HomeMy WebLinkAbout1215 OAK AVE; ; 63-5484; PermitAPPLICATION FOR Bu~ ,.JD I I G PERMIT 5484
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
~;;::, ~;;~;I ~j~lf/ q~-z. ~;j .... M,;1;,, Add"" /,;;?;t:t?:¢2(!{:;; a~ --p~;
Contractor ....... t2.~ ............................................................... Mailing Address .... ~ ... ~~ .......................................... .
( Please Print) Number Street City Phone
To Coori"ot D ~lo Add ~o Alt" D To R,p,;, 0 To Coo,ori D To M,,. F,om ·····················································-······
Type of Const ....... -::2.~ Kind of Foundation ..... f~ ... ! .... No. of Stories .... ./. ....... To Be Used for ... M~.~~ .. /...d. .......... .
(Frame, Masonry, Etc.) ~ (Ono Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ..... k.Y.!..K.. ................... Const. Valuation $ ............. 'C::, ... C/o'tJ .. 00
................................................... .
attached 0
Floor Space of Garage (sq. feet) ................ =:" ............................ detached OConst. Valuation $ ..................................................................................................... .
LEGAL DESCRIPTION
Lot Block Subdivision
or ······································:_······················?;····················-········ ............................. Soction ..................... 1... .. /··;· Township ................. 7 ...... Range .......................... .
Located at ./~·{:-g·~;/dfi!~·{ft~·······················································Street, Near ..... L;-:'/../.9.A..&lAt.r:t ........................................... -...... .
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .................................................... (INDICATE
SIZE, USE AND LOCAT17LOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES................ NO ................•
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 STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tende red for p·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
Front Yard Set Back ...... ~.o .. / ........ /!':1.../.~.:f ........ .
Side Yard Set Back ......... '?. . .< ................. .&.(.~ ........ .
Driveway Permit Required Yos ( No (~Fee ..................................... .
No(~ ................................................... .. Grading Permit Required Yes ( )
Rear Yard Set Back ...... /.8...~···························~··········-Sewer Disposal Plant Capital Cont. Fee ................................................................... .
· / ~
Distance Between Bldg ... /.??. .................................................. . Sewer Pumping Station Capital Cont. Fee ................................................................. .
Off Street Parking Spaces ...... 6.:-.~
Sow,go Oi,p=I Sy,tom .......... 0,,,~···············-··········-··
Zone -Residential ( ) ........................................................... .
Sewer Main Line Cost ..................................................................................................... .
Sewer Lateral Connection Charge ···················-·· ........................................................ .
Water Stocked Lands Charge ....................................................................................... .
Zone -Commercial ) ......................................................... . Water Main Pipe Line Foe .......................................................................................... .
Variance Water House Service Charge ....................................................................................... .
Eng. Check By ............................................................................... . Water Metor Charge ..................................................................................................... .
Sub Total ..................................................................................... .
Plans Approved ~-=s···n·····-/}·········/··········································Plan Check Fee ....................................................................................................... .
Appmod by ·······~···,:},.::..fJ.,,/o~ .. B,ildi,g '""" FH .. ,.Si··~ .. ········;;:··· .................. .
Date ........... /.;;;!. ......... ~ ............. b. ... .,3.. ................ -............................... Total Charges .............. -;. ... / .................................................................... _ ...
CITY Of CARU8AD 'P.-6095 PLUMBING
BUILDING DEPARTMENT PERMIT. APPLICATION
OWN<R ~-52, a·5
CITY ~ ~EL. NO.
' PLUMBER ..._D. ,?;vr!~ C,--.d~~
ADDRESS ;?. ( y/ ,~ s.r-:
CITY ~,,./ TEL. NO.
BUILDING
ADDRESS
NEAREST
C ROSS ST.
GROUP I ZONE
STATE
LICENSE NO.
CARLSBAD BUSINESS
LICENSE NO. Inspection Record
NO. ITEM FEE
/ TOILET 0 Sl.215
BATH TUB • 1.215
-~.l'·-4-~S~H~O~Wc.:..::.ER:..:_ _______ __::0:___::1.~2~15~-~~J~
/ WASH BASIN O 1.215 J '°' .._-'
____ ,__K_I_T_C_H_E_N_S_I_N_K _______ 0~_1_.2_5~--~,______
/
DISHWASHER
LAUNDRY TUB oR TRAY
AUTOMATIC WASHER
WATER HEATER & VENT
GAS SYSTEM 1 TO 1!1
.30 EA, ADD.
@ 1.215
0 1.215
@ 1.215
@ 1.!10
1.!10
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2 .00
MISC. WATER PIPING O U50
GARBAGE DISPOSAL @ 1.00
VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 0 2.00
GRADING PLAN I PERMIT s
YESQ NOD TOTAL FEE s
2 00
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 CITY OF CARL!,BAD ANO
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDEN TIAL PROPERTY.
SIGNATURE ~ _.,H /? .,,.., . -
OF PERMITTEE --'~=--"-"'-"-"""'""'~~-"--.. { -'~1,.,._~.-..~...;...----
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
DATE
This is I Plumbi11g Permit When Properly Filled Out, Signed end V11id1ted.
Permit void if work is not commenced within 60 cl1ys of elate of issuance.
INSPECTOR'S SIGNATURE