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HomeMy WebLinkAbout1205 MAGNOLIA AVE; ; 71-134; Permit0 ...
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z • City of CARLSBAD, CALIFORNIA ., > FEB •• ••1 Applicant to complete numbered spaces only. ,. .. . ~ JOB AODR ESS
/ 2 0 ~-r-7 ,2 (!) CJ 'Mlb. C. YufJA ~ ~ -LOT NO. Im I TUl;T ""\ LEGAL I QsEE ATTACH£D SHEET) 1 DESC~. . • ~
PLUMBING PERMIT APPLICATI~ 2
50
OWNEflll MAIL AOOPIESS ~ 11P PHONE ' 2 N, r:. NeT.i I i'lo 'VA /2,r../ I :2_ q~(JoY 7~'J-..:?7/4 ~ CONTPU,CTOR -MAIL AODfllESS / PHONE LICENSE NO. . ~ L'--
3 rlClJ ,,v E/t !\u
AJIICH ITECT OR DESIGNER MAIL ADDRESS PHON t: LIC E.NSE NO, t')\ ~
4 --0 -....
ENC.tNEER MAIL ADOR!:SS PHONE LICENSE NO.
5 -
! LE.NOE" MAIL ADD1'£SS &IIIANCH
6 -
USE OF' 8UIL01NC
.f)fllJ;,/jb' t: 7 ~
8 Class of work: EW □ ADDITION 0 ALTERATION □ REPAIR C) ...... ..... ~~ 9 Describe work: F 71'. Av A,::rc-AJ.tJJ I JJJT/) I/ , t;' E We /Z, .
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PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
.APPLICATION ACCEPTED BY: PLANS CHECKE D BY: ·~;:7;:·" LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE URINAL.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FL.OOR-S-INK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SL.OP SINK
MENCED. GASSYSTEMS:NO.OUTL.ETS I HEREBY CERTIFY T HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS O F L.AWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE IN TERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL.ATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER ~ (1 0
-f}~I} ~J h~
CESSPOOL.
If SEPTIC TANK & PIT
SIGNArRE 01" CONTRACTOR o,..,,.UTH.Rl1~DrAMNT (DATE)
PERMIT $ -~ ~o
TOTAL FEE $ ~ !IIC.NATU"E OP' OWt,ilUI {I P' OWNER BUILDER) DATE) ~o
WHEN PROPERLY VALIDATED (IN THIS SPACE I THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
-=-•-1 nn -:, o.f..Q REORPEA FROM: INTERNATIONAL. CONFERENCE OF BUIL0ING OFFICIALS e eo eo. LOS ROBLte e P,.SADENA, CALll"ORNIA 91 101
CITY OF CARLSB1AD SEWER
BUILDING DEPARTMENT PERMIT-APPLICATION
FOR APPLICANT TO FILL IN I
LEGAL B UILDING DESCRIPTION LOT NO. ADDRESS
BLOCK TRACT NEAREST
CROSS ST. USE OF
BUILDINGS OWNER
MAIL CONTRACTOR ADDRESS
ADDRESS CITY TEL. NO.
CITY TEL. NO. CONNECTION DATA
CONTRACTOR'S STATE CARLSBAD BUSINESS Lateral Charge Computation
LICENSE NO. LICENSE NO. 30' H., 10' V. @ 4" = ___ 6" = ---
Add . Horiz. @ 4" -___ 6" ------NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO Add. Vert. @ 4" --___ 6" -PUBLIC SEWER @ $3.00 --------SEPTIC TANK, SEEPAGE PIT OR Total Construction Cost PITS @ $5.00
OVERFLOW SEEPAGE PIT, ORAINFIELO EXTN , I 0% Service Charge CESSPOOL, ORYWELL, MANHOLE @ $5.00
HOUSE SEWER CONNECTING TO Total Lateral Charge PRIVATE DISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLDG. OR Lat. No.: Logged in Plat: WORK TO HOUSE SEWER @ $1.50
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00 LINE COST DATA
@ s A. D. & Assmt. No.
LINE COST:
OWNER'S I PERMIT $ 2 00 C. C. @ __ I dwelling
AUTHORIZATION TOTAL FEE P. S. @ __ / dwell ing
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN OTHER
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD, TOTAL ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF Grand Total, Lateral, etc. OWNER OR
OWNER'S AGENT FOR SEWER LOCATION
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 V) V) STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. NORTH AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS,
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP· ENGINEERING SEWER DEPT. ERTY.
SIGNATURE Signed I Signed OF PERM ITTEE
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By _____________________ _
PERMIT VALIDATION