HomeMy WebLinkAbout2522 STATE ST; ; 68-332; PermitApplicaf ion BUILDING Permit CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For A licant to Fill In t,f-332-Building Permit Fee
•26-68 rt,~····••"/6.)0
Owner's Nome //d:RJ-?k B /1k1Ji/ ?..L__-+-
Moil Address ,d.5# 2:) I a LL
Controcto• Pu: & ?/'.YU?~
Contr. Address / 2¥:2 l, ~~a.£.. ~
To Const. □ To Add □ To ~~~□
To Mo,, F,o-~.'.l °td/(•t
Type of Const. A~ ,
Frome, Mosonry, etc.
To Be Used For ~~
Kind of Foundotion---=~--....cc.._::=-No. of Storie,,._ ____ _
Floor Spoco I Sq. Ft.) --+/-"~:......+0__;::J>;....._ _____ _
Goroge Floor Spoce (Sq. Ft.)
Attoched _______ _
Detoched1 ________ _
Legol Description _________________ _
lot Block
Subdivision ___________________ or
Section Township Ronge
No. of
ony plumbing instollotion or alter-
I ACKNOWL DG HAT I HAVE READ THIS APPLICATION
AND STATE n AT HE ABOVE IS CORRECT AND AGREE TO
COMPLY WIT L 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
St. Near
Building Address , ,,). '5 _).;)..
kgtvy(A..,_
Set Bock
Front P.L. Main Bid
Side P.L. Garage
Rear P.L. Other
Group Zone &~ Approved by
Contractor City Bus. Lie. No. ~«~~-,-----------
Water Meter I Sewage Disposa I System
Inspection Record
Utility Company Notified -Date .. _____ _ By, ____ _
Fino I
If a check is tendered for payment for the abov11 fee and the
check is not honored when prosented for payment, your
building permit wi ll be immediately revoked.
City of Corlsbed Building Dept.
Permit void if work is not commenced within 60 days of iuuanc:e,
CITY Of CARI.SW
BUILDING DEPARTMENT
OWNER
MAIL
ADDRESS
CITY
AOORES!V
CITY n ✓ ~th,Ll
STATE
LICENSE NmK..
TEL. NO.
CARLSBAD BUSINESS
LICENSE N~ ~
NO., ITEM ., FEE
~ TOILET • $1.2!5 s Cl-£.
BATH TUB • 1.2!5
I SHOWER • 1.2!5
JI_, WASH BASIN 0 1.2!5 ' .e:;-~
KITCHEN SINK • 1.215
DISHWASHER • 1.215
LAUNDRY TUB OR TRAY 0 1.2!5
AUTOMATIC WASHER 0 1.25
I WATER HEATER & VENT 0 1.!50 /, S-tJ
4-GAS SYSTEM I TO 1!5 £., ~ t!) .30 EA. ADO. • 1.!50
FLOOR DRAIN OR SINK • 1.2!5
LAWN SPRINKLER 0 2.00
I MISC. WATER PIPING 0 1.!50 I ,St)
GARBAGE DISPOSAL 0 1.00
VACUUM BREAKER OR BACK FLOW DEVICES I To !5 0 2.00
GRADING PLAN I PERMIT s 2 00
YES □ NO □ TOTAL FEE s ..2D 50
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO
COMPLY WITH ALL CITY ORDINANCES ANO STATE LAWS
REGULATING PLUMBING.
SIGNATURE OF PERMITT
PUMING
PERMIT • APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP
• z6-68 ~P~~
0 2Z89**** **£'.U.)U
Inspection Record
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
ILITY CO. NOTIFIED
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed end Validated.
Permit void if worlc is not commenced within 60 days of data of issuance.
CITY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO.
BLOCK
USE OF BUILDINGS
CONTRACTO
CITY &~
TRACT
TEL NO.
CONTRACTOR0 SSTATE'
LICENSE NO"(O/::.__ CARLSBAD BUSINESS
L ICENSoC.. •
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER • S3.00
SEPTIC TANK. SEEPAGE PIT OR
PITS 0 SB.00
OVERFLOW SEEPAGE PIT, DRAIN,.11.LD EXTN .•
CESSPOOL, DRYWELL, MANHOLE O SB.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM • SI.BO
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • SI.BO
ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM 0 s2.oo
• •
OWNER'S PERMIT s 2 00
AUTHORIZATION I TOTAL FEE L':J~
L GE THAT I HAVE READ THIS
THAT THE ABOVE IS CORRECT
AND AGREE TO COM WITH ALL CITY ORDINANCES AND
STATE LAWS REGULATING PLUMBING AND SEW ERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY THE CITY OP' CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP.
ERTY.
SIGNATURE
OF PERMITTEE ----------------
BUILDING
ADDRESS
NEAREST
CROSS ST.
OWNER
MAIL ADDRESS
CITY
SEWER
PERMIT • APPLICATION
•26-68 ~P::022,1*****l'.UU.0U
***** 5.00
TEL. NO.
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = __ b"=--
Add. Horiz. @ 4" = __ b"=--
Add. Vert. @ 4" __ b"=--
Totol Construction Cost
10% Service Chorge
Total Loterol Chorge ____ _
Lot. No.: l o ed in Plot:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE cos4: ~-c. C. @ / dwelling ________ ..._;;;7p -~
P. S. @ __ / dwelling _____________ _
OTHER ---------------------,,w1
~1----------------1~
St. NORTH
ENGINEERING SEWER DEPT.
Signed _______ _ Signed ________ _
This 11 • Sewer Permit When Properly FIiied Out, Signed and Valldeted
luued By ------------------
PERMIT VALIDATION