HomeMy WebLinkAbout1319 Knowles Ave; ; SW669638_misc; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
FOR APPLICANT TO FILL IN
LEGAL DESCRIPTION LOT NO.
BLOCK
USE OF
BUILDINGS
TRACT
CONTRACTOR Brown & Snider Plumbins
ADDRESS 2691 State St.
c1TY Carlsbad TEL. NO. 729-4914
CONTRACTOR'S STATE
LICENSE NO. CARLSBAD BUSINESS
LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER O $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS O $!1.00
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN .•
CESSPOOL, DRYWELL, MANHOLE @ $!1.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM O $1.!10
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER @ SUIO
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ $2.00
• s
, 00
OWNER'S
AUTHORIZATION
I PERMIT S 2 00
TOTAL FEE S 00
I H AVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD-
ING TO THE PUBLIC SEWER.
S IGNED 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 W ITH 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 OF CARLS-
BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP-
ERTY.
SIGNATURE OF PERMITTEE
SEWER
PERMIT. APPLICATION
• n-66 !':!1 2"1S1•• .. •H5.00
~ (! o2l--&.~ f :ns:J -so,06
BUILDING
ADDREss 1319 Knowles
NEAREST
C ROSS ST.
owNER Dr. s. M. A.J.ter
MAIL
ADDREss 333 s. Lucerne Blvd.
C ITY T.,,.a A·ru .. at1 AS ~ TEL. NO.
CONNECTION DATA
Lateral Charge Computation
30' H .. 10' V. @ 4" = --b"=--
Add. Horiz. @ 4" = __ b"=--
Add. Vert. @ 4" -__ b"=---
Total Construction Cost
I 0% Service Chorge
Toto! Loteral Charge ____ _
Lot. No.: Logged in Plot:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: ____________ ---~
C. C. @ __ / dwelling SD §!!!a.
P. S. @ __ / dwelling _____________ _
OTHER
TOTAL
Grond Toto!, Loterol, etc.
FOR SEWER LOCATION
~----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed --------I Signed _______ _
This is I Sewer Permit When Properly FIiied Out, Signed and Validated
lnued By OJ.-d--Mh a, ,A,IMIZI, "el
PERMIT VALIDATION
0 G·-
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. Pe rmit No. 1c ~ _2 3l:J
JO& ADO" CSS
LCGAC I 1 otsc•.
2
OWNUI I ,. /
CrTlll:ACTOllt
3 ! J
' /..:.; /
ARCHITtCT OR 0£51GNE.JII
4
tNCINtCR
5
COMPENSATION (NS. CARRI ER
6
USE OF &UILDING
1
8 Class of work: 0 NEW
9 Describe work:
SPECIAL CONDITIONS:
0 ADD ITION
PLANS CHECKED BY
I TO ACT
MAIL AOOIIU.SS
1 > I '1 lth(J(o I rs
?IP PMONC
PHONE LICtNSE NO, STATE
,. 1 /?6
MAIL ADOlltESS PHONE LICtNSt NO.
PHO NC LICENSE NO,
MAIL ADOIIIESS &IIIANC>4
~ ALTERATION 0 REPA IR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN) -SHOWER
KITCHEN SINK & DISP.
DISHWASHER
.
$
CITY
Fee
I ,
APPROVED F0'1.ISSUAN7E BY LAUNDRY TRAY f-----4--'=-=-------------------+--+---I
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
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 AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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.
~/t.!)Y!(,~
, ... $1GNATUllt£ or CONTlll:AC:tON Ofll AU THOlllltED A.G[NT
S tGNATllllt[ o, OWNE.ft (I,. OWN[III 9U IL 0t.ft) (OAT CJ
I
,
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
GASSYSTEMS:NO.OUTLETS -'f-
WATER PIPING&. TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK&. PIT
ROOF DRAINS
PERMIT
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
J
INSPECTOR
/ .. l"JL,
$ / ...
$ '""'f ;, J LJ
CASH
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
3 ~/ 7,✓,; -~✓~ L:-,, v/ ~ {/tL;;,-J ;, / l.7~/
;
.
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.