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Home My WebLink About1365 FOREST AVE; ; 77-9131_misc; Permit• PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 Perm,! No 1 )-9/_:?/ JO a AOOIII C$5 >-~~l #vr 11(.~ LOT NO, I ILK ~ I T~AC T 1 ~~;~~. OWN[fll MAIL •7css 11 P PHONt. 2 ~ 1.hJ r-J~/ < ,:;:;,,,.;. ~"~ '7.:.:.-r--716 ' CONT~ACTO~ ~ -...,.. , MAil A.DDR£5S PHONE STATE LIC. NO, CITY LIC, NO. 3 ,? ' ~ 7 ::-/-1'¥~' 7 ~" :?t'' I /-~Is 7:,"" , . ,.. "";~ '11 I -.. 1/, 7 19 C .... --. .> _, .-~C"Hr"rECT OR 0£51CNEfl MAil A.OOACSS PHONE LICENSE NO, 4 - [NGINC[III MAIL AOOR[SS PHONE LICENSE NO, 5 - COMPENSATION (NS. CARRIER MAIL ADO,-[.SS IIIJl:ANCl-t 6 --------·~ "' ,. I -~ ... ._ us~ o, 9UILOINC . 7 8 Class of work: t(NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: ~~5 /,~"1: C_ C:./9,AI ~dF7k -. , PERMIT FEES N o. Type of Fixture or Item Fee SPECIAL CONDITIONS· WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER APPLICATION l'CCEPTEI) BY PLANS CHECKEO SY APPIIOVEO FOi! ISSUANCL SY LAUNDRY TRAY ,, _/ I/ DATE I CLOTHES WASHER WATER HEATER / .5-.. 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 AND 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 W ILL 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 SEWER NUMBER CLEANOUTS CESSPOOL ~~~.,_., --,,..... y f'7-7~-,., SEPTIC TANK & PIT .,.~L ROOF DRAINS ,-.I_, --4". -5JGNA-1'tfPll o, CONTNACTO .. 0 .. AUTHO,UZEO AGtNT (DATE) ISSUANCE FEE $ ) I TOTAL FEES $ / • i StGNATUPIC o, 0WN£111 u, OWNER 8UIL0t"J IOATt) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR c-Pt. 1 "T ~. ...... ,rm1••ua fl f.1' / ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No JOB ADDRESS ~ ·t-/7 _l.~6-S ~;.:-S f•y; I LOT NO. l BLK. . I TRACT LEGAL <OSEE ATTACHEO SHEET) 1 DESCR, OWNE]l 1-~ADORE~ f /1 ZIP PHONE 2 r_,:':,-1,,./ I~> h~> 'f~ 7zcr-71ii CONT~ACTOR f,,~ _:;;(_ &. MAIL ADDR.l ,1,;_t PHONE STATE LIC, NO. CITY LIC, NO, 3 I.. 1i: , , l)()') I I 7z./-,,k-:r 5/l:, 719 -C.~ ARCHll'ECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO, 4 --ENGINEER -MAIL AODRESS PHONE LICENSE NO. 5 COMPE,NSATION INS CARRIER MAIL ADDRES'S ,, /-;,r. BRANCH 6 :' ·~5 _,- _.I. y_.;.. £"' C,. -- USE or BUILDING r 7 8 Class of work: ~EW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: Ed-~,<:. Ce ~/~ _k-'7:, ~, :0 . " / ., PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWIMMING POOL WIRING, <' _;; . - I .. NO INCREASE IN SERVICE -~: ~ ~ NEW CONSTRUCTION, FOR EACH A,.,LICATION ACCEPTED BY 'LANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER ,) / DATE NEW SERVICE ON EXISTING BLDG. NOTICE FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE:!> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TEMP. SERVICE OVER 200 AMP. ~ c' // / /o-z.el-77 PER 100 / , "'.-:'"".Z4::..,... "' .... ,·'L'-~~ 51GlfATU9RE or CONTRACTOR OR AUTHORIZED AGENT (DATE) "') ISSUANCE FEE t.-,./ ~ TOTAL FEES 71, _i;;; C..NATURE OF OWNER IF OWNER BUI DER\ DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR I 0 ~ PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only Joa ADO .. [SS L (GAL I LOT NO, 1 DESCft. OWNEIIII CONTIIIIA CTOIIII 3 ARCHITECT OR 0£SIGNC,- 4 [NC.IHI.CR: 5 -I Tft .. CT MAIL AOOIIESS MAIL ADDIIIIE.S5 MAIL A00 .. £55 MAIL ALDllllt.55 COMPENSATION fNS. CARRI ER MAIL ADDft&55 tf P PHOM [ LICCNS[ NO, '!)h. _ • ., •• 'I PHONC LICCNSC NO, PHONE L1C£NS£ NO. I IIIANCH 6 ~1~· Cf='=-!'· .. _.. ·•~ !ES. f·'--1:!) .x·x ~~. EID ..... ~-, USE 0,. BUILDING 7 8 Class of work: D NEW 0 ADDITION 0 ALTERATION 0 REPAIR q Describe work : PERMIT FEES No. Type of Fixture or Item SPECIAL CONDITIONS. WATER CLOSET (TOI LET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER APPLICATION ACCEPTlO BY PLANS CHECl(EO ev APPROVED FOR ISSUANCE BY LAUNDRY TRAY CLOTHES WASHER CATE 1 WATER HEATER NOTICE URINAL DRINKING FOUNTAIN STATE CITY ., r Fee s THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- ~~~~~~~~~~~~~~~-!-~~+-~~ MENCED. - I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE:' TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. "llt.NATUIU' 0,. OWNUII 11,-OW"l[II 9UILD['U IOATC) FLOOR SINK OR DRAIN SLOP SINK GAS SYSTEMS NO.OUTLETS ~~~~~~~~~~~~+-~-+~--i WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM ~~~~~~~~~~~~~~+-~-+~----! SEWER CESSPOOL SEPTIC TANK&. PIT ROOF DRAINS PERMIT TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION .. CK. M.O. CASH PERMIT VALIDATION CK. INSPECTOR M.O . CASH CITY OF CARUB~ SEWER BUILDING DEPARTMENT PERMIT • APPLICATION • 17-e7 !¥~···· 126.50 FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO BLOCK TRACT BUILDING ADDRESS ~~~:;sb. S:Pllfll:f:t-«7 !!g!JNA•* .. * USE OF ---- BUILDINGS ~ =;;I= • OWNER 11c. I/, G. Scli'-lwk coNTRAcToR~ ,.~ ri..JA) ~~b~Ess 1365 Foll.er?' I.\ vk 88.00 -.e.;.A::..:DD::..:.R.;.;:E:+~=-,...,,__t.L_-N--------------p-C-IT_Y _______ .;,;,.1,;.'J;.,;;Wf~.:,• ... _' 1~•--:'J*.,..*_•_•_• ... 5.00 CITY ~ TEL. NO. CONNECTION DATA CONTRACTOR'S STATE CARLSB~BUSINES8 Lat.rel Cherge Computetlon LICENSE JI';/" LICENS K (;!7'.... 30' H., 10' V. @ 4" = __ 6" = __ ----- NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO ~~ oC PUBLIC SEWER • 13.00 SEPTIC TANK, SEEPAGE PIT OR PITS • ss.oo OVERFLOW SEEPAGE PIT, DRAIN,-IIELD EXTN., CESSPOOL. DIIYWELL, MANHOLIE • SS.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM • SI.SO CONNECT ADDITIONAL BLOG. OR WORK TO HOUSE SEWER • SI.SO ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM • $2.00 • s OWNER'S PERMIT s 2 00 AUTHORIZATION TOTAL FEE t, :5 0() 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 Add. Horiz. Add. Vsrl . @ 4" = --6" = ------- @ 4" = --6" = ------- T otel Construction Cost I 0'}'0 Service Cherge Let. No.: 15/y Toto! Leterol Chorge ..,.........:.-<....:. __ Logged in Plot: LINE Ci DATA "A.I ,-A. D. & Assmt. No. _ __,,......_,~ ___ c ________ _ LINE CO~; 97 '@ '4,0Q 388,()6 C. C. ~~0 / dwelling -------_..:;5(..:..::(J~.:...;::..:: P. S. @ __ / dwelling ------------- OTHER-----------------~- TOTAL Grond T otol, Loterel, etc. FOR SEWER LOCATION NORTH This is • s.-, Permit When Properly FIiied Out, Signed and Velideted luued By--------~----------- PERMIT VALIDATION