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Home My WebLink About1768 FOREST AVE; ; 78-5397; PermitMODEL NO. _________ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicantto complete numbered spaces only Phone 129-1181 Permit No JOl!I AOOR C~ S ASSESSOR'S l/ ff /Olr/ .l / PARCEL NUMBER • LOT NO. I UK [7ACT V NI 1 ~~·'t ATTACHED •HtETI BvvK PAGE I P AR, LEGAL I J J'A:1/ !IAIE~ 1 DE,.CR, · · 16 ~ .--7-cc OWNC.R MAIL A OOIII [SS 11 P PHONE 2 /1 JJl)t. p /( , .lt' J ,-(' p 7/ r~ 1/ ,, !'. :,,; . ., CON TIIU,C TO" ...G~Pr-1/r~ MAIL AOORCSS ". --~ .. PHO/ !6-Yr1 f(E Ll~/ 0 ·• 1 J CITY LIC, NO, 3 l,. · All"f'Sl1¢JUJ~ I -. / --~ ARCHITECT OR 0£51C.NCPI .. MAIL AOORE55 PHONE LIC[N5E NO • 4 - ENGINEER MAIL AOOR[SS PHONt ,ri ·J?'I!. LICENSE NO. ~()62. 5 ,. .A J~., • r.11 ~-""/11/ f A' -b,(t;J(/J~Ay c. . '1 ... "' COMPENSATION INS. CARRIER MAIL AOOJ1£5S BPIANCH 6 l• { ' . US[ O F 8UILOING 7 / ./.;J'v/ ,/L y ~11.1,~~ '/ J /L NO. BDRMS t' NO. BATHS 2. 8 Class of work: 0 NEW ~DDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: 9)) Yi''-/ s; F />1 tJ/?r/., M rluo IJ1c T II 4t,.1vr r K/J/IU~ v,A1,A6£ 10 Change of use from Change of use to ;:.>, ~ ' I I;_ l PERMIT FEE $ ' J 11 Valuation of work: $ rr--/ PLAN CHECK FEE$ -, SPECIAL CON DI TIONS: MICRO FILM FEE Type of Occupancy Const Group s,ze of Bldg. No. of Max. (Total) Sq. Ft. Stories 0cc. Load Fire use Fire Sprinklers APPLICATION ACCEPTED av PLANS CHECKED BY r APPROVED FOR ISSUANCE av Zone Zone Required DYes D No f 6 !.A.hi No. of OFFSTREET PARKING SPA CES: I -ru. ' , No. I No. OATE'. l OATE Dwelling Units Cove rod SQ. Ft. Open NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID I F WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT CONSTRUCTION O R 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 ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINA N CES GOVERNING THIS WATER DEPT. 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 CONSTRL,ICTION OR THE PERFORMANCE OF CONSTRUCTION . ., .. r ~ SIGN.A.TU"[. 0,-CONT .. ACTOIII 0" AUTHO"IZ[D AGtNT !DAT£) 51GN,4fll"£ 0" OWN[flt ,,-OWNtlt 9UILD£,-J (DAT£) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH TOTAL FEES$ __ / _____ -__ INSPECTOR INSPECTION RECORD --. DATE REMARKS :t~~I ECTOR FOUNOAT IONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PR90FING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY --,. o. L ~7· FINAL .:l-/-7.J_ ---'#'~--~ __,. - USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC. -------------------------- ELECTRICAL PERMIT APPLICATI~~ City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7 29-1181 Perm it No JOID?i t· /Y)RrS7 /IYE I LOT NO, LEGAL 1 DESCR, ~ I BLK. li;t.AR!P rr711res-11N,l9t~'1AM)/Ji)(7J;-1.2-1-ro OWNER -# MAIL ADDRESS ZIP . PHONE 2 Jt1,) •.I A)){} Lr'1 /l/,?f tt;_,,> rsr II Ill~ r !J t'/J()()~ ·/JY-ll6't CONTRACTOR ~ ~ MAIL ADDRESS I/I j / J\ PHONE -STAT} LIC, NO. CITY LIC, NO, 3 /. '.,1. / .(/ .{ N'/· /..If/; /"L,~Otft I Jr ,1 JJ/J/?o r/?1~1L 7'J I>-"/ J 11 l )(, I S"/3 I ) 6J I ARCH ITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 -- ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 -- COMPENSATION INS CARRIER ' MAIL ADDRESS BRANCH 6 /._/, -M 1,J,...(Z, ~ USE OF BUILDING ~ 7 _J , ,1., ,,.. t ,~ /"A/f?I L'/ O/Ah·-L /1¥(;- 8 Class of work: ONEW ~DDITION 0 ALTERATION 0 REPAIR 9 Describe work: ,.t"~ f'{J/0 I' '1 /5,. (J!f O()fllt t 8A71Jt'UJM Ao n, T1o v -~ IN J T ~J.'- lrlV vfl/J/A/"-IIPIJ ?/x,1//rE !JJ ,,r-;· t'1111/'-1 1r 1.(/1(; 1, 15 , .. 11~ . I/Mr MAIA/ S" fK' PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWIMMING POOL WIRING, NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH AP,LICATION ACCEPTEO ey PLANS CHECKED BY APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER l It NEW SERVICE ON EXISTING BLDG. DATE NOTICE FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 I ( '(' MENCED. IN SERVICE, FOR EA. AMPERE OF c:::. 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 ORDINANCE!> 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. ~/,~'1'(,7?' TEMP. SERVICE OVER 200 AMP. PER 100 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE ,. ' TOTAL FEES -sir.NATURE OF OWNER (IF OWNER BUILDER) 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 PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbere spaces on y. -".:s' ermit No. , ~ri I d Phone 729 1181 P JO& ADDR E5S ; ,· / . f..' , b ,. ;; ,' I 5 /-r-/iVC LOT NO. I 8LK li~"c>11 R.r ,-r1/t 7rJ',v,v17a/ t,fl"'tr7t!-/)-7-t"' Ltm I :-{ 1 DtsC~. OWNER MAIL A00111t.5S ll p PHON( 2 I '/ A NOLE K... J7{3 r{J~ I fr/lflF rJJ. Ii 00¥ 1 J"l-l/6( u· CON T .. ACTO" MAIL AD0"[SS ,,,Jlf\ PHON (. STATE LIC. NO, CITY LIC. NO. 3 ,I s ()R'/" qJf ,(/ , '')Dl1U f'fJ. N0fu 1i: ,''J( ... y J 21 ' .: ."If.. 1J I;~/, J-/ I 1· ) Al'ICHIT[(T OA 0£51GNE.flt MAIL ADDRESS PHONE LIC £NS£. NO, 4 EN GINEEPI MAIL AODACSS PHONE LICENSE NO, 5 ---... COMPENSATION (NS, CARRIER MAIL >-DDl't(SS IUIANC~ 6 v/i ·-·· ~ ~l , use or BU ILDING -· - 7 .. ut', p /.1 IV//( Jr /.)Jl'V F ~ l 1 /1/ ~ 8 Class of work: D NEW ~OOITION 0 ALTERATION 0 REPAIR 9 Describe work: nJ ~'/utVf RE }Jf?<.JOM , t.1/\ 7/f/OO~ A or11 ru J -71,c New' ., (" II P f'l Y J WA ~ 1 ,-+-1 ll, L ll1"'£J IA170 !:XIS 17N c;--/IV' \ 1 "'/)CTQlfF J PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS· I WATER CLOSET (TOI LET) $ I BATHTUB J LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER APPLICATION ACCEPTED BY PLANS CHECl<EO BY APPROVE O FOFI ISSUANCE BY LAUNDRY TRAY . ~ CLOTHES WASHER th It DATE WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT AN Y TIME AFTER WORK IS COM-SLOP SINK MENCED GAS SYSTEMS, NO.OUTLETS I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL L AW REGUL ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER NUMBER CLEANOUTS /7AA d_ _.J, /)~.,... CESSPOOL SEPTIC TANK&. PIT . I I I ROOF DRAINS -,~ .. S!G'4'A\,O'RE. ·o, coilT .. ACTO" o,t AUTH0,,"IZ£0 AGENT {OAT£) ISSUANCE FEE $ , S IGNATUJIIIC OP' OWN[.fll (If' OWHE .. 9UILO[R) OATt) TOTAL FEES $ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR INTERDEPARTMENTAL INFORMATION SHEET ~BUIL:ING DEPARTMENT BUILDING ADDRESS: RECEIVED DATE=~~~s~E+P-2.4-W-s~19~1~a'-- I '- PLANNING DEPARTMENT ZONE z) 1 c( LOT SIZE LOT WIDTH J ------------'"--------J UNITS ALLOWED UNITS PROVIDED _______ .,_____ --~,----------- PARKING SPACES REQUIRED ~ PROVIDED ~ ----------~ % COVERAGE ALLOWED ________ {i+xo~1~~---PROVIDED o;... BUILDING HEIGHT ALLOWED PROVIDED 1.5 SET~ACK: REAR SETBACK: {5' FRONT SETBACK: SIDE ALLOWED i~I PROVIDED ____ ~u~}(--__ INTRUSIONS ,z.. 1 /"\AX LANDSCAPE & IRRIGATION PLAN COMMENTS: J}~ ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: -- OK TO ISSUE:~.ff/i_t_ OK TO FINAL DATE ------------ ENGINEERING DEPARTMENT <f I 3 {JS' o2 ~ I R. 0. W. M'.11'. INDUS TR AL WASTE YA IMPROVEMENTS pg SEWER CONNECTION DRIVEWAY LOCATIONS f./;(tt GRAD I NG p ERM IT -===========--E_A_S EMENT s D.K. _ __,_, --D-RA-I N_A_G_E--PA~~~-- LE GAL DESCRIPTION_->e...~-=1-~_~_L_e~b-g=~~~-~~:-_:c....>~l~~~f~~~s---=U~~~·~·,1.,_.,II:.---'-/-------~ ADDITIONAL COMMENTS __ B~o~°""--'-'-~,4~J~/_;~~~,~--------------------- FIRE DEPARTMENT SPRINKLING SYSTEM F IRE PROTECTION EQUIP. ------------------- FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE_~- WATER DEPARTMENT ,ti RE TE DISTRICTS MET