HomeMy WebLinkAbout2370 SPRUCE ST; ; 73-2581; Permit, 1
PLUMBING PERMIT APPLICATION
Permit No._~--c/ City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. ~~J'-0-0_A_D_D_II_E_SS __ _.;. _________________________________________________ 0".'."r-,-,'--0
~ 0"' 2:? 71 ) '-I '-•
LEGAL I 1 DESCII.
LOT NO. I TIIACT
OWN',11
2 C /
, MAIL ADDRESS
\€.tL,//C r;,
ARCHITECT OR OESIGNUI MAIL ADDRESS
4
ltNGINEEA MAIL ADDRESS
5
LEN DE .. MAIL ADDRESS
6
USE OF &UILDING
7
8 Class of work: □NEW 0 ADDITION 0 AL TE RATION
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY,. PLANS CHECKED BY APPROVED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
·--(DATE)
41GNATt111tr:-OP' OWNER IP' OWNER BUILDER DATE)
,□sec ATTACHED SHEET)
ZIP
LIC£NSt: NO.
PHONE LICENSE NO,
PHOM£ LICENSE NO,
II RANCH
0 REPAIR
-(:--
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GASSYSTEMS:NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
I SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
$
z (D 3
IT\ J> -;u CJ
I~
1,
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I"-
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I
Fee
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CASH
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INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
-
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
9-7-73 No sign of any plumbing at all, false alarm. Water line was laid in smme ditch
with sewer, they were told to move it away from it 12" X 12". Plastic water line
shall be 12" above and 1211 away from sewer line or in separate trench. Septic
tank shall be filled and puddled. T. Mata
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD SE .026 I BUILDING DEPT. ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN ISSUED BY
DATE ISSUED
BUILDl~G.
ADDRESS VALIDATION
OWNER
'
' MAILING
ADDRESS
LATERAL CHARGE COMPUTATION
CONTRACTOR STANDARD 4"' (Max. H. 30', v. 10')
OVER 30' H. @ FT.
CONTRACTOR'S OVER 10' V. @ FT.
ADDRESS STANDARD 6" (Max. H. 30', V. 10')
OVER 30' H. @. FT.
NEW BUILDING I EXISTING BUILDING I I OVER 10' V. @ FT.
LEGAL DESCRIPTION TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
REMARKS: LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
LATERAL LOCATION CONNECTION FEE
..,: I I ..,:
(/) (/) NO. UNITS COST PER UNIT TOTAL
r I"\ I" I'\ PUMP STATION FEES
'-V '-V
NO. UNITS COST PER UNIT TOTAL
I I ST. -~ 14!J!J.. TOTAL CHARGES (LATERAL ETC.)
LATERAL NO. INSTALLATION DATE