HomeMy WebLinkAbout2655 Kremeyer Cir; ; 65-8377; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 -fact. 36
For A licant to Fill In
Owner's Nome Kwnr tc-:ff! j {Jc> ' ~
M,U Add,o• /i ~k.(41"// &h
Contractor -~=-.;::,:::.:::::.;::::_..L....::,:,::>.~.::~'--"'=----------
Contr. Address ba.&ktO
To Const. To Alter 0 Convert D
o Move From __________________ _
Type of Const. _9-J...,,:4'-,._.~:,,c:.~=-=f.J!=-==--------
~ ~ :!;me~ etc )
To Be Used For _Jll,..6.J--"AA""_!l-,d~;.a."""--1-~-""'~CJ<.....µ.. __ • ... a.,,....,~f-~--
Kind of Foundation {!{}-y4c f' No. of Stories, _ _,,,Z"""'_;;;.... __
Floor Space {Sq. Ft.) ----"~'-""--'0"'-...,0=..::0=---------
Attached,_~&~ .... Q~()...L-__ _
Gorage Floor Spoce {Sq. Ft.) Detache.,_ _______ _
Legol Description _ ... /c.._· ..... z_~::..-------------
' Lot 1 Block
Subdivision ~Lu..,.__.b_"'-"'-L->l.,..<,e...~"""'"'"•;:; .-l.'--"-_&........,,(/""""--"ub'-"""'a-=~---' d or
Section Township Range
No. of Existing Building _ _.L/c.;(/4o,c...:c,::c..._¥.!......!P.._-_______ _
Will this cons!!_ugjpn include ony plumbing installation or alter-
ation? Yes ~ No D
Sig"''"" of Applicoalj'} ~ / l /L_~_
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 C ITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL WNER
OF THE ABOVE DE CRIBED RESl~ENTI PROPE Y.
s~:~~~~~TTE•£.,M,~~i(..,,!!~~(!_,~~£t_J_.j(/J.:._~~~~'.:::f
Application I or BUILDING Permit
Building Permit Fee /7 32,:-g3 ,,,
:lffl ~8=8~-;!~~~B~tt ttt1~§:~g
Set Back
Front P.L. Moin Bldg.
Side P.L. Goroge
Reor P.L. Other
Group
Con!roctor City Bus. Lie. No. ____________ _
Wote Meter ~
/~ ~ ~ I Sewog~ Disp~,' system
&1s11//v.
Inspection Record
Utility Company Notified -Date, ______ By ____ _
Finol
If a check is t&ndered for payment for the above fee &nd the
check is not honorod when presented for p&yment, your
building permit will be immediately revoked.
City of Corlsbod Building Dept.
Perrnit void if work is not commenced within 60 days of issuance,
CITY OF CARllBAD 83 91
' SEWER
BUILDING DEPARTMENT
FOR APPLICANT TO FIU IN
LEGAL DESCRIPTION LOT NO.
BLOCK
USE OF
BUILDINGS
TRACT
CONTRACTOR ,? \ (' , ,WM_.~
ADDRESS j/;i f' ~ ~ -
CITY Q I G~ TEL. NO.
CONTRACTOR"& STATE
LICENSE NO.
CARLSBAD BUSINE88
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
) HOUSE SEWER CONNECTING TO ~ PUBLIC SEWER 0 $3.00 r SEPTIC TANK, SEEPAGE PIT OR -PITS 0 $15.00
OVERFLOW SEEPAGE PIT, DRAINP'lt:LD t:XTN.,
CESSPOOL, DRYWELL, MANHOL& 0 $15.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 0 $1.150
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER O $1.150
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR D ISPOSAL SYSTEM O $2.00
• •
OWNER'S I PERMIT s 2
AUTHORIZATION TOTAL P'IEII: .~
4'-0
00
~
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD· ING TO THE PUBLIC SEWER,
SIGNED THIS -----DAV OF ---------
OWNER OR
OWNER'S AGENT----------------
ADDRESS
I H EREBY 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 &EWERS.
I HEREBY CERTI FY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED av THE CITY OP' CARLS-BAD AND STATE OF CALIFORNIA R THAT I AM THE LEGAL OWNER OF THE A V DESCRI ED REBID NTIAL OP.
ERTY. SIGNATURE OF PERMITT E
PERMIT. APPLICATION
A -2-65 ~'~15759• ...... 5.00
1EL NO.
CONNECTION DATA
Lateral Ch•rg• Comput•tlon
30' H., 10' V. @ 4" = --6"=--
Add. Horiz. @ 4" = __ 6"=--
Add. Vert. @ 4" = __ 6" ---
Toto! Construction Cost
10% Service Chorge
T otol Loterol Chorgo ____ _
lat. No.: Lo ed in Plot:
LINE COST DATA
II.. D. & Assmt. No. _______________ _
LINE COST: _______________ _
C. C. @ __ / dwelling ___________ _
P. S. @ __ / dwolling ____________ _
OTHER __________________ _
TOTAL
Grond Toto!, Loterol, etc.
FOR SEWER LOCATION
~1----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Sign•d _______ _ Signed ________ _
Thia ia • Sawer Permit When Properly FIiied Out, Signed and V•lld•ted
laaued By ------------------
PERMIT VALIDATION
CITY Of CARLSBAD 8396
BUILDING DEPARTMENT
CITY
STATE
LICENSE NO.
NO~-,'-~I/
CARLSBAD B0USINESS
LICENSE NO.
'10. ITEM FEE
~ TOILET @ $1.25 ✓17 d'-<l
d r
BATH TUB @ 1.25 <"" ~
4-SHOWER @ 1.2!5 <' ...
41? WASH BASIN @ 1.2!5 ~ ,.,
'? I p--i) KITCHEN SINK @ 1.215 -1-L V
DISHWASHER @ 1.215
LAUNDRY TUB OR TRAY @ 1.2!5
' AUTOMATIC WASHER @ 1.25 J ~ <,_·
' ) £i2 -i-WATER HEATER a VENT @ 1.50
GAS SYSTEM 1 TO .!5 q .30 EA. ADO. @ 1.50 ~ l~o ,,
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.00
MISC, WATER PIPING @ 1.50
~ GARBAGE DISPOSAL @ 1.00 fl o-<)
VACUUM BREAKER OR BACK
FLOW DEVICES 1 TO 5 @ 2 .00
GRADING PLAN I PERMIT s 2 00
YES □ NO □ TOTAL FEE $ 5"3~
I 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.
SIGNATURE
OF PERMITT
PLUMBING
PERMIT· APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP
..U.. -2·65 ~P~~D5760******)5J.15
Inspection Record
A PPROVAL S DATE I NSPECTOR·S SIGN ATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.