HomeMy WebLinkAbout2840 MADISON ST; ; 64-6086; Permit. ' CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 -·Ext. 36 /3 -6 0: ~
For Applicant to Fill In
Owner's Name C'/2e A:J/e • G/4.,v
l I
Meil Address :? () , /3o i ~ <./,/ {!,q. R /2 bad
Controdor der1dle i~t>f./
Contr. Address _______________ _
To Const. ~ To Add 0 To Alter 0 Convert 0
To Move From ------------------
Type of Const. -~-'-'A:c_.c::c.::~=-.::....::.-==------------
Frame, Masonry,
To Be Used For Q,o/S -a) I
etc.
Kind of Foundation ~ No. of Stories _ _,;2,_""-"----
Floor Spoce (Sq. Ft.) ~L/'---"'U,"'-"";?;.....,,.D"'-----------
Gorage Floor Space (Sq. Ft.)
Attached _______ _
Detached _______ _
Legal Descriptio~ 1?, e + lb +-U ~ BK a?-t>3 -190-11
Lot Block...., l.D /·,'/}, '/
Subdivision Set•H t'le l h-N d or
Soction Township Rongo
No. of Existing Building __ c..,#..e...Jo"-N<--=-_e;:,,.... _______ _
Will this constiuct!S)II" include ony plumbing installation or alter-
ation? Yes ~ No 0
Signature of A pplicant
I ACKNOWLEDGE THAT I HAVE R EAD TH IS APPLICATION
AND STATE T HAT TH E ABOVE I S CORRECT AN D AGREE TO
COMPLY W ITH ALL C ITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I A M PROPERLY REGISTERED AND/OR
LICENSED AS R EQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I M THE LEGAL OWNER
OF THE ABOVE DE R ED RESI NTIAL PROPERTY.
Application I or BtHlD'ING Permit
Building Permit Fee
PAID Building r~i-i3:~• e @iily0 05*****4Z8.ZS
Building Addres• o28'9',-1 /\:1/ul/SON
St. Neor Ciz«?& N d
lild Fee=:.
Set Bock
Front P.L.
Side P.L.
Renr P.L.
Group ~-s
Bldg.
Main Bid
Garage
Other
Approved by
/)/if l YA'" ttlftfV P~.M I T /, .::t. r-Controctor City Bus. Li!. No. ____________ _
Water Meter I
/f.e1,f.i -.25c .!:!.
Sewage Disposol System e.:
Inspection Record
p,~~,Ef
u.,a;,, Co".J1'•:,:;m,9 -D••• ip7{2e f ,, ½
F,nol f/A~~ '>
If o check is i'endered 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 . . ,
if work is not c'ommellc:ed wifflin &l days of issuance.
.. OTY Of CARLSBAD P·-6U~3 PLUMBING
BUILDING DEPARTMENT PERMIT • APPLICATION
-
BUILDING
ADDRESS
NEAREST CROSS ST.
GROUP I ZONE
Inspection Record
NO. ITEM FEE
R TOILET • $1.215 -/..IL d-(J
R BATH T U B • 1.215 .,/h t>-<>
SHOWER • 1.215 g WASH BASIN • 1.215 /n ~
~ K ITCH EN SINK • 1.215 ,I.I'. ~ -
DISHWASHER • 1.215
LAUNDRY TUB o• TRAY 0 1.215
AUTOMATIC WASHER • 1.215 -WATER HEATER & VENT 0 1.50 ,. ~
jfl GAS SYSTEM I To 115
.30 EA. ADO. • 1.150 ~ ,..,, " ,
FLOOR DRAIN OR SINK 0 1.215
LAWN Sll'RINKLER • 2 .00
MISC. WATER PIPI NG • 1.150
c<r GARBAGE DISPOSAL • 1.00 ~ __J!3L
VACUUM BREAKER OR BACK
FLOW DEVICES I TO 15 • 2.00
APPROVALS DATE
UNDER fLOOR WORK
ROUGH PLUMBING ~/£if'
GRADING PLAN I PERMIT s 2 00
YES □ NO □ TOTAL FEE s <~ ~d
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY W ITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI•
CENSED AS REQUIRED BY THE C ITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE ------------------
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
• ,
This is • Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenc:ed within 60 days of date of issuanc:e.
'
I NSPECTOR·S SIGNATURE
w~
SEWER aTY OF CARLSBAD
BUILDING DEPARTMENT ,~ -60 ~7 PERMIT. APPLICATION
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION
BLOCK TRACT
USE OF ~ _/ BUILDINGS ~ I :S ,
/) ) ' J
ADDRESS /.3.S-ff<!. B ~ IA .£7:"
c1TY Ge,elsb&d TEL. 110 .
CONTRACTOR'S STATE CARLSBAD BUSINESS
LICENSE NO. LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO _-::, PUBLIC SEWER • $3.00
SEPTIC TANK. SEEPAGE PIT OR
PITS • 15.00
OVERFLOW SEEPAGE PIT, DRAINFIKLD EXTN.,
CESSPOOL, DRYWELL, MANHOLE • $5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM • $1.!50
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • SUIO
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00
~~J'f • s /::l'J.
OWNER'S I PERMIT s 2
AUTHORIZATION TOTAL FEE IZJ
ADDRESS
.A-4!"
.:r~
00
~
I HEREBY ACKNOWLEDGE 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 OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOV DESCRIBED R IDENTIAL PROP.
ERTY.
SIGNATURE
OF PERMITTEE
PAID rm -3-GL1* t:c 007* ., ** A-131.50
BUILDING c:28 I/, /VJ Mi f ADDREss D/.S&J ti
NEAREST cS!..
CROSS ST. ~ND
owNER Ch esd le,,, G Leri
CITY <!,. TEL. NO.
CONNECTION DATA
Lateral Charge Computation LI'>,~
30' H., 10' V. @ 4" = ~,, = __
Add. Horiz.
Add. Vert.
@ 4" = --6" = -------
@ 4" = --6" = -------
IOo/. Service Charge
Lat. No.:
Total Construction Cost
Total Lateral Charge
Lo ed in Plat:
LINE COST DATA
jlf 5 ,00
I l,SQ
I 2, lo,5 O
A. D. & Assmt. No. _______ z;... _______ _
LINE COST: ________ ___........,. _____ _
C. C. @ __ / dwelling ________ --~V __ _
P. S. @ __ / dwelling _________ _,_V __ _
OTHER _______________ ___.V,.__ __
TOTAL .,
Grand Total, Lateral, etc. 11.1,.so
FOR SEWER LOCATION
~----------------1~
St. NORTH
ENGINEERING SEWER DEPT.
Signed ________ _ Signed ________ _
Properly Filled Out, Signed 11nd Validated
Issued By -------------------
PERMIT VALIDATION