HomeMy WebLinkAbout1639 TAMARACK AVE; ; 65-8360; PermitCITY OF CARCSBAD
BUILDING DEP~RTMENT
729-1181 -·Ext. 36
For A licant to Fill In
8160 Application for BUILDl'NG Permit
Building Permit Fee
..,/ 01, ~ PAID c::> »t 16-6s:;!cc~792******45.00 ::;:·::,::.~"-2~:~/J7!:..ddt-------'~~-"!!!"PII
Controctor ~;p--e,.;-e. c.., /
Contr. Address ,:;5:,.-~
To Const., To Add 0 To Alter D Convert D
To Move From __________________ _
Type of Const. _ __:c2.....,'-'~=---=-::~-"--'"------'=------------
Frome, Mosonry, etc.
P\ _ .. £? ..
To Be Used For --,~~;..;;z:__~~"----'==----------
Kind of Foundotion ~ /' No. of Stories,_./ ____ _
Floor Spoce (Sq. Ft.) __,/L....,¢'~-=~:,;__O _____ ---:-___ _ ~ Attached..=.S:cc..=:2__,?'-----Garoge Floor Spoce (Sq. Ft.) Detached, ________ _
/J l\ 'I
Legal Description f-"ltU. ~d /1
Lot ~ Block
Subdivision -:x7J ~ # ,.:Z f
¥?d6s:
or
Section Township Range
No. of Existing Building ______________ _
Will this construction include any plumbing installotion or elter-
otion? Yes r-No 0
Signature of Applicont
I ACKNOWLEDGE THAT I H AVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND A GREE TO
COMPLY WITH ALL CITY AND STAT E LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED A ND/OR
LICENSED AS REQUIRED BY CITY OF CARLSB A D AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN ER
OF THE ABO~~D RESJ DD_»t~ TIA P7RER ERT Y.
SIGNATURE ~ fl--
OF PERMIT ' .
Set Back
Front P.L.
Side P.L.
Rear P.L. Other
Group ::r Zone ,()-I Approved by
Controctor City Bus. Lie. No. ____________ _
Woter Meter ll"d
~,~ ~.s--Sewoge Disposol Sysof-em
, ~ZZr
Inspection Record
Utility Compony Notified -Dote ______ By ____ _
Final
If a check is tendered for payment for the ebove fee end the
check is not honored when presented for poyment, your
building permit will be immediately revoked.
City of Corlsbod Building Dept.
Permit void if work is not commenced wit hin 60 days of issuence.
\\•'--\.;
CITY OF CARllBAD 836~ SEWER
BUILDING DEPARTMENT PERMIT • APPLICATION
,_
FOR APPLICANT TO FILL IN
BLOCK
USE OF Ir
BUILDINGS ,tt7-l;I../, .,
CONTRACTOR ~'y-Cl .J
ADDRESS
CITY TEL NO
CONTRACTOR"& STATE CARLSBAD BUSINESS
LICENSE NO. LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO .z lh'..'l PUBLIC SEWER 0 $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 ss.oo
OVERFLOW SEEPAGE PIT, DRAIN,-IELD EXTN .•
CESSPOOL, DRYWELL, MANHOLE • ss.oo
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 0 SUIO
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER O $I.SO
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00
• •
OWNER'S I PERMIT $ 2 00
AUTHORIZATION TOTAL l'EE <" ~
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
ING TO THE PUBLIC SEWER.
SIGNED THIS -----DAY 6F ---------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 REQUIRED BY THE CITY 01' CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP.
ERTY. SIGNATURE
OF PERMITTEE ----------------
.Bl 16-65 !'~~01f795******50.00
5,aro • 16-65 -cclf796***** 105.00
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 A/Olve.
Logged in Plat, ).If/ Lat. No.:
LINE COST DATA
FOR SEWER LOCATION
~----------------'~
St. NORTH
ENGINEERING SEWER DEPT.
Signed ________ _ Signed ________ _
This is a S.wer Permit When Properly FIiied Out, Signed and Validated
s-Issued By _________________ _
PERMIT VALIDATION
CITY Of CARll8AD
BUILDING DEPARTMENT
OWNER
MAIL
ADDRESS
CITY
PLUMBER
ADDRESS
CITY
TEL. NO.
T EL. NO.
STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO.
NO. ITEM
TOILET @ $1.2!5
BATH TUB @ 1.2!5
SHOWER @ 1.2!5
WASH BASIN @ 1.2!5
KITCHEN SINK @ 1.2!5
DISHWASHER @ 1.2!5
LAUNDRY TUB OR TRAY @ 1.2!5
AUTOMATIC WASHER @ 1.2!5
WATER HEATER lie VENT @ 1.!SO
GAS SYSTEM I TO
.30 EA. ADD. @ l.!SO
FLOOR DRAIN OR SINK @ 1.2!5
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING @ USO
GARBAGE DISPOSAL @ t.OO
VACUUM BREAKER OR BACK
FLOW DEVICES I TO !S @ 2.00
$ 2 00 GRADING PLAN
YES □
I PERMIT
TOTAL FEE s 11 .:.t
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY W ITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-
CENSED AS REQUIRED BY THE C ITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABO~;I~-?= ~PERT!?
StFN~~¼~~~__:,z-~..,.~
PLUMUNG
PERMIT. APPLICATION
BUILDING
ADDRESS
NEAREST
CROSS ST.
GROUP
-5PAID .-. 16-65 _ cc479lf****••n.z~
Inspection Record
APPROVALS DATE INSPECTOR•& SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance. 5