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HomeMy WebLinkAbout1055 CARLSBAD VILLAGE DR; ; 64-6243; PermitI CITY OF CARLSBAD BUILDING DEPARTMENT 729-1181 -€xt. 36 For Applicant to Fill In Application tor BUILDING Permit Building Permit Fee cPAID _ _ Own-,r'< N*mP T&/MS& /T/^1 M A "2. /3 /V/2 , _ (* .A ' tti / /"p *T*" ^ f;nntr/,rtnr V£/TAJ?//V/1~£5#OU)M LA}<Z J / To Const & To~Add D To Alter D Convert Q • /ty/ o^r~. , r , / is/stf £ /\ A/ jP V ~- 7- JP )*3 K/l £^ 1 Frame/ Masonry, etc 1 '~/~^j* £*' Garage Moor bpace (Sq Ft ) Lot ' y ' Block ^a^d-*- 1~?~4 ^^B Section Township Range Will this construciion include any plumbing installation or alter- ation"3 Yes [£j No n Signature of ApplicarA \J __ <LyL'/*'^o^*rf1^Nt' ' '•--*-<-( -t^MA ^^i / 1 ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND S/PATE THAT THL ABOVE IS CORRECT AND AGREE TO .COMPliV WITH ALL CITY AND STATE LAWS REGULATING /BUILDING 1 CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY SIGNATURE HAKZ/-04 - cc ^lUM7*"*^" \L<-\. Building Dept. Use Only £ 3Jd* 7^-ttA. ^^4/^i2> Set Back Bldg- Valuation Front PL Mum Bldg £>",7£&#s^ Side P L Garage Rear P L Other Group Zone Approval by ,a~^ *R,lL Contractor City Rm; 1 ,r Mr, Water Meter Sowage Disposal Inspection Record ^} /* System ^ v"x y * • -r i - Final * i« IF a check is tendered for payment for the above fee and the check is not honored when presented for payment, your building perm t will bo tmmed ately revoked C ty of Carlsbad Budding Depf Permit void if v^o-k is not commer.ced within 60 days of issuance CITY OF CARLSBAD BUILDING DEPARTMENT PERMIT-APPLICATION NO fck- -g- / / / r~ ; ITEM TOILET BATH TUB SHOWER WASH BASIN KITCHEN SINK DISHWASHER 9 SI 25 @ 1 25 @ 1 25 @ 1 25 @ 1 25 ® 1 25 LAUNDRY TUB OR TRAY @ 1 25 AUTOMATIC WASHER @ 1 25 WATER HEATER fl, GAS SYSTEM 1 TO 3O EA ADD VENT @ 1 5O '5 (/)\/J @ I 50 FLOOR DRAIN OR SINK @ 1 25 LAWN SPRINKLEFj @ 2 OO M1SC WATER PIPING @ I SO GARBAGE DISPOSAL @ 1 OO VACUUM BREAKER OR BACK FLOW DEVICES I To 5 @ 2 OO GRADING PLAN YES Q NO Q PERMIT $ TOTAL FEE S FEE _ £ ,x / /y 2 // S^ ^^ ^ • >*^'O J^ j<9 OO 7<(^ I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWSREGULATING PLUMBING 1 CERTIFY THAT I AM PROPERLY REGISTERED AND LI CENSED AS REQUIRED BY THE* CITY^-OF CARLSBAD AND STATE OF CALIFORNIA OR THAT ! AM^THE LEGAL OWNER OF THE ABOVE DESCRIBED /RESIDENTIAL PROPERTY SIGNATURE OF PERMITTEE rPAIO ,J —-- —KAR 24-64 ?~cc~1954******! 1.25 BUILDING ADDRESS NEAREST CROSS ST ZONE Inspection Record APPROVALS UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC GAS TEST UTILITY CO NOTIFIED FIMAL DATE INSPECTOR s SIGNATURE ^ VALIDATION This is a Plumbing Permit When Propetly Filled Out, Signed and Validated Permit void if wort is not commenced within 60 days of data of issuance CITY OF CARLSBAD BUILDSNG DEPARTMENT SEWER 6233 PERMIT - APPLICATION 2M-6M FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO CLOCK BUILDINGS C^/^ /V? 'X. TRACT ^- / CONTRACTOR // X^ s\ (£,£t S7~&&\ -A-v* C ADDRESS X^V^Xy S/7 <^£77?~f ££ -Jb/ |C,TY (?&?tl£gfl-t> TEL NO ^7>9"^J/^ ^CONTRACTOR S STATELICENSE NO ,^o^3'o * tCARLSBAD BUSINESS LICENSE NO S NO DESCRIPTION OF WORK FEE / HOUSE SEWER CONNECTING TO / PUBLjc SEWER @ S3 OO SEPTIC TANK SEEPAGE PIT OR PITS @ S5OO OVERFLOW SCCPAG- P T DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE @ $5 OO HOUSE StWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ £1 5O CONNECT ADDITIONAL BLDG OR ALTER REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2 OO @ S OWNER'S AUTHORIZATION Ml HAVE AT THIS DATE A ^CONTRACTOR TO CONNEC ING TO THE PUBLIC SEW OWNER OR PERMIT S TOTAL FEE r^l@& 2 OO ,<$8&* CONTRACT WITH THE HEREIN T THE ABOVE DESCRIBED BUILD ER 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 HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALiFORj^JiA/bR^rH'AT i AM THE LEGAL OWNER OP THE ABOVE ^fJESOR IBfiD^RESI DENTIAL PROP- t-y // BUILDING />7 r~f XlPT" &t-^ ClT^—ADDRESS / CX •O O C_-- L-~~S' { O/ NEAREST CROSS ST OWNER #)f/U <Z&-mr/? /^^-^^- ( ADDRESS D(CLT^~ f~^/37 £*/?} fl ^/J'7 CZ?^7~£ C.TY^/fy^ ZVfe~f^ TEL N° CONNECTION DATA Lateral Charge Computation 10 H , in1 V (n) A" — A" — AAA Vprt © i" — h" — Lat No Logged in Plat LINE COST DATA i INF ro.^T c r o / A*,»H,nrj P <; (ft) / ^u,*,llmG OTHER TDTAI FOR SEWER LOCATION LO <J~, St NORTH ENGINEERING SEWER DEPT This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By _____ PERMIT VALIDATION