HomeMy WebLinkAbout2030 BASSWOOD AVE; ; SE1964; Permit*' BUILDING DEPARTMENT I/ PERMIT - APPLICATION
LEGAL DESCRIPTION Lor NO ,/
BLOCK TRACT
USE OF BUILDINGS
CONTRACTOR - &A- A-4, G .'- LLAC d-5 "-
ADDRESS -5 A 4 zL:,rz, &&
CITY f 2- L (w
CONTRACTOR'S STATE CARLSBA D BU Si I NESS LICENSE NO. LICENSE NO.
TEL. NO. 79 9 - 2 0 / /
N;. ; HOUSE SEWER CONNECTING TO
SEPTIC TANK, SEEPAGE PIT OR PITS @ $5.00
@ $3.00 2 19 0
I OVERFLOW SEEPAGE PIT. DRAINFIELD EXTN.. I 1
CESSPOOL, DRYWELL. MANHOLE @ $5.00
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.50 __
CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER
ALTER, REPAIR OR ABANDON HOUSE
OWNERS
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. ->
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVMDESCRIBED RESIDENTIAL PROP- ERTY. SIGNATURE OF PERMITTEE .Bw@u
BUlLDlNG ADDRESS c-? 6 .3 c3 44
NEAREST CROSS ST * -k&&-- . I' OWNER -x
CITY[', <h L;I A L
MAIL ADDRESS r& 4 Ex& &,
?-EL. NO. 74 f-d a,,
CONNECTION DATA Lateral Charge Computation
30' H., IO' V. @ 4" = - 6" = ___
Add. Horiz. @ 4" = __ 6" = -
Add. Vert. @ 4" = __ 6" = -
Total Construction Cost
IO% Service Charge
Total Lateral Charge
Lat. No.: Logged in Plat:
LINE COST DATA
A. D. & Assrnt. No.
LINE COST:
C. C. @- / dwelling
P. S. @- / dwelling
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
st. NORTH
ENGINEERING SEWER DEPT.
Signed I Signed
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By
PERMIT VALIDATION
BUlLbfNG DWARTMENT
CITY Pk-LfLrrd: TEL. NO. ye2 ~':.3-?/S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
2 TOILET 8 $1.25 2
/ BATH TUB 8 1.25 -
Qi, 1.25 /I
2 WASH BASIN 8 1.25 2
/ KITCHEN SINK @ 1.25 2
/ SHOWER
Q 1.25 ___ DISH WASHER -
->, ,
LAUNDRY TUB OR TRAY
/ AUTOMATIC WASHER
B) 1.50
WATER HEATER & VENT
GAS' SYSTEM I TO' 15 .30,gA. ADD.
FLOOR DRAIN OR SINK I "' ' -j> 1 ,Q 2.00 LAWN SPRINKLER
/ GARBAGE DIBPOSAL 8 1.00
VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 3 @ 2.00 ___
I ll-
GRADING PUN 1 PERMIT iiL
YES 13 No a TOTAL FEE
I ACKNOWLEDGE THAT 1 HAVE READ THIS APF&A#& 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 RSQUIRED BY THE CITY OF CARLSBAD AN9 STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCSHbED RESIDENTIAL PROPERTY.
SIGNATURE /&G& OF PERMlTTEE
BUILDING ADDRESS ,3 C -38 fi-q-4 -32
NEAREST CROSS ST.
-P c-d-
I
GROUP I ZONE
InsDection Record
-1 INSPECTOR'S SIGNATURE APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MI SC.
________
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION This is a Plumbing Permit When Properly Filled Ou+, Signed and Validated. Permit void if work is not commenced within 60 days of date of issuance.