HomeMy WebLinkAbout1265 Forest Ave; ; 71-446_misc; Permit, . AJN~::0109J*Z•*8.
PLUMBING PERMIT APPLICATION 7 / -I It I/_ City of CARLSBAD, CALIFORNIA
Applicant to complete num';;t;;;/;,}f;;;, only.
JOII ADDA ESS
i • " •
• • > 0 0 • " • •
LEGAL I LOT NO. I UK I TII.ACT 10sE£ ATTACHr:o SHIEET) -~ 1 DESCft,
2 ow"• Y1 /) ~ J /V , f.-7.J/~!i ,.... cit-I v-T '" Pao" <:)
~3~,-o-N_T_ft_A<.,C.T~o•;/:;:~~J;;.!'::::'t. /~£,;:Af:1/J~'
1
'--~{__)'.!...~/_:.:.J.J..~M~•=,,::l,,»~o-•-•-•-•~~!:::'.~:'.:..--,(.!:.:::::J:..~-,-,-0-,~.~~~~~~~~-,-,~,,-.-.-,-,-0~.~~~~~..jr.±.-y--l,\)'\~
l--~~-===-=-~"="::::::~~:..!..!=:~'.l..--'~~~~~~-M7A-,,--=-,o~o-•-,~.-.~~~~~~~~~~-,~,~o-,~,~~~~~~~~-,7,,~,~.-.-,-.-o~.~~~~~-j~ ~~ ARCHITECT OR DESIGNER
4
ENGINEER MAIL ADDRESS i"'HONE LICENSE NO, ~-£ 5
LENO Ell MAIL ADDRESS IIIIIANCH
6
USE OF BUILDING
7
8 Class of work: ONEW 0 ADDITION 0 ALTERATION D REPAIR
9 Describe work:
7
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP,
• DISHWASHER
APPLICATION ~OBY: PLANS CHECKED BY: APPROVEDko~ iANCEBY:1---+--'LA:CCU_N_D_R_V_T_R_A_V ______________ .._ _ _, _ __,
/ ,.-I V CLOTHES WASHER
(. , ~ WATER HEATER
NOTICE
THIS PERMIT Bl COMES NULL AND VOID IF WORK OR CONS~RUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
(DAT£)
URINAL
DRINKING FOUNTAIN
FLOOR--S·INK OR CRAIN
SLOP SINK
GASSVSTEMS:NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
I -"""4WN SPRINKLER SYSTEM
'\:..I !---'§EWER
I CESSPOOL.
{ SEPTIC TANK & PIT
PERMIT
SIGN ~ OP' OWNE DATE} TOTAL FEE
Tl WHEN PROPERLY VALIDATED CIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
$ .""< I,::;,-,
$ <2 1,::.,..~
CASH
···--~··••, ..... ,,., ,.,,,,..,.,..,.g ....... (> ... ni::-AlllLnlNG OF"F"ICIALS. ~o so. LOS ftOBL£5 • PASADENA, CALIP'ORNIA 91101
CITY OF CARLSBt ~ SEWER
BUILDING DEPARTMENT PERMIT. APPLICATION
FOR APPLICANT TO FILL IN
LEGAL B UILDING DESCRIPTIO N L OT N O. ADDRESS
BLOCK TRACT NEAREST
CROSS ST.
USE OF
BUILDINGS OWNER
MAIL CONTRACTOR ADDRESS
ADDRESS CITY TEL. N O.
C ITY 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 -----S EPTIC TANK, SEEPAGE PIT OR
PITS @ $!5.00 Total Construction Cost -OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN ..
CESSPOOL , DRYWELL, MANHOLE @ $!5.00 10'7'0 Service Charge
HOUSE SEWER CONNECTING TO Totol La teral Charge PRIVATE DISPOSAL SYSTEM @ $1.50 --CONNECT A DDITIONAL BLDG. OR Lat. No.: Logged in Plat: WORK TO HOUSE SEWER @ $1.50
ALTER. REPAIR OR ABANDON HOUSE LINE COST DATA SEWER OR DI SPOSAL SYSTEM @ $2.00 --
@ $ A. D. & Assmt. No.
LINE COST: -
I $ 2 00 C. C. @ __ / dwell ing OWNER'S PERMIT
AUTHORIZATION TOTAL FEE P. S. @ __ / dwelling
I HAVE AT THIS DATE A CONTRACT WITH TH E HEREIN OTHER
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-TOTAL ING TO THE PUBLIC SEWER.
SIGNED T HIS
OWNER OR
DAY OF Grand Total, Loteral, etc.
OW NER'S AGENT FOR SEWER LOCATION
ADDRES S
I HEREBY AC KNOWLEDG E THAT I HAVE READ THIS
A PPLIC ATION AND STATE THAT THE ABOVE IS CORRECT ..; .... AND AGREE TO COMPLY WITH ALL C ITY ORDINANCES AND V, V, STATE LAWS REGULATING PLUMBIN G A N D SEWERS.
I HER EBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY T HE CITY OF CARLS-
BAD AND STATE OF C ALIFORNIA OR THAT I AM THE LEGAL
St.
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP-ENGINEERING SEWER DEPT. ERTY.
SIGNATURE
OF PERM ITTEE Signed I Signed
This is a Sewer Permit When Properly Filled Out, Signed and Validated
Issued By ---------·-----------
PERMIT VALIDATION
NORTH
.
0 • • • • : 11-f '>J City of CARLSBAD, CALIFORNIA " > • 0 0 • " Applicant to complete numbered spaces only. • •
MECHANICAL PERMIT APPLICATION 4
JOB ADDI! ESS
126'i Fo· -• ,~-1 .J .,,I
LOT NO. "' I TIIIACT (QsEE ATTACMEO SHEET) Ll'.GAL I 1 DE.Sell.
OWN£1t MAIL ADDRESS "' PHONE
2 ftJJC..& llhrA. q«JJr.g,e {{J.ll 1265 FoAAed 92008 729-180)
CONT11ACT0111 MAIL •ooRESS PHONE LICENSE NO.
3 Roa.eM Sl,.uz. /tJe:f.a,l 190JA. IV.V.ltd:a VI®, Vi.da, Ca. 7 2'1-0 21//; 2695
ARCHITECT 0111 DE51GNEIII MA1L ADOltESS PHONE LICENSE NO.
4
ENCINEEl'I. MAIL ADO"ESS PHONE LICENSE NO,
5
LENDEIII MAIL "DDltESS BRANCH
6
USE OF BUILDING
7 0 ti,:-
8 Class of work: KJ NEW D ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 100, (J()()/fl{l ( F.A.ll. & Vent )
Type of Fuel: Oil D Nat. Gas ~ LPG. 0
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Units-H.P. Ea. $
Refrigeration Units-H.P. Ea.
Boilers-H .P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
Forced Air Systems-B.T.U. M Ea. 4-IJ
APPLICATION ACCEPTED SY· PLANS CHECKED BY. APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. MEa.
Floor Furnaces-8.T .U. M
Wall HeatBrs-B.T .U. M
NOTICE Unit HeatBrs-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
l$; dj,t .~ • 9'h-h1 , _,, )
,I SIGNATURE o.-CVCTOfl Ofl AUTHOfllZED AGENT (DA,~)
PERMIT $ 1. IU
., T"llt"" o.-OW " 1.-OWNEllt BUILDER DATE) TOTAL FEE $ 7 l()
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
INSPECTOR
···---•••...-,,....,._, ""'"'"'""""Rle:r,,&CE OF BU1l.01NG OFFICIALS e ~0 90, LOS ROBLES e PASADENA, CALIFORNIA 91101