HomeMy WebLinkAbout1226 LAGUNA DR; ; 70-300; Permito---0 ...
:f 0
z .. PLUMBING PERMIT APPLICATION ffJi 2
City of CARLSBAD, CALIFORNIA "' ~~ ~P~~OJ160** " MAR 27·10 ~ Applicant to complete numbered spaces only. .. ..
Joa ADDft ESS
/c)....,_t L. a <?tln4. C,,1-4L-.s .Rfl--0
,,
LOT NO, Im I T"ACT O sEE ATTACHED SHEET) ~ ~ 1 ;~;~~-~ OWNER MAIL ADDRESS ZIP PHONI:.
2 L.€. V C IG,-EL. t3.$"L1 CH A-12-TE-/Q. 04K 7.2 '1....3 70 c..-N ""-
CONTPIAC TOR , MAIL AODIIIE.SS PHONE LICENSE NO.
I~ 3 o 'd//v'c£ .SAJ.-/14£:' r, ARCHITECT OR DESIGNER MAIL ADD"ESS PHONE LICENSlt NO, ~~ 4 I::;
£NGINEER MAIL ADDRESS ?HONE LICE.NS£ NO,
5 '" ~
LENDl:llt MAIL ADDRESS BftANCH ~ t 6
00
USE 0,. 9UILOING \ 7 Jr -, ,_ / ~ ~· //
8 Class of work: □NEW □"DOITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
'-11.• .L.. ~ -~ ,,,,,, '1._/ .,_ ; _A_/,_ BATHTUB
'/'r-.,._,1; -, ~ ...::::...',, , A....P / LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTEO BY; PLANS CHECKED BY; APPROVED FOR ISSUANCE BY; LAUNDRY TRAY
'!/Ad~ CLOTHES WASHER
WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOi DI F WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER 5 D-i,
CESSPOOL
SEPTIC TANK & PIT
-
:ZdNT~y ;z;I: AGENT
(DATE)
J/,,:??/?A PERMIT $
TOTAL FEE $ ~ lr--d ltT GNATU .-c-0, OWN £flt IP' OW'NER IM'IIL.DER , DATE)'
\ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
f m 100.2 9-69 REOROEft. FROM: INTERNATIONAL CONFERENCE OF BUILOING OFFICIALS e eo so. LOS ROBLES • PASADENA. CALl,.ORNIA ~t 101
CITY OF CARLSBK
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO.
BLOCK
USE OF
BUILDINGS
CONTRACTOR
ADDRESS
CITY TEL. NO.
CONTRA CTOR'S STATE LICENSE NO. CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER @ $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $!5.00
OVERFLOW SEEPAGE PIT, ORAINP'IELD EXTN.,
CESSPOOL, ORYWELL, MANHOLE 0 $!5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM @ $1.!50
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER @ $1.!50
ALTER, REPAI R OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00
0 $
OWNER'S I PERMIT • 2
AUTHORIZATION TOTAL FEE
-
1--
00
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 REQUI RED BY THE CITY OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP.
ERTY.
SIGNATURE
OF PERMITTEE -----------------
SEWER
PERMIT • APPLICATION
BUILDING ADDRESS
NEAREST CROSS ST.
OWNER
MAIL
ADDRESS
C ITY
CONNECTION DATA
Lateral Charge Computation
30' H., 10' Y. @ 4" = ---6" ----
Add. Horiz. @ 4" = ___ 6" ----
Add. Vert. @ 4" = ---6" ----
Total Construction Cost
I 0% Service Charge
Lat. No.:
Total Lateral Charge -'-----
Logged in Plot:
LINE COST DATA
A. D. & Assmt. No. --:---:--~---------:-:-,-
LINE COST: ---------'--------'----
C. C. @ __ / dwelling ________ -~---
P. S. @ __ I 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 end Validated
Issued By --------------------,
PERMIT VALIDATION