HomeMy WebLinkAbout2035 WESTWOOD DR; ; 64-6206; PermitApplication for BUILDING Permit CITY OF CARLS~
BUILDING DEPARTMENT
729-1181 -fxt. 36 B ..... 6 2 e 0 Building Permit Fee
For A licant to Fill In
Owner's Neme
Meil Address
Contrector ---=S:..cam=cce _____________ _
St. Neer Contr. Address ________________ _
To Const. :IE] To Add 0 To Alter 0 Convert 0 Set Beck C)
Front P.l. ~o f Mein Bldg. o Move From
Frame & Stucco Side P.l. ~I Geroge Type of Const.
Frame, Masonry, etc. Rear P.L. Other
Single Family Residence Group z~-l Approved by
To Bo Used For
Kind of Foundetio,~C_o_n_c ____ No. of Storie,_l ____ _ Contractor City Bus. Lie. No. ____________ _
Floor Space {Sq. Ft.) 1850
Garage Floor Space (Sq. Ft.) Attached
Detache..,_ _______ _
44o Sq, Fee
Sewege Disposal System
Legel Description _ __,2=-6=---------------
Lot Block
Water Meter
Inspection Record
Subdivision =-F=al.=c~o=n"'--C.Hi=lc:...l_s_E_s_t_a_t_e_s.L.,_U_ni_t_2_ or = ~.5A--L-6{Z'( I=
Section Township Range
No. of Existing Building ______________ _
Will this construction include any plumbing installation or alter-
ation? Yes 6il No 0
Signature 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 LAWS REGULATING
B UILDING. _.,_
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
L ICENSED AS
STATE OF C
OF THE A
Utility Company Notified -Date, ______ 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.
Permit void if work i, not commer.ced within 60 days of issuence.
.,. CITY OF CARLSBAI
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
CONTRACTOR ~..-.....,./2,.,. __,__...,.__,1 .f~-~
ADDRESS "K*· y/ _...4-~__,
CITY (~->.., / --/~-c__ TEL. NO. "7 -!
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
/ HOUSE SEWER CONNECTING TO ~ PUBLIC SEWER @ $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS @ $5.00
OVERFLOW SCEPAGE PIT, ORAINFIELO EXTN.,
CESSPOOL, ORYWELL. MANHOLE @ $5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER @ $1.50
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00
@ $
OWNER'S I PERMIT $ 2
AUTHORIZATION TOTA L FEE -
1--1 ,,
00
I HAVE AT THIS DATE A CONTRACT WIT H THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
ING TO THE PUBLIC SEWER.
SIGNED THIS -----DAY OF ----------OWNER OR
OWNER'S AGENT -----------------
ADDRESS
I H EREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND
STATE LAWS 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 RNIA OR THA I AM THE LEGAL
OWNER OF THE ABO ESCRIB SIDENTIAL PROP·
ERTY.
SIGNATURE OF PERM ITTEE ~~~~~~!olf:M~~~l,dj:;&!B,,~--
SEWER
PERMIT. APPLICATION
SPAID APR 21-Gti _ cC4084**** ***5.00
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" ___ b" =
Add. Horiz. @ 4" = ___ b" ----
Add. Vert. @ 4" ___ b" ----
Totol Construction Cost
I 0% Service Chorge
Totol Loterol Chorge ____ _
Lot. No.: Lo ed 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-----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed ________ _ Signed ________ _
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By ---------------------
PERMIT VALIDATION