HomeMy WebLinkAbout2620 ROOSEVELT ST; MULTI-PERMIT FILE; 68-334; PermitCITY OF CARLSBAD BUILDING DEPARTMEN
729-1181 -Ext. 36
-:: 3-Application ,.. ~0dbll.DJff ·Permil (3+ Building Per~ .
For A Ii cant to Fill In 9 4 CO
Owner's Name .J0E A Po OA:CA:
Mail Address C G CO f5 o o.S £ve/r
Conlreclor _::T=-..02 ........ E~~lt--c_:__R:;__:::o~D"-"/t=--.,._C.,.., ._A-..__ __
Contr. Address J:: G C 0 l?oo-s t:Vs(T
To Const. ~ Add 0 To Alter D Convert 0
To Move From -------------------
Type of Const. _ _;_T/.__.,B'-'-..,_fr~..,,Mc...:....'--""E=---------
Frame, Masonry, etc.
To Be Used For _ _,D'""--..::.Ul=-,S"""°'/L.e../_.J_)(.,_' L-C:::._ _____ _
Kind of Foundation C. 0./vC, No. of Stories,~-----
Floor Spaco {Sq. Ft.) _.,L/_L,,fjj.,_.G'-'o,e:__~ff,__ _____ _
Garage Floor Spece (Sq. Ft.) --#-Detached
Attached ________ _
---Z,-fi ,2_ rl /" O 0 Legal Description ___ ,Z:_1.__:;;;:;;:;_ _____ __.~~_,f:1.._ ___ _
Blod Lot
Subdivision __________________ _ or
Section Township Range
No. of Existing Building _____ / __________ _
Will this construction include any plumbing installation or alter-
ation? Yes D No D
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 DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE -----------------
Building De t. Use Onl
Building Address ,2 6 i2 0 R Q o.S s-a/7:
Set Back Bid .
Front P.L. Main Bid
Side P.L. Gara e
Rear P.L.
Group
Contractor City Bus. Lie. No. ____________ _
Water Meter Sewage Disposal Sys♦em
Inspection Record
Utility Company Notified -Dote ______ By ____ _
Final
If a check is tendered for pdymenl for the above fee and the
check is not honorf.:d whon presented for payment your
building permit wil! be immediately revoked. •
City of Carlsbad Building Dept.
Permit void if wor~ is not commenced within 60 days of issuance,
CITY OF CARLSBAD
BUILDING DEPARTMENT
).o ?I ,. I I -'o
FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOT NO. 42.
BLOCK TRACT
USE OF
BUILDINGS
CONTRACTOR &2P::?'.t..41 /
ADDRESS
CITY TEL. NO.
CONTRACTOR'S STATE LICENSE NO. CARLSBAD BU81NEU LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER • $3.00 -~
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $15.00
OVERFLOW SEEPAGE PIT, DRAINl'lllLD EXTN., CESSPOOL, DRYWELL, MANHOLll O $15.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM • $1.150
CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER • Sl.150
ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM O SZ,00
• •
OWNER'S PERMIT • 2
AUTHORIZATION I TOTAL P'l:IE
b'O
00
P'
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 OP'---------
OWNER OR
OWNER'S AGENT----------------
Al>l!IRESS
I HEREBY ACKNOWLEDGE THAT I HAVE RE.AD 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 CARL8°
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP.
ERTY.
SIGNATURE
OF PERMITTEE ----------------
l •
C
BUILDING ADDRESS
NEAREST CROSS ST.
OWNER 0--Po DA c A-MAIL ~ /' ADDRESS ~ t:' £ 0
CITY C_A t'?.l.s 8.A P TEL NO. )~CJ--S-" $ r(
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = --b"=--
Add. Horiz. @ 4" = --b"=--
Add. Vert. @ 4" = --b"=--
Total Construction Cost
10% Service Charge
T otol Loter al Charge ____ _
Lot. No.: Logged in Plot:
LINE COST DATA
A. D. & Aumt. No. •-.__-......_ __
LINE COST: 52,,,/.;,r,y b,..r~ {o'-c/)
0 ' -----/ c. C. @~dwelling _______ .~io !?.E.,
P. S. @ __ / dwelling ____________ _
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LQCATlf)N
~1----------------1~
St,~ NORTH
SEWER DEPT.
Signed ________ _
This Is a s.-, Permit When Properly RIied
Issued By ---------1----:f-------
PERMIT VALll»ATION
?
?
CITY Of CARU8A11
BUILDING DEPARTMENT
CITY
PLUMBER
ADDRESS
CITY TEL. NO.
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP I ZONE
STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO. Inspection Record
NO. ITEM FEE
L!. TOILET • $1.2!1 2 ,S-0
I BATH TUB • 1.2!1 / ,E~
I SHOWER • 1.2!1 I ~
< WASH BASIN • 1.2!1 -? 7.,-
I KITCHEN SINK • 1.2!5 I g.s:_
I DISHWASHER • 1.2!5 I Zr;-
LAUNDRY TUB Oft TRAY • 1.2!1
AUTOMATIC WASHER • l .2!S
I WATER HEATER 8' VENT • 1.!SO / s-o c GAS SYSTEM I TO l!S .1 ~() .30 EA, ADD. • l .!SO
FLOOR DRAIN OR SINK • l .2!S
LAWN SPRINKLER • 2 .00
MISC. WATER PIPING • l .!50
I GARBAGE DISPOSAL • 1.00 / 00
VACUUM BREAKER OR BACK
FLOW DEVICES 1 TO !S • 2 .00
GRADING PLAN I PERMIT s 2 00
YES □ NOQ TOTAL FEE s IY 15
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY ORDINANCES ANO STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED ANO LI• CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE ------------------
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
DATE
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.
I NSPECTOR•B SIGNATURE
CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
PERMIT No@9-/t't> TOTAL FEE s/3, ~()
Application for ELECTRICAL Permit
For Applicant to Fill In . j:ft~ .a: P4l0 Buil4f«I U,~ ,,n..,. .. ******1 · .50
PERMIT FEES: Eoch Fee
Item Recpt. Sw. BUILDING ADDRESS:
'} 4~fJl._;-_/',/l7~1.obf
L1ght1nn fixtures w ballast for each 10 $ 1.00 , -
✓ St. Near
Elec. Ranges. Clothes Dryers, Water fll!<1lers .50 • '-; C. ,~Ci)/7.--~ -
"lee. Space Heaters Dish.ta:hers, Garl~e OWNER. ,.. -;, ...., ~ --.-~ . u (/
Disposers, Auto. Washers, Sta. Cooking Units .50 /,a) ADDRESS· II')_/_,, ?~' ~ --~ -. -./71-
~ --MOTORS, Per each motor H.P.
0 to 1 $ .25 CITY:
1 to 2 $ .50
2 to 5 $ 1.00 TELEPHONE NO.
5 to 15 $ 1.50 State City Business (T~ 15 to 50 $ 2.50 License L,conse
50 lo 200 $ 5.00
SIGNS: Group Zone By
No. trans. Ea. $ 1.00
No. lamps over 50 ea. $ .50 Inspection Record:
SERVICE: 1/~ to 150AMPS $ 10.00 ,d-!-! --#/IA /),,, /~0 ~a~~/! F each additional 100 Amps. $ 2.00 ., , --
Temp. Power Pole. 100 AMPS or LESS $ 3.00
ror Each add' I Meter. over one per service $ 3.00
MISC:
Approvals Date By.
SUPPLEMENTARY PERMIT FEE: S 2.00 Conduit
/3$ Temp. Power
TOTAL: R. Wonna
Fi xlures
S.D. G. & E.
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FINAL:
WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
W<R<NG. 'CERnFv rnAT' AM PROPCRLY L';~y THe CITY OF CARLSBAD ANO THE STATE OF CALIFORNIA THAT ' AM THC L:}'J? J? Aaov, OCSCR?,;'--DENTIAL PROPERT . ti M V SIGNATURE OF /) 'J .k
PERMITTEE: • /') ---l './ -
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
EXISTING BU ILDING
LATERAL LOCATION
ST.
i--: C/l
LATERAL NO, _______ INSTALLATION DATE------~
6 BUILDING DEPT.
ISSUED BY _________________ _
DATE ISSUED ____ ..::....;:.;.....::....:..____:._.:.:. _______ _
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') _________ _
OVER 30' H. @ FT. _________ _
OVER 10' V . ___ @ ___ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @'---__ FT, _________ _
OVER 10' V. @ FT,----------
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) _________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
ASSESSMENT DIST. NO.--------------
FRONTAGE ____ COST PER FT . ___ TOTAL __ _
OTHER ___________________ _
CONNECTION FEE
NO. UNITS ___ COST PER UNIT---TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ___ TOTAL---
TOTAL CHARGES (LATERAL ETC.) _________ _
> ~.
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....... --....... --...... -.... .,.-., .. --... ,..--, .. --... ---. .. --------..... ,,,--.... .,..-------
MECHANICAL PERMIT APPLICATION 0 '-:f. 0
. ') ,, /. 6 ,., City of CARLSBAD, CALIFORNIA 92008
Permit No. • 7 ~ "-
r .,_ 1258** I( -~
z IJJ_ "" i1 -~ .. 0 0 Applicant r,uomp/e enumbered spaces only. Phone 7 29-1181
JOB ADDl't E55 R,.., A ,; t .,_ ,d--I/
LtGAL I 1 OUCR.
OWNUI
2
E.NGINCE,-
5
~
LlNDUI
6 -
LOT NO.
"1
I I, fl
--
USE o, BUILDING
7
8 Class of work:
. .... I TRACT tOSEC ATTACHED SHEET)
MAIL AODl'tESS
MAIL ADDfU.55 " PHONE LICENSE NO,
MAIL ADDJlltESS BIii.A.NCH .,.,,.--
□ADDITI~ 0 ALTERATION 0 REPAIR
A
9 Describe work: ?"/J () 0 c..) .,,...,,. _ .. ---... ,
SPECIAL CONDITIONS:
)
APPLICATION ACCEPTEO BY /
1./1/2~
PLANS CHECKED BY
-IA
APPROVEO FOR 15.1,UANCE BY ~t/A_
V , NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC•
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND E XAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOR"K WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
S IGNATUJU: 0,-CONTl'tACTO" Oft AU THOfllZ£D AG£NT (DATE)
V
tl'IGNAT ttr OP' OWHl'fll IP' OWNl'.1111 BUILD«IIII OATlt)
·-,-
Type of Fuel: Oil 0 Nat. Gas O LPG. 0
PERMIT FEES
No. Type of Equipment
Air Cond. Units-H.P. Ea.
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A .C. Units-Tonnage Ea.
Forced Air Systems-B.T.U. ~ ,t',A~ M Ea.
Gravity Systems-B.T.U. ' M Ea.
Floor Furnaces-B.T.U. M
Wall Heater$.-B.T.U. M
Unit Heaters-B.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
PERMIT
TOTAL FEE
I WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
-
$
' .
Fee
ll
J!1 II) "'
$ ; AO ,
CASH
:z
0