HomeMy WebLinkAbout1241 CARLSBAD VILLAGE DR; ; 68-353; PermitCITY OF CARLSB,
BUILDING DEPARTMcr*!
729-1181 -Ext. 36
For Applicant to Fill In &? o ^
Applicatidifor BUILDING Permit
Building Permit Fee U j*"
o_r<< H^.^/U&tLtsLfa* q
/3«t/ ^%w O$
C.ntr AAAfne, Y^f^^t-^^
To Const D To Add B^*^^ To Alter Q Convert n
Frame, Masonry, etc
Tn fin itwti For L<-tXLrf6{. L»— O-L^-—
Garage Floor Space [Sq Ft )
Lot Block
Section Township Range
Will this construction include any plumbing installation or alter-
ation? YeVg No D
Signature cL Applicant, /* >» jj
1 ACKNOWLEDGE TH^ 1 H A V E -HTEAZfT H ! S APPLICATION
AND STATE THAT THE «BOVE IS feeRRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING
! CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER
OF THE *.BOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
Building Dept. Use Only
/ *"} C/ / f~*0 &^lC//s-&st N! fi> &^&
Set Back . I Bldq Valuation c2.^_ (J - —
Front PL *\J \ Main Bldg
Side PL / \ Garage
r *Rear PL ' ' Other
Group Zone WoproveW fa f^
cPAEDCnntrflrfnr r,ly R,,r 1 ,<- M^^p-gQ D-— — 75Q* **** *^
Water Meter Sewage Disposal Sys-tem
Inspection Record
Final
If a check is Tendered for payment for the above fee and the
check is not honored when presented for payment, your
build'ng perm t w/)1 bo immediately revoked
City of Carlsbad Building Dept
Permit void if work is not commenced within 60 days of issuance
CITY Of (ARL5BAD
BUILDING DEPARTMENT
OWNER g-.^.
ADDRESS /_2<f/ /-
CTTY TEL NO 92?-2-'2-&3
PLUMBER
ADDRESS
TEL NO
STATE
LICENSE NO CARLSBAD BUSINESS
LICENSE NO
NO
n^
i
ITEM
TOILET
BATH TUB
SHOWER
WASH BASIN
KITCHEN SINK
DISHWASHER
@ $1 25
@ 1 25
@ I 25
@ I 25
@ 1 25
@ \ 25
LAUNDRY TUB OR TRAY @ 1 25
AUTOMATIC WASHER @ I 25
WATER HEATER ft
GAS SYSTEM 1 TO
3O EA ADD
VENT ® 1 50
15
@ 1 5O
FLOOR DRAIN OR SINK @ \ 25
LAWN SPRINKLER @ ZOO
MISC WATER PIPING @ 1 5O
GARBAGE DISPOSAL @ ! OO
VACUUM BREAKER OR BACK
FLOW DEVICES 1 To S @ 2 OO
-l^gBADING PLAN
YES^Q NO Q
PERMIT S
TOTAL FEE S
FEE
/
/
2
•f6,
•j^r'
«2i
OO
^59
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
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-
CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF
PERM IT-APPLICATION
JUL 18-68 5TF1234*******U.MJ
BUILDING
ADDRESS
J* /)
C— <--^Vt-
NEARESTCROSS ST
ZONE
Inspection Record
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC
GAS TEST
UTILITY CO NOTIFIED
FINAL
DATE INSPECTOR s SIGNATURE
/ VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated
Permit void if work is hot commenced within 60 days of date of issuance