HomeMy WebLinkAbout2237 CAMEO RD; ; 64-7638; PermitCITY OF CARISAD BUILDING DEPARTMENT 7638 Application fur M1DimG Permlf
729-1 18 I - bt. 36
Mail Address 2698 State Street
Contractor
contr. Address
J biove From
Type of Const. Fmme .I*
Frame, Masonry, ek.
Q' 7- 70 Be Used For SirWle
Kind of Foundation Conc . No. of Stories '1
Floor Space [Sq. Ft.) &-
Atta ched-&!c- Garage Floo~ Space (Sq. Ft.) Detached
6 Legal D~~cription
SubdiviPion Chestnut Height S QI
lot Block
L. ' "' ' '
I Section Township Rwge
None No. of Existing Building
any plumbing insfellotion or alhr-
Signature of Applicant
I CERTIFY THAT I AM PROPERLY REGISTERED ANp/QR LICENSED AS REQUIRED BY CITY OF CARLSBXD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. I
Building Permit F'ee
PAIU SEP 22-64* x'Lt62***** 135.00
&-#A Buitding Depf. Use Only
Building Address
St. Naa~
Set Back
Front P.L.
Side P.L.
Rear P.L.
Group 4
/& , , Other Approved b'y
Contractor City Bus. Lic. No. __
, I
Inspection Recod
If a check is tendered for payment for the above fee and +he check is not honored when presented for payment, your building permit will be immediately revoked. City of Carlsbad Building Dept. SIGNATURE OF PERMITTEE
OF 7639 SEWER
PERMIT - APPLICATION
SE) 22-6tt 8~2f63***fff5V.OO PAID
.*
FOR APPLICANT TO FILL IN I LEGAL ,,DESCRIPTION LOT NO
BLOCK
USE OF BUILDINGS
CONTRACTOR
,ADDRESS
CITY TEL. NO.
CONTRACTOR’S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO PU6LlC SEWER
SEPTIC TANK, SEEPAGE PIT OR PITS @ $5.00
OVERFLOW SLEPAOE PIT. DRAINFIELD EXTN.. 1 \ 1 \
CBSSPOOL, DRYWELL. MANHOLE 0 $5.00
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 8 $1.50
ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM 8 $2.00 I
PERMIT I TOTAL FEE
OWNERS . AUTHORIZATION
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
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.
SIGNATURE OF PERMITTEE
NEAREST CROSS ST
TEL. NO. 72??-2f//
CONNECTION DATA Lateral Charge Computation
30’ H., 10’ V. @ 4” = __ 6” = __
Add. Horiz. @ 4” = __ 6“ = __
Add. Vert. 63 4” = __ 6” = __
Total Construction Cost
10% Service Charge
Total Lateral Charge
Lat. No.: Logged in Plat:
LINE COST DATA
A. 0. & Assmt. No.
LINE COST:
C. C. @-.+!!- / dwelling ,ro -
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
z, -
CITY OF CARLSBAD BUILDING DEPARTMENT
729- I I8 I - &t. 36
For Adicent to Fill In
Owner's Name
Mail Address 2233
Contractor +s+-
Contr. Address
To Const. TO Add To Alter IJ Convert
To Move From qs-' 5-%444ww 43, L'/ ' /
To Be Used For + Type of Const.
Frame, Masonry, etc.
Kind of Foundation No. of Stories
Floor Space (Sq. Ft.)
Garage Floor Space (Sq. R.] Attached
Detached
Legal Description Lot Block
Subdivision _I_ or
Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter-
ation? Ye* 0 NO 0
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 CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE D~,CR~BED RESIDENTIAL PROPERTY.
SIGNATURE
Application for BUILDING Permil
Building Permif Fee
5" Q5P*10 &.le -x mw++****4.50
Building Dept. Use Only
Side P.L.
Rear P.L.
Group Zone
Contractor City Bus. Lic. No. __
Weter Meter Sewage Disposal Sys4em I
Inspection Record
~ ~~
Utility Company Nofified - 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
building permit will be immediately revoked.
City of Cartsbad Building Oept.
Y Permit void if work is not commenced within 60 days of bruance.