HomeMy WebLinkAbout1768 FOREST AVE; ; 74-1309; Permit-
BUILDING PERMIT APPLICATION
Permit No. /
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 7 29-1181
JO& AOOR £SS 0 '-
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l'1 > I LOT NO. I BLK I T~ACT
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LEGAL (0St.l ATTACHED SHCtTI 0
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OWNEIII MAIL A00"£55 ~IP PHONE. ~ 2 .. r A It/A LE i!. .,/ './// ~--n~r.rr I" t' ~ ~ CON,,.ACTO" MAIL AODR£SS PM ONE LICENSE NO. ~ 3 ..('T t"PA !'T ;4 :r.1,:· ?J2/?l39 U/-2 .HJY'29 t5Y9J /,,,·. -~ ~
A.flCHITCCT Ofl D£Sl<".NE.JII MAIL AOOAESS ,-PHONE LICENSE. NO.
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ENGINl.£Pt MAIL AOOA £.SS PHONE LICENSE NO, " ~
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LENDER MAIL AOOJIIESS &"ANCH >td ~
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use OF' BUILDING --'i 7 c~.-9 /, /,41'1,,4
8 Class of work: ONEW []ADDITION 0 ALTERATION 0 REPAIR O MOVE 0 REMOVE
9 Describe work: /J II ,?A'!' ALl/J/7/tlA/' -'/flt) &!
10 Change of use from
Change of use to
11 Valuation of work: $ ~ ""?~ t>V I PERMIT FEE ~. ,Rr -PLAN CHECK FEE
SPECIAL CONDITIONS: ,
Type of "'y' M Occupancy
Const. · , Group Division .
Size Of Bldg. No. of Max.
(Total) Sq. Ft Stories 0cc. Load
-A Fire use Flre Sprinklers
APPLICATION ACCEPTED ev PLANS CHfCKEO ev APPROVf.ll FOR ISSUANCE BY Zone zone Required 0Yes 0No
·:/~? A { ,.A kl!Khl 1,N o. of OFFSTREET PARKING SPACES,
Dwelling Units Covered I Uncovered . .• Special Approvals Required Received Not Required NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO 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 V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
~ {_ /Y A,.,. ' ' • ;,-...f. i': ., .
51CNA.1'UR!. OP' CONTRACTOJlt O" AUTHORIZE.O AGE.NT (OATC) -
-51GNATLlR£ 0,. OWN[ft II' OWN£R 8UILDE.R) DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
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0
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INSPECTION RECORD 7'1--!3V9 -
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL 5-29-75 O.K . E. Plude
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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17~V • ~ ?ti City of CARLSBAD, CALIFORNIA 92008 " ... -tZ07* z ~ . ; ,_ t
Permit No. / " .... -----" z
Applicant to complete numbered spaces only. Phone 7 29-1181 f.i ... .. 0
JOB ADDfl £55 ~
/ 7lf fl /·d /I£._(/ I~ l~ LOT NO. I ILK I TIIACT QstE ATTACHED SHC&TJ I~ ~ LEGAL I 1 DU'11.
OWN£" MAIL ADD .. E.SS ZIP PHON[ It 2 J· 1/ lll)L /?£. /_,1/ J /7;/?FS -"'" CONT .. ACTO" MAIL AOOJIES9
7;l;JA1:11
PHONE LIC[NSC NO, 1"11 3 ;/,,-sr r/J /Is r /JA,rlt/ .C /ti .If/Of: .l 'f .,: r'f3 ~. ~ A"CHITCCT O" DESIGN&" MAIL ADOJIIES8 PHONC LICl:NSC NO,
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ELECTRICAL PERMIT APPLICATION
ltNGINEl:11 MAIL. ADDfllESS PHONE LICE~SE NO+
5
L.I.HDltJI MAIL. ADDfllESS 9flANCH
6
]UH(;;;?c /Aili?
8 Class of work: ONEW ~81,AOOITION 0 ALTERATION 0 REPAIR
9 ·-----= Describe work: ,..~--~···~-.• • z /n.srAtL J-/)t//tl y
/)u1JI 15 I/V /'dtJ/1/1 /I b /.) 1 !7t1 A/ /fdv.c t K/.S ?/Pf! ~~YI<£
/ ;/ ~--r#/JA// r PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT ;i ~ ,<J
~
''1 NEW CONSTRUCTION, FOR EACH
APPL::?..Jl:
PLANS CHECKED BV _;zz~~ AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
/
NEW SERVICE ON EXISTING BLDG.
~ I . -.,-FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-REMODEL, ALTERATION, NO CHANGE ~ MENCED. IN SERVICE, FOR EA. AMPERE OF § I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
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 OOES 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.
4/ ·-·1 TEMP. SERVICE OVER 200 AMP.
~ tf-,,,~ 7'/ PER 100
• _ .. ·
SIG,.ATUlllt 01' CONT"AC TO" O" AUTHOIIIZCD AGl:NT (DATEI
-_ulMMUM PERMIT FEE 7 o(;
•l""u ..... , 111.: o, OWNEfl OP' OWNCIII aUILOEJU DATE
WHEN PROPERLY VALIDATED (IN 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
7-/£-?v ~,~/, c), ,.<'. ,;.c~ ... ~ ,I> ,A ~ , C. __/ /,,,..,_.,L, r. 7,;1/?.'Z ----,-i7
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.