HomeMy WebLinkAbout1192 LAGUNA DR; ; 70-909; Permit~ 0.
* .:::> o-q_~~ SF 22·70 5 t ? 50 PERMIT City of CARLSBAD, CALIFORNIA --c tb'~~
Applicant to complete numbered spaces only. ~ -0')~
Joe ADDRESS "" N:
II -~2-,{;> / ,., " {./A.,J:1 /),R.
.. ~ ..
PLUMBING PERMIT APPLICATI~
2
LOT NO. I "'c; I TRACT " t--. "-t ~i=~~-J.L Os1:1t ATTACHED SHEET) \... I ~ ~ OWNER MAIL. ADDIIIESS ,,. PHONE ....
2 J..t, ('.' n, .. J.-Ll ~ , __ ,. --r ~o.n.~v aZ!, n.1'? 0 C: I
CONTl'IACTOft MAIL ADDRESS PHONE LICEN!!IE NO, ~ t ~ 3 n •. ,,n, h,.,,.,.,...,, ...I?. ,_ ,.(]_"Hf',._. _ ID.A. R~ 1J .f-.~ .< 1.//.S 7M ,.,~~., ,,.,._._, /C,.'>/ :r ~-ARCHITECT OR DESIGNER MAIL ADDlll:ESS PHONE LICENSE NO, ~ ~ 3-4 N
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
LENDER MAIL ADDRESS BRANCH
6 -.., -USE OF BUILDING
7
-------
8 Class of work: □NEW □ ADDITION ~TERATION □ REPAIR
9 Describe work: r--J,, •• '--<-7 ;L -·-7':.. . /."' ·-l-7J.AY1_l
PERMIT FEES
No. Type of Fixture or Item Foo
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTED BY: PLANS CHECKED BY: ~,;::NCEBY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FL.OOR--S-INK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SL.OP SINK
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS GASSYSTEMS:NO.OUTLETS
APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER ~ ~(J
CESSPOOL
/,,,(. . ,../ »D. SEPTIC TANK & PIT
?IGNATURE 01' CONTRACTM~ 011 AUTHO"lZEO AGENT (DATE)
PERMIT $ 2 .,..0
OAT£ TOTAL FEE $"'7' -SIGNAT"IIE OP' OWNEIII: II' 0Wt1EII IIUILOEII
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT L> -
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.2 9-69 11£0110£R FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS. 110 SO. LOS llOIILES. PASADENA, CALIP'ORNIA 91101
-
PLUMBING PE PPLI Tl 0 a
~f:o • • 2Ck o/10 z
ERMIT # City of CARLSBAD, CALIFORNIA SFP 'i'?-7 ---t:c :Si&Sl" t,.• ~ 50 • Applicant to complete numbered spaces only. ~ N)5
RMITA CA ON
p
2
JOB ADDR £$5 .. Is)
//(j? J hr,.(/A,JtL hb I::.\ ~ LOT NO. I "s. I TftACT Lli.GAL I \Ost.I!: ATTACHl!:D SHl!:£T) " • ~ 1 OltSCft. 1-f-~ \
OWNER MAIL ADDRESS ,,. PHONE 1 ' 2 h.Rs 1:1 •.• , ,1.-J.JR·'•'.J-o ..,-.oo./!,ov '7 .~ ~ l
CONTIIIACTOR MAIL ADOftESS PHONE LICENSE NO, V ii:
~.
3 h, .. , .• , /?,x,7.L--,., • 11. . -.fl ,h l, l'°c .L-Pc,.llnU l<'l < lh.'r:-,,, /0'.1/ ~ ~ ARCHITECT OR DESIGNER MAIL AODlll:ESS PHONE LICENSE NO. :---.. 4 ~
ENGINEER MAIL ADDftESS PHONE LICENSE NO, 'I
5 . . ..--
Ll!:NOER MAIL AODIIIESS HIANCH
6 r r---, '
USE Of' BUILDING
7 -
8 Class of work: □NEW 0 ADDITION TERATIDN 0 REPAIR
9 Describe work: Ii,,• -c-r J/...__ • L~ --t; ,n,, ,.n /.-._.. -·-)
PERMIT FEES
No. Type of Fixture or Item Foe
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
.APPLICATION ACCEPTED SY: PLANS CHECKED BY: APf'ROVEO FOR ISSUANCE SY: LAUNDRY TRAY ArJJi--CLOTHES WASHER
WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK DR CDNSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR--SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS GASSYSTEMS:NO.OUTLETS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER L 00
CESSPOOL
I/. , :,-./ ~().
SEPTIC TANK & PIT . :1-22..-'70
//'lGNATURE OF CON TRAC ,vn 0111 AUTHORIZED AGENT (OAT£)
PERMIT $ n c-O
1GN T R OF OWNER IF OW·NER BUILOER OATE) TOTAL FEE $ ,-...,,,,,,.. '
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT /J --,.,,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
DC""'"""'· """"u• lt,JT ... At,JATIONAL CONFE'.RENCE OF BUILDING OFFICIALS e !50 110. LOIi ROBLES ePASADENA, CALIFORNIA 91101
OTY OF CARLSBAL' SEWER
BUILDING DEPARTMENT PERMIT • APPLICATION
FOR APPLICANT TO FILL IN
LEGAL BUILDING DESCRIPTION LOT NO. ADDRESS
BLOCK TRACT NEAREST
CROSS ST. USE OF
BUILDINGS OWNER ~
MAIL
CONTRACTOR ADDRESS
ADDRESS CITY TEL. NO.
CITY TEL. NO. CONNECTION DATA
CONTRACTOR'S STATE CARLSBAD BUSINESS Lateral Charge Computation
LICENSE NO. LICENSE NO.
30' H .. 10' V. @ 4" = ___ /," -----
Add. Horiz. @ 4" = ___ /," -NO. DESCRIPTION OF WORK FEE ----
HOUSE SEWER CONNECTING TO Add. Vert. @ 4" = ___ /," -PUBLIC SEWER • $3.00 ----
SEPTIC TANK, SEEPAGE PIT OR Total Construction Cost PITS 0 $!5.00
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,
CESSPOOL, ORYWELL, MANHOLE @ $!5.00 10% Service Charge
HOUSE SEWER CONNECTING TO Total Lateral Charge PRIVATE DISPOSAL SYSTEM @ $1.!50
CONNECT ADDITIONAL BLDG. OR Lat. No.: Logged in Plat: WORK TO HOUSE SEWER • Sl.!50
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00 LINE COST DATA
@ s A. D. & Assmt. No.
LINE COST:
I s 2 00 C. C. @ __ I dwelling OWNER'S PERMIT
AUTHORIZATION TOTAL FEE P. S.@ --I dwelling
OTHER I HAVE AT T HIS DATE A CONTRACT WITH 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
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 VI VI STATE LAWS REGULATING PLUMBING AND SEW ERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. NORTH AND/OR LICENSED AS REQUIRED B Y THE CITY OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP.. ENG INEERING SEWER DEPT. ERTY.
SIGNATURE Signed -I Signed OF PERMITTEE
This is a Sewer Permit When Properly Filled Out, Signed and Validated
IHued By ___________________ _
PERMIT VALIDATION