HomeMy WebLinkAbout1540 SANDALWOOD LN; ; 67-9862; PermitCITY OF CARLSBAD
BUILDING DEPARTMEt\ _
729-1181 -·Ext. 36
Application 1r BOILD'IN6 Permit
Building Permit Fee 8-"S-.. ~
For A licant to Fill In 09862 ---------------------------p ~"1,7.;2 Owner's Name&(). Ce,e. c~.c.c ,
Mail Address lb B&:;:>< 2, 7 2
Contractor &.e__ VA'-«~&,
Contr. Address Po ~ :2 77 ,
To Const. ~o Add 0 To Alter 0 Convert 0
To Move From-------------------
Type of Const. _;z_~~.::c_...cc_._=--~~~......---:~---------
Frame, Masonry, etc.
To Be Used For _£}L...1=:.:::.~.!=::'.l..c::_..:,,,-..._ _________ _
Kind of Foundation ~ No. of Storie ... s _ ..... / ___ _
Floor Space (Sq. Ft.) __ _._/_4-~....,4-'---'/f-.__ ______ _
Attached 43 /. -:2..S-Garage Floor Space ( Sq. Ft.) Detached ________ _
Legal Description
Lot Block
Subdivision ~~£h.J2.e#2. or
Section Township Range
No. of Existing Building -----~@~--------
Will this const_ru5iion include any plumbing installation or alter-
ation? Yes~ No 0
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 C ITY 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.
SIGNATUR E
OF PERMITTEE -----------------
Building Address ~/~:2-=f:.~::::d~:::z::!:i:::~'!I:i.~~~~L::.~=::.
St. Near ~ ,e,:;r ,,(}/\.--
Set Bock Bldg. Voluotioif '9(5'(7
Front P.L. Main Bldg.
Side P.L. Garage
Rear P.L. Other
Group J?-/ App~
Contractor City Bus. Lie. No.
Sewage Disposal Sysolem
Inspection R:!::Jy-
Utility Company Notified -Date ______ 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 wi ll be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.
o..;
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO.
BLOCK
USE OF
BUILDINGS
CITY
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINE88
LICENSE NO.
7.A:;g--J() 2. bi-c9
NO. DESCRIPTION OF WORK FEE
/ HOUSE SEWER CONNECTING TO
PUBLIC SEWER • $3.00 1
( SEPTIC TANK, SEEPAGE PIT OR ,
PITS 0 $15.00
OVERFLOW SEEPAGE PIT. DRAINFIELD EXTN.,
CESSPOOL, DRYWELL, MANHOLE O $15.00
HOUSE SEWER CONNECTING TO
PRIVATE D ISPOSAL SYSTEM 0 $I.ISO
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • $I.ISO
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM 0 $2.00
• •
OWNER'S PERMIT s 2
AUTHORIZATION IE I TOTAL F E t
~
00
~
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
ING TO THE PUBLIC SEWER.
S IGNED THIS-----DAY OF ---------
OWNER OR
OWNER'S AGENT ----------------
ADDRESS
SEWER
PERMIT. APPLICATION
• -!-67 !':!' 115** .. *HS.00
BUILDING
ADDRESS
NEAREST CROSS ST.
OWNER
MAIL
ADDRESS
CITY TEL. NO.
CONNECTION DATA
Latsral Charge Computation
30' H .. 10' V.
Add. Horiz.
Add. Vert.
@
@
@
10% Servics Charge
4"
4"
4"
= --6" ---
= __ 6" ---
= __ 6" ---
Total Construction Cost
Total Lateral Charge ____ _
Lat. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: _______________ _
C. C. @ __ / dwelling ____________ _
P. S. @ __ / dwelling _____________ _
OTHER
TOTAL
Grand Total, Latsrol, otc.
FOR SEWER LOCATION
~,----------------'~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed ________ _ Signed ________ _
Properly FIiied Out, Signed and Validated
l11ued By __________________ _
PERMIT VALIDATION
CITY Of CA1HJ8D
BUILDING DEPARTMENT
OWNER
MAIL
ADDRESS
CITY
CITY
STATE CARLSBAD BUSI NE LICENSE NO. LICENSE NO.
1.,,1:J ¥ 1 I) 2..
ITEM
6-i.£2
FEE
TOILET • $1.2!1 -2L Jv
BATH TUB • 1.211 'l., ~
SHOWER • 1.2!1
WASH BASIN • 1.211
KITCHEN SINK • 1.215
DISHWASHER • 1.215
LAUNDRY TUB o• TRAY 0 1.2!1
AUTOMATIC WASHER • 1.2!1
WATER HEATER & VENT • l .!10
GAS SYSTEM I TO Ill
.30 EA. ADD. • 1.110
FLOOR DRAIN OR SINK • 1.2!1
LAWN SPRINKLER • 2.00
MISC. WATER PIPING 0 1.150
GARBAGE DISPOSAL 0 1.00 "1&/
VACUUM BREAKER OR BACK
FLOW DEVICES I TO !I 0 2.00
GRADING PLAN PERMIT s
YES □ NO □ TOTAL FEE s
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT ANO AGREE TO
COMPLY WITH ALL CITY ORDINANCES ANO STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROP RLY REGISTERED ANO LI-
CENSED AS REQUIRED BY E CITY OF CARLSBAD ANO
STATE OF CALIFORNIA OR AT I AM THE LEGAL OWNER
OF THE ABOVE OE:51::R.LIUii~'.ffESIOENTIAL PROPERTY.
PI.NNG
PERMIT • APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP
MY -2-67 ~"::• 175******18.50
I ZONE
Inspection Record
APPROVALS DATE I NSPECTOR•B SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
U TILITY CO. NOTIFIED
FINAL
, VALIDATION
This is • Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.