HomeMy WebLinkAbout1055 Magnolia Ave; ; 65-7931; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 -·Ext. 36
For A licant to Fill In
793~
Owner's No.me We ~.5 .r. V . 7
f.Ao.il Address Z£S-~~ ~
Contractor /!z'd,~""}..~~
Contr. Address ----------------
To Const. r To Add □ To Alter D Convert D
,I' Move From _________________ _
Type of Const. -~d-;=--~~~~-----------
Fro.me, Masonry, etc.
To Be Used For ---'~~-~-~-'"---------
Kind of Foundo.tio~ ~C.,..., No. of Stories _ __, ___ _
Floor Spo.ce (Sq. Ft.) _..,,,/'-£~....,?"--_() _______ _
Go.rage Floor Spo.ce (Sq. Ft.) Attached # r.S-:
Detached _______ _
Lego.I Description --~--· -------------
Lot Block
~ Sobdi,i,ioo ~ .d.L.,..._../ o,
~ Section Township Range
No. of Existing Building --------------
Will this cons~ction include
ation? Yes/ No D any plumbing installation or alter•
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STAT E THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
SIGNATURE
OF PERMITTEE
Application for BUILDING Permit
Building Permit Fee 76 d 1:)
JAN 18-65* p:~05068***** 121.50
Buildin
Set Back Bid . , ,s"'t!H>
Front P.L. > Main Bid ~
Side P.L. Garage ti~ .,
Rear P.L. Other
Gro_i-Zone Je-1 Approved by
Contractor City Bus. Lie. No. ____________ _
Water Meter ¢-r-" I Sewage Disposal ~~-~
Inspection Record
System
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 is not commenced within 60 days of issuance.
OTY OF CARLSBAD
BUILDING DEPARTMENT
LEGAL
DESCRIPTION
BLOCK
USE OF
BUILDINGS
CONTRACTOR
ADDRESS
CITY
FOR APPLICANT TO FILL IN
TEL. NO.
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO J PUBLIC SEWER • $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $15.00 I
OVERFLOW SEEPAGE PIT, ORAINFIELD EXTN., \ CESSPOOL, ORYWELL, MANHOLE 0 $!5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLDG. OR I WORK TO HOUSE SEWER • $1.!50
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00
• $
J
OWNER'S I PERMIT s i
AUTHORIZATION ,
TOTAL FEE
}
I
l
\
tib
I
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-
ING TO THE PUBLIC SEWER.
S IGNED THIS -----DAY OF ----------OWNER OR
OWNER'S AGENT -----------------
ADDRESS
BUILDING
ADDRESS
NEAREST
CROSS ST.
OWNER
CITY
SEWER
PERMIT • APPLICATION
• 1&-65 !":~05072******50.00
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = ___ b" ----
Add. Horiz. @ 4" = ___ b" ----
Add. Vert. @ 4" = ___ b" ----
Total Construction Cost
I 0% Service Charge
T otol Lateral Charge ____ _
Lot. No.: Logged in Plot:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: _______________ _
C. C. ®--/-/ dwolling _______ 5'<:, ~
P. S. @ __ / dwelling ____________ _
OTHER
TOTAL
~-~ Grand Total, Lateral, etc. ;:i...C::'.
FOR SEWER LOCATION
St. NORTH
ENGINEERING SEWER DEPT.
Signed ________ _ Signed ________ _
This is II Sewer Permit When Properly Filled Out, Signed and Validated
luued By ---------·----------
PERMIT VALIDATION
aTY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL =-DESCRIPTION LOT NO.~
BLOCK m~+& AC
USE Oi?"
BUILDINGS
CITY
8 ~~10
CONTRACTOR"S STATE CARLSBAD BUSINBH
LICENSE ~/'ch ~CENSE NO.~?rS-
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO PUBLIC SEWER • $3.00 ~ N")
SEPTIC TANK, SEEPAGE PIT OR r
PITS 0 fll.00
OVUIFLOW 91:1:PAGE PIT, DRAINFIIELD IEXTN,,
CIISSl'OOL, DRYWELL, MAN'IOLIE O $15.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 0 SI.ISO
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • $1.150
ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM O SZ.00
• s
OWNER'S PERMIT s 2 00
AUTHORIZATION TOTAL P"EE < Inn
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE Dl!:SCRIBED 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 I S CORRECT AND AGREE TO COMPLY W ITH ALL CITY ORDINANCES AND
STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUI B E CITY OF CARLS• BAD AND STATE OF CALIFOR T I AM THE LEGAL
OWNER OF THE ABOVla,r"QIElall,R.-i RESIDENTIAL PROP.
ERTY.
SIGNATURE /L~'T.J'~7 t:--OF PERMITTEE
SEWER
PERMIT. APPLICATION
-!1-65 ~p:~052147**** ·••5.00
BUILDING
ADDRESS
NEAREST
CROSS ST.
OWNER (f ..,(,/,,
MAIL
ADDRESS
CITY TEL. NO.
CONNECTION DATA
L•t•r•I Ch.,ge Comput•tion
30' H., 10' V. @ 4" = __ 6"=--
Add. Horiz. @ 4" = __ 6"=--
Add. Vert. @ 4" = __ 6"=--
Total Construction Cost
10% Service Charge
Total Lateral Charge ____ _
let. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. ----------------
LINE COST: ________________ _
C. C. @ __ / dwelling ____________ _
P. S. @ __ / dwelling ____________ _
OTHER-------------------
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
ENGINEERING SEWER DEPT.
NORTH
Signed ________ _ Signed ________ _
Out, Signed •nd Validated
l11ued By -------------------
PERMIT VALIDATION
CITY Of CARLSBAD
BUILDING DEPARTMENT
OWNER
MAIL
ADDRESS
NO.
TOILET
BATH TUB
SHOWER
WASH BASIN
KITCHEN SINK
DISHWASHER
LAUNDRY TUB o• TRAY
AUTOMATIC WASHER
WATER HEATER 8c VENT
GAS SYSTEM 1 TO 15
.30 EA. ADD.
FLOOR DRAIN OR SINK
LAWN SPRINKLER
MIS C. WATER PIPING
GARBAGE DISPOSAL
VACUUM BREAl<ER OR BACK
FLOW DEVICES 1 TO 5
GRADING PLAN
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
YES □
I PERMIT
TOTAL FEE
$1.25
1.25
1.25
1.25
1.25
1.25
1.25
1.25
1.50
1.50
1.25
2 .00
1.50
1.00
2.00
$
s
800 PLUMBING
PERMIT -APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP
JM21-65 ~p~~
0 52lf6******1/.c5
I ZONE
Inspection Record
APPROVALS DATE I NSP£CTOR S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.