HomeMy WebLinkAbout2845 ROOSEVELT ST; ; 66-9623; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-118 1 -Ext. 36
For A licant to Fill In
Owner's Nome .s fe/~ A/beef E ,
Moil Address Jc~ sd.-,,t.,~ -:f .,fl..-,'
c.,,,., .. , Hi./; ;,,/Y1,l,.&
Contr. Address /6 · ~ t2 {!,h -(d__,
To Const.~ To Add~ To Alter □ Convert 0
To Move From ------------------
Type of Const.------------------Frome, Mosonry, etc.
To Be Used For <1oM 1L ..c/4.ee ~Z~.3
Kind of Foundation eo Nt!. No. of Storie,.__,:_/ ___ _
Floor Spoce (Sq. Ft.) ___.o2..,,,,._,..D~9'--'9.__ _______ _
Goroge Floor Spoce (Sq. Ft.)
Attoched _______ _
Detoched _______ _
Legal Description ________________ _
Block Lot
Subdivision _________________ _ or
Section Township Ronge
No. of Existing Building _____________ _
Will this constru<;Kc,n include ony plumbing instollotion or olter-
otion? Yes [jY No 0
I Signoture of Applicont
I AC KNOWLEDGE T HAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY W ITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
Appli<afion lor BUILDING Permit
Building Permit Fee 7~ ..S-0
Buildin
Building Address ::2 l f ~--:;;S,S.j--&_seoe/6
St. Neor ~QAld
Set Bock Bldo. Voluotion/7.'~JL~ ,
Front P.L. Main Bldci.
Side P.L. Gorocie
Reor P.L. Other
Group ~ -;;:i_ ~lo.
Inspection
Utility Compony Notified -Dote, ______ By ____ _
Finol I CERTIFY THAT I AM PROPERLY REGISTERED A ND /OR
L ICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN ER If o check is tendered for payment for the obove fee ond the
check is not honored when presented for poyment, your
~;'..J~~~~f ~~u~il~d~in~g_pE,':ermit will be imm0 diately revoked.
OF THE ABOVE D D RESIDENTIAL PROPE Y.
SIGNATURE
OF PERMITl: , ·ty of Corlsbod Building Dept.
work is not commenced within 60 days ~ l11uance. ·
Applicatiosr ~or BUILDING Permit CITY OF CARLSBAD
BUILDING DEPARTME
729-1181 -·Ext. 36
For A licant to Fill In
JJC/b t./CJ Building Permit Fee ~ "0
Owner's Nome 31€/~ • ;.:} ' /
Contr. Address
To Const. 0 To Add O To Alter ✓Convert 0
To Mo•• F,o~~~~f
Type of Const . ..,,~....c:-'-"'""~"'"4'--~'--'-tlie--' .. fJ_~~.,_...__-=..._------
Frome, Masonry, etc.
To Be Used For ~
Kind of Foundation a.~. No. of StoriE>s -
Floor Space (Sq. Ft.)----------------
Garage Floor Space (Sq. Ft.)
Attached, ________ _
Detache.,_ _______ _
Legal Description _________________ _
Block Lot
Subdivision ___________________ or
Section Township Range
No. of Existing Building _,lrtl.a..,.._Lt_Q.,.J....,t_~"""-'"'---------1
Will this construction includytsny plumbing installation or alter-
ation? Yes O No ~
I Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPL ICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH A LL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AN D/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
:;;;~;;:::E D;zlB~ RJJ;/2PERTY.
JAii -11-67 ~P:~o lt28*******2.00
Buildin
Building Add ress ~--B -~.set., e If,
St. Near ~/d ,
Set Bock Bldg. Va luation
Front P.L. Main Bldg.
Side P.L. Garage
Rear P.L. Other
Group Zojj ~-;t.
Contractor City Bus. Lie. No. ____________ _
Water Meter Sewage Disposal Sys½em
Inspection Record
Utility Company Notified -Dote, ______ 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.
P<?rmit void if work is not commenced within bO days of issuance.
CITY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT N O.
CONTRACTOR'S STATE
LICENSE NO, CARLSBAD BUSINESS
LICENSE NO • ..,........
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER O $3.00
SEPTIC TANK, SEEPAGE PIT OR PITS O $11.00
OVERFLOW SEEPAGI! P IT. DRAINP'IELD EXTN ••
CESSPOOL, DRYWELL, MANHOLIE O $11.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM O $1.110
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER O $1.110
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00
•
OWNER'S I PERMIT 2 00
AUTHORIZATION -, c7' TOTAL P'IEIE g ""'ll....,,.'-J
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
BUILDING
ADDRESS
NEAREST
CROSS ST
OWNER
MAIL ADDRESS
CITY
SEWER oJJ
PERMIT. APPLICATION -
FIi !11-67 !':~0 ~••• ••so.oo
Ir I • • .,S-d 3 4 --3 • :_,-o
TEL. NO.
CONNECTION DATA Lateral Charge Computation
30' H., 10' V. @ -4" = __ b"=--
Add. Horiz. @ -4" __ b"=--
Add. Vert. @ -4" = __ b"=--
Total Construction Cost
10% Service Cherge
To~I ~~~I C~~e ____ _
Lot. No.: Lo ed in Plet:
LINE COST DATA
A. D. & Assmt, No. _______________ _
LINE COST: ________________ _
C. C. @_L_ / dwelf:n&<f?~ .-:,-Z,~
P. S. @ __ / dwelling _____________ _
OTHER __________________ _
TOTAL
Grand Totel, Lateral, etc.
FOR SEWER LOCATION
~1----------------~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed ________ _ Signed ________ _
This 11 • Sewer Permit When Properly FIiied Out, Signed end Validated
l"ued By ------------------
PHMIT VALIDATION
CITY Of WLS8AD PI.IMJING
BUILDING DEPARTMENT PERMIT. APPLICATION
OWNER A. E. Stein f,40 -!J-66 !':!02~• .. ·••1 C .00
MAIL Pe o. Box )06 ADDRESS
c1TYRancho Santa Fe TEL. NO.
PLUMBER Brown & Snider Plumbing BUILDING 2845 ADDRESS & 28SS Roosevelt
ADDRESS 2621 State St. NEAREST
CROSS ST.
CITY Carlsbad TEL. No.129-4214 GROUP I ZONE STATE CARLSBAD BUSINESS Inspection Record LICENSE NO. LICENSE NO.
2145)6 6291
NO. ITEM FEE
2 TOILET @ $1.25 2 2Q__
BATH TUB @ 1.25
SHOWER @ 1.25
2 WASH BASIN @ 1.25 2 ~o
KITCHEN SINK @ 1.25
DISHWASHER @ 1.25
LAUNDRY TUB OR TRAY @ 1.25
AUTOMATIC WASHER @ 1.2!5
WATER HEATER & VENT @ 1.50
GAS SYSTEM I TO 15
.30 EA. ADO. @ 1.50
FLOOR DRAIN OR SINK @ 1.2!5
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING @ 1.50
GARBAGE DISPOSAL @ 1.00
VACUUM BREAKER OR BACK FLOW DEVICES I TO !5 @ 2 .00
APPROVALS DATE INSPECTOR'S SIGNATURIE
UNDER FLOOR WORK
ROUGH PLUMBING
GRADING PLAN I PERMIT s 2 00 GAS PIPING
YES □ NO □ 1-00 GAS VENTS TOTAL FEE s
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION PLUMBING FIXTURES
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO MISC. 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 OARLSBAD AND GAS TEST STATE OF CALIFORNIA OR THAT I A
1
~LEGAL OWNER
OF THE ABOVE DESCRIB~ESIDENTI ROPERTY. UTILITY CO. NOTIFIED
SIGNATURE _/ -• • _/ ~ FINAL OF PERM ITTE~ 7 /
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.