HomeMy WebLinkAbout1095 PALM AVE; ; 64-7726; PermitAppli<afion I or BUllD'l'N6 Permit CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 -·Ext. 36 772 6 Building Permit Fee
OCT 27-64 ~p~~D 1958******16.50 For A licant to Fill In
"' Contr. Address c.: 1 l A::v-J2
To Const.~ <Add 0 To Alter D Convart 0
o Move From __________________ _
Type of Const. £,¼M 4 ( Fmrr·✓ Masonry, etc.
To Be Used For ~6,,<->.__..k-1.,n,~~c..:::...\------------,--,-
Kind of Foundation ( ~6::u..f I No. of Storie.__-'-/_.,.... __
Floor Space (Sq. Ft.) __ Lk=s::.=,g:::;;....:/ ________ _
Garage Floor Space (Sq. Ft.) ~
Detached-------~-
Legal Description
Lot Block
Subdivision ___________________ or a~ ->c fb,1~, s-~b~ -;f:loS--,'-Ab O J ,:$
) Section Township Range
No. of Existing Building ______________ _
Will this construction include any plumbing installation or oiler•
alien? Yes D No 0
Signoture of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS A P PLIC:ATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS R EGUL ... TIN G
BUILDING.
St. Near
Set Bock
Front P.l.
Side P.L. ..._>/ • c;, M,N Gorage
Reor P.L. ./ A.4. ✓""0/v Other
Group
Contractor City Bus. Lie. No. ____________ _
Water Meter 1 t I I .., L!Jt Is /-f / -41'1
Sewage Disposal Sys.fem ~~
Inspection Record
Utility Compony Notified -Dote, ______ By ____ _
Final
If o check is tendered for payment for the obove fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Corlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.
CITY Of CARLSBAD PLUMBING
BUILDING DEPARTMENT PERMIT -APPLICATION
OWNER ( .c/4.., f) )J, ~~ ,, 7Z.. OCT 27·6~ ~P~~o 1957******14 .75
~~b~ESS ~LJ(I\ ~LHW C7'·;-LZ<,<.(½
CIT Y / 'i'r, ,i ~J{,_ r, A ) r
TEL. NO. ~.~-(OA.A.>-1~ v.A -BUILD ING L.O v~ PLU MBER ADDRESS
NEAREST .
ADDRESS CROSS ST. C (,_d-a "'""" ~
CIT Y T EL. N O. GROUP 1 Z ONE ·2-L
STATE CARLSBAD B USINESS Inspection Record L ICENSE NO. LICENSE NO. ----
\10. ITEM FEE
:;i., TOILET @ $1.25 IS"D ~
_j_ BATH TUB @ 1.25 I &.!)
_j_ SHOWER @ 1.2 !5 i ~.::.--,
~ WASH BASIN @ 1.2!5 , 1~S-
) KITC H EN SINK @ 1.25 -L ~~-
DISHWASHER @ 1.2 5
LAUNDRY TUB oR TRAY @ 1.2!5
I AUTOMATIC WASHER @ 1.25 I ;:'.:?~-
I WATER HEATER a VENT @ 1.50 ,I S-0 -GAS SYSTEM 1 TO 15 I :5""/1 ~ .30 EA. AOD. @ 1.50
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING @ 1.!50
"' I I GARBAGE DISPOSAL @ 1.00 C-0
,-" VACUUM BREAKER O R BACK
FLOW DEVICES 1 TO 5 @ 2.00
APPROVALS D ATE I NSPECTOR•S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GRADING PLAN ✓ I PERMIT s 2 00 GAS PIPING
YES O NO TOTAL FEE j{L ~_s-GAS VENTS s
PLUMBING FIXT URES
I ACKNOWLEDGE T HAT I HAVE READ THIS APPL ICATION
AND STATE ·rHAT THE ABOVE IS CORRECT A ND A GREE TO M I SC. COMPLY WITH ALL CITY ORDINANCES ANO STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTER ED AND L I-
crnseo AS .,ou,a,o ov TH< c,\~••cs•7,r,o GAS TEST
STATE OF CALIFORNIA OR TH~AM E EGA L O ER
UTILITY CO. NOTIFIED OF THE A BOVE ~B7RE NTI Pl OPERTY
FINAL SIGNATURE • -~'Ffi11i
OF PERM ITTEE ---.;;;, ....-. 1t. ..,,..,.
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.
OTY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOT NO.
BLOCK
USE OF
BUILDINGS
ADDRESS
CITY (!
TRACT
TEL. NO.
CONTRACTOR"S STATE
LICENSE NO.
CARLSBAD BUSINESS LICENSE NO.
NO. DESCRIPTION OF WORK FEE
J HOUSE SEWER CONNECTING TO _,3_ PUBLIC SEWER 0 $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $15.00
OVERFLOW SEEPAGE PIT, DRAINFJELD EXTN.,
CESSPOOL, DRYWELL, MANHOLE O $!1.00
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 0 $1.150
CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER O $1.!IO
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00
• •
OWNER'S I PERMIT s 2
AUTHORIZATION TOTAL FEE s
,~o
00
or
I HAVE AT THIS DATE A CONTRACT WITH 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 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 OF CARLS-
BAD AND STATE OF CALIFORNIA O THA I A THE LE L
OWNER OF THE ABOVE DE RIB R SIDE IAL P.
ERTY.
SIGNATURE
OF PERMITTEE
SEWER
772U PERMIT -APPLICATION
SPAID ca Z7-6lf _ cc1956**•••••s.oo
BUILDING
ADDRESS
NEAREST
CROSS ST.
OWNER
MAIL
ADDRESS
CITY l'-
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = --b"=--
Add. Horiz. @ 4" __ 6"=--
Add. Vert. @ 4" __ /,"=--
Total Construction Cost
10% Service Charge
To~I ~~~IC~~e ____ _
Lot. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. -------,----------
LINE COST: --------+-+----___ _
C. C. @ __ / dwellin<}...._,.-,--,,r-,-----____ _
P. S. @ __ /dwelling _____________ _
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
~----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed ________ _ Signed ________ _
This Is a Sewer Permit When Properly Filled Out, Signed and Validated
luued By __________________ _
PERMIT VALIDATION