HomeMy WebLinkAbout1360 Forest Ave; ; 65-8761; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -'Ext. 36
Owner's
Contr. Address _ _..:._..c;c...::..._..:. ___________ _
To Const. ~ Add D To Alter D Convert D
10 Move From ------------------
Type of Const. _g.LL~-==~-=_,_e:::.....:,.._ ________ _ n~:11 Masonry, etc.
To Be Used For --'-'~-.,:::;...__;:..._--"-----------
Kind of Foundation~. No. of Stories 2....-:
Floor Space {Sq. Ft.) __.:2c,,...,,-, .:..../_,,P'--,,c..7 _______ _ , /<"~a Attached__.~.-,....c~=---Z'----Garage Floor Spece {Sq. Ft.) Detached ________ _
Legal Description -----------------Lot Block
Subdivision /.)ss . 11 R. JS b-DGo -11 or
Township Range
No. of Existing Building ---------------
Will this con~ction include
ation? Yes r No D
any plumbing instellction or alter-
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT T HE ABOVE IS CORRECT AND AGREE TO
COMPLY WIT H ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRI BED RESIDENTIAL PROPERTY. S~~~~~~~TTEE ~da ~t:,,Az4t!'G
Application for BUILDING Permit
Building Permit Fee / ~ C), 7~-
Q , ('
I
Building Address _L....;;;?.f;~C)d...__Z"l2:.~~~L_:_ ____ _
St.Neer ~
Set Back
Front P.L. o21 Mein Bldg.
Side P.L. Ge rage
Rear P.L. Other
Group 7;21 Appr~y iG_S.D,
Contractor City Bus. Lie. No.
Water Meter
c 'J. I _s,7Zr:n Sewage Disposal Sysfem
(?
Inspection Record
Utility Company Notified -Ocie, ______ By, ____ _
Final
If e check is tendered for payment for the above fee end the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
0
Permit void if work is not commenced within 60 days of issuance.
CITY Of CARlSBAD 873' Pl.MING
BUILDING DEPARTMENT PERMIT. APPLICATION
OWNER ,e,b, f5 R ('JW rv -. r/ NOY 30-65 ~ .. ~~
8 2935******1 9.75
MAIL f/. t). gc X 7.t-/$ -. ADDRESS e ... Isl,.:iJ CITY TEL. NO. k~e~f JJ1<, PLUMBER /1,-,,/.P,,c-_;<.1.,, r:/-f<t,L /1,JICJ>, r LJ k11,,, BUILDING L ·3 UJ ADDRESS
ADDRESS 2.> I// jJ S-J.·~) le Jf NEAREST ' CROSS ST.
c I TY c'1;; 1.-1 .s J, r1 J ,
I ZONE TEL. NO. GROUP
STATE CARLSBAD BUSINESS Inspection Record LiCENSE NO. LICENSE 5'?.:uc 2 e,g "Jc., z.
NO. ITEM FEE
3 TOILET @ $1.215 'J 7J
_J_ BATH TUB @ 1.215 I 2. s--
I SHOWER @ 1.215 I Z, s
1 WASH BASIN @ 1.215 3 7j..-
J KITCHEN SINK @ 1.215 I z,~
I DISHWASHER @ 1.215 I 2..-r
LAUNDRY TUB OR TRAY @ 1.215
/ AUTOMATIC WASHER @ 1.215 I ~5'-
I WATER HEATER 8c VENT (j l.!50 I :;u
,C GAS SYSTEM I TO I 15 I yv .30 EA. ADO. @ 1.150
FLOOR DRAIN OR SINK @ 1.215
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING 0 1.!!10
I GARBAGE DISPOSAL @ 1.00 I (XJ
VACUUM BREAKER OR BACK ., FL OW DEVICES I TO 15 @ 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GRADING PLAN I PERMIT s 2 00 GAS PIPING
YESO NOD iJ. 7J GAS VENTS TOTAL FEE $
PLUMBING FIXTURES I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO MISC. COMPLY W ITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED ANO LI-
CENSED AS REQUIRED !;lJ. THE CITY OF CARLSBAD AND GAS TEST STATE OF CALIFORNIA T.M,t,T I AM THE LEGAL OWNER
OF THE ABOVE~L:SIOENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE ~ _ A .,,.4 _ -:;::" FINAL OF PERMITT;:_ /" pr ~~ /
/ ., / VALIDATION
This Is II Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.
CITY OF CARLSBAD
BUILDING DEPARTMENT
LEGAL
DESCRIPTION
BLOCK
USE OF BUILDINGS
FOR APPLICANT TO FILL IN
LOT NO.
8 3_
BUILDING
ADDRESS
NEAREST
CROSS ST.
SEWER
PERMIT. APPLICATION
CONTRACTOR"& STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
CONNECTION DATA
Lateral Charge Computation
Zr., ~ -.Sc. ·2. ' '2 {.{
NO. DESCRIPTION OF WORK FEE
I HOUSE SEWER CONNECTING TO PUBLIC SEWER • $3.00
SEPTIC TANK. SEEPAGE PIT OR
PITS 0 ,s.oo
OVERFL OW SEEPAGE PIT, DRAINFlllLD EXTN.,
CESSPOOL. DRYWELL. MANHOLE O SIS.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 0 ,1.so
CONNECT ADDITIONAL BLOG. OR
WORK TO HOUSE SEWER O Sl.!50
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O S2.00
• •
OWNER'S PERMIT ' AUTHORIZATION TOTAL FEil
_3_ 00
I-
'-
2 00
cu
30' H., 10' V. @ 4" = __ 6" = __ -----
Add. Horiz.
Add. Vert.
@ 4" = --6" = -------
@ 4" = --6" = -------
Total Construction Cost -----
10% Service Charge
Lat. No.:
Total Lateral Charge-----
Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. ---------------
LINE COST: -----------------
c. C. @ __ / dwelling -------------
P. S. @ __ / dwelling -------------
OTHER -------------------
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
~1----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed--------Signed --------
Properly FIiied Out, Signed and Validated
Issued By --------------------
PERMIT VALIDATION
CITY OF CARLSBAD SEWER
J/4,7,50
1:-------------------------------------,
BUILDING DEPARTMENT PERMIT • APPLICATION
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO.
BLOCK
USE OF
BUILDINGS
CONTRACTOR
ADDRESS
CITY
CONTRACTOR'S STATE
LICENSE NO.
TEL. NO.
CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE -HOUSE SEWER CONNECTING TO ~ 0-0 PUBLIC SEWER @ $3.00 -SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $!5.00
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN ..
CESSPOOL, DRYWELL, MANHOLE @ S!5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM @ $1.!50 -CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER @ $1.!50 ~ ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00 ,_
@ s -OWNER'S I PERMIT ' 2 00
AUTHORIZATION TOTAL FEE s-""' 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 H EREBY 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., 10' V. @ 4" = --6"=--
Add. Horiz. @ 4" = --6"=--
Add. Vert. @ 4" = --6"=--
Total Construction
JO% Service Charge
Lot. No.: Logged in Plat:
LINE COST DATA
~-N~· :o~:mt. No. ---:S:-4::.;'"@--4::r-,-:():-O=--;;f.....-.-?3-b-=-,o-
c. C. @ __ / dwelling _____ W-J-A.,__1vc.D
P. S. @ __ / dwelling
OTHER
Grand Total, Lateral, e
FOR SEWER LOCATION
SEWER DEPT.
NORTH
Signed ---------
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By ---------·----------
PERMIT VALIDATION