HomeMy WebLinkAbout1230 MAGNOLIA AVE; ; 76-2142; Permit,.
PLUMBING PERMIT APPLICATldN 12.50
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only Permit No ,-JOI AOOA C$S
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MAIL A00flll£55 ZIP PHONC U/Y~
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MAIL A.DORCSS PHOHt STATE LIC. NO. CITY LIC. NO.
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AJIIICHITCCT Oflll OCSIGNCR MAIL AOO~[SS PHONE LICENSE NO.
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CNCIHCt,-MAIL AOORCSS PHO NC LIC[NSC NO.
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COMPENSATION (NS. CARRIER MAIi.. A00111£55 8JIIAHC'1
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use o, BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPA IR
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9 Describe work : .£" e we .tb UNA.le' C r; (!) ,,/
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
K ITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCEPTE O B~ PLANS CHECKED B V APP~OIIEO FOR ISSUANCE ev LAUNDRY TRAY
CLOTHES WASHER /J .{f DATE WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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. GAS SYSTEMS. NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO 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
I' SEWER NUMBER CLEANOUTS ,
,.. .,.
~,,/ fi~,,?4-CESSPOOL
6/49h/4 SEPTIC TANK & PIT
ROOF DRAINS
51GNATURt o, tONTRACT01' OR ~THOR!Zt0 AG[NT , IDATEI
ISSUANCE FEE $ -; l ,11
*ICNAT"1'£ 0,. OWN[lllt ti,. OWN[,. tlUILD[" IOAT[) TOTAL FEES $/ I'
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
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INSPECTION REPORTS -------
DATE r ITEM r REMARKS INSPECTOR
--~--
-·-----~~~ -
--
-~
-
-
-
_l __ -+ ---
I ----
USE SPACE BELOW FOR NOTES. FOLLOW-UP, ETC
7-7-76 Sewer all O.K. to clear. No leaks, will call for septic tank
fill. T. Mata
,: 'I
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•
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
EXISTING BUILDING
I
LATERAL LOCATION
ST.
...= (J)
LATERAL NO. _______ INSTALLATION DATE-------
BUILDING DEPT.
ISSUED BY _________________ _
DATE ISSUED-----~-----------
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') ________ _
OVER 30' H. ___ @.,,~ ___ FT. _________ _
OVER 10' V. @ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @, ____ FT. _________ _
OVER 10' V. @ FT,---------
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) _________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
ASSESSMENT DIST. NO.--------------
FRONTAGE ____ COST PER FT, ___ TOTAL __ _
OTHER ___________________ _
CONNECTION FEE
NO. UNITS_ ..... , __ coST PER UNIT---TOTAL---
PUMP STATION FEES
NO. UNITS __ --'-COST PER UNIT ___ TOTAL---
TOTAL CHARGES (LATERAL ETC.) ______ {?_t...__3 __ _