HomeMy WebLinkAbout1165 Harbor View Ln; ; 62-5151; Permit-· ·-· -·.--------·~-~~~. -==
APPLICATION FOR BlfuiDING PERMIT 5151
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArlwoy 9-1181 -Ext. 36
Owner Nome .. i':2t?..tJ.R fy' ;t• I I C. ........... MaHing Addres, ~.J_.j-M tu I" ?/. J J:Sl"bNd, ./4
(Pleose Print) (Lost) (First) (Middle) Number Street ' City Phone
Conlroelor tJfl~~ ...................... Q!Q~ ... L .. , ...... MoHfog AddreH ... e_.t..,_ ________ _
{Pleose Print) N~·;.;;;er Street City Phone
To Construct ~Add D To Alter D To Repair D To Convert D To Move From __________ _
Type of Const. ~ .. Kind of Foundation .. ~ ... ! ..... No. of Stories ...... / ..... To Be Used for a:~_ ... ___ _
( Fro me, Mosonry, Etc.) (One Fomily Dwelling, Store, Etc.}
Floor Spoce of Propo,ed Condruction (,q. ~I) .. ~./.3 .. 9otloched • Con,t. Voluotion $ ....... r;iri~···t) 6 0~·•···· .. .
Floor Spoce of Guage (sq. feel) ...... -C/ detoched OCon,t. Voluotion $ ... G: .... :(',J"~---------
LEGAL DESCRIPTION d-441...to:i.. IZJ~ .... ~.ur....~
lot Block Subdivision
or -8---5ectio Township _____ Range
Locoted ot .//bS-fta.,i../,,n~ . .A~ ..... Street. Near .... Ce.£~
Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ... ~ ........ (INDICATE
SIZE, USE AND LOCATION ON !!,PT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES,_,~=-"'NO•---
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 BUILDING CONSTRUCTION.
If a check is tendered for p·oyment of the above fee ond the check is ~frj, ~ ~ not honored when presented for payment, your Building Permit will be SIGNATURE OF
immediately revoked. . PERMITTEE .... . ....... . . ... ..... ..~ .. =---=-
• ...,{) I ~ Front Yard Set Bock .... ~ .. 1' .• !..........:~--=.=:::..;:..c:c_ __
Side Yord Sot Bock .......... 2 1 ~
Rear Yard Set Back ..... /.q .. :. .......... __ .__... _____ _
Distance Between Bldg .. L-"tJ'...' __ _
Off Street Parking Spaces .... / ..... _______ _
Sewoge Disposol Sy,tem ......... e..'ly'--------
Zone -Residential { / I -----------
Zone -Commercial
Veriance
Eng. Check By ---------===:=::::~---
Drivewey Permit Required Yes { No { ) Fee
Grading Permit Required Yes ( } No { ) __________ _
<'-A 110 Sewer Disposal Plant Capital Cont. Fee .... ~ .....• u~"-=-----------
Sawer Pumping Station Capital Cont, Fee ____________ _
Sewer Main line Cost ........... .
Sewer Lateral Connection Charge ········--------------
Water Stocked Lands Charge ________________ _
Water Main Pipe line Fee ···············---------------
Water House Service Charge _______ _
'c.,,-~c Water Meter Charge------~'-'"""'------------
{,,,-<!)O
Sub Toto! ___ ...,7c....;""'=-----------
Plans Approved by ··········----·-------------Plan Check Fee----·---------
Approved b;..:e.s.~ .. a.~~1===------...Build;ng Permit Fee ..... k.l2.'..''::0
:::::
0:::::-::-,--:c-_______ _
"-., Dote ...... //.-7-b --Z..-.--Totol Charges ............. /~.::::J_-_;?_0
______ ..,..
~
CITY Of CARll8AD C ~-BUILDING DEPARTMENT _;r ,r:;; PERMIT APPLICAflON .
w. Moore •t1-68 5PAJD21f7J**** *** -•Cc .s.,o
OWNER
MAIL 1165 Harbor View Ln ADDRESS
CITY Carlsbad TIL. NO. 222 ~z6s
//f,;,-5'#~ :l.c/ Arrow Service Co. Inc. BUILDING
PLUMBER ADDRESS
6424 Mission Gorge Ra. NEAREST
ADDRESS CROSS ST.
CITY San Diego TEL, NO. 2!h 3?31 GROUP I ZONE STATE CARLSBAD IIUSINESS Inspection Record LICENScj'6 176711 LICENSE ~a,13
NO. ITEM FEE
TOILET • .,.21
BATH TUB • 1.211
SHOWER • 1.28
WASH BASIN • 1.zs
KITCHEN SINK • 1.28
DISHWASHER • r.as
LAUNDRY TUB 01t TRAY • 1;29
AUTOMATIC WASHER • uus
WATER HEATER a VENT • ,.so
GAS SYSTEM I TO 1!5
. 30 IEA, ADD, • l.!10
FLOOR DRAIN OR SINK • f.29
LAWN SPRINKLER • 2.00
MISC. WATER PIPING • ,.so l.50
GARBAGE DISPOSAL • 1.00
VACUUM BREAKER OR BACK
FLOW DEVICES I TO 15 • z.oo
APPROVALS DATE
UNDER FLOOR WORK
ROUGH PLUMBING
GRADING PLAN PERMIT .. 2 00 GAS PIPING
YESQ NO• TOTAL FEE ' 3.50 GAS VENTS
PLUMBING FIXTURES I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO MISC. COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED ANO LI·
CENSED AS REQUIRED ~y THE CITY OF CARLSBAD AND GAS TES'T'
STATE OF CALIF R THAT I AM THE LEGAL OWNER
OF THE ABOVriSCRIB iESl~!,rTIAL PROPERTY, UTILITY CO. NOTIFIED
s1GNATURE rro ~r 1fe C? ._ Inc.
OF PERMITTE -' -FINAL
n
\I VALIDATION
This Is • PlumWng Ponnit Wbon Pro,,.rly Filled Out, s;gned end VeUdeied.
hrmlt vold If wowi ls not c:ommenced within 60 days of date of inu•nc:e.
INSPECTOR'S SICllNATURIC