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HomeMy WebLinkAbout2061 TRUESDELL LN; ; 64-6194; PermitApplication I or BUILDl'NG Permit CITY OF CARLSBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 !3--61 r : Building Permit Fee For A licant to Fill In Owner's Name Kamer Construction Co. • Inc. 5 PAIO HAR 30-64 -cc2213******94.50 Building De Mail Address P. o. Box 71, Carlsbad, Ca]if ..-----------....1--i!S!!!IS!!!"!~~--..,."""'--"'II Building Address b Contreclor Same Contr. Address _______________ _ St. Neor -=--=-:::::=-'-:=--,---=----.:..=--::=------- To Const. [jl To Add 0 To Alter 0 Convert 0 Set Bock To Move From _________________ _ Front P.L. I Moin Bldg. Type of Const. Frame & Stucco Frame, Masonry, etc. Side P.L. Goroge Reor P.l. Other To Bo Used For Single Femi ly Residence Group Approved by Kind of Foundation Cone• No. of Storie,s_;l=------Conl-roctor City Bus. Lie. No. ____________ _ Floor Space (Sq. Ft.) __ =:cl:,.::8_,,5....:O _________ _ Water Meter Sewage Disposal Sys>tem Attached 440 Sg. Ft• Goroge Floor Space (Sq. Ft.) Detached, __ .:.._ ____ _ Legal Description _..,,3!..:8:.._ _____________ _ Lot Block Inspection Record f'w~3/A Subdivision FaJ..con Hills Estates, Unit 2 or ~.:z:;_, ~~ S.,4L ----------------------- Section Township Range No. of Existing Building _____________ _ Will this construction include ony plumbing instollotion or olter- otion? Yes 18J No 0 Signoture of Applicant I ACKN OWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W IT H ALL CITY AND STATE t,.AWS REGULATING BUILDli'jG. :.. I CERTIFY M PROPERL ERED AND/OR LICENSED D BY C AN STATE ,,;;.;,i:i!,.~ N OF TH Utility Company Notified -Dote, ______ By, ____ _ Final If o check is tendered for payment for the above fee ond the check is not honored when presented for payment, your building permit will be immediately revoked. City of Corlsbod Building Dept. Permit void if work is not commenced within 60 d ays of issuance. 1 CITY OF CARLSBAD SEWER BUILDING DEPARTMENT PERMIT • APPLICATION OCT -2-64 ~P~~o 2113*******5.00 FOR APPLICANT TO FILL IN LEGAL 3S BUILDING ~ ~ u /~.,,_ DESCRIPTION LOT NO. ADDRESS _::,b / n\.h~- BLOCK TRACT~~,//,..// _, NEAREST CROSS ST. USE OF OWNER .,_ .[-frZ n~,lA./ 4..-,~....,,~ BUILDINGS CONTRACToRL?~_J -~-Qi>-h.-,I~ MAIL ..,-. ,-~,/4..c...J ~~ ADDRESS '-" " ,_., ~ --- ADDRESS ~ 4/ ~a:_ -~ CITY ~,LA ; -/~,__L TEL. N O. ,/ _,:/ ~ • .;? & / / CITY Cc.L..,/--t'':s: ctL TEL. NO. 7~ 1---~/J CONNECTION DATA CONTRACTOR"S STATE CARLSBAD BUSINESS Leterel Cherge Computetion LICENSE NO. LICENSE NO. e,;i/f~~t ✓ "i~t~ 30' H .. 10' V. @ 4" = ---6" ----- Add. Horiz. @ 4" = ___ 6" -NO, DESCRIPTION OF WORK FEE ---- __L HOUSE SEWER CONNECTING TO :? Add. Vert. @ 4" = ___ 6" -PUBLIC SEWER @ $3.00 60 -----SEPTIC TANK. SEEPAGE PIT OR PITS ·-$!5.00 _ Total Construction Cost OVERFLOW SEEPAGE PIT, ORAINFIELO EXTN., 10% Service Charge CESSPOOL, DRYWELL, MANHOLE • S!5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.!50 Total Lateral Charge --<..ONNECT ADDITIONAL BLDG. OR Lat. No.: Lo99ed Plot: in --WORK TO HOUSE SEWl'R ___ ~ S1.50 ALTER. REPAIR OR ABANDON HOUSE LINE COST DATA SEWfR OR DIS~L SYSTE~ @ $2.00 --- ---~ $ A. D. & Assmt. No. ~----LINE COST: -- OWNER'S I PERMIT s _ 2_ 00 _ C. C. @ __ I dwelling AUTHORIZATION TOTAL FEE ,,5'"' cc P. S. @ __ / dwelling OTHER I HAVE AT THIS DATE A CONTRACT W ITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD· TOTAL ING TO THE PUBLIC SEWER. SIGNED THIS DAY OF Grand Total, Lateral, etc. OWNER OR OWNER"S AGENT FOR SEWER LOCATION ADDRESS ---ACKNOWLEDGE THAT HAVE READ TH IS I HEREBY I APPLICATION ANO STATE THAT THE ABOVE IS CORRECT ...: ...: ANO AGREE TO COMPLY WITH ALL CITY ORDINANCES AND V) V) STATE LAWS REGULATING PLUMBING ANO SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE C ITY OF CARLS· BAD ANO STATE OF CALIFORNIA OR THAT I AM THE LEGAL St. NORTH OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP. ENGINEERING SEWER DEPT. ERTY. SIGNATURE Signed -I Signed OF PERM ITTEE This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By ____________________ _ PERMIT VALIDATION CITY OF CARLSBAD BUILDING DEPARTMENT . 729-1 181 -·Ext. 36 8(l38 For A licant to Fill In Owner's Nome ___,,W"""'-_,_,_,,D...<,.. __ ._,)/'--'-19'---'--J.=--L _____ _ Mail Address _,2e:::,_,.,Oc...,,,IL_L/ _ _,_1i..:...~u.l,,__,/ e.......,.,:<Cl,_/....<.19..L...=L_._L_....,J;.:..JJJc=... C ontractor --'-/f'----'y~----'~---e~;J_C~.g---_______ _ Contr. Address __,{a:..s,-,..1.....,l/f-------"'C-'ll'-'--"-o_v_C'----'~-----<.o ..... c ...... ',/'~ To Const. ~ To Add □ To Alter 0 Convert D , Move From ------------------ Type of Const. __ _,t:'.=...e....,..,.ac)C""'--Jo~----""K;._:;;=--~----'--~ Fr~e, Masonry, etc. f o Be Used For --~~-:::.-<'...-z--~~---c__,(__ _______ _ Kind of Foundation ~ ~ No. of Stories _____ _ ~/ &/ e-,A2 ~ • J ~ I Floor Spoce (~) __ __,fa ........ &e....: __________ _ G oroge Floor Spoce (Sq. Ft.) Attached _______ _ Detached _______ _ Lego! Description ________________ _ Lot Block Subdivision __________________ or Section Townsllip Range No. of Existing Building _____________ _ W ill this construction include ony plumbing installation or alter- ation? Yes D No 10' Signature of Applicant I A CKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W IT H A LL CITY AND STATE LAWS REGULATING BUILD ING. I CERTIF Y THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY C ITY OF CARLSBAD AND STATE OF CA L IFORNIA OR THAT I A M TH E LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Application for BUllDl1NG Permit Building Permit Fee tL _s-c JAN f ?-65 ~~05627*******4.'.>0 Building Address ;2 ~ ~ f ~a (l(J_. St. Near.~ 4 <,k&i -,,;i,---z..£ -.., Set Back Bldg. Valuation ,lJ-r:'J Front P.L. Moin Bid Side P.L. Garo e Rear P.L. O ther Group Approved by Contractor City Bus. Lie. No. ____________ _ Water Meter Sewoge Disposal System Inspection Record Utility C ompany Notified -Date ______ By ____ _ Final If a check is tendered for payment for the above fee and the check is not honored when presented for payment, your build ing permit will be immediately revoked. City of Carlsbad Building Dept. if work is not commenced within 60 days of issuance.