEPTIC TANK, SEEPAGE PIT OR PITS 0 $!5.00 Total Construction Cost OVERFLOW SEEPAGE PIT, DRAINFIELO EXTN., CESSPOOL, DRYWELL, MANHOLE @ $!5.00 I 0% Service Charge HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ St.5 0 Total Lateral Charge CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER @ S t.SO Lot. No.: Logged in Plat: ALTER, REPAIR OR ABANDON HO USE SEWER OR DISPOSAL SYSTEM @ $2.0 0 LINE COST DATA --- @ s A. D. & Assmt. No. LINE COST: t--- OWNER'S I P ERMIT s 2 00 C. C. @ __ / dwelling AUTHORIZATION TOTAL l"EE P. S. @ __ / dwelling OTHER I HAVE AT THIS DATE A CONTRACT WITH THE H EREIN CONTRACTOR TO CONNECT TH E ABOVE DESCRIBED BUIL D -TOTAL ING TO THE PUBLIC SEWER. SIGNED T H IS DAY OF Grand Total, Lateral, etc. OWNER OR OWNER'S AGENT FOR SEWER LOCATION ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION A ND STATE THAT TH E ABOVE IS CORRECT .... ..: AND AGREE TO COMPLY W IT H ALL CITY ORDINANCES AND "' "' STATE LAWS REGULATING PLUMBI NG AND SEW ERS. I HEREBY CERTIFY THAT I A M PROPERLY REGISTERED St. AND/OR L ICENSED AS REQU IRED B Y THE CITY OF CARLS-NORTH BAD AND STATE OF CALIFORN IA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRI BED RESIDENTIAL PROP.. ENGINEERING SEWER DEPT. ERTY. SIGNATURE Signed I Signed O F PERMITTEE This is a Sawer Permit When Properly Filled Out. Signed and Validated Issued By __________________ _ PERMIT VALIDATION