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Home My WebLink About2691 STATE ST; ; 62-5123; PermitAPPLICATION FOR Bu ~DING PERMIT 5123 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkwoy 9-1181 -E,t. 36 Owner Nome .... M..f:?..1/..~<;;_.lf:_./, ........ .J?> e i½ ... MaiUng Address 1_~~~.(1.7' s; j/rq Jk,'1(/£. (Please Print) (Last) (First) {Middle) Number Slfeet City Phone Controctor UJ..~f~ .. '.t. ... lo ... ~.a✓.l..~.~&4.;J;ng Address &'j_,~7~f Q,i., · {Please Print) LJ Number Street o;;··•·~ To Construct D To Add ✓ To Alter D To Repoir D To Convert D To Move From /4- Type of Const.~ .. Kind of Foundation ... ~.~·'··········No. of Stories ...... / ....... To Be Used lo,~:~.~;: .. •~ .. ~ I Frame, Masonry, Etc.) (Ono Fomily Dwelling, Sto~l; Etc.} . ./.4.<J.O.'-----•Const. Voluotion $ .. ~._;,?/····{!··'t.·~"'-~--Floor Space of Proposed Construction (sq, feet) attached D Floor Spece of Garage (sq. feet) -"'----------detached □Const, Valuation$------------------- LEGAL DESCRIPTION Lot Block Subdivision or ------------------------Section, ________ Township, ____ _ Range, ____ _ Located ot J2.6.CJ.J. ~14±i.<-< ----·-------Street, Neor Assigned House Number LAND AREA ·····················---NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ······-------······ [INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES .... ~. NO __ _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY not honored when presented for poyment, your Bu;id;ng Perm;+ w;II be SIGNATURE OF {. WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION, & If a check is tendered for p-ayment of the above fee and the check is immediately revoked. PERMITTEE ...... ~k... ............. . ........ . /' , / Front Yord Set Back ......... b';~~,.Ai.£LT.'L.Nj' Side Yard Set Bock ........ £.;(LS.t:. ..... .fu..J:J.c._ __ _ Rear Yard Set Back -----·-------- Distance Between Bldg. ·····················-----~-- Off Street Po,king Spaces ....... /<2 .... :llT.i?.,_/ __ _ Sewoge Disposol System ....... ~,'------- Zone -RHidentlol { } ----------- Zone -Commercial ( z--r ----------- Variance Eng. Check By --------------- Driveway Permit Required Yes ( y{' No ( ) Fee ______ _ Grading Permit Required Yes ( ) No (.-r-::::::: ______ _ Sewer Disposal Plant Capital Cont, Fee ------------- Sewer Pumping Station Capital Cont. Fee ____________ _ Sewer Main line Cost .............. ________________ _ ,::;tS ;f/11e, Sewer lateral Connection Charge c,_c..,.,_' ____________ _ Water Stocked Lands Charge q Weter Moin Pipe Line Fee .............. .,.. ..... ~,- 1_# _________ _ Water House Service Charge .7:'//J;_-'--------------- Water Meter Charge __ L_ _______________ _ Sub Total _______________ _ Plans Approv~·····~···········~· --~----------Plan Check Fee ..... . Approved by .... G ... ~ .. r. ... ~ .. ~•-------'uilding Permit Fee ... ~.Lj_,,_0 _____________ _ Dote ............ 9...:::: ... /. ... 7::::. .. 6.. . .'J. .... -.e<":c Tot.I Charges .... ,;iS.2._'l--_O ___________ _ CITY OF CARLSBAD SEWER BUILDING DEPARTMENT PERMIT • APPLICATION FOR APPLICANT TO FILL IN LEGAL BUILDING DESCRIPTION LOT NO. ADDRESS BLOCK TRACT NEAREST CROSS ST. ~ USE OF BUILDINGS OWNER MAIL CONTRACTOR ADDRESS ' ADDRESS CITY TEL. NO. CITY TEL. NO. CONNECTION DATA CONTRACTOR"S STATE CARLSBAD BUSINESS Lateral Charge Computation LICENSE NO. LICENSE N O. 30' H., 10' V. @ 4" = ___ i," = --- Add. Horiz. @ 4" -___ b" -NO. DESCRIPTION OF WORK FEE ----- HOUSE SEWER CONNECTING TO Add. Vert. @ 4" = ___ i," -PUBLIC SEWER 0 $3.00 ---- SEPTIC TANK, SEEPAGE PIT O R Total Construction Cost PITS 0 $15.00 OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN,. CESSPOOL, DRVWELL, MANHOLE O $!!1.00 10% Service Charge HOUSE SEWER CONNECTING TO Total Lateral Charge PRIVATE DISPOSAL SYSTEM 0 $1.150 CONNECT A DDITIONAL BLDG. OR WORK TO HOUSE SEWER 0 SUIO lat. No.: l ogged in Plat: ALTER. REPAIR OR A BANDON HOUSE SEWER OR DISPOSAL SYSTEM O $2.00 LINE COST DATA • • A. D. & Assmt. No. LINE COST: ' I s 2 00 C. C. @ ___ / dwelling ' ( ( OWNER'S PERM IT AUTHORIZATION TOTAL FEE P. S. @ __ / dwelling OTHER I H AVE AT THIS DATE A CONTRACT W ITH TH E HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-TOTAL ING TO THE PUBLIC SEW ER. SIGNED THIS DAY OF Grand Total, Lateral, etc. OWNER OR OWNER'S A GENT FOR SEWER LOCATION ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE RE.&.D THIS APPLICATION AND STATE THAT TH E ABOVE IS CORRECT + ... AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND V, V, STATE LAWS REGULATING PLUMBING AND SEW ERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. AND/OR LICENSED AS REQUIRED BY TH E CITY OF CARL&- BAD AND STATE OF CALIFORNIA OR THAT I AM TH E LEG.AL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP.. ERTY. ENGINEERING SEWER DEPT. SIGNATURE OF PERMITTEE Signed '" I Signed This ii • Sewer Permit When Properly FIiied Out, Signed and Validated l11ued By ------------------- PERMIT VALIDATION NORTH CITY Of CARLSBAD PI.UMBUfG BUILDING DEPARTMENT 790' PERMIT -APPLICATION CITY ~,9± t°,,Ht • TEL. No.7H/-f'f f.l-/ PLUMBER ~ _ ADDRESS CITY STATE LICENSE NO. TEL. NO. CARLSBAD BUSINESS LICENSE NO. NO. ITEM FEE TOILET @ $1.25 BATH T UB @ 1.25 SHOWER @ 1.25 WASH BASIN @ 1.25 KITCHEN SINK @ 1.25 DISHWASHER @ 1.25 LAUNDRY T UB OR TRAY @ 1.25 AUTOMATIC WASHER @ 1.25 WAT ER HEATER a VENT @ I .SO I GAS SYSTEM I TO 15 d-o .30 EA. ADD, @ 1.50 I FLOOR DRAIN OR SINK @ 1.25 LAWN SPRINKLER @ 2.00 MISC. WATER PIPING @ l.!50 GARBAGE DISPOSAL @ 1.00 VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 @ 2.00 GRADl"!G PLAN PERMIT s 2 00 YESQ NOQ TOTAL FEE s .3 . .s-o I ACKNOWLEDGE T HAT 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 THE CITY OF CARLSBAD AND ST ATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DES IB ED RESIDENTIAL PROPERTY. SIGNATURE Ii ..., I/ -L , OF PERMITTEE CA;. ... ~~ DEC -9-64 ~P~~ 0 1lf83*******3.50 BUILDING ADDRESS NEAREST CROSS ST. GROUP s/· I ZONE C -M Inspection Record APPROVALS DATE INSPECTOR'S SIGNATURE UNDER FLOOR WORK ROUGH PLU M BING GAS PIPING /,:J. -/ 0-?5/. "i?IO,. GAS VENTS PLUMBING FIXTURES MISC. GAS TEST /~ y4·t,, It /2 C',6- UTILITY CO. NOTIFIED /,;?-/~.A Rt r: CJ,, F INAL VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed and Validated. Permit void if work is not c:ommenc:ed within 60 days of date of issuance .