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HomeMy WebLinkAbout1235 BASSWOOD AVE; ; SE658181; PermitBUILDING DEPARTMENT FOR APPLICANT TO FILL IN A CITY LICENSE NO. LICENSE NO. TEL. NO. 73 - &/a I CONTRACTOR'S STATE CARLSBAD BUSINESS OWNER'S AUTHORIZATION I HAVE AT THIS DATE CONTRACTOR TO CONN INO TO THE PUBLtC S SIGNED THIS OWNER OR I OWNER'S AGENT 1 ADDRESS I HEREBY AEKNOWL-GE THAT I HAVE RGAD THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED I 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- ERTY. SIGNATURE I OF PERMITTEE PERMIT - APPLICATION llRa 23-65" %1917*****5A!d0 I TEL. NO. CITY I CONNECTION DATA Lateral Charge Computation 30' H., IO' V. @ 4" = __ 6" = - Add. Horiz. @ 4" = __ 6" = ___ Add. Vert. @ 4" = __ = - Total Construction Cost -//sT.bp 10% Service Charge //, 5-0 Total Lateral Charge Lat. No.: Logged in Plat: LINE COST DATA A. 0. & Assmt. No. w LINE COST: eqa 20 x4 -h&&Q TOTAL QUb - C. C. @a / dwelling P. S. @- 1 dwelling OTHER , Grand Total, Lateral, etc. srw FOR SEWER LOCATION u;/ /i st. NORTH ENGl NEERING SEWER DEPT. I Signed Signed This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION mNG PERMIT - APPLICATION 5PhI'o llllR 25-65 -~lm+*****Z2.Ld GROUP BUILDING DEPARTMENT 8 1.8; ZONE OWNER Ron Brckrpard MAIL ADDRESS PI 0. Be CITY Carl&& TEL. NO. PLUMBER &R CUSta ADDRESS 2%l A State St c--- NO. ITEM - 3 . TOILET G3 $1.25 1 BATH TUB 48 1.25 4 WASH BASIN Q 1.28 1 , SHOWER 0 1.25 1 KITCHEN SINK 8 1.25 3. DISHWASHER 48 1.25 LAUNDRY TUB OR TRAY @ 1.25 CITY cahbad TEL. NO. 729 2318 STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. 208302 G266 FEE -3Yr m7 ,r 0.2 1s /x ,' kj I, , AUTOMATIC WASHER 8 1.25 I 1 1-111-1- 0 1.50 WATER HEATER & VENT GAS SYSTEM 1 TO 1s .30 EA ADD. PERMIT s 2100 NOa I TOTALFEE 0 a @ GRADING PLAN I-. 1 I_ I- 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 R EGU LAT I NG PLUMB I NG. I CERTIFY THAT I AM PROPERLY REGISTERED AND LI- SIGNATURE OF PERMITTEE FLOOR DRAIN OR SINK 8 1.25 __ LAWN SPRINKLER @ 2.00 MISC. WATER PIPING 8 1.50 - GARBAGE DISPOSAL 0 1.00 VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 @ 2.00 APPROVALS DATE INSPECTOR*S SIONATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES I+ MISC. 61 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. CITY OF CARLBAD BUILDING DEPARTMENT 8lOi FOR APPLICANT TO FILL IN I SEWER PERMIT - APPLICATION PAID UAR 25-65 ?71955*******>.iO LEGAL DESCRIPTION Lor NO CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. -1 @* id- PERMIT I TOTAL FEE OWNER'S AUTHORIZATION I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBE0 BUILD- ING TO THE PUBLIC SEWER. SIGNED THIS - DAY OF OWNER OR OWNER'S AGENT 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 STATE LAWS REGULATING PLUMBING AND SEWERS. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED OWNER OF THE ERTY. SI GNATUR E OF PERMITTEE CONNECTION DATA Lateral Charge Computation 3G' H., IO' V. @ 4" = __ 6" = ___ Add. Horiz. @ 4" = __ 6" = ___ Add. Vert. @ 4" = ___ 6" = ___ Total Construction Cost 10% Service Charge Total Lateral Charge Logged in Plat: Lat. No.: ____ LINE COST DATA A. D. €i Assmt. No. LINE COST: C. C. @- / dwelling P. S. @-- / dwelling OTHER TOTAL Grand Total, Lateral, etc. FOR SEWER LOCATION I< NORTH ic0 St. ENGINEERING SEWER DEPT. Signed _____ I Signed This is a fewer Permit When Properly Filled Out, Signed and Validaled Issued By PERMIT VALIDATION