HomeMy WebLinkAbout1173 Oak Ave; ; 65-8379; PermitCITY Of CARLSBAD PLNING
BUILDING DEPARTMENT 837B PERMIT· APPLICATION
JUN 29-65 ~P~~
0 5J45*******:5.50
TEL. NO.
ADDRESS lfulk {'::f'YQ..., ---'T=ELcc...... '-'-'NO'--. ----
CARLSBAD BUSINESS
CITY
STATE
LICENSE NO. LICENSE NO.
10 ITEM FEE ------
TOILET @ $1.25 ------
BATH TUB @ 1.25
SHOWER @ 1.25
WASH BASIN @ 1.25 ------
KITCHEN SINK @ 1.25
DISHWASHER @ 1.25 ------
LAUNDRY TUB OR TRAY @ 1.25
AUTOMATIC WASHER @ 1.25 ------
WATER HEATER & VENT @ 1.50 ------GAS SYSTEM 1 TO 1 !5 ,..0 .30 EA. ADD. @ 1.50
FLOOR DRAIN OR SINK @ 1.25 --· ---
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING @ 1.150 ------
GARBAGE DISPOSAL @ 1.00
VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 @ 2.00
----'--------~--------~1------
I_P_E_R_M_I_T ____ s_,__2_, 00 GRADING PLAN
YESQ TOTAL FEE S c3 :'c)
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 LAWS
REGULATING PLUMBING.
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
DATE
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.
I NSPECTOR·S SIGNATURE
CITY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO.
BLOCK TRACT
USE OF ff\('\
BUILDINGS ULt.JJc I
CONTRACTOR ~ :b
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO ~ eo PUBLIC SEWER 0 $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 SIS.00
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,
CESSl'OOL, DRYWELL, MANHOLE O $5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 0 $1.ISO
CONNECT ADDITIONAL BLOG. OR
WORK TO HOUSE SEWER • SI.ISO
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00
• •
OWNER'S I PERMIT s 2 00
AUTHORIZATION TOTAL l"EE S~D
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
ING TO THE PUBLIC SEWER.
~!;~~~6~15 <&;;iOAY 01 =x
OWNER'S AGEN~..__,4-J~'.,fM!l"--YA.~-~~,=c;~~::i.,.,:c.;::.:.._ __
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY WITH ALL CITY ORDINANCES ANO
STATE LAWS REGULATING PLUMBING ANO SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
ANO/OR LICENSED AS REQUIRED BY THE CITY OF CARLS•
BAO ANO STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP.
ERTY.
SIGNATURE
OF PERMITTEE ---------------
0 ( ()
SEWER
PERMIT • APPLICATION
fEB -lf-66 t:;o 593***** 170.50
~'11/ ~-;oo
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = __ 6" = __ --'----
' Add. Horiz. /0 @ 4" = __ 6" = __ ---'---=-
Add. Vert. @ 4" = --6" = -------
Total Construction
10% Service Charge
Total Lateral
Lat. No.: Logged in Plat:
LINE COST DATA /-/9~7 A. D. & Assmt. No. ---------------
LINE COST: -----------------
C. C. @ __ I dwelling WA-/lle-=O::......... __
P. S. @ __ / dwelling -------------
OTHER-----------------~-
FOR SEWER LOCATION
NORTH
SEWER DEPT.
igned --------
This is • Sewar Permit When Properly Filled
Issued By --------------------
PERMIT VALIDATION