HomeMy WebLinkAbout2062 TRUESDELL LN; ; 64-6193; PermitCITY OF CARLSBAD
BUILDING DEPARTME·NT
729-1181 --Ext. 36
For A licant to Fill In
Owner's Nome Kamar Construction Co., Inc•
Application for BOILDtNG Permit
Building Permit Fee
SPl\!O MAR J0-64 _ cc2212******94.50
CJt. -sd I LJJ
Moil Address
B • P. O. Box 71, Carlsbad, CaJ.if.,._ ______ ...,;; _ _._ ____ .__..,...:.... __
Controctor _......:...S_a.m......:...e _____________ _
Contr. Address _______________ _
To Const. i:] To Add 0 To Alter 0 Convert 0
To Move From ------------------
Type of Const. --=Fr~am=e=-.:::&:......:S::..t::::..U=.:::.:::CC:..::0:..._ ______ _
Freme, Masonry, etc.
To Be Used For Single Family Residence
Kind of Foundation Cone . No. of Stories_...._ ___ _
Floor Spoce (Sq. Ft.) _ _.l.,.8'-'5..,.0'------------
Garage Floor Space (Sq. Ft.) Attached 440 Sg • Ft 4
Detached, _______ _
Legol Description -~--...__.L.;Z. ____________ _
Lot Block
Set Bock
Front P.L.
Side P.L.
Rear P.L.
Group
I D
~ • K"-1
Contractor City Bus. Lie. No.
Water Meter
Bid .
Moin Bid
Garage
Other
Approved by
Sewoge Disposal Sysfom
Inspection Record
,mo£2J.S1 RB
Subdivision FaJ.con Hills Estates, Unit 2
or ~~~$/4.d ~/_.:2~(:J -----------------------
Section Township Range
No. of Existing Building _____________ _
Will this construction include ony plumbing instollotion or olter-
etion? Yes 1K) No 0
Signoture of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAW EGULATING
BUILDING.
I CERTIFY THAT I
LICENSED AS RE I
STATE OF CALIF
OF THE A BOVE
Utility Company Notified -Dote ______ By ____ _
Finol
If a check is tendered for payment for the obove fee end t he
check is not honored when presented for poyment, your
• ding permit will be immediotely revoked.
City of Corlsbad Building Dept.
if work is not comme~ced within 60 days of issuance.
CITY OF CARLSBAD SEWER
BUILDING DEPARTMENT PERMIT. APPLICATION
OCT-2-64 ~p~~D Zlt1*******5.00 '
/{, ~ 9~; /()-4 39 l-d'1S Po· I
FOR APPLICANT TO FILL IN tr= c.. ~ llo<:tt
' , I LEGAL J? BUILDING c:,,.Pct',~ J~e,e_ DESCRIPTION LOT NO. ADDRESS
BLOCK TRACT 91~-J ,(j,..:U.J£ 1 NEAREST
CROSS ST.
USE OF
OWNER_p ,,_,_/~ ~-_,.~ ......... BUILDINGS
CONTRACTOR vZ,,-~~ V I t;,..,t'~ IJ,tc. MAIL -ADDRESS L·>'.-< .~-,~'-~--..J c~
ADDRESS ..;, ~-.y/ ~ ,? CITY ~ TEL. NO. 7 A' '7 -_;:,?ej .,I/
CITY &.)_....e.. <r-e-., e TEL. NO. 7.-< ;, -.,,;,..J, / J-CONNECTION DATA
CONTRACTOR"S STATE CARLSBAD BUSINESS Lateral Charge Computation
LICENSE NO. LICENSE NO.
,..;·e: t ✓ 30' H., 10' V. @ 4" = __ 6"=--
.,//~ ,./{. ✓( Add. Horiz. @ 4" __ /:,"=--= NO. DESCRIPTION OF WORK FEE
/ HOUSE SEWER CONNECTING TO ~ 4' PUBLIC SEWER @ $3.00 ,::,,:; Add. Vert. @ 4" = __ /:,"=--
SEPTIC TANK. SEEPAGE PIT OR Total Construction Cost PITS @ $!5.00
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,
CESSPOOL, ORYWELL, MANHOLE @ $!5.00 10% Service Charge
--HOUSE SEWER CONNECTING TO
PfllVATE DISPOSAL SYSTEM @ $1.!50 Total Lateral Charge --, .. ONNECT AUDITIONAL BLDG. OR Lat. No.: Logged in Plat: WORK TO HOUSE SEWER @ $1.!50
ALTER-:-REPAIR OR ABANDON HOUSE
E.Wf.R OR DISPOSAL SYSTEM @ $2.00 LINE COST DATA --
@ $ A. D. & Assmt. No. --
LINE COST: -
OWNER'S I PERMIT s 2 00 C. C. @ __ I dwelling
AUTHORIZATION TOTAL FEE ,-1 .::io 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.
SIGNED THIS DAY OF 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) V)
STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
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 THE ABOVE DESCRIBED RESIDENTIAL PROP-ENGINEERING SEWER DEPT. ERTY.
SIGNATURE Signed I Signed OF PERM ITTEE
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By __________________ _
PERMIT VALIDATION