HomeMy WebLinkAbout1521 SANDALWOOD LN; ; 67-9869; Permitj
CITY OF CARLSBAD
BUILDING DEPARTMEN
729-1181 -·Ext. 36
Applicaf ion _ r BUILD'ING Permit
Building Permit Fee / :2.4-Fq_
For Applicant to Fill In 09 '(_ ....
Owner's Nome J?..e.e. <:.RR CG~ Co-,
Mail Address Ea CLt-;7< 2.. 77
Confroctor ~.._e ___________ _
Contr. Address _______________ _
To Const.~ To Add 0 To Alter 0 Convert D
To Move From ------------------
Type of Const. -C~
Frome, Masonry, etc.
To Be Used For&~ <"lv/(}2~
Kind of Foundation &::z..:c::r:: ,. No. of Stories_-,,/'-----
.:z /f>"S-Floor Spoce (Sq. Ft.) ---------=-~..c....cQ_=--=---
Goroge Floor Spoce (Sq. Ft.)
Pet...ftO
AttochAd.,_ __ 4_::l~7 __ _
Mitoched ___ .!<-'--'u=---=~=-----
Legol Description _.::.~-=c.=Oc..._ ____________ _
Lot Block
Subdivision~~&.~&>@£'€# ;2_ or
Section Township Ronge
No. of Existing Building ----~(!) _________ _
Will this construction include ony plumbing instollotion or olter-
otion? Yesjif' No D
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS A PPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I C ERTIFY 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.
S IGNATURE
OF PERMITTEE ----------------
I\T-2-67 ~•~~o 886***** 12lf.50
Building Dept. Use Only
. / -:-J I .12.. /J_ f}7_ --0t:.. Budding Address ,--, " Y I ,
St. Neor ,..0----1 I
Set Bock Bldg. Voluotion:,/4 ~~
Front P.L. Moin Bldg.
Side P.L. Goroge
Reor P.L. Other
Group Zone B-/ App~
Contractor City Bus. Lie. No. ____________ _
Water Meter I Sewoge ,Disposal
Inspection R~
Sys+em
Utility C ompany Notified -Dote ______ By ____ _
Final
If o check is tendered for payment for the above fee ond the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Corlsbod Building Dept.
Permit void if work is not commenced within 60 days of issuance.
CITY OF CARLSBAD
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO.
CIT
CONTRACTOR S STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
~ 8 1() 2 tC~
NO. DESCRIPTION OF WORK FEE
I HOUSE SEWER CONNECTING TO
PUBLIC SEWER 0 $3.00 <1
( SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $15.00
OVERFLOW SEEPAGE PIT. DRAINl"IELD E.XTN .•
CESSPOOL, DRYWELL, MANHOLE O $!5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 0 $1.150
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER 0 $1.150
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM 0 $2.00
0 s
OWNER'S PERMIT s 2
AUTHORIZATION -I TOTAL l"EE > )
~~
00
0
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
I NG TO THE PUBLIC SEWER.
SIGNED THIS -----DAY OF ----------
OWNER OR
OWNER'S AGENT -----------------
ADDRESS
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 PLUMBI NG AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS RE IRED BY THE CITY OP CARLS-
BAD AND STATE OF CALI RNIA OR THAT I AM THE LEGAL OWNER OF HE ABOV ESCRIBED RESIDENTIAL PROP.
ERTY. SIGNATURE OF PERMITTE
SEWER
PERMIT -APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
OWNER
MAIL
ADDRESS
CITY TEL. NO.
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = ___ /," ----
Add. Horiz. @ 4" ___ /," ----
Add. Vert. @ 4" = ___ /," ----
Totol Construction Cost
10% Service Chorge
To~I ~~~IC~~e ____ _
Lot. No.: Logged in Plot:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: _______________ _
C. C. @ ___ / dwelling ____________ _
P. S. @ __ / dwelling ____________ _
OTHER
TOTAL
Grond Totol, Loter11I, etc.
FOR SEWER LOCATION
~----------------~~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed ---------Signed ________ _
Properly RIied Out, Signed and Validated
Issued By _________________ _
PERMIT VALIDATION
.00
CITY Of CARllBAll o-&83
98-8-3
Pl.MING
BUILDING DEPARTMENT PERMIT • APPLICATION
CITY
BUILDING ADDRESS
NEAREST
CROSS ST.
GROUP I ZONE STATE
LICENSE NO.
ZLJ de Inspection Record
ITEM
TOILET 0
1....-BATH TUB 0
SHOWER 0
WASH BASIN •
KITCHEN SINK •
DISHWASHER •
LAUNDRY TUB o~ TRAY 0
AUTOMATIC WASHER 0
WATER HEATER & VENT • GAS SYSTEM I TO 115
. 30 l!A. ADD. •
FLOOR DRAIN OR SINK •
LAWN SPRINKLER •
MISC. WATER PIPING •
GARBAGE DISPOSAL 0
VACUUM BREAKER OR BACK l'LOW DEVICES I TO l5 •
GRADING PLAN
YES □
I PERMIT
TOTAL FEE
1.2!5
2 .00
l .!50
1.00 d,:J
2 .00
s
s
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.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-
CENSED AS REQUIRED BY E CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR I AM THE LEGAL OWNER
OF THE ABOVE~~iiawji~'°'R"ES~ENTIAL PROPERTY.
s~:?.1¼':i~TTE,E,.,.C::::~r._.....,::;..-=~~==::::::::_ __ ....,,.L.:....
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
DATE
11 11 a Plumbing Permit When Properly Filled Out, Signed and V•lidated.
Permit void if work is not commenced within 60 days of date of issuance.
I NSPECTOR•S SIGNATURlt: