HomeMy WebLinkAbout2045 Linda Ln; ; 65-8052; PermitCITY OF CARLSBAD 8 [J 5 2
BUILDING DEPARTMENT Application for BUILDl'NG Permit
729-1 181 -fxt. 36
For Aoolicant to Fill In
Building Permit Fee
/r,11 1;!'
'rtt'25-65* P~~
08J24***** t>.S.LV
Ow,er', Nome Rb tr/ t?;ter; we-e ,D 'l' DIYSZ'.Z!, •
Man Address ~ /7 ,:;l · tf?✓~,74" J-
Contractor --~1;2qi:,,,,:;, .. &t:f--rtc,,;c::;i;..,./'-"c1:i..7'---------
Buildinca Dept. Use Onlv
Contr. Address ___ _;b;;;;a:.....,~=c:c.-=::::·::_• ______ _
To Co,st. 18'. To Add 0 To Alter D Convert D
',_ __ .:i Move From------------------
Type of Const. ~..9:...c.~A"'--''-'~====~---------Frome, Masonry, etc.
To Be Used For -~~""'-.K'"-~C.-!='---='---------
Kind of Foundatiofl ~ C...-No. of Storie,_~_.cZ,=---
Floor Space (Sq. Ft.)
Garage Floor Space (Sq. Ft.)
Attoched_:;d,::_,'7'--.Lf __ _
Detach ea"---------
Legal Description----',;/_~=--------------
S,bd~ML:i;;lock or -~
Section Township Range
No. of Existing Building ______________ _
Will this con~ction include
ation? Yes r No 0
any plumbing installation or alter-
I Signature of Applicant
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 ANO/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE D:~RESl.,..TIAL PROPERTY.
sig~~1¼~~TTEE ~ i~q~
Set Back Bldg. Voluofon ~/Z, 'ff,[~
Front P.L. M,;, Bldg. "7('_ L7 I"('
Side P.L. Garage , f'I(};:
Rear P.L. Other
Group
I Zone / JC'-Approved by
Contractor City Bus. Lie. No. _____________ _
Water Meter I ~w~;sposal n''... 4$' ~ ~~ Sy&tem
Inspection Record
Utility Company Notified -Date ______ By ____ _
Final
If a check is iendered for payment for the above fee and the
ch-eek is not honored when presented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.
CITY Of CARLSBAD
IUILDING DEPARTMENT
LEGAL DESCRIPTION
BLOCK
USE OF
BUILDINGS
FOR APPLICANT TO FILL IN
LOT NO. ?
TRACT
8P65
coNTRAcToR AND..,;,;1eoN & P.OBI :SO!l cusTOL!
ADORES& 2~1:tl A S~;itP St
~a~l-haJ ?20 ?.JlR CITY _, • ' ' TEL. NO. ' ; • .
CONTRACTOR'S &TATE
LICENSE NO.
CARLSBAD BUSINll:a
LICENSE NO.
:,r.n.3'"'2 5?f,£
NO. DESCRIPTION OF WORK FEE
l HOUSE SEWER CONNECTING TO
PUBLIC SEWER • • 3 .00
SEPTIC TANK, SEEPAGE PIT OR PITS • ,s.oo
OVl:ltl'LOW SEEl',.Gll PIT. DRAINl'IELD EXTN.,
CHSPOOL, DRYWIELL, MANHOLlt • ,s.oo
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM • SI.SO
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • ,1.so
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM • $2.00
• •
3
OWNER'S I PERMIT s 2
AUTHORIZATION TOTAL FEE 5
00
00
~oo
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 ANO STATE THAT THE ABOVE IS CORRECT
ANO AGREE TO COMPLY WITH ALL CITY ORDINANCES AND
STATE LAWS REGULATING PLUMBING AND SEWERS.
SEWER
PERMIT • APPLICATION
owNER Ron Brc,.r~d
c1TY :.;~rl.~h;:i ', 'Jali.f. TEL. No. 729 li9213
CONNECTION DATA
Let.rel Che'9e Computetlon
30' H., 10' V. @ ,4H = __ bH=--
Add. Horiz. @ -4H = __ b"=--
Add. Vert. @ -4" = __ b"=--
Toto) Construction Cost
10% Service Chorge
Totol Lolerol Chorge ____ _
Lat. No.: Lo ed in Plat:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LI NE COST: ________________ _
C. C. @ __ / dwelling _____________ _
P. S. @ __ / dwelling _____________ _
OTHER
TOTAL
Grand Tolol, Loterol, etc.
FOR SEWER LOCATION
~1----------------1~
I HEREBY CERTIFY THAT I A PR LY REGISTERED
ANO/OR LICENSED AS REQ RE Y CITY OF CARLS• St.
BAO ANO STATE OF CALI N O T I AM THE LEGAL NORTH
OWNER OF THE ABOV E-..an,...,"'"""'SIDENTIAL PROP-ENGINEERING SEWER DEPT.
~~ciJATURE A ,"------l="~S~ig_n_e~d-_-_-_-_-_-_-_-_-_~_~_-_-_-_-_-_-_---:-~S~ig_n_e_d~=-__ ~_~_~_~_~_~_~_~_-_-_-_-_-_-_-_
OF PERMITTEE ~.,..::.-----'..._,__uc. _____ _
This is e Sewer Permit When Properly Filled Out, Signed end Velideted
luued By __________________ _
PERMIT VALIDATION
CITY Of CARUBAD
BUILDING DEPARTMENT
8P60 PLUMBING
PERMIT. APPLICATION
OWNER ?.on Brcr:,ard F9 25-65 ~P~~D 8362* * ** * * /.1 .l.i
MAIL P. o. Eox 745 ADDRESS
C ITY CarlSEia~, Cal1£_03iJ61a 1'19 1,,,28
✓ 'i' . o. l._..r \NDERSClI et. ROB_7:S01: rTJS'l'Ol! !"fr• BUILDING~ s-. Lene PLUMBER ADDREss IP¾_ LL11.da
ADDRESS 221!J A state St.i ~~~;:s~-!!onroo St
CITY '::arlsb~dl Calif. TEL. NO. 7?9 ~318 G ROUP I ZONE STATE CARLSBAD BUSINESS Inspection Record LICENSE NO. LICENSE NO.
?l)A~~ ~?.66
NO. ITEM --4'tf y TOILET @ $1.25
I BATH TUB @ 1.25
// SHOWER 0 1.25 J. 2..<
~ WASH BASIN 0 1.25 < !08
I KITCHEN SINK @ 1.25 / [.ZS"
/ DISHWASHER @ 1.25 / ~~
LAUNDRY TUB OR TRAY @ 1.25
I AUTOMATIC WASHER @ 1.25 J ~~
I WATER HEATER & VENT @ 1.50 I <o
I GAS SYSTEM 1 TO 15 ,I ~ .30 EA. ADO, @ 1.50
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2 .00
MISC. WATER PIPING 0 1.50
I GARBAGE DISPOSAL @ 1.00 I oo_ , VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 0 2 .00
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GRADING PLAN
I
PE RMIT s 2 00 GAS PIPING
YES □ N00 ~ t)O GAS VENTS TOTAL FEE s , PLUMBING FIXTURES
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO MISC. COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI•
C<Ns,o AS "'•"'"W'~' cA,LSOAO ANO GAS TEST
STATE OF CALIFORNIA O THE LEGAL OWNER
OF THE ABOVE DESCRI TIAL PROPERTY. UTILITY CO. NOTIFIED
.4A ~ AA .,le..,--SIGNATURE ry ..,..-1 FINAL OF PERMITTEE / / ,
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not c:ommenc:ed within 60 days of date of issuance.
CITY OF CARLSBAD 805, SEWER
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
BLOCK .-/k "' ~ .,6 J~ USE OF-
BUILDINGS
CONTRACTOR
ADDRESS
CONTRACTOR"S STATE
LICENSE NO.
CARLSBAD BUSINEU
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER • S3.00 /
SEPTIC TANK. SEEPAGE PIT OR
PITS 0 si:i.oo ' OVIElt,-1.0W •lllll'AOII l'IT. DRAIN,-1£1.D IIXTN .• ' , CU.1'001.. DltVWlll.l.. MANHOl.11 • $11.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM • $1.!J0 I
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER O $1.110 ' ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM 0 $2.00
• • )
OWNER'S I PERMIT s 1 2
AUTHORIZATION TOTAL l"EE '
' )
V
"\
)
I
(
\
.lo
l
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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR L ICENSED 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 ----------------
BUILDING ADDRESS
PERMIT • APPLICA noN
fB25·65 !p:~08331******)0.
OWNER~~ ;;e
MAIL ADDRESS
CITY~ U ~ -TEL. NO.
CONNECTION DATA
L•ter•I Cherg• Computation
30' H., 10' V.
Add. Horiz.
Add. Vert.
@ 4" = --6" = -------
@ 4" = --6" = -------
@ 4" = --6" = -------
Total Construction Cost ____ _
10% Service Charge
Lat. No.:
To~I l.a~~IOa~•-----
Logged in Plat:
LINE COST DATA
A. D. & Aumt. No. ----..-------------
LINE COST: ________________ _ , -~ ,.., C. C. @--1-I dwelling ________ ..;,c
P. S. @ __ / dwelling ____________ _
OTHER __________________ _
TOTAL
Grand Total, Lateral, etc, fl ~
FOR SEWER LOCATION
~1----------------1~
St. NORTH
ENGINEERING SEWER DEPT.
Signed ________ _ Signed ________ _
This is a Sewer Permit When Properly Filled Out, Signed end Validated
Issued By _..c;,{::.,,......,<;>-:z"""''-<'--.... &.-~~~4""""~-""""--...-.-----
PERMIT VALIDATION