HomeMy WebLinkAbout2629 WILSON ST; ; 64-6092; PermitCITY Of CARI..SBAD PLUMBING
BUILDING DEPARTMENT
?-609 2
i I '10 ~~ Ttl PERMIT -APPLICATION
OWNER ~ 11.. ~ /" ,, l} .. _J, A All JAH 31-611 SPAID _ cc2662******16
MAIL (f ~.nh ADDRESS ~--....-J
C ri nl<·1, .... l'1_ V
CITY TEL. NO.
PLUMBER .~../-~ P0,, ,~ BUILDING 26 ~ 9 ........... :;./4 -Afr ADDRESS
NEAREST ';../fr! ~~ ADDRESS d " 21 ,,2_/4k, ~ CROSS ST. 1./1 0
CITY C:Z../~ TEL. NO./ )...y -1(9/f/ GROUP I ZONE \l'(-/ STATE CARLSBAD BUSINESS Inspection Record LICENSE NO. LICENSE NO,
NO. ITEM FEE
,;).._ TOILET @ $1.2!1 ~ ~ _a_ BATH T UB @ 1.2!1 ~ a:Q_
SHOWER • 1.2!1
:b WASH BASIN • 1.2!1 :) ~t)
I KITCHEN SINK @ 1.2!1 J 12\.-
DISHWASHER • 1.215
LAUNDRY TUB Oft TRAY 0 1.2!5
I AUTOMATIC WASHER @ 1.2!5 J !:>.~
I WATER HEATER 8c VENT @ 1.!SO J ,fl
V GAS SYSTEM 1 TO l !S J l<,C) .30 EA. ADD. @ 1.!SO
FLOOR DRAI N OR SINK @ 1.2!5
LAWN SPRINKLER @ 2 .00
MISC. WATER PIPING • 1.!SO
I GARBAGE DISPOSAL • 1.00 J () 0
VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 • 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GRADING PLAN I PERMIT $ 2 00 GAS PIPING
YES D Norg/ )6 on GAS VENTS TOTAL FEE $
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION PLUMBING FIXTURES
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO MISC. COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY TH AT I AM PROPERLY REGISTERED AND LI-
CENSED A S REQUIRED BY THE CITY OF CARLSBAD AND GAS TEST STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, UTIL ITY CO. NOTIFIED
SIGNATURE ~02~ FINAL OF PERMITTEE
VALIDATION
This is • Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not comm•n~ed within ~0 days of date of issuance.
.co
CITY OF CARLSBAD
BUILDING DEPARTMENT S. -6088 SEWER
PERMIT • APPLICATION
LEGAL
DESCRIPTION
BLOCK
USE OF
FOR APPLICANT TO FILL IN
LOT NO.
ADDRESS~~
ITY 6=EL. NO.
ONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
)( HOUSE SEWER CONNECTING TO 3 PUBLIC SEWER @ $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS @ $!5.00
OVERFLOW SEEPAGE PIT, ORAINFIELD 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 TOTAL FEE C .....,
c,6
00
Du
HAVE AT THIS DATE A CONTRACT WITH THE HEREIN :ONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-
ING TO THE PUBLIC SEWER.
SIGNED THIS-----DAY OF----------
OWNER OR
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 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
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP-
ERTY. ~ SIGNATURE ,,,..-;;;, Q •'7 OF PERM ITTEE ~ _,_,._, t ,J\:.AP".JJ',~
BUILDING ADDRESS
NEAREST
CROSS ST.
OWNER
CITY
5 PAIO /1,~.:1 31-611 _ -cc2660***,...***5.GO
~ /0 ~7-~ 3-S,-~({
CONNECTION DATA
lateral Charge Computation
30' H., 10' V. @
Add. Horiz. @
Add. Vert. @
I 0% Service Charge
~
Lat. No.: ~AO
4"
4"
4"
= ~ 6" ----
= ___ /," ----
= ___ 6" ----
Total Construction Cost
,,. 0
Total Lateral Charge --'-'7~'~•50~
logged in Plat:
LINE COST DATA
A. D. & Assmt. No. 2.-I q5q
LINE COST: _______________ _
C. C. @-5.0. / dwelling _________ t,_-Q_,l_?_
P. S. @ __ / dwelling _____________ _
OTHER ___________________ _
~ ~
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
17i,so
17<..,50
-~ J ~1-------------:~~
St. NORTH
ENGINEERING SEWER DEPT.
Signed ________ _ Signed ________ _
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By ____________________ _
PERMIT VALIDATION