HomeMy WebLinkAbout2055 WESTWOOD DR; ; 64-6228; Permit, CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For A licant to Fill In
Owner's Nome
Moil Address
Kamar Construction Co ., Inc.
P.O. Box 71, Carlsbad, CaJ.i
Controctor ___ S-'--am_e ____________ _
Contr. Address _______________ _
To Const. 121 To Add 0 To Alter 0 Convert 0
To Move From _________________ _
ype of Const. __ Fr __ am_e_& __ S_t_u_c_c_o _______ _
Frome, Mosonry, etc.
To Be Used For __ S_i_ng~l_e_F_ami __ l_y_R_e_s_i_d_e_n_c_e __ _
Kind of Foundotio,~ __ C_o_n_c __ No. of Storie.,__2 ___ _
Floor Spoce (Sq. Ft.) -~2~0~4..,_.9 __________ _
Goroge Floor Spoce (Sq. Ft.) Attoched __ ~4_4o~-S-g.,_.,~F
Detoched _______ _
Logol Description ___ 2,L_ ____________ _
Lot Block
Subdivision Falcon Hills Estates, Unit 2 or
Section Township Ronge
No. of Existing Building _____________ _
Will this construction include ony plumbing instollotion or olter-
otion? Yes 6c} No 0
Signoture of Applicont
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUIL DING.
I CERTIFY THAT I AM PROPERLY RE
LICENSED UIRED BY C Y
STATE OF IA OR TH
OFT
SIGN
OF
Application for BUILDING Permit
St. Near
Set Bock
Front P.L.
Side P.L.
Reor P.L.
Group
Building Permit Fee
Sl'AIO MAR 30-61t _ cc2226***** 103.50
h29e t<-I
Moin Bldg.
Gorege
Other
Approved by
Contractor City Bus. Lie. No. ____________ _
Woter Meter Sewoge Disposol Sysfem
Inspection Record
Utility Compony Notified -Dote ______ By, ____ _
Finol
If o check is tendered for poyment for the ebove fee ond the
check is not honored when presented for poyment, your
building permit will be immediotely revoked.
City of Cerlsbed Building Dept.
Permit void if wor~ is not commenced within 60 deys of issuance,
CITY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
-------------------------LEGAL
DESCRIPTION LOT NO.
SEWER
PERMIT • APPLICATION
I *******5.00
BUILDING
_,B:..:L::.,O~C"'-'-'K __________ .,_T:..:R:..:A.::C:..,.T_..:..?._c. •:..:i:...=.t..::<--:..:'c..".::J:.._c_Uc.=....:.~=-==--=J) ~~~:~s:T. USE OF -'-'-'-C....C..-'-"--'--'--------------------
ADDRESS ,.,°?a •rs--
BUILOINGS OWNER ~...I-<; C-..-C'..-,,,g--l1<'<:' &:-<'-~•
CONTRACTOR de>.,,&'
ADDRESS _,' _j ~ /
CITY {. .:~ L (.
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
J HOUSE SEWER CONNECTING TO .:;, PUBLIC SEW ER @ $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS @ $5.00
OVERFLOW SEEPAGE PIT, DRAINFIELO EXTN.,
CESSPOOL, DRYWELL, MANHOLE @ $5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLOG. OR
WORK TO HOUSE SEWER @ $1.50
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00
@ $
OWNER'S I PERMIT $ 2
AUTHORIZATION TOTAL FEE ..... -s-
(1 ~
00
c' ·'
I HAVE AT THIS DATE A CONTRACT WITH T HE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-
ING TO THE PUBLIC SEWER.
SIGNED THIS -----
OWNER OR
DAY OF ----------
OWNER'S AGENT-----------------
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
STATE L AWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS R UIRED BY THE CITY OF CARLS-
BAD AND STATE OF CA F. RNIA OR TH I AM THE LEGAL
OWNER OF THE ABO DESCRIB ESIDENTIAL PROP·
ERTY. "
SIGNATURE OF PERM ITTEE ~~~~~~#,~~~,:C,,ji:,.t:~~---
MAIL
ADDRESS ~ X /
_,./ TEL. NO.
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" ___ 6" ----
Add. Horiz. @ 4" = ___ 6" ----
Add. Vert. @ 4" = ___ 6" ----
Totol Construction Cost
10% Service Chorge
Totol Loterol Chorge ____ _
Lot. No.: Logged in Plot:
LINE COST DATA
A. D. & Assmt. No. ________________ _
LINE COST: _______________ _
C. C. @ ___ I dwelling ____________ _
P. S. @ __ / dwelling ____________ _
OTHER --------------____ _
TOTAL
Grond Totol, Loterol, etc.
FOR SEWER LOCATION
~-----------------1~
St. NORTH
ENGINEERING SEWER DEPT.
Signed ________ _ Signed ________ _
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By ___________________ _
PERMIT VALIDATION