HomeMy WebLinkAbout1720 TAMARACK AVE; ; 70-1032; PermitBUILDING PERMIT APPLICATION 1
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► ~(} -/!} J, ;J--City of CARLSBAD, CALIFORNIA
Applicanft~ complete numbered spaces only. OCT 22-70 PAID ; ~cc1361 ••1t-•., 1~ .70
JO& AOOR ESS
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MAIL ADDRESS PHOM'£ LICENSE NO.
ENGi?
5 --
MAIL ADDRESS PHONE LICENSE NO.
LEN DER MAIL ADDRESS /\6
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7 ,.I,.. L,t A J....P' f _p ,_,, ,. A ~
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8 Class of work: 0 .&.alr10N 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $
PLAN CHECK FEE
~S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: __________ _,.. _________ Typeof .
Const. 'JI:__-_tf___
1-------------------------------t Size of Bldg.~t7t'7
(Tot al) Sq. /fR7 7
·~ ,
-I PERMIT FEif:~#r ? (7
Occupancy j
Group if'r--
N o. of
Stories /
--Division
Max.
0cc. Load
.. ..
1-=-~--=--,,.,==~~~-=..--~---~--,-,.,,-----------4 Fire
APPUCATION ACCEPTED BY, Pole/J-CKED ,-;~ROVED FD~ SSUANCE BY. Zone 3' Use ~/ Fire Sprinklers
zone '--"'j' Required □Yes ~
, No. of /
Dwelling Units
NOTICE Special Approvals
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR A IR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF F IRE 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATU RE OF CONTRACTO .. OR AUTHORIZED AGENT (DATE )
SIGNATURE OP" OWNER II" OWNER BUILDER) DATE)
OFFSTREET PARKING SPACES:
Covered Q..__ I Uncovered
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.l 9-69 REORDER FROM: I NTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e 50 so, LOS AOBLES e PASADENA, CALIFORNIA 9110 1
3
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PERMIT #2fl::ffl City
z of CARLSBAD, CALIFORNIA "' > " C 'N C " Applicant to complete num ered spaces only. "' .. .. Joa ADD" [S5 ~ "l I 7;;__ o \
ELECTRICAL PERMIT APPLICATION
~ • LOT NO, I 8LK IT~ ~ O s« AT~~PHM .r,l(h,:cc.::.2780**11 ~ 2~. 30 LEGAL I .t/,( 1 DUCII.
OWNEIIII . MAIL ADDPIESS ZIP PHON[ 'J 2 at 11. d. 6 9o -l.#fi.,v< lf~I ~~ ~II A hu~ ;:( ~ CONTIIIACTOIIII u MAIL ADDRESS PHONE LICENS E NO,
3 ~l/~UU-/~ <Yg~~-/. -,,,;, //tib P~. //,,,,,.-(~~-:, r&A.!t.. /7..lf;;-k, ~ AflCHITECT Ollt DIESIGNEIIII MAIL ADDPl:ESS PHONE LICENSE NO,
4 ~ ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
6 LEND£ ~de b.. _,/J ,i_,1 ,.t J AIL ADD"ESS BIIIIANCH
I
USE o, BUILDING -
7
8 Class of work: ~EW 0 ADDITION □ALTERATION 0 REPAIR
9 Describe work:~~, ,JJHJ;z;J -
PERMIT FEES
..,2/o() ¥'@ l~/U'-ftdf3' No. Each Fee
SPECIAL CONDITIONS:
Total RECEPTACLE Outlets :;12 luO
LIGHT
SWITCH
Total
LIGHTING Fixtures
APPLICATION ACCEPTEO BY: PLANS CHECKED BY,
APP::/ ;;;_CE BY: FIXTURES
RANGES CLO.CRYER WTR. HTR.
NOTICE GARBAGE OISP. ST A. COOK TOP
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DISH. WASH. CL OTHES 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 AND KNOW T HE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING T HIS
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 UPOLE U UNDGD.
SERVICE 0·200A
./4 ~ -hi y ,£~L-i~ c;/;tl?o 201·400A
□NEW 401·600A
a(GNATUflE o,-trNTPf.AC TO" 0" A"010 '41ZE0 AGENT • I (D .. TE) D CHANGE OVER 600A
PERMIT ISSUING FEE $ e:i., Glc:>
•IC.N.&TllflC OP' OWNtfl 1, OWN£" 8UILDE" DATE TOTAL FEE $ c:.2<+ Ot:!),
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTO R
Form 100.3 9·69 fll:EOIIIDE'4 '"OM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e eo so. LOS Jll:OBLES e PASADENA, CALIP'OflNIA 01101
MECHANICAL PERMIT APPLICATION 4 ~
~ c5 ~
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Ap]f,, ;-,f d,;,i?.,. numbe,ed "'"" on'!vity Of CAR LS BAD, CALIFORNIA SFP ?S-70 ~ •;; 03301 * * •• *; 7 f ~
JOB ADDA ESS / 7 )-() ~ -/)1~4 . ./L~L
1--1-~~-s"c-~.,...,-:-L=oT"""'No:--. -------'----rl--::-:eL-::--K ------=;,=::-TA::-:-A=cT--------------------;"'-.h-~
..... " t05E£ ATTACHED SHEET) I~ ~I...........,
OWNEft MAIL ADDRESS
2 Ri f'h::i.rd R Gever R~O Rlm. C::i-rlsbad 9200 8
MAIL ADDRESS PHONE LICENSE NO, 3 Rne:ers ShP~t MP.ta1 1903A W.Vista Wav .Vista_.Ca . 72 4-0211 1416
ARCHI TECT OA DESIGNER M AIL ADDRESS
4
ENGINEEIII: M AIL A00AE55
5
LllNDE1' MAIL AODlltESS
6
USE OF BUILDING
7 Dwelling
8 Class of work: G NEW 0 ADDITION 0 ALTERATION
9 Describe work: Heat & Vent
SPECIAL CONDITIONS:
.II
APPLICATION ACCEPTED BY : PLANS CHECKED BY:
~'"'
NOTICE
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 GRANT ING 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.
• SIGNATURE O~ CONTRuf" OA AUTHORIZED AGENT / (DATIFJ
~IGN.&.T "E o, OWNC .. _11,. OWNE" BUILDElll (DATE)
PHONE L ICENSE N O,
PHONE L ICENSE NO,
BRANCH
0 REPA IR
Type of Fuel: Oil D Nat. Gas 12!1 LPG. D
No.
PERMIT FEES
Type of Equipment
Air Cond. Units-H.P. Ea.
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A .C. Units-Tonnage Ea.
Forced Air Systems-B.T.U.
Gravity Systems-B.T.U.
Floor Furnaces B.T.U.
Wall Heaters-B.T .U.
Unit Heaters-B.T.U.
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-
Incinerator
PERMIT
M Ea .
M Ea.
M
M
M
C.F.M.
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
Fee
$
4 ,00
$ 3 ,00
$ 7 •. oo
CASH
Form 100.4 9·69
INSPECTOR ? 0--, 92:2.
fltOft:OE .. ,-,.OM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e SO 50. LOS "08LES e PASADENA, CALIFORNIA 91101
CITY OF CARLSBAD SEWER
BUILDING DEPARTMENT PERMIT. APPLICATION
FOR APPLICANT TO FILL IN
LEGAL B UILDING DESCRIPTIO N Lo·r NO. ADDRESS
BLOCK TRACT NEAREST
CROSS ST. USE OF
BUILDI NGS OWNER
MAIL CONTRACTOR ADDRESS
ADDRESS CITY TEL. NO.
CITY TEL. NO. CONNECTION DATA
CONTRACTOR"S STATE CARLSBAD BUSINESS Lateral Charge Computation LICENSE NO. LICENSE NO.
30' H., 10' V. @ 4" ----6" = ----
Add. Horiz. @ 4" ___ b" -FEE = ----NO. DESCRIPTION OF WORK
HOUSE SEWER CONNECTING TO Add. Vert. @ 4" = ---b" ----P UBLIC SEWER @ $3.00
SEPTIC TANK. SEEPAGE PIT OR
PITS @ $!5.00 Total Construction Cost
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN., 10% Se rvice Charge CESSPOOL. ORVWELL, MANHOLE @ $!5.00
HOUSE SEWER CONNECTING TO Total Lateral Charge PRIVATE DISPOSAL SYSTEM @ S1.!50
CONNECT ADD ITIONAL BLDG. OR Lot. No.: Logged in Plat: WORK TO HOUSE SEWER @ $1.!50
ALT ER, REPAIR OR ABANDON HOUSE LINE COST DATA SEWER OR DISPOSAL SYSTEM @ $2.00
@ s A. D. & Assmt. No.
LINE COST:
f--
OWNER'S I s 2 00 C. C. @ __ / dwell ing PERMIT
AUTHORIZATION TOTAL FEE P. S. @ __ / dwelling
I HAVE AT THIS DATE A CONTRACT W ITH THE HEREIN OTHER
CONTRACTOR TO CONNECT TH E ABOVE DESCRIBED BUILD• TOTAL ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF Grand Total, Lateral, etc. OWNER OR
OWNER"S AGENT
ADDRESS FOR SEWER LOCATION
I HEREBY A CKNOWLEDGE THAT I HAVE READ THIS
APPLICATION A N D STATE T HAT THE ABOVE IS CORRECT .... .... AND A G REE TO COMPLY W ITH ALL CITY ORDINANCES AND V) V) STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQU IRED BY TH E CITY OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL St. NORTH
OWNER OF TH E ABOVE DESCRIBED RESIDENTIAL PROP.. ENGINEERING SEWER DEPT. ERTY.
SIGNATURE Signed I Signed OF PERMITTEE
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By ___________________ _
PERMIT VALIDATION