HomeMy WebLinkAbout1660 SANDALWOOD LN; ; 66-9579; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -·Ext. 36
For A licant to Fill In
Owner's Nome 'RoR ~
L 6 '4 Moil Addres$ @9<: STl.i<e: Sf; -I
Controctor ~----------
Contr. Address ~~
To Const. ~ Add 0 To Alter 0 Convert 0
To Move From -------------------
Type of Const. -,~f..LJ1-"'~~~'--'-:l-: __ ~,1-=tu«=-~_._C),__ __
C\Fro"!) ~asonry, etc.
To Be Used For _....c~L.:1"""""--"e:=ec_""'-----------
Kind of Foundation No. of Storie~•-~/ ___ _
Floor Spoce (Sq. Ft.) _-1-f.--S"1---2"'"-'----------
Gorage Floor Spoce {Sq. Ft.) Attoched <t'..;2 C,
Detoched ________ _
Lot
Subdivision~'-~
Legol Description ----'--+--------------
Block
{J~ or
Section Township Range
No. of Existing Building ---------------
Will this cons.!!:_uc~ include ony plumbing instollotion or olter-
otion? Yes !lV"" No 0
Signature of Applicant
I AC~NOWLEDGE 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 C ITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESC RIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE -----------------
Application I or BUILDl'NG Permit
Building Permit Fee 9 O .99
IIIV-1-66 ~,:~0 2s2••tt••9o.oo ' . .; C
Buildin
Building Address /bc2) .5'4--vt&f4R'tuo-o-d)
St. Neor (!)~ a r
Set Bock Bid . Voluotion
Front P.L. r Moin Bid
Side P.L. Goroge
Rear P.L. I Other
Group :R-1 A~t,o~
Contractor City Bus. Lie. No. ____________ _
Woter Meter
Utility Compony Notified -Dote ______ By•-----
Finol
If a check is tendered for payment for the obove fee ond the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Corlsbod Building Dept.
Permit vo work is not commenced within 60 days of issu1nc
CITY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO.
BLOCK
USE OF
BUILDINGS
CITY
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
2v i'JIJ 2.. S-i+C
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO { d,:.,,> J PUBLIC SEWER • $3.00 r SEPTIC TANK, SEEPAGE PIT OR -PITS 0 s11.oo
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN .•
CESSPOOL, DRYWELL, MANHOLE • $!1.00
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM • $1.110
CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER 0 $1.!10
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00
• •
OWNER'S PERMIT s 2 00
AUTHORIZATION TOTAL l"EE ~
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 REGU LATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-BAD AND STAT F CALIF. IA OR THAT I AM THE LEGAL
OWNER OF THE IBED RESIDENTIAL PROP.
ERTY.
S IGNATURE OF PERM!
SEWER
PERMIT -APPLICATION
• 11f~ !'fl'tM•••••••5.0
BUILDING
ADDRESS
CITY
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = ___ t," ----
Add. Horiz. @ 4" = ___ t," ----
Add. Vert. @ 4" = ___ t," ----
Totol Construction Cost
10% Service Chorge
Total Loterol Chorge ____ _
Lat. No.: Logged in Pint:
LINE COST DATA
A. D. & Assmt. No.-----------------
LINE COST:
C. C. @ __ / dwelling _____________ _
P. S. @ __ / dwelling _____________ _
OTHER
TOTAL
Grond T otol, Loterol, etc.
FOR SEWER LOCATION
~,-----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed ________ _ Signed ________ _
Properly FIiied Out, Signed and Validated
Issued By -------------------
PERMIT VALIDATION
CITY Of CARUBAD
BUILDING DEPARTMENT
CITY
CITY
STATE
ICENSE NO.
Zo :{:Ju?
CARLSBAD BUSINESS
LICENSE NO~ '2.,C C
ITEM FEE
TOILET @ S 1.2S
BATH TUB
SHOWER
WASH BASIN
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
AUTOMATIC WASHER
WATER HEATER & VENT
GAS SYSTEM I TO IS
.30 EA, ADO.
FLOOR DRAIN OR SINK
LAWN SPRINKLER
MISC. WATER PIPING
GARBAGE DISPOSAL
VACUUM BREAKER OR BACK
@
@
@
@
@
@
@
@
@
@
@
@
@
FLOW DEVICES I TO S @
GRADING PLAN I PERMIT
YES □ NOQ TOTAL FEE
1.2S
1.25
1.2S
1.25
1.2S
1.2S
1.2S
I.SO
I.SO
1.25
2 .00
I.SO
1.00
2 .00
s
s
0(.1
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO 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 THE CITY OF CARLSBAD AND
STATE OF CALIFORNIA O AT I AM THE LEGAL OWNER
OF THE ABOVE DES I SIDENTIAL PROPERTY.
PLIMIING 0 0 5~·: PERMIT· APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
• tlt-66 ~·~•,,..,····••18.50
_G_R_O_U_P ____ -,-____ ...cl--=z~o_N_E_~--------
lnspection Record
APPROVALS DATE INSPECTOR'S SIGNATURI:
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
is a Plumbi Permit When Properly Filled Out, Signed and Validated.
Permit void i work is not commenced within 60 days of date of issuance.