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HomeMy WebLinkAbout1205 MAGNOLIA AVE; ; 71-134; Permit0 ... i 0 //-1.-?f 2·7~~2~••1 z • City of CARLSBAD, CALIFORNIA ., > FEB •• ••1 Applicant to complete numbered spaces only. ,. .. . ~ JOB AODR ESS / 2 0 ~-r-7 ,2 (!) CJ 'Mlb. C. YufJA ~ ~ -LOT NO. Im I TUl;T ""\ LEGAL I QsEE ATTACH£D SHEET) 1 DESC~. . • ~ PLUMBING PERMIT APPLICATI~ 2 50 OWNEflll MAIL AOOPIESS ~ 11P PHONE ' 2 N, r:. NeT.i I i'lo 'VA /2,r../ I :2_ q~(JoY 7~'J-..:?7/4 ~ CONTPU,CTOR -MAIL AODfllESS / PHONE LICENSE NO. . ~ L'-- 3 rlClJ ,,v E/t !\u AJIICH ITECT OR DESIGNER MAIL ADDRESS PHON t: LIC E.NSE NO, t')\ ~ 4 --0 -.... ENC.tNEER MAIL ADOR!:SS PHONE LICENSE NO. 5 - ! LE.NOE" MAIL ADD1'£SS &IIIANCH 6 - USE OF' 8UIL01NC .f)fllJ;,/jb' t: 7 ~ 8 Class of work: EW □ ADDITION 0 ALTERATION □ REPAIR C) ...... ..... ~~ 9 Describe work: F 71'. Av A,::rc-AJ.tJJ I JJJT/) I/ , t;' E We /Z, . ~ /0-.&=. PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER .APPLICATION ACCEPTED BY: PLANS CHECKE D BY: ·~;:7;:·" 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. GASSYSTEMS:NO.OUTL.ETS I HEREBY CERTIFY T HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS O F L.AWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE IN TERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL.ATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER ~ (1 0 -f}~I} ~J h~ CESSPOOL. If SEPTIC TANK & PIT SIGNArRE 01" CONTRACTOR o,..,,.UTH.Rl1~DrAMNT (DATE) PERMIT $ -~ ~o TOTAL FEE $ ~ !IIC.NATU"E OP' OWt,ilUI {I P' OWNER BUILDER) DATE) ~o WHEN PROPERLY VALIDATED (IN THIS SPACE I THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR -=-•-1 nn -:, o.f..Q REORPEA FROM: INTERNATIONAL. CONFERENCE OF BUIL0ING OFFICIALS e eo eo. LOS ROBLte e P,.SADENA, CALll"ORNIA 91 101 CITY OF CARLSB1AD SEWER BUILDING DEPARTMENT PERMIT-APPLICATION FOR APPLICANT TO FILL IN I LEGAL B UILDING 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" = ___ 6" = --- Add . Horiz. @ 4" -___ 6" ------NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO Add. Vert. @ 4" --___ 6" -PUBLIC SEWER @ $3.00 --------SEPTIC TANK, SEEPAGE PIT OR Total Construction Cost PITS @ $5.00 OVERFLOW SEEPAGE PIT, ORAINFIELO EXTN , I 0% Service Charge CESSPOOL, ORYWELL, MANHOLE @ $5.00 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 @ $1.50 ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2.00 LINE COST DATA @ s A. D. & Assmt. No. LINE COST: OWNER'S I PERMIT $ 2 00 C. C. @ __ I dwelling AUTHORIZATION TOTAL FEE P. S. @ __ / dwell ing I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN OTHER 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 V) V) STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. NORTH AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS, BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL 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