HomeMy WebLinkAbout1210 STRATFORD LN; ; 66-9396; Permit939f, Application for BUILDING Permit CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36 ~&Z> Building Permit Fee
<"r For A licant to Fill In
Owner's Nome e& /.3' C' {' L A'.k I)
ti 1 .... / .
Moil Address ff3 ~ 222 />--tz( J,.
Controctor s C ~ /I --7-,"'
Contr. Address --="'---------------
To Const.~ To Add 0 To Alter 0 Convert 0
To Move From ------------------
Type of Const. __ r-~/~--~_'_t_,c_✓,_Y_'-_( ________ _
Frome, Mosonry, etc.
To Be Used For --<~~-:2_,_t_t~/ __________ _
Kind of Foundotio,~-----No. of Storie,_ ____ _
Floor Spoce (Sq. Ft.) ~/:J"--=l-~t/ __ (? ________ _
Attoched 4 ,,(' {' Geroge Floor Spoce (Sq. Ft.) Detoched _______ _
Lego! Description ~f!r___,f,_·_v_...c.'---'5=-·-f--'c~--'-•-&"'-_____ _
Lot Block
Section Township Ronge
No. of Existing Building _____________ _
Will this construction include ony plumbing instollotion or olter-
otion? Yes~ No 0
Signoture of Applicont
I AC KNOWLEDGE THAT I HAVE READ THIS APPLICATIO N
AND STAT E THAT THE ABOVE IS CORRECT A ND A GREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATIN G
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 TH E ABOVE DESCRIBED RESIDENTIAL PROPERTY.
I -'~ -66 ~p~:"2see••••• 100.00
St. Neor
Set Bock
Front P.L. L I
Side P.L.
Reor P.L. .2 Other
Group Zone
-I t<)-I
Approved by
Contractor City Bus. Lie. No. ____________ _
Water Meter 4-S Z :_
'_ / J,
Sewage Disposol Sys+em
Inspection Record
Utility Compony Notified -Dote, ______ By ____ _
Fino!
If o check is tendered for poyment for the above fee ond the
check is not honorod when presented for poyment, your
building permit will be immediately revoked.
City of Corlsbod Building Dept.
if work is not commenced within 60 days of b.-nc:e.
CITY Of CARUBAD PLIMING
BUILDING DEPARTMENT PERMIT. APPLICATION
939
OWNER • Z1-66 ~•~~1 t60~••••*19.75
MAIL ADDRESS
CITY
CITY
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP
J, <
I ZONE STATE
LIC!tNSE NO.
TEL. No.7-i,9-Z. JI k
C ARLSBAD BIJslNESS
LICENSE NO. tZ-0h Inspection Record zo g-30 2
TOILET
BATH TUB
SHOWER
WASH BASIN
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
AUTOMATIC WASHER
WATER HEATER & VENT
GAS SYSTEM I TO 15
.30 EA. AOO.
FLOOR DRAIN OR SINK
LAWN SPRINKLER
MISC. WATER PIPING
GARBAGE DISPOSAL
VACUUM BREAKER OR BACK
FLOW DEVICES I TO 5
PERMIT
@ $1.25
@ 1.25
@ 1.25
@ 1.2!5
@ 1.2!5
0 1.2!5
0 1.25
@ 1.25
@ 1.50
@ 1.50
@ 1.25
• 2.00
• 1.!50
0 1.00
0 2.00
s GRADING PLAN
YES □ TOTAL FEE $
00
I ACKNOWLEDGE THAT 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
STATE OF CALIFORNIA OR T I AM THE LEGAL OWNER
OF THE ABOVE SE:.SC:al-811f?.f%SIDENTIAL PROPERTY.
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
M ISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
DATE
This is II Plumbi g Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not eommeneed within 60 days of data of issuanee.
I NSPECTOR•S SIGNATURE
CITY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
BLOCK TRACT
USE OF
BUILDINGS
CONTRACTOR
ADDRESS
CITY TEL. NO.
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER • $3.00 (
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 Sl5.00 "" OVERFLOW SEEPAGE PIT. DRAINf'IELD EXTN.,
CESSPOOL, DRYWELL, MANHOLE 0 ss.oo /
HOUSE SEWER CONNECTING TO \
PRIVATE DISPOSAL SYSTEM 0 Sl.150 ' CONNECT ADDITIONAL BLDG. OR ) WORK TO HOUSE SEWER 0 SUIO
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00 r
0 •
/
OWNER'S PERMIT s 2
AUTHORIZATION TOTAL FEE (
I
/
)
I
\
)
I
(
T
I HAVE AT THIS DATE A CONTRACT WITH THE HERE(N
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD,
ING TO THE PUBLIC SEWER.
SIGNED THIS -----DAY OF ---------OWNER OR
OWNER'S AGENT ----------------
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT A ND AGREE TO COMPLY WITH ALL C ITY ORDINANCES AND
STATE LAWS REGULATING PLUMBING ANO SEWERS.
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 ----------------
SEWER
PERMIT. APPLICATION
-!1-66 !'~:D 2'8,.*** **50.00
BUILDING
ADDRESS
NEAREST CROSS ST.
CITY
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ -4" = --6"=--
Add. Horiz. @ -4" = __ 6"=--
Add. Vert. @ -4" = __ 6"=--
Total Construction Cost
10% Service Charge
Total Lateral Charge ____ _
Lat. No.: Logged in Plat:
LINE COST DATA
A. 0. & Assmt. No. _______________ _
LINE COST: _________________ _
"< C. C. @-f-/dwelling __________ :{..._.(' ____ _
P. S. @ __ / dwelling ____________ _
OTHER
TOTAL
Grand Total, l ateral, etc.
FOR SEWER LOCATION
~·----------------•~
SEWER DEPT.
NORTH
This ls e Sewer Permit When Properly Filled Out, Signed end Validated
Issued By ------------------
PERMIT VALIDATION
CITY OF WWBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOT NO.
BLOCK
USE OF
BUILDINGS
939 1
BUILDING
ADDRESS
NEAREST CROSS ST.
OWNER
MAIL
SEWER
PERMIT • APPLICATION
.....:::=::...:..:.=::.:..:=--,L.L:.~t...=::::::..c7=--4---Ji.:....c_,,_-'C.-__,'--!.£..:.._.!.-:_;_=-c:: '-.a.....AccD...cD'--'R~Eo.;S;,.S;c---'----+_:_-+-''-'-4--.£.__;_ __________ _
CITY
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINESS LICENSE NO. 5z..Cc
NO. DESCRIPTION OF WORK FEE
I HOUSE SEWER CONNECTING TO
PUBLIC SEWER • $3.00 i
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 $15.00
OVERFLOW SEEPAGE PIT, DRAINP'l&LD EXTN.,
CESSPOOL, DRYWELL, MANHOLE O $15.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM • $1.150
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • $1.150
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM 0 $2.00
• •
OWNER'S PERMIT s 2
AUTHORIZATION I TOTAL l"EE
lo
00
aO
1 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
I HEREBY ACKNOWLEDGE THAT 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 AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIR Y THE CITY OF CARLS-
BAD AND STATE OF CALIFORH A R THAT I AM THE LEGAL
OWNER OF THE ABOVE SC ED RESIDENTIAL PROP.
ERTY. SIGNATURE
OF PERMITTEE
CITY
CONNECTION DATA
Lateral Charge Computation
30' H .. 10' V. @ 4" = __ 6"=--
Add. Horiz. @ 4" = __ 6"=--
Add. Vert. @ 4" = __ 6"=--
Tote! Construction Cost
10% Service Charge
Tote! leteral Cherge ____ _
lat. No.: logged in Plet:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: _______________ _
C. C. @ __ / dwelling ____________ _
P. S. @ __ / dwelling _____________ _
OTHER --------------------
TOTAL
Grand T otel, Lateral, etc.
FOR SEWER LOCATION
~----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed _______ _ Signed ---------
Properly FIiied Out, Signed and Validated
l11uad By ------------------
PERMIT VALIDATION