HomeMy WebLinkAbout222 PACIFIC AVE; ; 69-875; PermitCITY OF CARLSBJV'
BUILDING DEPARTtJ,
729-1181 -Ext. 36
Owner's
Moil A~C!s~s ::...c:z-.....e~.-c,..,c:;::11~
Contractor
Contr. Address -----------------
To Const. ~Add 0 To Alter D Convert D
To Move From-------------------
Kind of Foundotio~~ No. of Stories :;2__
Floor Spoco (Sq. Ft.) ______ /_'""e"---3,_,'--"t)'--__ _
Attached ,570 Goroge Floor Space (Sq. Ft.) Detached ________ _
;L2-legal Description
~ Subdivision~
Section Township Range
No. of Existing Building _____ __,6),.::_ _______ _
ony plumbing instollotion or olter-
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY WITH ALL CITY ANO STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD ANO
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDE _~_?'"f)f)j·
SIGNATURE • V k'~ OF PERM I ryt,~tc--.=::...~:_.:....cl...J.J....:::... ________ _
CONSTRUCTION LENDER INFORMATION iYERl Applicati or BUILDIN'1 Permit
Building Permit Fee / ~ 2.6
'i ? ~ 18-69 ~,~~o t05* *** * 128.25
St. Neor
Set Back
Front P.L. Moin Bid
Side P.L. Garage
Sewage Disposal Sys{em
Rqfffy
Utility Company Notified -Dote ______ By ____ _
Final
If o check is iondered for poyment for the above fee ond the
check is not honored when prosented for payment, your
building permit will be immediately revoked.
City of Corlsbod Building Dept.
0
Permit void if work is not c:ommenc:ed within 60 days of issuanc:e,
c'.~.ij~f *****
HO ~ I fl3CLJJ I .,,T .. " w ,uJ
~l ea-ar :,.:, -CONSTRUCTION LENDER IDENTIFICATION
CALIFORNIA STATE CODE OF CIVIL PROCEDURE SECTION 1193 (J)
l ender
r-r---:r---::-:-~':::::==::.._ ___ _ ad res s of lender city
b ranch
e;'. CW&___ ,,
~ture ot applicant------.:da:--t-e __ _
CITY OF CARLSBAD SEWER
BUILDING DEPARTMENT PERMIT • APPLICATION
FOR APPLICANT TO FILL IN
LEGAL BUILDING DESCRIPTION LOT NO. ADDRESS
BLOCK TRACT NEAREST CROSS ST. USE OF
BUILDINGS OWNER
MAIL
CONTRACTOR ADDRESS
ADDRESS CITY TEL. NO.
CITY TEL. NO. CONNECTION DATA
CONTRACTOR·& STATE CARLSBAD BUSINESS Lateral Charge Computation
LICENSE NO. LICENSE NO.
30' H., 10' V. @ 4" = ___ I," -----
Add. Horiz. @ 4" = ___ I," -NO. DESCRIPTION OF WORK FEE ----
HOUSE SEWER CONNECTING TO
PUBLIC SEWER 0 $3.00 Add. Vert. @ 4" = ___ I,"= ---
SEPTIC TANK, SEEPAGE PIT O R
PITS 0 $15.00 T otel Construction Cost
OVERFLOW SEEPAGE PIT. DRAINP'l&LD EXTN.,
CESSPOOL , DRVWELL, MANHOLE O $!5.00 10% Service Charge
HOUSE SEWER CONNECTING TO Total Lateral Charge PRIVATE DISPOSAL SYSTEM 0 $1.150
CONNECT ADDITIONAL BLOG. OR Lat. No.: Logged in Plat: WORK TO HOUSE SEWER 0 $1.!50
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00 LINE COST DATA
• $ A. D. & Assmt. No .
LINE COST: '
OWNER'S I PERMIT s 2 00 C. C. @ __ / dwelling r ,-
AUTHORIZATION TOTAL Fll:E P. S. @ __ / dwelling
OTHER I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
'f'•, CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD, TOTAL ~ ING TO THE PUBLIC SEWER.
SIGNED THIS DAY O F
OWNER OR
Grand Total, Lateral, etc.
OWNER"S AGENT FOR SEWER LOCATION
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT ,.! ' -.., AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND VI "' STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-NORTH BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP. ENGINEERING SEWER DEPT. ERTY. ( SIGNATURE Signed I Signed OF PERMITTEE
This ls e Sewer Permit When Properly FIiied Out, Signed and Validated
l11ued By ___________________ _
PERMIT VALIDATION
Cl1Y OF CARllBAD
BUILDING D•ARTMENT
~,· anr..
~---'IUIIIU ftftW
PERMIT· APPLICA~ ~
E1:.7s -
C ITY
TEL. NO]"Z,'J. ·'t 'J_,. /(
CARLSBAD BUSINESS GROUP J:-r I ZONE R -3
Inspection Record I 8 f75"/ LICENSE NO 9'1 ID
NO. ITEM FEE
3 TOILET • $1.215 1 17~
~1 BATH TUB 0 1.215 1 176'
SHOWER 0 1.215
3 WASH BASIN • 1.215 ~ 175
2 KITCHEN SINK • 1.215 1 ![D
DISHWASHER 0 1.215
LAUNDRY TUB OR TRAY • 1.215
AUTOMATIC WASHER • 1.215
~ WATER HEATER & VENT • 1.150 3 tJD
I GAS SYSTEM 1 TO 115
.30 EA. ADO. 0 1.150 I 156
FLOOR DRAIN OR SINK • 1.215
LAWN SPRINKLER 0 2.00 ·---
MISC. WATER PIPING 0 1.150 ,' ~o
GARBAGE DISPOSAL • 1.00 , ' ~o
VACUUM BREAKER OR BACK
FLOW DEVICES 1 TO 15 0 2.00
GRADING PLAN PERMIT s 2 00
YES □ N00 TOTAL FEE s t...R. '25""
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH A L L CITY ORDINANCES ANO STATE LAWS
REGULATING PLUMBING.
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
DATE
Thia Is II Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of Issuance.
I NS,-E'.CTOR'S $1QiNATUftll
2.,s
'
C
CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
PERMIT NO. 0 9-/,,;J,/7 TOTAL FEE $
or pp 1can 0 I n UI ing e p • se ny F A I" t t FIi I
Application for ELECTRICAJ,..f0ermit
IR 19·69 ~ c.c 2955••••••12.50 B "Id" D t U o ~
PERMIT FEES: Eoch Foo
Item Recpt. Sw. BUILDING ADDRESS: ,1
!l. J.. '2. P4c.,i=t.c. l)vt.
Lighting fixtures w ballast for each 10 $ 1.00 .
SI. Neilr
~Elec. Ranges, Clothes Dryers, Water flua1ers .50 /J1 . K, t>oLl= I OWNER:
'Elec. Space Heaters Dishwashers, Gari.Jane
Disposers, Auto. Washers, Sta. Cooking Units .50 ,JO ADDRESS:
MOTORS: Per each motor H.P.
0 to 1 $ .25 CITY:
1 to 2 $ .50
2 to 5 $ 1.00 TELEPHONE NO.
5 to 15 $ 1.50 State ? _City Business 15 to 50 $ 2.50 License I q-:,_ c/ \' License
50 10 200 $ 5.00
SIGNS: Group Zone By
No. trans. Ea. $ 1.00
No. lamps over 50 ea. $ .50 Inspection Record:
SERVICE: 0 to 150 AMPS $ 10.00 Vo,oc: For each additional 100 Amps. $ 2.00
Temp. Power Pole, 100 AMPS or LESS $ 3.00 c>/;>f.11. ~~ ~/~-vi-
For Each add.I Meter, over one per service $ 3.00 1 "le1:= lttowf s-f--
MISC: I I ~ tJ
(<') ( .,_, ,4 Iv' ,S, I I) C:-., CtJ..,;:
7 11(.,, /
2.) -
Approvals Date By:
SUPPLEMENTARY PERMIT FEE: S 2.00 Condui t
s/Y-Temp. Power
TOTAL: R. Wtrtno
F ixlures
S.D. G. & E.
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FINAL:
WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
"'""G. ' ce•r~llo"'"" ucsmo av me CITY OF CARLSBAD AND HES TE OF CALIFORNIA OR THAT
I AM THE LEGAL OWN OF T, E ABOVE DESCRIBED RESI
DENTIAL PROPERTY. (
SIGNATURE OF
PERMITTEE: ..-
l ..
j
I
RECEIVED
SEP 1 G 1969
INTERDEPARTMENTAL INFORHATION
.. -.... '
.. .. : . . . _· C . . BUILDING_ . DEPARTMENT
Permit No. CMne~~ -------------
Lot No. ~ddres~,fj &££ tf), ~,-. . . . --· -q :i-o 5----------------
con tractor ~~ ._
Approval to Issue Permit _______ _ Certificate of Occu~ancy ____ _
PLANNING DEPARTMENT
Parking Spaces Provided _____ ..,.. ___ _ Required --------------
Setbacks
Date __ ~_-__ / ___ 7_-t, __ ?--,-__ _ Oat
Approva l for
.) •· t .. ' .. •.
ENGINEERING DE PART.MENT
Easements __ ~✓-~-------------
Improvements __ N_._0_>~1~·~'-'--'~~~(~/(__· ____ _
/()0°° Cc , , r=r
Sewer Connection As ~ 1 ()
/
. .
· Wa ~~r ~onne ctio n ~ £t51/o
Du£
Driveway Lo cations ____ c_~---------f'A-tD-
Industrial Waste ------------
. 1/t~(l,1 Date_~p o
Approval to Issue Permit qM. _ Approva l for Occupa ncy <;:3p,
r=-· ----r------. --:-.. ~
I h c1vc read the above inform<l lion and agree t o c0mply with the i.-cqu i rcmc nls
Date
set forth . . Oc,V,'1,j;7 /// d ~
Signa t ~vo1-t1J,11.,, /2=:L y0/tl,Kg_.,. Da t e _ __; ______ _..L.. ____ _