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HomeMy WebLinkAbout1760 Kirk Pl; ; 72-269; Permit- BUILDING PERMIT APP LICATION ,. City of CARLSBAD, CALIFORNIA 92008 Permit No._ Phone 729-1181 ..a.....r:·;111 Applicant to complete numbered spaces only. JOB ADDA ESS 0 ... ~ 0 / //4/, /-,/; // z Ill ,,. I'\ ► LOT NO, -· !OLK ' r I T~ACT " ---ll 0 LEGAL I o/-/ (0:SEE ATTACHED SH[£T) 0 t 0£$C~, ll I'\ MAIL AOOllltSS ZIP PHONE "' OWNtfll 1/1 ~ 2 /.._ . /,.,,.,,.,. -,: r ,~ ~""7 ,~ r-.A , _, . D 7'f 7.r:.z:U. 'i ... ·-,; ·-' ' CONT .. ACTOR ,__ MAIL AD0Rt5S -. -.., PHONE '' •J -LIC£NS(.Nv. 3 (? "\! . ' ,F ·~ AIIICHITECT O" DiSIGNUI -MAIL ADDRESS PHONE LICE.NS£ NO, ~ 4 /.." ,. I ~ ) / ,· ~ lNGINCC.111: , MAIL ADDll£55 PHONE. LICENSE NO, 5 A,,~ -I• j > LE.NOE.Ill MA.It.. ADOR[SS 8111:ANCH 6 ') C:-_ '✓,?,, '7 A ~ ,, us,; o, 8\fflDlNG ......... . ---,-, 7 I /_~ ,.,,,. ./ ,L ~ _) i r ..... c,L/.-,..,# • _,,, .., ..,, - 1'"" -0 m NEW / o ADD1T10N r L . "' 8 Class of work: 0 ALTERATION /0 REPAIR □MOVE 0 REMOVE 3 --... -:z 9 Describe work: ~L L. L~~ _ C"~---.,.,,.._, n _., -:t, ,,JU-~A -~ /,,ff' 4', A _.,.,,I ~ ,n (\ f' ~ ----I' ----II • 10 Change of use from I~ I Change of use to I~ I PERMIT FEE i~ 11 Valuation of work: $ ,? /-...,... PLAN CHECK FEE /· '-F. ·~. SPECIAL CONDITIONS: , --_ _, -Type Of ff Occupancy 4 ?":r.......~ ..7:.. ✓~---J,_._ ,,,,,-x ///. Const A/ Group _;_::,-Division -· IJ'.r., ~-~-,,..----~ .,A { ..---.,,. 4 ~~--::. -. '/1 ,i..,.~-,;; --Size of Bldg. . ' No. of Max. .,__.-.. .,.., --~ t.r,,_l( "-·--..-,..... -~ --v--(Total) SQ. Ft. ,A ..::-:z Stories ?_ 0cc. Load V Fire tr;;;,-- Use Fire Sprinklers APPLICATxro 8V PLANS CHECKED BY t;,( APPROVED FOcr_~ce BV Zone Zone J't .. Required OYes Or.fo ' OFFSTREET PARKING SPACES ~ No. of / I Uncovered 1, Dwelling Units Covered i. ... NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• ZONING ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. p THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT h PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM• OTHER (Specify) MENCED. 1: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ., rv,. "--.. c A I n. 0 ~.~ .__,,,_ rt.t:-)-', 1•: 51GNA1'UtU. 0 r CON Tl'U,C TO ft Oft AU THOfHZ.tD AGl:NT ., (DATE) - SIGNATUIIIE 01' OWNEIII 1,-OWNER IUlt..OEfl) IDAT£) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I• PLAN CHECK VALIDATION CK. M.O. CASH PER MIT VALI DATION CK. M.O. CASH < '-----~- INSPECTOR CITY OF CARLSBAD ... ·~ SEWER BUILDING DEPARTMENT PERMIT • APPLICATION FOR APPLICANT TO FILL IN LEGAL BUILDING DESCRIPTION Lo·r NO ADDRESS BLOCK TRACT NEAREST 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 LICENSE NO. LICENSE NO. 30' H., 10' V. @ 4" = ___ /," ----- NO. DESCRIPTION OF WORK FEE Add. Horiz. @ 4" = ___ /," ---- - @ HOUSE SEWER CONNECTING TO Add. Vort. 4" = ___ 6" -PUBLIC SEWER @ $3.00 ---------SEPTIC TANK, SEEPAGE PIT OR Total Construction Cost PITS @ $!5.00 ---OVERFLOW SEEPACE PIT, D RAINFIELO EXTN., CESSPOOL, ORYWELL, MANHOLE @ _!5.00 I 0% Service Charge HOUSE SEWER CONNECTING TO Total Lateral Charge PRIVATE D ISPOSAL SY STEM @ ~o ----CONNECT ADDITIONAL BLDG. OR lat. No.: ·-Lo22ed in Plat: WORK T O HOUSE SEWER @ s~o __ -ALTER. REPAI R OR ABANDON HOUSE LINE COST DATA SEWER OR DISPOSAL SYSTEM @ s2.oq_ --- @ s A. D. & Assmt. No. ------LINE COST: -- OWNER'S I PERMIT _5_ 2 00 C. C. @ ___ I dwelling - AUTHORIZATION TOTAL FEE P. S. @ ___ / dwelling OTHER -I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD, TOTA'4/ ING TO THE PUBLIC SEWER. DAY OF Sl)GV SIG NED T H IS Grand Total, Lateral, etc. OWNER OR OWNER'S AGENT FOR SEWER LOCATION 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 V, STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALI FORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP-ENGINEERING ERTY. SIGNATURE Signed _____ ---I Signed OF PERMITTEE ----- Thi1 i1 a Sewer Permit When Properly Filled Out, Signed and Validated Issued By . PERMIT VALIDATION --.:n SEWER DEPT. NORTH 0 .. 1.{ ,. 0 ;y51 z .. -City of CARLSBAD, CALIFORNIA -I! ... ,.. > ,r " 0 0 " ELECTRICAL PERMIT APPLICATION 3 Applicant to complete numbered spaces only. ,.. :~J .. .. Joa •00111: r.ss 1760 'l LOT HO. I 8LK I TRACT tOscc ATTACHED SHEET> LCGAL I "' 1 DESCft. OWNER: MAIL ADDR:CSS ZIP PtitOHE /\ 2 • 'J ~, &_ W~ I . f!(JN~TR' .T { ) . ! COHTf ... ,CTO" MAIL. ADOR:ESS PHONE LICENSE NO. ~v.11· I ~ 3 t:Tnl CAL SFuV _ 1 I , -2(n11J. ,_ J A.,tCHITECT O" DESIC.Nl" MAIL AODIU;ss PHONE LICENSE NO, 4 ENGINEER MAIL AOOR:E.SS PHONE LICENSE NO. 5 ' LENDER: MAIL ADDflESS 8111ANCH r :-\ 6 I !~ ,, l:j USC o, IUILDING ' 7 J. rt IV r TI ,n 'J (' \ 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR '-i.Ji iJi 9 Describe work: ELFCTRICAL WlRIHO .. PERMIT FEES 71 'i J ,12:t' No. Each Fee SPECIAL CONDITIONS: Ir Total RECEPTACLE Outlets / t , LIGHT SWITCH Total LIGHTING Fixtures APPLICATION ACCEPTED BV: PLANS CHECKED BV APPROVED FOR ISSUANCE BY FIXTURES ' ~ ✓;r✓ ')'-". _/-.._ . 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. 1/2 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 T HIS 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 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. NO. LAMPS TEMP. POWER U POLE LJUNDGD. SERVICE 0·200A ----201·400A .,. / L L?l, L1-2 □NEW 401-600A SIONATU"E OP' CONT,U,CTOIII 0111 AU THO .. IZED AGE.NT !DATE} D CHANGE OVER 600A PERMIT ISSUING FEE $ alCN llllt OP' OWNl" I P' OWNCfl autLDE.111) (DA.TC> TOTAL FEE $ \ ( WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH AUDIT Form 100.3 9-69 JIIEOIIIDE" ,fll:OM; INTERNATIONA.L CONFltA £N C:F n,:-PUIH n1 ... ,r-t"'ee1,..,,., • -•" .. - I , ,. • • , • INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT: ' / PLAN RECEIVED BY: _ _,,J-4..._-+--_________ DATE: __ 3..,._,1/_ t,t,_,.,.h~_d, ___ _ BUILDING ADDRESS: ? (; 0 f:, r /2..,J<._ (>(._ OWNER: 4« tJh f 4-{;.)a JJ;/(hk ~, · r -. " CONTRACTOR: ~j. ~+/, 1 , jv -~ 3r\(3 . PLANNING DEPARTMENT: PLANS RECEIVED BY: __ W:.:;...:C~,-S::.c.::·,,,...,....,',.£ __ -~ ___ __;DATE: . 3 -i::: _ 7 1 UNITS PROVIDED: ___ ~ ______ ALLOWED: __ ~ ______ ZONE: /(,-/-7,S PARKING SPACES PROVIDED: __ ...:::;~_, _____ _;REQUIRED: ___ ~=~----- SETBACKS : __ ___,d....__.J,:;""--_______ PROTRUSIONS IN SIDEYARDS: µ_,,,._ A.... APPROVAL TO ISSUE PERMIT -1.J.)<3§;;,. OCCUPANCY APPROVAL: wOsS? ENGINEERING DEPARTMENT: DATE: 3 -C -,?'t , DATE: Y -/ C -7' 2., PLANS RECEIVED BY: /2., --r,-,r v,,_, DATE: 7 '8 -7 2,_ -----~~~------- RIGHT OF WAY: ~ Y 15T/;.)6 INDUSTRIAL WASTE N ,t -------~~-------~-'-,------ $ J. IMPROVEMENTS ______ ,_, ________ S.EWER CONN. So CI_CJ r"..j/: P~, ,.,,, ""'" (,., DRIVEWAY LOCATIONS _____ 1_1 ______ WATER CONN. (".1F;:n; ,2 A\ I(, Q,1,,--:--• ,~1 EASEMENTS: ______ /'/""-'-o_i<J __ E ______ DRAINAGE ____ ~,-"'----'S~r~~""-"E~,,_-_, __ _ LEGAL DESCRIPTION: ___ L_._o_r __ ;d ___ 4-'--'/ _ _,G=--M~/)_(~S~6~A~0 ...... ~~~(~M-"~·0~<_'_#~--1 ____ _ 2.. '57 () ,:. µ ' . {'I '_l .• ; f-: _ FIRE DEPARTMENT: PLANS RECEIVED BY : _______________ DATE: _________ _ FIRE PROTECTION EQUIPMENT ____________ FIRE ALARMS _____ _ EXITS: _________________________________ _ FIRE HYDRANTS (location) _______________________ _ SPECIAL HAZARDS: ____________________________ _ J'.PPROVAL TO ISSUE PERMIT DATE: -----------------------"'PROVAL FOR OCCUPANCY: DATE: ------------ ® ~, LE.6& DE":>C.RtPTIQf,.J = l...DT 4/ OF 021.he,6,C> /N::,J.JOfl UIJIT ~o. 1 C..IT't' OF <..t.<l.LM!,t:,0 <.t?UL ITV or-/-A/.J ~, ..__"TATE!. OFc.AL.1 F.' \ I / / -\ ' i I • ... ? ✓ / / ✓ , ,_t /:I>'' /·p / • * ~g ~IF\/ ~f?"\W,'f c:i .:;,'TY oi=u44 ~ (31...0~r;::,e::Pf':