HomeMy WebLinkAbout2564 STATE ST; ; 64-6009; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT B -6 0 C ')
72·9-118 ~ -·Ext. 36
Owner's
To Const. 0 To Add 0 To Alter ~ Convert D
To Move From -------------------
.J".:~ ~~: Type of Const. -+'-+-""''°'-~.,.=~s;... ____________ _
Frome, Mosonry, etc.
To Bo U,od Foe ~ /
Kind of Foundotion C!..(!:C>Ut No. of Storie._ ____ _
Floor Spoce (Sq. Ft.) ______________ _
Goroge Floor Spoce (Sq. Ft.)
Attoched ___ -___ . __ _
Detoched ________ _
Lego! Description
Lot Block
Subdivision __________________ _ or
Section Township Ronge
No. of Existing Building ______________ _
W ill this construr~ include ony plumbing instailotion or alter-
ation? Yes u ·-·No D
Si,11ature of Ap~ ~
-z?5_.ZL_~~:<
I A CKNOWLEDGE THAT I H AVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COM PLY WITH ALL CITY AND STATE LAWS REGULATING
BUILD ING.
I CERTIFY THAT I A M PROPERLY REGISTERED AND/OR
l.lCENSED A S REQU IRED BY CITY OF C ARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER or-THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE -----------------
-Application I or BUILDING Permit
Building Permit Fee
~#~l)ft. -"(i ~ X
)/ :U%~ be t. Use Only
Building Address .:2.S'2 V .. Sule_
St. Near £;g r ¥41
Sot Bock Bldg. Valuotion
Front P.L. Moin Bldg.
Side P.L. Geroge
Rear P.L. Other
G roup Zone Approved by
Contractor City Bus. Lie. No. ____________ _
Woter Meter Sewoge Disposal System
Inspection Record
Utility Company Notified -Dote, ______ By, ____ _
Finol
If a check is tendered for payment for the obove fee and the
check is not honored when presented for poyment, your
building permit will be immediotely revoked.
City of Carlsbad Building Dept.
Permit void if work i, not ~·ommlln~d within 60 dlys of '.inuanc:e.
CITY Of CARll8AD 61
BUILDING DEPARTMENT
OWNER /JEAU/Y ..A'°oorS
MAIL 57';977..:= <'T< ADDRESS
CITY CA@..S .i ~ P TEL. NO.
PLUMBER ~J<t,l-/-> P.ta_fi-l.i/N£.-
ADDRESS t..o it£. .,P~tJ5' /'Ee:. Tr'.<.
I ?.2G. ]_ 9 S? CITY l-"t. ~ 77+ TEL. NO.
STATE CARLSBAD BUSINESS
LICENSE NO. LICENSE NO.
NO. ITEM FEE
_j_ TOILET • $1.215 J ~
BATH T UB • 1.215
SHOWER • 1.215
I WASH BASIN • 1.215 I 7<:
KITCHEN SINK • 1.215
D ISHWASHER • 1.215
LAUNDRY TUB o• TRAY • 1,215
AUTOMATIC WASHER • 1.215
WATER HEATER a VENT • 1.!10
GAS SYSTEM 1 TO 1 !I
,30 1:4. ADD, • 1.!10
FLOOR DRAIN OR SINK • 1.2!1
LAWN SPRINKLER 0 2.00
MISC. WATER PIPING • 1.!10
GAIUIAGE D ISPOSAL • 1.00 .,, VACUUM BREAKER OR BACK FLOW DEVICES I TO !I • 2.00
n
J
BUILD ING
ADDRESS
NEAREST
CROSS ST.
GROUP
Pl.UtelNG
PERMIT. APPLICATION
ffB 17-Gt: 5rA!O
-LC 17]11* ~ ., In':~.
,.2 :< t, ~ ~~
,JI' :a /4 /,<. /1/,c),
__,,½-
I ZONE
Inspection Record
APPROVALS DATE IN5PECTOR•9 SIGNATURE
UNDER FLOOR WORK .:d/,d/4 ~ "'2,{ ~ , f I ' ROUGH PLUMBING
GRADING PLAN I PERMIT $ 2 00 GAS PIPING
YESQ NO □ "i so GAS VENTS TOTAL FEE s 1!!//41'c, ~ .!J ~ PLUMBING FIXTURES I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION T f
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO M ISC. COMPLY W IT H ALL C ITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED ANO LI•
CENSEO AS REQUIRED BY THE CITY OF CARLSBAD ANO GAS TEST
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE -~~~ FINAL OF PERMITTEE
VALIDATION
This is I Plumbing Permit When Properly Filled Out, Signed end Velide♦ed.
Permit void if work is not commenced within 60 days of d1♦e of issuance.