HomeMy WebLinkAbout1130 Knowles Ave; ; 64-6271; PermitAppli<alion for BUILDING Pemil CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36 B -6 ')'"' -Building Permit Fee ""'. -For A licant to Fill In
Owner", Nome litzuM qo,e /Al t'/i' /la w,&eif r-/
Mon Add,e" _.{._$._-_9L.</'--'/"'-'t!<-LN~t'~V~d~· ~R-=~l't"'.,,._ ___ _
Contractor --"a--"'='-'-"771--'~g...,\,__=~~---------
Contr. Address -----------------
To Const. l1't"' To Add 0 To Alter D Convert 0
To Move From------------------
Type of Const. ~p,.0,c..;.,:Z.,4:M==-,..Q,._ __________ _ n ? Mosonr;, etc.
To Be Used For--"~-""'==~'-<------------
No. of Storie~-----
Floor Space (Sq. Ft.)
Garage Floor Space (Sq. Ft.) Attoched~~+---=~---
Detache~--------
. ...-
rNo. of E:~::::n B,ilding Towns~ip Rongo
Will this construction include any plumbing installation or alter•
ation? Yes D No D
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE -----------------
PAID APR 20-64* cc4034******90.G0
Buildin
Set Bock
Front P.L. Moin Bid
Side P.L. Goro e
Rear P.L.
Group Zo~
Is I
Controctor City Bus. Lie. No, -------------
Woter Meter
L/;;,-~
Sewoge Disposol System
Inspection Record
e2 • ~ :+.s;L~ __, -1/1/&r
Utility Compony Notified -Dot.__ _____ By·-----
Finol
lf o check is tendered for poyment for the above fee and the
check is not honored when presented for poyment, your
building permit will be immediotely revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 d•ys of i11u.nce.
CITY OF CARLSBAD
BUILDING DEPARTMENT
r. -=),.. 1J SEWER
PERMIT • APPLICATION
FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOT NO.
BLOCK
USE OF
BUILDINGS
CONTRACTOR'S STATE
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
I HOUSE Sl!:WER CONNECTING TO
PUBLIC SEWER • $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS • $15.00
OVERFLOW SEEPAGE PIT, DRAINFIELD 11:XTN ..
CHSl'OOL, DRYWELL, MANHOLE • $15.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM • Sl.150
CONNECT ADDITIONAL BLOG. OR
WORK TO HOUSE SEWER • Sl.150
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR D ISPOSAL SYSTEM • Sl.00
• •
OWNER'S I PERMIT • AUTHORIZATION TOTAL l"Elt
,., ....
7 1, 0
2 00
2 60
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 OF ---------
OWNER OR
OWNER'S AGENT ----------------
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE REiAD THIS APPLICATION AND STATE THAT THE ABOVE I S CORRECT
AND AGREE TO COMPLY WITH ALL CITY ORDINANCES ANO
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 CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOV~E D C EO RESIDENTIAL PROP.
ERTY. ~I SIGNATURE
OF PERMITTEE , -<\.
SPAID APR 24-61~ _ cc4180*******5.00
BUILDING ~ -± ~
ADDRESS = ~✓-NEAREST
CROSS ST.
CITY TEL. NO.
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ ♦" = b" ------
Add. Horiz. @ ♦" = __ b"=--
Add. Vert. @ ♦" = __ b"=--
Totol Construction Cost
10% Service Charge
To~I ~h~IC~~e ____ _
Lat. No.: Lo ed in Plat:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: _______________ _
C. C. @ __ I dwelling _____________ _
P. S. @ __ / dwelling _____________ _
OTHER
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
~•----------------•~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed _______ _ Signed ________ _
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By __________________ _
PERMIT VALIDATION
CITY Of CARLSBAD
BUILDING DEPARTMENT
CITY 7 ~ A'-/-__ TEL. NO. °7Z C, -3''7-'5'';
STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
.;i2:_ ITEM FEE
( TOILET • $1.2!5 _L .25-.
{ BATH TUB • 1.2!5 I z.S_
SHOWER • 1.2!5
I WASH BASIN • 1.2!5 _L ~
I KITCHEN SINK • 1.2!5 I 2.S__
DISHWASHER • 1.2!5
/ LAUNDRY TUB OR TRAY • 1.25 J 2:..5_
I AUTOMATIC WASHER • 1.2!5 I -t.. s
I WATER HEATER & VENT • l .!50 J ..2.fl_
~ GAS SYSTEM 1 TO 1!5
I 5' t1 . 30 EA. ADD. • 1.!50
FLOOR DRAIN OR SINK • 1.25
LAWN SPRINKLER • 2.00
M ISC. WATER P IPING • l.!10
J GARBAGE DISPOSAL 0 1.00 I oD
VACUUM BRl;AKER OR BACK FLOW DEVICES I TO !5 • 2 .00
GRADING PLAN PERMIT $ 2 00
YESQ NO □ TOTAL FEE s 13 z . .::;
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 C ITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE ,,c::,-e--'/)
OF PERM ITTEE ---,,,._OA,..:;?-_......._._..,.~,.,,c.~""~"""''-"~'-"-----"c_,-----
PLUMBl'NG
PERMIT. APPLICATION
BUILDING ADDRESS
NEAREST CROSS ST.
GROUP
SPA I O APR 24-64 _ cc4181 ******13.ZS
I ZONE
Inspection Record
APPROVALS DATE INSPECTOR'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.