HomeMy WebLinkAbout2010 BASSWOOD AVE; ; SE646279; PermitPERMIT = AP1PUCAllOH - BUILDING DEP- 6279
i PRID APR -8-64 ~-;EE-~~Z~*******S.OO I ._ FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOT NO. /-<
BLOCK TRACT 3!-dCd&
USE OF BUILDINGS
CONTRACT0 R &"--P? ADDRESS d/ U-C.
* CITY &&& TEL. NO. 7,a 7- - ,J &?L4--
CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
@t I I
OWNER'S
AUTHORIZATION .
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNSCT THE ABOVE DESCRIBED BUILD- I ING TO THE PUBLIC SEWER. c
SIGNED THIS DAY OF OWNER OR OWNER'S AGENT
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE RE'AD THIS
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-
APPLICATION AND STATE rnAT THE ABOVE IS CORRECT
BAD'ANDSTATE 0-F CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP ERTY. SIGNATURE OF PERMITTEE
B BUILDING ADDRESS
NEAREST CROSS ST.
CONNECTIQN DATA Lateral Charge Computafion
30' H., IO'V. @ 4" = - 6" = -
Add. Horiz. @ 4" = ___ 6" = -
Add. Vert. @ 4" = 6" = -
Total Construction Cost ,
10% Service Charge
Total Lateral Charge
Let. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No.
LINE COST:
C. C. 0- / dwelling
P. S. 0- / dwelling
OTHER
TOTAL
Grand Tofal, Lateral, etc.
FOR SEWER LOCATION
i v,
St. NORTH
ENGl NEERING SEWER DEPT.
Signed I Signed
This is a Sewer Permit When Propel Filled Out, Signed and Validated
Issued By
PERMIT VALIDATION
- - ___, ______ ,
BUILDING DGPARTMENT
/
/ 3 -.
STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. I
DISHWASHER Q 1.25
LAUNDRY TUB OR TRAY Q 1.25
AUTOMATIC WASHER Q 1.25
WATER HEATER & VENT 1.50
GAS BYSTEM 1 TO 15 .30 EA. ADD. 8 1.50
FLOOR DRAIN OR SINK 8 1.25
LAWN SPRINKLER 0 2.00
MISC. WATER PIPING 8 1.50
BATH TUB
GARBAGE DISPOSAL Q 1.00 / 9 c?
VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 8 2.00
C I+-
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 OARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. I SIGNATURE OF PERMITTEE
PERMIT - APPLICATION
PA10 APR -8-64 ?r3326******16.OO
ADDRESS BUlLDtNG 32 * L''
NEAREST CROSS ST.
I 1 ZONE GROUP
Inspection Record
~ - -~
APPROVALS I DATE 1 INSPECTOR'S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PtPlNG
GAS VENTS
PLUMBING FIXTURES
MISC. I
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance. - - -
MYI - APPUCATlQN
5. E-’ i!:,
BUILDINGS
LICENSE NO. LICENSE NO.
OWNER’S
AUTHORIUStON -
1 HAVE Ar THIS DATE A CONTRACT WITH THE HEREIN COMTRAd.0R TO CONNECT THE ABCIVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER.
SLGNED THIS DAY QF OWNER OR OWNER’S AGENT
ADDRESS d.
I HEREBY ACKNOWLEDGE THAT I HAVE REiAD THIS At’PLCCATION AND STATE THAT THE ABOVE IS CORRECT
STATE LAWS REGULATING PLUM$ihlG AND SEWERS. I HEREBY CERTIFY THAT I A#-FROPERLY REGISTERED ANDlOR LKXNSED AS REQUIRED @YTM CITY OF CARLS- BAD AtdD STATE OF CALIFORNIA HAT I AM THE LEGAL OWNER OF THE ABOVE DESCRI RESIDENTIAL PROP
ANO AGREE TO cornpw wtTH ALL‘CITY ORDINANCES AND
FIN si GNATURE OF PERUITTEE
CONNECTION DATA Lateral Charge Computation
30‘ H., IO’ V. @ 4” = __ 6” = ___
Add. Horiz. 8 4* = - 6” = ___
Add. Vert. @ 4u = - b‘ = ___
Total Constrlfetion Cos+
10% Service Charge
Total Lateral Charge
Lat. No.: Logged in Plat:
UNE COST DATA
A. D. & Assrnt. No. .,
LINE COST:
C. C. @- / dwelling
P. S. 8- / dwelling
OTHER
I
I
TOTAL
Grand Total, Lateral. etc.
FOR SEWER LOCATION
ENGINEERING SEWER DEW. I Signed Signed
PERMIT VALIDATION