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HomeMy WebLinkAbout131 Hemlock St; ; 65-8350; PermitCITY OF CARLSBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 82 50 For A licant to Fill In Owner's Nome\Stc.rcR. E. PAn,tS Moil Addre«3 </'{/ S&ac-6T Dfl. Controctc-r Kttrn Ml (Vl>p s ,t2D( ocv (b /p '- Contr. Address~k) ELA1 /Jt,11:- To Const.~ To Add • To Alter 0 Convert D Jo Move From _________________ _ Type of Const. n2.ittnlf' -.:5 TµC. CO Frome, Mosonry, etc. To Be Used For 'I l) A.) IT ///JrrllT/11 F~ /- Kind of Foundotio~O!:tJ2w/4'0£1/ No. of Storie._2.. ____ _ Floor Spoce ( Sq. Ft.) --"3"'-'-'g'--,i"'-'-g_.,__ ________ _ t,q7 Goroge Floor Spoce (Sq. Ft.) Attoched Dotoche Legol Description Zo F· Lot Block Subdivision PA L) 5 {tOFS or Section Township Ronge No. of Existing Building ~.(4,.-10;.!A.,t.:..,11;_:=-_________ _ Will this conti!J,clion include ony plumbing instollotion or alter• otion? Yes ~ No D I Signoture of Applicont I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD A ND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE ---------------- Application for BUILDING Permit Set Bock Front P.L. Moin Bldg. Side P.L. Goroge Reor P.L. Other Zone ~..3 . Approved by Controctor City Bus. Lie. No. ____________ _ W;ter Meter / ji tf ~ /_'I-\ ,, Sewoge Disposol Sysfom '1$, 'IS-- Utility Compony Notified -Delo, _____ _ By, ____ _ Finol If o check is tendered for poyment for tho above fee end the chock is not honored when presented for payment, your building permit will be immediotely revoked. C ity of Corlsbad Building Dept. Permit void if work is not commenced within 60 days of issuance. CITY OF CARLSBAD BUILDING DEPARTMENT FOR APPLICANT TO FILL IN LEGAL Ao DESCRIPTION LOT NO ~ ~ BLOCK F TRACT USE OF BUILDINGS CITY , TEL. NO. CONTRACTOR'S STATE LICENSE NO. CARLSBAD BUSINltA LICENSE NO. NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER O 13.00 SEPTIC TANK, SEEPAGE PIT OR PITS 0 SIS.00 OVEflFLOW SEEPAGE PIT. DRAINP'l&LD EXTN., CESSPOOL, DRYWELL, MANHOLE O SIS.00 HOUSE SEWER CONNECTING TO PRIVATE D ISPOSAL SYSTEM 0 SI.ISO CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER O Sl.!50 ALTER, REPAIR OR ABANDON HOUSE SEWER OR D ISPOSAL SYSTEM O $2.00 • • OWNER'S PERMIT • 2 AUTHORIZATION I TOTAL P'll:11: 00 I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD· IN G 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. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OP' CARLS- BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP. ERTY. SIGNATURE OF PERMITTEE ---------------- BUILDING ADDRESS NEAREST CROSS ST. OWNER MAIL ADDRESS CITY SEWER PERMIT. APPLICATION .ut-8-65 !'~~0 3902***** 126.~0 n-8-65 ~~3903*****200.0U CONNECTION DATA Lateral Charge Computation 30' H., 10' V. @ 4" = __ b"=-- Add. Horiz. @ 4" = __ b"=-- Add. Vert. @ 4" = --b"=-- Total Construction Cost 10% Service Charge Lat. No.: Logged in Plat: LINE COST DATA A. 0. & Assmt. No. ___,5..__-_/_9_'.5-...;_;;;~------- LINE CO}J: -y-j C. C. #ff CJ/ dwelling _4~c_f.J~, ___ '9..., eoO, P. S. @ __ / dwelling _____________ _ OTHER ------------1.;1-• --- TOTAL e_.oQ,0 Grand Total, Lateral, etc~ :3Z6 • FOR SEWER LOCATION ~1---------------~~ St. NORTH ENGINEERING SEWER DEPT. Signed --------Signed ________ _ This 11 a Sawer Permit When Properly Filled Out, Signed and Velldated luuad By ------------------ PERMIT VALIDATION CITY OF WWBAD BUILDING DEPARTMENT FOR APPLICANT TO FILL IN ao TEL. NO. 7,,;J2-Llxfl CONTRACTOR'S STATE LICENSE NO. CARLSBAD BUSINE&a LICENSE NO. ~IJ"t/~'f-&,o~I NO. DESCRIPTION OF WORK FEE I HOUSE SEWER CONNECTING TO :? PUBLIC SEWER • $3.00 SEPTIC TANK, SEEPAGE PIT OR -PITS 0 $11.00 OVERFLOW SEEPAGE PIT, DRAINl'lllLD EXTN., CESSPOOL, DRYWELL, MANHOLE O $11.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 0 $1.110 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER O $USO ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM O $2.00 • • OWNER'S I PERMIT s 2 AUTHORIZATION TOTAL P'IUE 5 _Sf)_ 00 00 I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER. SIGNED THIS -----DAV 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. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED S REQUIRED BY THE CITY OF CARL&. BAD AND STATE O L I FORN OR THAT I AM THE LEGAL OWNER OF THE B VE DE IBED RESIDENTIAL PROP. ERTY. SIGNATURE OF PERM ITTEE SEWER PERMIT· APPLICATION JUN 30·65 ~P~~ 0 Slf71*******5.00 TEL. NO. -~II CONNECTION DATA Lateral Charge Computation 30' H., 10' V. @ 4" = __ 6"=-- Add. Horiz. @ 4" = __ 6"=-- Add. Vert. @ 4" = __ 6"=-- Tote( Construction Cost 10% Service Charge Tote! Lateral Charge ____ _ Let. No.: Logged in Plet: LINE COST DATA A. D. & Assmt. No. _______________ _ LINE COST: ________________ _ C. C. @ __ / dwelling _____________ _ P. S. @ __ / dwelling ____________ _ OTHER --------------____ _ TOTAL Grand T otel, Le+erel, etc. FOR SEWER LOCATION ~1----------------1~ St. NORTH ENGINEERING SEWER DEPT. Signed _______ _ Signed ________ _ This is • Sewer Permit When Properly Filled Out, Signed end Yelldeted Issued By ------------------ PERMIT VALIDATION