HomeMy WebLinkAbout2680 Kremeyer Cir; ; 65-8374; PermitApplication for BUILDING Permit CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 -·Ext "36. 4
For A licant to Fill In 837G Building Permit Fee </.f; 2;Ef
5PAIO _/ L ~-:2_~ -JUM 30-65 _ cc5J'6~ 7 .tZS
Owner's Name kkeMFYGR. C!o < t
Mail Addres< ;;26f,tOKR e-,VJ ev~IZ 01ctlr---------.11ai..,.~~~ ... w;a.&&&.&.;1a.
Contractor L12t<'n1.R~ /
Contr. Address ~~ .Jl
To Const. ltJ~d O To Alter 0 Convert 0
'o Move From _________________ _
Type of Const. ~I fl""
Frame, 1 ,"'sonry, etc.
To Be Used Foon& 01a:: 1-LJi (y)
Kind of Foundation @._fr'Jd,{, I No. of StoriAS "?'..--
Floor Space {Sq. Ft.) --'"1P...,,..,oc:::....,:,6::...C.c.,;J::...' ---------
Garage Floor Space {Sq. Ft.)
(""';,"0 Attached_...Jc,i.,..._..:'-cc' =-----
Detachea_ _______ _
Legal Description __ ?<-..:c.-=---------------
Lot Block ~ or
Section Townsnip Range
No. of Existing Building ./V'o:2t.e_ ....-
Will this constr~ include any plumbing installation or alter-
ation? Yes ~ No 0
s;,.,1,re of Appl;co,tf! • ~
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT A N D 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 WNER
OF THE ABOVE DE C IBED RESIDENTIA PRO T .
Set Back
Front P.l.
Side P.l. Garage
Rear P.l.
Group /2J/ Other
Contractor City Bus. Lie. No.
Water Meter #'~ 5~
Sewage Disposal Sys+em
r • '/ I C6.I.Sl1,v9
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 CARLSBAD
BUILDING DEPARTMEN'J.
OWNER
CITY
ADDRESS
CITY
STATE
LICENSE NO.
CARLSBAD B
LICENSE NO.
10. ITEM
TOILET @ $1.25
BATH TUB @ 1.25
SHOWER @ 1.25
WASH BASIN @ 1.25
KITCHEN SINK @ 1.25
DISHWASHER @ 1.25
LAUNDRY TUB on TRAY @ 1.25
AUTOMATIC WASHER @ 1.2!5
WATER HEATER a VENT @ 1.50
GAS SYSTEM 1 TOJl5
.30 EA. ADO. @ UIO
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.00
MISC, WATER PIPING @ U 50
GARBAGE DISPOSAL @ 1.00
VACUUM BREAKER OR BACK
FLOW DEVICES 1 TO 5 @ 2.00
8390
GRADING PLAN I PERMIT 5
YES r/ N O O TOTAL FEE $ •
I ACKNOWLEDGE THAT I HAVE READ THIS AP I ATI
AND STATE THAT THE ABOVE IS CORRECT A ND AGREE TO
COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-
CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESI ENTIAL PROPER
PllMllNG
PERMIT-APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP 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
FINAL
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work ls not commenced within 60 days of date of issuance.
CITY OF CARI.SIAD 839:... SEWER
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOT NO.
BLOCK TRACT
USE OF BUILDINGS
CITY
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS LICENSE NO.
NO. DESCRIPTION OF WORK FEE
/ HOUSE SEWER CONNECTING TO PUBLIC SEWER • 13.00 ..,
r SEPTIC TANK, SEEPAGE PIT OR
PITS 0 111.00
OVERFLOW SEEPAGE PIT, DRAINl'IELD ltXTN.,
CESSPOOL, DRYWELL, MANHOLlt O 111.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 0 11.110
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • I 1.110
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O 12.00
• •
OWNER'S I PERMIT s 2
AUTHORIZATION TOTAL ,.IEE 5
~
00 µ
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 ----------------
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 OP' CARL&•
BAD A ND STATE OF CALIFORN OR THAT I AM THE LEGAL
OWNER OF THE A VE DES IBED R~SIDENT 0~ ERTY. ·,
SIGNATURE
OF PERMITTEE'
PERMIT. APPLICATION
~,~~
05763**** ***5.00
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = __ 6"=--
Add. Horiz. @ 4" = __ 6"=--
Add. Vert. @ 4" = __ 6"=--
Total Construction Cost
I 0% Service Charge
Total Lateral Charge ____ _
Lat. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: _______________ _
C. C. @ __ / dwelling _____________ _
P. S. @ __ / dwelling _____________ _
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
~1----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed _______ _ Signed ________ _
This Is • Sewer Permit When Properly Filled Out, Signed and Validated
Issued By __________________ _
PERMIT VALIDATION