HomeMy WebLinkAbout1045 MAGNOLIA AVE; ; 65-7929; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 --Ext. 36
782~
For A licant to Fill In
Contr. Address _______________ _
To Const. 'jJ, To Add 0 To Alter 0 Convert 0
o Move From ------------------
Type of Const. _ _:::,.,;fJ..-~/2"-""-'~e:.:-"""""-"'c:.>o~-..::•-------
Frame, Masonry, etc.
To Be Used For -----1'.~=----=---=--------
Kind of Foundation r .A=-C Nn, of Stories, __ _,_/ __ _
/~rl1"-Floor Space (Sq. Ft.) -,-'~-..._,,L<-...li,2_"-----------
Garage Floor Space (Sq. Ft.) Attached &j 1 ;'
Detached _______ _
Legal Description __ __,/'---------------
Lot Block
Subdivision~~/or
Section Township Range
/It} No. of Existing Building _____________ _ r J Will this cons~ction include any plumbing installation or alter-
,,r ation? Yes r No 0
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
Application I or BUILDING Permit
Building Permit Fee ZS-,D;J._
JAN 18-65* f>~~
05070***** U 0.)0
Building Address I a ,#,.S: w~ ~
St. Near ~
Set Back Bid
Front P.L. Main Bid
Side P.L. I Garage
Rear P.L. Other
Group r: Zone t R -
Approved by
Contractor City Bus. Lie. No.
Water Meter -0~:. I Sewage Disposal
-1:S: ~ ~ .... 7:=i
Inspection Record
l Signature of Applicant
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING. Utility Company Notified -Dat0-_____ By, ____ _
Final
If a check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance,
aTY OF CARLSBAD
BUILDING DEPARTMENT
793U SEWER
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO.
BLOCK
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 @ S3.00 I'
SEPTIC TANK. SEEPAGE PIT OR
PITS • ss.oo I
OVERFLOW SE:.EPAGE PIT, DRAINFIELD l!XTN., I
CESSPOOL, ORYWELL, MANHOLE 0 ss.oo j
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM @ SI.SO
CONNECT ADDITIONAL BLDG. OR I WORK TO HOUSE SEWER • S l.!50
ALTER. REPAIR OR ABANDON HOUSE
SEWCR OR DISPOSAL SYSTEM @ $2.00
0 s
OWNER'S I PERMIT s ' AUTHORIZATION TOTAL P'EE
I
\
\
I
'
l ,n
I HAVE AT THIS DATE A CONTRACT W ITH THE HEREIN
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
AND AGREE TO COMPLY WITH ALL C ITY ORDINANCES AND
STATE LAWS REGULATING PLUMBING ANO SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
ANO/OR LICENSED AS REQUIRED BY THE CITY OF CARLS·
BAD AND STATE OF CALIF RNIA OR AT I AM THE LE L
OWNER OF TH E ABOV ESCRIB RE ID NTLl<L, P, OP.
ERTY.
SIGNATURE
OF PERMITTEE -,,.+-c;-6#':f----l-,,,c,---f-jf'--t..i.,.~\--,.'-;--
is a
ln ued
PERMIT • APPLICATION
8f>AJD • t8·65 -cc5O71******5U.0U
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = ___ b" ----
Add. Horiz. @ 4" = ___ b" ----
Add. Vert. @ 4" = ___ b" ----
Total Construction Cost
I 0% Service Charge
Total Lateral Charge ____ _
Lat. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. ________________ _
LINE COST: ____________ ----. ....... s-ae C. C. @-f-I dwelling _________ _
P. S. @ __ / dwelling ____________ _
OTHER __________________ _
TOTAL
Grand Total, Lateral, etc. Sa -~·
FOR SEWER LOCATION
~•-----------------1~
St. NORTH
ENGINEERING SEWER DEPT.
Signed ________ _
Signed end Velideted
CITY OF CARLSBAD 801~
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL /
DESCRIPTION LOT NO. ~
BLOCK :ii~
USE OF
BUILDINGS
CITY
CONTRACTOR•& STATE
LICENSE NO.
t?<JJ'3ov
CARLSBAD BU&INEU
LICENSE N0¥?rs
NO. DESCRIPTION OF WORK FEE
I HOUSE SEWER CONNECTING TO PUBLIC SEWER • 13.00 .J !)<J
SEPTIC TANK. SEEPAGE PIT OR
PITS • 115.00
OVEIIP'LOW .IUP'AGE P'IT. DIIAINP'IICLD EXTN., CIC■-P"OOL, DIIYWIILL, MANHOLII • 115.00
HOUSE SEWEii CONNECTING TO
PRIVATE DISPOSAL SYSTEM • 11.150
CONNECT ADDITIONAL BLDG. OR
WOIIK TO HOUSE SEWER • I 1.150
ALTER, REPAIR OR ABANDON HOUSJI!: SEWER OR DISPOSAL SYSTEM • 12.00
• •
OWNER'S I PERMIT s 2 00
AUTHORIZATION TOTAL P'IEE s DO
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE OESCllll!IEO BUILD·
1G 1 0 THE PUBLIC SEWER.
S IGNED THIS -----CAY OF ----------OWNER OR OWNER'S AGENT -----------------
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION ANO STATE THAT THE ABOVE IS CORRECT
ANO AGREE TO COMPLY WITH ALL CITY ORDINANCES AND
STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
ANO/OR LICENSED AS REQUIRED Y THE CITY OF CARLS-
BAD AND STATE OF CALIFO NI I AM THE LEGAL
OWNER OF THE ABOVE~,,!i9(f'ipi~MSIOENTIAL PROP.
ERTY.
SIGNATURE
OF PERMITTEE
BUILDING ADDRESS
NEAREST
CROSS ST.
OWNER
MAIL
ADDRESS
CITY
Lateral Chuge
30' H., 10' V.
Add. Horiz.
Add. Vert.
SEWER
PERMIT • APPLICATION
5PAIO • !1-65 _ cc52lf5**** •••s.oo
TEL. NO.
CONNECTION DATA
Computation
@ 4" = ___ b" ----
@ 4" = ___ b" ----
@ 4" = ___ b" ----
Totel Construction Cost
10% Service Charge
Totol Loterol Chorge ____ _
Lot. No.: Logged in Plot:
LINE COST DATA
A. D. & Assmt. No. ----------------LINE COST: ________________ _
C. C, @ __ I dwelling ____________ _
P. S. @ __ / dwelling ____________ _
OTHER
TOTAL
Grond Total, Lolerol, etc.
FOR SEWER LOCATION
~1----------------~~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed ________ _ Signed ________ _
Properly Filled Out, Signed and Valldated
Issued By __________________ _
PERMIT VALIDATION
CITY Of CARLSBAD
BUILDING DEPARTMENT
OWNER
MAIL
ADDRESS
CITY
PLUMBER
TOILET
BATH TUB
SHOWER
WASH BASIN
K ITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
AUTOMATIC WASHER
WATER HEATER & VENT
GAS SYSTEM I TO l!5
.30 EA. ADD.
FLOOR DRAIN OR SINK
LAWN SPRINKLER
MISC. WATER PIPING
GARBAGE DISPOSAL
VACUUM BREAKER OR BACK
FLOW DEVICES I TO 5
GRADING PLAN
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
YES D NOQ
I PERMIT
TOTAL FEE
ao1:_
$1.25
1.25
1.2!5
1.25
1.25
1.2!5
1.25
1.2!5
1.50
1.!50
1.25
2.00
1.!50
1.00
2.00
s 2 00
I ACKNOWLEDGE THAT I HAVE READ THIS AP/i..JG~IIQ.l:'1
AND STATE THAT THE ABOVE 15 CORRECT AND A EE
COMPLY W ITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM
CENSED AS REQUIRED
STATE OF CALIFORNIA
OF THE ABOVE DESCR
SIGNATURE
REGISTERED AND LI•
F CARLSBAD AND
THE LEGAL OWNER
_,..,.,,c;..,,..,vTIAL PROPERTY.
OF PERM ITTEE ~=--c._--=::__--'-~~f.J"-::;_ _____ _
PLUMBING
PERMIT -APPLICATION
BUILDING
ADDRESS
NEAREST CROSS ST.
GROUP
JM 21-65 ~P~:0s2~1.t•***** 17.25
I ZONE
Inspection Record
APPROVALS DATE I NSPECTOR·S 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.