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HomeMy WebLinkAbout2645 Kremeyer Cir; ; 65-8376; PermitCITY OF CARLSBAD BUILDING DEPARTMENT 729-1181 -·Ext. 36 Owner's Application for BUILDING Permit Building Permit Fee _ 17~~ 5PATO JUN 30-65 _ cc5367***** 173.25 j t. Us Mail Address Q~$.21.2-_.tlr.1£,f_~!LJ~~1.....1:::::~~~•a-------~~-.. 1Jll)'~st_':,(t'T'!'ll~~~~~:'ffl ... ,.,l"'lll'..-~.QQ To Const. !1;1,,--,:: Add 0 To Alter 0 Convert D o Move From ""?'] Type of Const. ~,,M,1 J2._ {\A I\ [ramei71~so7') etc. J To Be Used For .. nLJh I µtµt[ c~ Kind of Foundation @~ No. of Stories e:::=: Floor Space ( Sq. Ft.) --'l'tr;.,:""-'-f)"-O"""-.,_D.c..._._--=.------ Attached~£ ........ n""'·'-'-Q-L-___ _ Garage Floor Space (Sq. Ft.) Detached, ________ _ Legal Description ,S, // I / Lot Block S.bdi•isio• ~ Ou.A do or Section Township Range No. of Existing Building -.J.,llc....&::/4~:..,;/e._V,c_,e.._~-------- Will this construct.ior( include any plumbing installation or alter- ation? Yes ~,....... No D Sigool•,o of Applico"j/e, L ---~ I ACKNOWLEDGE THAT I HAVE READ TH IS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING l BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD A ND STATE OF CALIFORNIA OR THAT I AM THE LE AL OWNER 'F THE ABOVE DESCRIBED RESIDENTIAL P O ERTY. Set Back Front P.L. Side P.L. Rear P.L. Group Contractor City Bus. Lie. No. ____________ _ Water Meter Sewa~e Disposal Sys-tem 4/'-..Z~ ,,-,;, ~ t1%s rr ,.,.,yf 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 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 CARUBAD 83 9~ SEWER BUILDING DEPARTMENT FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO. BLOCK TRACT CITY d '.S...C,./4. "TEL. NO. CONTRACTOR'S STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. NO. DESCRIPTION OF WORK FEE -I-HOUSE SEWER CONNECTING TO a PUBLIC SEWER O J3.00 SEPTIC TANK, SEEPAGE PIT OR PITS 0 115.00 OVERF'LOW SEEPAGE PIT, DRAINFIIELD EXTN., CESSPOOL, DRYWELL, MANHOLE O $15.00 HOUSE SEWER CONNECTING TO PRIVATE D ISPOSAL SYSTEM 0 SI.ISO CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER O ll.!10 ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM O $2.00 • • OWNER'S I PERMIT s 2 AUTHORIZATION TOTAL FEE ..s- 14 00 ~ I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BU ILD- ING TO THE PUBLIC SEWER. SIGNED THIS -----DAY 0F ---------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 W ITH ALL CITY ORDINANCES ANO STATE LAWS REGULATING PLUMBING ANO SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY THE CITY OP' CARLS- BAD AND STATE OF CALIFORNIA O THAT I AM THE LEGAL OWNER OF THE ABOVE ESCRIB O RESIDENTIAL OP. ERTY. SIGNATURE OF PERM ITTE!f' ~f(....L...Lt.µ..sa.4-'Cd:lL-+..C:..:J-'-;,rr.~q,"H;;._ PERMIT. APPLICATION .U. -2-65 ~P:~85761**H***5.00 BUILDING ADDRESS NEAREST ~ CROSS ST. z?'~ ~ ow••• lf:?if~ ~ • CITY TEL. NO. CONNECTION DATA Lateral Charge Computation 30' H., 10' V. @ 4H = --6H = ------- Add. Horiz. Add. Vert. @ 4" = @ 4H = __ 6H __ 6" -------- -------- Total Construction Cost ____ _ 10% Service Charge Tot11I L11teral Charge ____ _ L11t. No.: Logged in Pl11t: LINE COST DATA A. D. & Assmt. No. _______________ _ LINE COST: ______________ _ C. C. @ __ I dwelling ___________ _ P. S. @ __ / dwelling ____________ _ OTHER TOTAL Grand Total, L11teral, etc. FOR SEWER LOCATION ~----------------!~ St. ENGINEERING SEWER DEPT. NORTH Signed _______ _ Signed ________ _ This Is e Sewer Permit When Properly FIiied Out, Signed end Validated Issued By ------------------ PERMIT VALIDATION CITY Of CARLSBAD 839t. BUILDING DEPARTMENT CITY TEL. NO. -------s·rATE ~ENSE NO. CARLSElAO BUSINESS LICENSE NO. Iv. ITEM TOILET @ $1.25 BATH TUB @ 1.25 SHOWER @ 1.2!5 WASH BASIN @ 1.25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY TUB o• TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 WATER HEATER & VENT @ 1.50 GAS SYSTEM 1 TO tllfl5 .30 EA. ADO. @ 1.50 FLOOR DRAIN OR SINK @ 1.25 LAWN SPRINKLER @ 2.00 MISC. WATER PIPING @ 1.!50 GARBAGE DISPOSAL @ 1.00 VACUUM BREAKER OR BACK FLOW DEVICES 1 TO !5 @ 2.00 GRADING PLAN YES □ NO □ I PERMIT TOTAL FEE s FEE I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES ANO STATE LAWS REGULATING PLUMBING. I rERTIFY THAT I AM PROPERLY REGISTERED AND LI• CENSEO AS REQUIRED BY THE CITY OF CARLSBAD ANO STATE OF CALIFORNIA OR THAT I AM THE LEGAL O NER OF THE ABOVE DESCRIBED RES ENTIAL PROPERT. • () -• SIGNATURE t,)t..__ OF PERMITTE!g__,l--.l..-i..L/-~~~=--¥-"°"'::,.-,7".l-.-l'-l-'!:.Jc:,;;.--,,- PLUMBING PERMIT • APPLICATION BUILDING ADDRESS NEAREST CROSS ST. GROUP Jll -2-65 ~r~~D5762******55.45 ZONE Inspection Record APPROVALS DATE INSPECTOR'S SIGNATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FIN AL VALIDATION This is e Plumbing Permit When Properly Filled Out, Signed end Validated. Permit void if work is not commenced within 60 deys of dete of issuance.