HomeMy WebLinkAbout1730 TAMARACK AVE; ; 71-16; PermitBUILDING PERMIT APPLICATION
661*****1 1.00
7/-)& City of CARLSBAD, CALIFORNIA q~
Applicant to complete numbered spaces only.
BRANCH
7 q/i nl
8
9 Describe work:
10 Change of use from
Change of use to
0 ~ z "' ll
11 Valuation of work: $ PLAN CHECK FEE ~ PERMIT FEE
1-S_P_E_C_I_A_L_C_O_N_D_IT_I_O_N_S_: _________________ ~ Type
PLANS CHECKED BY,
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB•
ING. HEATING, VENTILATING OR AIR CONDITIONING.
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 H EREBY CERTIFY THAT I HAVE READ A ND EXAMINED THIS APPLICATION ANO 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 V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON STRUCT IO N OR THE PERFORMANCE OF CONSTRUCT ION.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE Of' OWNER 1,-OWNER 8UILDER DATE)
Const.
Fire . ~
zone___;:,
No. of
Dwelling Units
Special Approvals
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Speci fy)
Occupancy 1 Group X-v
No. of
Stories
Use
Zone
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
Division -
Max.
0cc. Load
Fire Sprinklers
Required O Yes
M.O.
CES:
ncovered
Not Required
CASH
Form 100.1 9·69 REORDER P'R0M: INTERNATIONAL CONFERENCE OF BUILOING OFFICIALS e !50 50. LOS ROBLES e PASADENA, CALIFORNIA 91101 /
0 ~ ~
7/;S-/ City of CARLSBAD, CALIFORNIA JAN 19-71 5~ 933** ~*• ~~ 00 -Ct
"' Applicant to complete numbered spaces only. "' .. "
ELECTRICAL PERMIT APPLICATION 3
J/73~ ~---_,,~ -~a_J~ ~ r-,...
N "1 LOT NO, I I LK
. I~ LlGAL I ~ -m~TACHED SHlETI l,J 1 DUCR. .'JV ~ I l~P~~/# MAIL ADDRESS ZIP PHONE.
I ~ ~ 1;wpr7~ M AIL ADDRESS PHONE L ICENSE NO,
("'
'.l."CHITE:CT OR OESIGNtR MAIL ADD .. t.SS PHONE L ICENSE NO, f, ~
4 ~
I
ENGINE.ER M AIL ADDRESS PHONE. LICENSE NO, ~
5 ' LE.NDUt M AIL ADD!ltt.55 BJIA NCH \
6 I ~ use o , BUILDING I t 7
8 Class of work: w 0 AOOITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: Total
RECEPTACLE Outlets
LIGHT
SWITCH
Total
LIGHTING Fixtures
APPLICATION ACCEPTED BY: PLANS CHECKED BY: 7:i:Z?l "' FIXTURES
L/__ 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/z 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 AND EXAMINED THIS APPLICATION AND KNOW T HE 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 UPOLE EkfNDGD. "5" l-1''-'
)i,-A/~J?__ SERVICE 0·200A
201·400A
-□NEW 401·600A
.A IGIVfTUR<'°t>/ C0NfRAC-.oR~UTHOltnEO' AGENT (DATE) D CHANGE OVER 600A
PERMIT ISSUING FEE $ r "J ~
!IIGN.ATllll.r OP' OWNltllt IP' OWHEfl IIUILDE.fl (OATC) TOTAL FEE $ .c r~
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 100.3 9-69 flEOfllDCfll ,flOM: INT ERNATIONAL CONFE RENCE OF BUILDING OFFIC IALS e !50 S O. LOS flOIIL£!1 . PASADl:NA, CALi,OflNIA 9110 1
3
0 L
f 0
71-'f' City of CARLSBAD, CALIFORNIA JAN 15·71 5~ 81~•· .... •at .00 -cc 0
"' ,.,
ELECTRICAL PERMIT APPLICATION
Applicant to complete numbered spaces only. " Ill
JOB ADDR £SS
·-t. --~ ,,u, •. J, /13!) ~ ' ~-~ 'L,
LOT NO. I BLK
,~T~",f/t-~~ fu~ "1 LEGAL I So
1□s n ATTACHED SHEET) ~ '1 1 oucR.
OWN£,_ /R1( ff/,. ,//---MAIL ADDRESS tip PMONC ~ ...........
2 ( -
CONTRACTOR~ v ~~,, l,A/ tf ~ 1.:_::,L AOO;r_·~~
PHONE L ICENSE NO. t ~ t 3 ~ ✓ l--9 ,,-G /✓ J-'/ ,
ARCHITECT Oft DESIGN!,. I MAIL ADDRESS PHONE L ICENSE NO. ). 4 ••
ENGINEER I MAIL ADDRESS PHONE LICENSE NO,
5 ~
~
LENDER MAIL AOOJl:E.SS Bf'IANCH ~
6 ' USE OP' BUILDING
7 i .
8 Class of work: ~EW 0 ADDITION 0 ALTERATION 0 REPAIR { 9 Describe work: JJ~.:-.:JJ~,/
'
PERMIT FEES
Vf.so,r/rf) /!.! ./tJol'/T No. Each Fee
SPECIAL CONDITIONS: Total ~;2__ RECEPTACLE Outlets "' LIGHT
SWITCH
Total
LIGHT ING Fixtures
APPLICATION ACCEPTEO ev: PLANS CHECKEO 8V: 7PA-" FIXTURES
/) RANGES CLO.DRYER WTR. HTR.
NOTICE 1,.,./ GARBAGE DISP. STA. COOK TOP
THIS PERMIT BECOMES NULL AND VOID I F 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 H AVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND O RDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED W ITH 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 UUNOGD.
i.: _,.; 1 f ._ r~J /J-r: 7 /
SERVICE 0-200A
201-400A
□NEW 401-600A
,.,GNATURE. 'lJ C0HT,.ACT0Z:,,R AUTHORIZE D AGENT I ,(DAT£) D CHANGE OVER 600A
PERMIT ISSUING FEE $ ol <>o
TOTAL FEE $ A. 4 ("')(\
!IIC:NATUIU': OP' OWNER IP" OWHEII BUILDER DAT£
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.3 9-69 IIIE:0RDER rR0M: IN TERNATIONAL CONFERENCE O F BU ILDING OFFICIA L S e eo so. LOS ROBLES e PASADENA, CALIP'ORNIA 911 0 1
CITY OF CARUBAD SEWER
BUILDING DiPARTMENT PERMIT • APPLICATION
FOR APPLICANT TO FILL IN
LEGAL BUILDING DESCRIPTION LOT NO. A DDRESS
BLOCK TRACT NEAREST
CROSS ST. USE OF
BUILDINGS OW NER
MAIL CONTRACTOR ADDRESS
ADDRESS C ITY T EL. 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" -___ 6"
NO. DESCRIPTION OF WORK FEE -----
HOUSE SEWER CONNECTING TO Add. Vert. @ 4" = ___ 6" -PUBLIC SEWER 0 $3.00 ----
SEPTIC TANK. SEEPAGE PIT OR Total Construction Cost PITS 0 $11.00
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN .• 10% Service Charge CESSPOOL, DRVWELL, MANHOLE • $!5.00
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYST EM 0 $1.!50 Total Lateral Charge
CONNECT ADDITIONAL BLDG. OR Let. No.: Logged in Plat: WORK TO HOUSE SEW ER • $1.!50
ALTER, REPAIR OR AB ANDON H OUSE
SEWER OR DISPOSAL SYSTEM O $2.00 LINE COST DATA
0 • A. D. & Assmt. No.
LI NE COST:
OWNER'S I PERMIT s 2 00 C. C. @ __ / dwelling
AUTHORIZATION TOTAL FEE P. S. @ __ / dwelling
OTHER I HAVE AT THIS DATE A CONTRACT W ITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD• TOTAL ING TO THE PUBLIC SEWER.
S IGNED THIS
OWNER OR
DAY OF Grand Total, Lateral, etc.
OWNER'S A GENT FOR SEWER LOCATION
ADDRESS
I HEREBY ACKNOW LEDGE THAT I HAVE RE.AD THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT ..: .... AND AGREE TO COMPLY W ITH ALL CITY ORDINANCES AND .,, .,,
STATE LAWS REGULATING PL UMBING AND SEW ERS.
I HEREBY CERTIFY THAT I AM PROPERLY REG IST ERED
AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL St. NORTH
OWNER OF TH E ABOVE DESCRIBED RESIDENTIAL PROP. ENGIN EERING SEWER DEPT. ERTY.
S IGNATURE Signed I Signed OF PERMITTEE
Thia 11 • Sewer Permit When Properly FIiied Out, Signed and Velldated
Issued By __________________ _
PERMIT VALIDATION