HomeMy WebLinkAbout131 Hemlock St; ; 65-8350; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
82 50
For A licant to Fill In
Owner's Nome\Stc.rcR. E. PAn,tS
Moil Addre«3 </'{/ S&ac-6T Dfl.
Controctc-r Kttrn Ml (Vl>p s ,t2D( ocv (b /p '-
Contr. Address~k) ELA1 /Jt,11:-
To Const.~ To Add • To Alter 0 Convert D
Jo Move From _________________ _
Type of Const. n2.ittnlf' -.:5 TµC. CO
Frome, Mosonry, etc.
To Be Used For 'I l) A.) IT ///JrrllT/11 F~ /-
Kind of Foundotio~O!:tJ2w/4'0£1/ No. of Storie._2.. ____ _
Floor Spoce ( Sq. Ft.) --"3"'-'-'g'--,i"'-'-g_.,__ ________ _
t,q7
Goroge Floor Spoce (Sq. Ft.) Attoched
Dotoche
Legol Description Zo F·
Lot Block
Subdivision PA L) 5 {tOFS or
Section Township Ronge
No. of Existing Building ~.(4,.-10;.!A.,t.:..,11;_:=-_________ _
Will this conti!J,clion include ony plumbing instollotion or alter•
otion? Yes ~ No D
I Signoture of Applicont
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD A ND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE ----------------
Application for BUILDING Permit
Set Bock
Front P.L. Moin Bldg.
Side P.L. Goroge
Reor P.L. Other
Zone
~..3 . Approved by
Controctor City Bus. Lie. No. ____________ _
W;ter Meter / ji tf ~
/_'I-\ ,,
Sewoge Disposol Sysfom
'1$, 'IS--
Utility Compony Notified -Delo, _____ _ By, ____ _
Finol
If o check is tendered for poyment for tho above fee end the
chock is not honored when presented for payment, your
building permit will be immediotely revoked.
C ity of Corlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.
CITY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL Ao
DESCRIPTION LOT NO ~ ~
BLOCK F TRACT
USE OF BUILDINGS
CITY
,
TEL. NO.
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINltA
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER O 13.00
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 SIS.00
OVEflFLOW SEEPAGE PIT. DRAINP'l&LD EXTN.,
CESSPOOL, DRYWELL, MANHOLE O SIS.00
HOUSE SEWER CONNECTING TO
PRIVATE D ISPOSAL SYSTEM 0 SI.ISO
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER O Sl.!50
ALTER, REPAIR OR ABANDON HOUSE SEWER OR D ISPOSAL SYSTEM O $2.00
• •
OWNER'S PERMIT • 2
AUTHORIZATION I TOTAL P'll:11:
00
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
IN G 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 REQUIRED BY THE CITY OP' CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP.
ERTY.
SIGNATURE
OF PERMITTEE ----------------
BUILDING
ADDRESS
NEAREST CROSS ST.
OWNER
MAIL
ADDRESS
CITY
SEWER
PERMIT. APPLICATION
.ut-8-65 !'~~0 3902***** 126.~0
n-8-65 ~~3903*****200.0U
CONNECTION DATA Lateral Charge Computation
30' H., 10' V. @ 4" = __ b"=--
Add. Horiz. @ 4" = __ b"=--
Add. Vert. @ 4" = --b"=--
Total Construction Cost
10% Service Charge
Lat. No.: Logged in Plat:
LINE COST DATA
A. 0. & Assmt. No. ___,5..__-_/_9_'.5-...;_;;;~-------
LINE CO}J: -y-j
C. C. #ff CJ/ dwelling _4~c_f.J~, ___ '9..., eoO,
P. S. @ __ / dwelling _____________ _
OTHER ------------1.;1-• ---
TOTAL e_.oQ,0
Grand Total, Lateral, etc~ :3Z6 •
FOR SEWER LOCATION
~1---------------~~
St. NORTH
ENGINEERING SEWER DEPT.
Signed --------Signed ________ _
This 11 a Sawer Permit When Properly Filled Out, Signed and Velldated
luuad By ------------------
PERMIT VALIDATION
CITY OF WWBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
ao
TEL. NO. 7,,;J2-Llxfl
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINE&a
LICENSE NO.
~IJ"t/~'f-&,o~I
NO. DESCRIPTION OF WORK FEE
I HOUSE SEWER CONNECTING TO :? PUBLIC SEWER • $3.00
SEPTIC TANK, SEEPAGE PIT OR -PITS 0 $11.00
OVERFLOW SEEPAGE PIT, DRAINl'lllLD EXTN.,
CESSPOOL, DRYWELL, MANHOLE O $11.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 0 $1.110
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER O $USO
ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM O $2.00
• •
OWNER'S I PERMIT s 2
AUTHORIZATION TOTAL P'IUE 5
_Sf)_
00
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 -----DAV 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 S REQUIRED BY THE CITY OF CARL&. BAD AND STATE O L I FORN OR THAT I AM THE LEGAL
OWNER OF THE B VE DE IBED RESIDENTIAL PROP.
ERTY.
SIGNATURE
OF PERM ITTEE
SEWER
PERMIT· APPLICATION
JUN 30·65 ~P~~
0 Slf71*******5.00
TEL. NO. -~II
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = __ 6"=--
Add. Horiz. @ 4" = __ 6"=--
Add. Vert. @ 4" = __ 6"=--
Tote( Construction Cost
10% Service Charge
Tote! Lateral Charge ____ _
Let. No.: Logged in Plet:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: ________________ _
C. C. @ __ / dwelling _____________ _
P. S. @ __ / dwelling ____________ _
OTHER --------------____ _
TOTAL
Grand T otel, Le+erel, etc.
FOR SEWER LOCATION
~1----------------1~
St. NORTH
ENGINEERING SEWER DEPT.
Signed _______ _ Signed ________ _
This is • Sewer Permit When Properly Filled Out, Signed end Yelldeted
Issued By ------------------
PERMIT VALIDATION