HomeMy WebLinkAbout1245 BASSWOOD AVE; ; SE658183; PermitBUILDING DWARTMENT PERMIT - APPLICATION
PAID UR 25-65 ?~1953*******5.00
FOR APPLICANT TO FILL IN I
LEGAL DESCRIPTION Lor NO.
BLOCK TRACT
IlSF OF
I
BUILDING ADDRESS
NEAREST
CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 ' SEPTIC TANK. SEEPAGE PIT OR @ $5.00
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,
PRIVATE DISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER 0 $1.50
ALTER, REPAIR OR ABANDON HOUSE
PERMIT
TOTAL FEE I OWNER'S
AUTHORIZATION
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF OWNER OR OWNER'S AGENT
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED CITY OF CARLS- I AM THE LEGAL IDENTIAL PROP
CONNECTION DATA Lateral Charge Computation
30' H., IO' V. @ 4" = __ 6" = __
Add. Horiz. @ 4" 1 __ 6" = __
@ 4" ~ 6" = - Add. Vert.
Total Construction Cost
IOyo Service Charge
Total Lateral Charge
Lat. No.: Logged in Plat:
LINE COST DATA
A. 0. & Assmt. No.
LINE COST:
C. C. 0- / dwelling
P. S. @- / dwelling
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
st. NORTH
ENGl NEERING SEWER DEPT.
Signed I Signed
This is a SdFwr Permit When Properly Filled Out, Signed and Validated
Issued By
PERMIT VALIDATION
CITY OF CMWM
BUILDING DEPARTMENT
I
I FOR APPLICANT TO FILL IN
SEWER
PERMIT - APPLICATION
CONTRACTOR’S STATE CARLSBAD BUSII~ESS LICENSE NO. LICENSE NO.
-I-”.-.....;$ AUTHORIZATION TOTAL FEE
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER. ,
SIGNED THIS OWNER OR
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 REQUIRED 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
CONNECTION DATA Lateral Charge Computation
30’ H., IO’ V. @ 4” = - 6” = -
Add. Horiz. @ 4” = - - -
Add. Vert. @ 4” = __ 6“ = -
60 -
Total Construction Cost 4.5 -. 00
Total Lateral Charge lzdl56
10% Service Charge I/. 3-0
Lat. No.: Logged in Plat:
LINE COST DATA
A. 0. & Assrnt. No.
LINE COST: 5Z56
50.00
/Q. .3 9 x 4 B.
- DG C. C. @& / dwelling
P. 5. @- / dwelling
OTHER
TOTAL
Grand Total, Lateral, etc. 234d a
FOR SEWER LOCATION
St. NORTH
ENGlNEERiNG SEWER DEPT.
Signed I Signed
This is a Sewer Permit When Properly Filled Ou+, Signed and Validated
Issued By
PERMIT VALIDATION
CITY OF CARDBAD
PERMIT $-
NoO I TOTALFEE $
GRADING PLAN
YES
BUILDING DCPARTMENT
A
2 00
2/00
81 86
.I . -.
PLUMBER p’h? &
I‘TEM I FEE NO. -
TOILET @ $1.25
BATH TUB @ 1.25
SHOWER Q 1.25
WASH BASIN 8 1.25
KITCHEN SINK Q 1.25
DISH WASHER 0 1.25
LAUNDRY TUB OR TRAY @ 1.25
AUTOMATIC WASHER 8 1.25
WATER HEATER & VENT
GAS SYSTEM I TO 15 .30 €A. ADD. 1.50
FLOOR DRAIN OR SINK 3-17 LAWN SPRINKLER
MISC. WATER PIPING 1.50
GARBAGE DISPOSAL
VACUUM BREAKER OR BACK
I I/-
PERMIT - APPLICATION
I(AR 25-67 ???19S?******L1.L.U
GROUP I ZONE
Inspection Record
APPROVALS I DATE I INSPECTOR’S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
PLUMBING FIXTURES
MISC.
i GAS TEST
UTILITY CO. NOTIFIED
FINAL
.
VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permif void if work is not commenced within 60 days of date of issuance.