HomeMy WebLinkAbout1134 Knowles Ave; ; 64-6270; Permit-· Application for BUILDl1NG Permit CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 -·Ext. 36 B ,-6'~---,
'-:J ~
Building Permit Fee
For A licant to Fill In
Owner's Ne.m .. Blf?tlvt~& l1v~,;. 1-/4 w ;ueJ
Mail Add res~ $.j,"":t/ A l"i NA µIC 1
Contractor Q,c__ d ~
Contr. Address -~£;:;;...,...,,~""""'--"'..,,.,_--""'""""-----=:::;-:-----
To Const. i:t--'fo Add D To Alter D Convert D
To Move From ~-----------------
Type of Const. __ £µ/1:...1.J4-1&::rc&=~!:::.I,,..::::::, _________ _ n Fr°:? Masonry,
To Be Used For _ _1.~~z::.J ... ~=-__,.__ _________ _
etc.
Kind of Founde.tion ~ No. of Storie.__ ____ _
Floor Space (Sq. Ft.) -~'Mif'-". ,_.,,,~8_,,___,7=--,,~j _____ _
Attached ..3 9,2, Gore.ge Floor Space (Sq. Ft.) Detacheu.... _______ _
Block
or
Section Townsnip Range
No. of Existing Building _____________ _
Will this construction include any plumbing installation or 11lter-
ation? Yes D No D I Signoture of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILOING.
I CERTIFY THAT I AM PROPERLY REGISTEREO ANO/OR LICENSE□ AS REQUIRED BY CITY OF CARLSBAD ANO
STATE OF CALIFORNIA OR THAT l AM THE LEGAL OWNER
OF THE AEIOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE ---------------~
PA!O APR 20-64* ccli032******90.00
Front P.L. Main Bid
Side P.L Garage
Rear P.L Other
Group
Contractor City Bus. Lie. No. --~---------
Water Meter
l../;>-B
Sew11ge Disposal System
Inspection Record
~~ ~-¥l
Utility Company Notified -Data, ______ By ____ _
Final
If o check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit wilt be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced witliin 60 days; of iuuance.
OTY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO Fill IN
LEGAL
DESCRIPTION LOT NO. ~
BLOCK
USE OF
BUILDI NGS
TEL. NO. ?::ZC •:;? 7"'{ 7
CONTRACTOR'& STATE
LICENSE NO.
CARLSBAD BU&INEU
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
I HOUSE SEWER CONNECTING TO
PUBLIC SEWER • $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS • $15.00
OVli:RFLOW SEEPAGE PIT, DRAINl'IELD EXTN.,
CESBPOOL, DRYWELL, MANHOLlt O $15.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM • $1.150
CONNECT ADDITIONAL BLOG. OR
WORK TO HOUSE SEWER • $1.llO
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM 0 sz.oo
• •
OWNER'S PERMIT s 2
'? C)O
00
AUTHORIZATION I TOTAL l"EE ~ 00
I HAVE AT THIS DATE A CONTRACT W ITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
I NG TO THE PUBLIC SEWER.
SIGNED THIS -----DAY OF ---------
OWN ER OR
OWNER'S AGENT ----------------
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE RElAD THIS
APPLICATION ANO STATE THAT THE ABOVE IS CORRECT
ANO AGREE TO COMPLY W ITH ALL CITY ORDI NANCES AND
STATE LAWS REGULATING PLUMBING ANO SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
ANO/OR LICENSED AS REQUIRED BY THE CITY OF CARL&·
BAO AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL ~~~ER OF THE AB~OVE DESCRIBED• R~ESIDENTIAL PROP.
SIGNATURE OF PERMITTEE AZ/4 & d_
SEWER
PERMIT. APPLICATION
SPAID APR 24-6lt -cc4178*******5.QQ
BUILDING // _
ADDRESS reel/¼'~
NEAREST
CROSS ST.'
CITY TEL. NO.
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 ____ _
Let. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: ________________ _
C. C. @ __ / dwelling ________ -----
P. S. @ __ / dwelling ____________ _
OTHER __________________ _
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
~1 ----------------1~
St. NORTH
ENGINEERING SEWER DEPT.
Signed ________ _ Signed ________ _
This is a Sewer Permit When Properly Filled Out, Signed end Validated
Issued By __________________ _
PERMIT VALIDATION
---------. ..,,..,.---,·------------., •. --~--..~•::. -. _*f,':' -· _;; -47' ••. /· ~--------
/ CffY OF CARUIU) ..
/ .IIIILDING D•ARIMINT
63~1 PUl1BIN6
PBMIT .. APPLICAnON
-;~~: .. ';?~= =5t:::' APR 2lf·64 ~P~~D If 179****** 13. 25
CITY ~ ~ :~ NO, • BUILDING ~-~~ 4 PI.UM~KR::a,:;;,~;; .24. , : AQ01U£S8
NEAREST
~ODRH& /d.f1t:. e-: d ~~~ ~ 1 CROP·ST.
CITY ~-~ _ TEI., NO, 2:l.."-. ... 's 'rf' • GROUP 'ZONE STATI CARLSBAD BUSlf,108 Inspection Record LICEN81 NO, LICENSK NO,
_:·.._o. ITEM f'H
' l TOILET • $1,Z9 ~~ -I<'
I BATH TUB • 1,H .,./ :.JI'~ .
SHOWER • , .•.
~~ I WA.SH BASIN • 1.21 J I~
I KITCHEN SINK • 1-H ,~ ~~ • DIISHWASHER • 1,215
{ LAUNDRY TUii OR Tl'IAY • 1,llJ ~ :~',;
r
2~ I AUTOMATIC WASHE.R • i.a, ~
'I WATIR HEATER. VENT • I.BO J ~~
GAS SYSTIM I To 1111 .
.:110 IEA, ADD, •• I.SO
FLOOR DRAIN OR SINK • 1.irUI
LAWN SPRINKLER • a.oo
MISC. W4Tl!IR PIPINCI • 1,90
I GARB,MH: DUSPOSAL • 1,00 ~ ,..
' .... --VA',CUUfo! •,:~KIR OR BACK . .
l"I.OW Cl VICll,S I TO I e a.oo
APPRQVAl.,8 DATE IMl"~TOR·S SIQHATURII
UNDl!R F'LOOfl WORK
ROUGl-1 PLUMBING
GRADJNG PL,All!I PEAMIT s 2 00 GAS PIPING
YESQ-NOO TOTAL FEE • ,t ~~ GAS VENTS
I ACKNOWLEDGE TH~T I HAVl!t READ THI& APPLl~TIOt,1 PLUMBING l"IXTURES
AND STATE THAT THE AB~ IS CORl'UtCT ANCI AO IEE TO MISC. COMPI.Y WITH ALL. CITY ORDINANCES AND STATE L.AWS REGULATING PLUMl!IING,
I CERTIFY THAT I AM PROPERLY Rll019TERE!CI AND LI•
CENSED AS REQUIRllCI liV THE CITY OP PA!tLSISAD AND GAS TEff . STATE OF CAt.lFORNIA OR THAT I AM THJ: LEGAL OWNER OF THI!; ASOVE DESCRIBED RESIDENTIAL PROPll:RTY, UTILITY CO. NOTIFIED
SIGNATUR! -~~,;~~ FINAL OF PERMITTEE
--------------------------------------·---•-··· ... ·-··-------~-·-----