HomeMy WebLinkAbout1310 Knowles Ave; ; 64-7759; PermitCITY OF CARLSBAD
BUILDING 'DEPARTMENT
729-1181 -£xt. 36
7759
F A t· t t Fil I or ,pp 1ca-n 0 I n
Nome ~LA Y-~ £€ t_ t2 Owner's
Mail Address /.$_/l'J ~~
Contractor ~
Contr. Address
To Const. 0 To Add)( To Alter 0 Convert 0
• Move From
c:T-4~ ,. Type of Const. ..
Frame, Masonry, etc.
~-To Be Used For , ,. '
Kind of Foundation ~ ... ---C, No. of Stories I '
Floor Space {Sq. Ft.) ~?, " I
Garage Floor Space (Sq. Ft.) Attached
Detached
Lego/ Description
Lot Block
Subdivision or
·-
Section Townsliip Rongo
No. of Existing Building
Will this construction include any plumbing installation or alter-
ation? Yes 0 No~
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPl,.ICATION
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 A S REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE A BOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE X OF PERMITTE
Appli<afion for BUILDING Perm ii
Building Permit Fee
NOV 12-64 5PAIO -cc1557******18.
Building Dept. Use Only
::;ld~::,A~'
/: .t!:-E I J; -
~ L AJ~
.,.
Set Back Bldg. Valuation .. .
Front P.L. ..2..() Main Bldg.
Side P.L. / 0 Garage
Rear P.L. ..2 (.> Other
Group .:r ~I Approved by
Contractor City Bus. Lie. No.
Water Meter I Sewage Disposal System
Inspection Record
-
'
Utility Company Notified -Dote
Final
By
If a check is tendered for payment for the above fee and the
check is not honored when presented for
building permit will be immediately revoked.
payment, your
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance,
00
CITY OF CARLSBAD SEWER
BUILDING DEPARTMENT PERMIT • APPLICATION
B I0-67 •"d' ffl******5U.00 -
FOR APPLICANT TO FILL IN
LEGAL ~ BUILDING )3)/()f:n~ DESCRIPTION LOT NO. ADDRESS
BLOCK TRACT NEAREST @0 ~ CROSS ST.
USE OF
BUILDINGS
rru_~~~IUC
OWNER~
CONTRACTOR I<,., ,d 'cf._ MAIL
ADDRESS
ADDRESS ~ I( 11..~ CITY Cli.J. -~ TEL. NO. ----CITY ('_ ~ TEL. NO. CONNECTION DATA I Lateral Charge Computation CONTRACTOR'S STATE CARLSBAD BUSINESS
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
PITS 0 $15.00 Total Construction Cost
OVERFLOW SEEPAGE PIT. ORAINFIELD EXTN.,
CESSPOOL, DRYWELL, MANHOLE O $15.00 I 0% Service Charge
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM • $1.150 Total Lateral Charge
CONNECT ADDITIONAL ISLDG. OR
WORK TO HOUSE SEWER • Sl.!10 Lot. No.: Logged in Plat:
ALTER. REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00 LINE COST DATA
0 • A. D. & Assmt. No.
-A L LINE COST:
' 51> l) j!__ ,53,V.E OWNER'S ' 2 oo ~ C. C. @-/--/dwelling I PERMIT
AUTHORIZATION TOTAL FEE b.--2 ?.1J P. S. @ __ I dwelling
I HAVE AT THIS DATE A CONTRACT WITH ~HE HEREIN\ OTHER ~
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD, TOTAL ,Sl), :::=.
ING TO THE PUBLIC SEWER. -:J}_ 0 clt1 4 J • Grand Total, Lateral, etc. SIGNED THIS DAY OF .,4_,,LJ
OWNER OR /L, 1 J-'"Y( • \
OWNER'S AGENT I a 6 h ~ . , . /J . .J ./ FOR SEWER LOCATION
ADDRESS I ~
I H EREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION ANO STATE THAT THE ABOVE IS CORRECT ... ..; A NO AGREE TO COMPLY WITH ALL CITY ORDINANCES AND V) V)
STATE LAWS REGULATING PLUMBING ANO SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED St. NORTH A NO/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OW NER OF THE ABOVE OESCR;iD RESIDENTIAL PROP. ENGINEERING SEWER DEPT.
ERTY. fl -:~ SIGNATURE Signed I Signed OF PERMITTEE ', A' ✓ ./7.(__ "-r I ._ ,.. I. /
This is a Sawer Permit When Properly FIiied Out, Signed and Validated
lnued By ------------------
PERMIT VALIDATION