HomeMy WebLinkAbout2205 CAMEO RD; ; 65-8073; Permit4
CITY OF CARLSBAD 8f37: h- BUILDING DEPARTMENT 729-1 181 - Ext, 36
For Adicant to Fill In
Owner's Name I
Coirtractor
Contr. Address
To Const. 9(- To Add 0 To Alter 0 Convert 0 I
o Move From
Frame, Masonry, etc. Type of Const.
To Be Used For F
Kind of FoundationZA-uo. of Storiesj
Floor Space (Sq. Ft.) 1
Garaqe Floor Space [Sq. Ft.) Attached.& .. . Detached
'4- & Legal Description Block
Subdivision or
Section Township Range
No. of Existing Building
Will this const ction include any plumbing installation or alter-
ation? Yes$ NO IJ
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 AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBACAND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
Application for WLMNG Permil
Building Permit Fee
bew3 rfA:O 2tF65 27;;-8448**** *XY~I.LO
Buildina Dwt. Use Onlv
Set Back I Bldg. Valuation / g,pCs;l
Front P.L. 1 ;z@
Contractor City Bur. Lic. No. -
Water Meter I Sewage -Disposal Sysbrn
Inspection Record '
Utility Company Notified - Date BY Final
If a check is tendered for payment for the above fee and the
check is not honored when presented for payment, your b .lding permit will be immediately revoked.
City of Carlsbad Buildinq Dept. @ / , J -.
Permit void if work is not commenced within 40 days aC fuu.nca.
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BUILDING DEPARTMENT
SEWER
PERMIT - APPLICATION
FOR APPLICANT TO FILL IN I
-
CITY
CONTRACTOR’S STATE CARLSBAD BustiGess LICENSE NO. LICENSE NO.
NO. 1 PESCRIPTION OF WORK FEE nousE SEWER CONNECTING TO PUBLIC SEWER
SEPTIC TANK, SEEPAGE PIT OR 1-1 PITS I I OVERFLOW SEEPAGE PIT. DRAINFIELD EXTN.. I\ 1 I
nous€ SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ %l.5(?
CESSPOOL. DRYWELL. MANHOLE
CONNECT ADDITIONAL BLDG. OR
ALTER, REPAIR OR ABANDON HOUSE SEWCR OR DISPOSAL SYSTEM @
WORK TO HOUSE SEWER
$2.00
PERMIT I TOTAL FEE
OWNER’S
AUTHORlZATlON
1 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 I 1 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 LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF T ED RESlKENTlAL PROP- ERTY. SIGNA OF
&is is a Sewer Permit When Propel
CITY TEL. NO.
CONNECTION DATA Lateral Charge Computation
30’ H., IO’ V. @ 4” = ___ 6” = __
Add. Horiz. @ 4” _I_ 6” = ___
@ 4” Add. Vert. - __ 6” = __
Total Construction Cost
10% Service Charge
Total Lateral Charge
La+. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No.
LINE COST:
C. C. Q/ / dwelling
P. S. 0- / dwetling
OTHER
TOTAL
Grand To?al, Lateral, etc. ,a
FOR SEWER LOCATION
St. I; NORTH
ENGINEERING SEWER DEPT. p’yd _____-_I__ 1 Signed
r!y Filled Oui, Signed and Validafed
Issued By
PERMIT VALIDATION
8 Qz 8 5 PERMIT - APPLICATION
APPROVALS DATE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
CARLSBAD BUSINESS LlCENSE NO. LICENSE NO.
INSPECTOR’S SIGNATURE
I ,FLQOR DRAIN OR SINK @ 1.25
8 1.50
LAWN SPRINKLER 0 2.00
M14C. WATER PIPING -
FLOW DEVICES 1 TO 5 8 2.00 I
f- 1 I GARBAGE DISPOSAL
VACUUM BREAKER OR BACK
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 5TATE THAT THE ABOVE IS CORRECT AND AGREE TO * COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
> RLOULATING PLUMBING.
r 1 CERTIFY THAT I AM PROPERLY REGISTERED AND L1- CENSED AS REQUIRED BY THE ClTY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER k OF THE ABOVE DESCRIRED RESIDEWIAL PROPERTY.
BUILDING ADDRESS
NEAREST CROSS sr.
A~1 . c GROUP I ZONE /
Inspection Record
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if wort is not commenced within 60 days of date of issuance.
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