HomeMy WebLinkAbout2065 WESTWOOD DR; ; 64-6207; PermitApplication for BUILDING Permit CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36 ES -6 2 r-: Building Permit Fee
For A licant to Fill In
Owner's Name Kamar Construction Co . , Inc .
SPAID HAR 30-64 -cc2227******94.50
Mail Addrau P . 0 . Box 71, Carlsbad, CaJ.ift-----------------,,-""--~-,.~
Contractor Same
Contr. Address _______________ _
To Const. Kl To Add □ To Alter 0 Convert D
o Move From ------------------
Type of Const. ----"Fr...;c.__am:e-_e_an_d_S_t _u_c_c_o _______ _
Frame, Masonry, etc.
To Be Used For Single Family Residence
Kind of Foundation Cone No. of Storie 1
Floor Space (Sq. Ft.} 18oo
Attached 44o Sg Feet
Garage Floor Space (Sq. Ft.}
Detached
Legal Description 24
Lot Block
Subdivision FaJ.con Hills Estates, Unit 2 or
Section Township Range
No. of Existing Building --------------
Will this construction include any plumbing installation or alter-
ation? Yes tic] No D
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STA TE THAT THE ABOVE IS CORRECT ANO AGREE TO
COMPLY WITH ALL CITY ANO STATE LAWS REGULATING
B UILOlf'IG. ,_
I CERTIFY M PROPER
LICENSED STATE OF
OF T
Building Address .....:~=-..::6~G=::~--==:...:==~~~!...!.!~'---'~15..
St. Near / RO e..
Fee
Set Back Bid . Veluetion
Front P.l. Main Bldg.
Side P.L Garage
Rear P.L. Other
Group Approved by
Contractor City Bus. Lie. No. ____________ _
Water Meter Sewage Disposal Syriem
Inspection Record
&6t
:!:ff;:~
Urility Company Notified -Dato. ______ By ____ _
Final
If a check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
if ,vork is not commonc!!d within bO days of is.suance,
CITY OF CARLSBAD SEWER
BUILDING DEPARTMENT PERMIT -APPLICATION
PAID /IPR 21 -611 ~cc 4080*******5.00
FOR APPLICANT TO FILL IN
LEGAL .~/ BUILDING __,,...7ot.,..5 -¥ .c. ~-£ ,,."S?.~e_ DESCRIPTION Lo·r NO. ADDRESS
BLOCK TRACT Z,. ... t! .......... J dt:4,,,. NEAREST
CROSS ST. USE OF -. / , BUILDINGS OWNER ) .:,-.,_._ _ __.! i , ... ~----r.,~ ~ ,C -z
CONTRACTOR c/~-~.../ /--4-~ ~ MAIL _..,,1r;; -~ ,
ADDRESS 2 ... ~ .. ,
ADDRESS -?-., -'// .,;,.,/ 0 t ... CITY '-' / ( TEL. NO. ., ~)<, -·~,,// ~
CITY C',.,-_ A /' TEL. NO. 2: z ;:,, :i' / --;-CONNECTION DATA
CONTRACTORS STATE CARLSBAD BUSINESS Lateral Charge Computation
LICENSE NO. LICENSE NO.
,/ ✓ 30' H., 10' V. @ 4" = ___ 6" ----.., ; /c. ~~-t ..,,
Add. Horiz. @ 4" = ___ 6" -NO. DESCRIPTION OF WORK FEE ----
/ HOUSE SEWER CONNECTING TO
""" Add. Vert. @ 4" = ___ 6" ----PUBLIC SEWER @ $3.00 g
SEPTIC TANK, SEEPAGE PIT OR T otol Construction Cost PITS @ $5.00
OVERFLOW SEEPAGE PIT, DRAINFIELO EXTN.,
CESSPOOL, ORYWELL, MANHOLE @ $5.00 10% Service Chorge
HOUSE SEWER CONNECTING TO Total Loterol Charge PRIVATE DISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLDG. OR Lat. No.: Logged in Plat: WORK TO HOUSE SEWER @ $1.50
ALTER. REPAIR OR ABANDON HOUSE LINE COST DATA SEWER OR DISPOSAL SYSTEM @ $2.00
@ $ A. D. & Assmt. No.
LINE COST:
OWNER'S I PERMIT s 2 00 C. C. @ __ I dwelling
AUTHORIZATION TOTAL FEE P. S. @ __ / dwelling -; ,._. C'
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN OTHER
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-TOTAL ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF
OWNER OR Grand Total, Lateral, etc.
OWNER'S AGENT
ADDRESS FOR SEWER LOCATION
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 <I) <I) STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED_~S R UIRED BY Tl-jE CITY OF CARLS. St. NORTH BAD AND STATE OF CA RN~A ORT TI AM THE LEGAL OWNER OF THE ABO DESCRI ED ESIDENTIAL PROP· ENGINEERING SEWER DEPT. ERTY. • J
SIGNATURE ''/ •p .1,,,.A,_Al.1 Signed I Signed OF PERM ITTEE '
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By ____________________ _
PERMIT VALIDATION