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Home My WebLink About141 Hemlock Ave; ; 68-230; PermitCITY OF CARLSBA.• BUILDING DEPARTMi:.,. r 729-1 181 -Ext. 36 Applicatio I or BUILDING Permit Building Permit Fee / 5 4 ,S-0 Mail Addres& L-Ll~~_£_::U:2._:~_.__~~~~~~~ .... .::;:::._, ___ .;..;~;;,;,;,;.,;l~~~ii;,;:;;::;;~~W,lijE.&.l~LJ~.)Q Contrecto~ -- Contr. Address ________________ _ To Const. /4 Add 0 To Alter 0 Convert D To Move From __________________ _ Type of Const z~~ - Frame, Masonry, etc. t To Be Used For p--u,,-.(/!_ • ~ Kind of Foundatior ~ _.., No. of Stories _ __.&==--- Floor Spa co ( Sq. Ft.) ______ z.6..:..1.....,.5''---'<t-'O=----- Garage Floor Space (Sq. Ft.) Atlached, ____ _,, ___ _ Detachod__.7<-'2.__..(i>'---#--- /9 Legal Description Lot Subdivision @~-4 Section Townsl,ip F Blod or Range No. of Existing Building ______ _,_£__ ______ _ Will this constru¥n include eny plumbing instolletion or olter- otion? Yes~ No D Signoture of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY WITH ALL CITY ANO STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD ANO STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Set Bock Bid . Voluotio30. 0 t fJ{J Front P.L. Main Bid Side P.L. Garage Other -3 Approved Contractor City Bus. Lie. No. I Sew~ge Disposal lnspeclio~d 0 Sys+em Utility Company Notified -Date ______ By ____ _ Final I I a check is tendered for payment for the obove fee and the check is not honored when presented for payment, your SIGNATURE building permit will bo immediotely revoked. X OF PERMITTEE -----------------City of Carlsbad Building Dept. 1 ) ._ _____________ P:'."e•r•m".'it~vo~i~d""'.":'if•w•o•,':"'~~i•s •n•o•t •c•o•m•m•e•n•ce•d~w".'it'."."h':"'in~6~0•d':"'a•y•s•o~f~is•,u•a•n•ce•.--------------' 3 \3 CITY OF CAR SBAD BUILDING DEPARTMENT 729-1181 -Ext. 36 PERMIT NO. S~ J1 TOTAL FEE $ ~ee> Application for ELBl"l'RJIG!At~ft******K 1U SPAID 2 9 For Applicant to Fill In PERMIT FEES: Each Fee Item R ecpt. Sw. Lighting fixtures w ballast for each 10 $ 1.00 Elec. 2 I Ranges, Clothes Dryers. Water Heaters .50 a •1' l., ~) . ;z ~ Elec. Space Heaters Dishwashers. Garbage I Disposers. Auto. Washers. Sta. Cooking Units .50 IP.sc MOTORS: Per coch motor H.P. 0 to 1 $ .25 1 to 2 $ ,50 2 10 5 $ 1.00 5 to 15 $ 1.50 15 to 50 $ 2.50 50 to 200 $ 5.00 SIGNS: No. trans. Ea. $ 1.00 No. lamps over 50 ea. $ .50 SERVICE: 0 to 10.00 150 AMPS $ For each additional 100 Amps. $ 2.00 /1_,()0 Temp. Power Pole, 100 AMPS or LESS $ 3.00 :!.oo For Each add' I Meter. over one per service $ 3.00 ~ 01" MISC: SUPPLEMENTARY PERMIT FEE: S 2.00 TOTAL: 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 ELECTRICAL WIRING. I CERTIFY THAT I AM PROPERLY LICENSED BY THE CITY OF CARLSBAD AND THE STATE OF CALIFORNIA OR THAT ~:NMTl:~Ep~~;:~~T~WNER O~F THE ABOVE DESCRIBED RESI- SIGNATURE OF PERMITTEE: ---''6o-'il----------'--""---,~----- - Buil. b1~~Ure0n~34****** U. 0 BUILDING ADDRESS: I 4/ ;1,/,,,. 7# ~(? k A-uP , St. Near r' A ~J <J h e:::t...-c! B Ive/ OWNER: L ,A I 1) tl?Ta. Jj <' l>?-1. ADDRE SS, .P.a Ro y < < R"'Ch t/4 i al, CITY: ~ o?a, i rA.. t fo r Seo ff y ,E/ec+ TELEPHONE NO. , State C11y Business License License &tp R-~ Zone By lnspec11011 Record: Approvals Date By: Conclu11 Temp. Power Fixtures S.D. G. & E. FINAL: CITY Of CARlS8AD MAIL ADDRESS CITY PLUMBER ADDRESS CITY STATE CENSE NO. 7-o '6' 3 o c. , TEL. NO. CARLSBAD BUSINESS LICENSE NO. NO. ITEM FEE L,,J TOILET • $1.2!5 5 oO 1 BATH TUB • 1.2!5 ,::;. ,50 "2-SHOWER • 1.2!5 d-50 b WASH BASIN • 1.2!5 5 oD ~ KITCHEN SINK • 1.215 ..:J ~o 'L DISHWASHER • 1.215 ,,;i 5t> I LAUNDRY TUB OR TRAY 0 1.2!5 I DS-·, AUTOMATIC WASHER • 1.2!5 I k,.10- l WATER HEATER & VENT • 1.50 J ,:;-o J GAS SYSTEM I To I !5 J ' i"r"O .30 EA. ADD. • 1.!50 FLOOR DRAIN OR SINK 0 1.2!5 LAWN SPRINKLER • 2.00 MISC. WATER PIPING • 1.!50 'l-. GARBAGE DISPOSAL 0 1.00 ~ oO VACUUM BREAKER OR BACK FLOW DEVICES 1 TD !5 0 2.00 GRADING PLAN PERMIT s 2 00 YESQ NOQ TOTAL FEE s kP? 50 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 REGULATING PLUMBING. 1.IMING S-0 PERMIT -APPLICATIO~l'f - BUILDING ADDRESS NEAREST CROSS ST. GROUP MY28-6s ~p~~ 0s114••••••c~.->U I ZONE Inspection Record APPROVALS DATE INSPECTOR•S SIGNATURE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED NAL VALIDATION This • a Plumbing Permit When Properly Filled Out, Signed end Velideted. Pe it void if work is not commenced within 60 deys of date of issuance. CITY -or CARLSBAD BUILDING DEPA~TMENT ~/~J ~ti.pL·{,.,{ f ,:~L1, iCA.~ oo / o-.... __ -"2' / 4 (.,.""' /JJ ~-·1 (). Y./?(5 -,, J ,-.>" PERMIT. APPLICATION SPAID MY 28-68 -cc5717* *** * **).UU .-------------------------· LEGAL DESCRIPTION BLOCK USE OF BUILDINGS CONTRACTOR ADDRESS FOR APPLICANT TO FILL IN CONTRACTOR·s STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBL IC SEWER • $3.00 3 SEPTIC TANK, SEEPAGE PIT OR PITS 0 $15.00 OVERFLOW SEEPAGE PIT, DRAINP'IELD EXTN., CESSPOOL. DRYWELL. MANHOLE O $1S.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 0 $1.150 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER • SI.ISO ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM 0 $2.00 • s OWNER'S PERMIT • 2 AUTHORIZATION I TOTAL FEE ~(') 00 0 I HAVE 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 AC KNOWLEDGE THAT I HAVE READ THIS A PPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLU NG AND SEWERS. I HEREBY CERTIFY THAT M ROPERLY REGISTERED A ND/OR LICENSED AS REQ E Y THE CITY OF CARLS-BAD AND STATE CALIF NI OR THAT I AM THE LEGAL OWNER OF THE ~1Qlat£..,Qi;Sjllllt~ED RESIDENTIAL PROP. ERTY. SIGNATURE OF PERMI OWNER MAIL ADDRESS CITY TEL. NO. CONNECTION DATA Lateral Charge Computation @ 4"=~6"=--115.oo JO' H., 10' V. Add. Horiz. Add. Vert. @ 4" @ 4" --6" = ------- --6" = ------- Totol Construction Cost ____ _ 10% Service Chorge I S .£.o Totol Loterol Chorge 12~.50 Lot. No.: Logged in Plot: LINE COST DATA /\. D. & Assmt. No. '5 -1 9':, ~ LINE COST: --<BL-. C. @~ / dwelling --•Ar--=---- P. S. @ __ /dwelling ________ ---=--- OTHER -------------+----- Grond Totol, Loterol, e FOR SEWER LOCATION ~----------------1~ St. NORTH ENGINEERING SEWER DEPT. d ---------Signed ________ _ and Validated ued By _________________ _ PERMIT VALIDATION CITr O CARLSBAD BUILDING DEPARTMENT FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO. BLOCK TRACT USE OF BUILDINGS CONTRACTOR ADDRESS C ITY TEL. NO. CONTRACTOR'S STATE LICENSE NO. CARLSBAD BUSINESS LICENSE NO. NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER • $3.00 SEPTIC TANK, SEEPAGE PIT OR PITS 0 $!5.00 OVERFLOW SEEPAGE PIT, DRAINP'IELD EXTN., CESSPOOL, DRYWELL, MANHOLE O $!5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM • St.!50 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER • Sl.!50 ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM O $2.00 • s OWNER'S I PERMIT s ~ AUTHORIZATION TOTAL FEE 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 -----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 ANO SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE C ITY OF CARLS- BAD ANO STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP. ERTY. S IGNATURE OF PERMITTEE ----------------- ' SEWER PERMIT • APPLICATION BUILDING ADDRESS NEAREST CROSS ST. OWNER MAIL ADDRESS CITY TEL. NO. CONNECTION DATA Lateral Charge Computation 30' H., 10' V. @ 4" = ___ 6" ---- Add. Horiz. @ 4" = ___ 6" ---- Add. Vert. @ 4" = ___ 6" ---- Totol Construction Cost 10% Service Chorge Totol Loterol Chorge ____ _ Lot. No.: Logged in Plot: LINE COST DATA A. D. & Assmt. No.---------------- LINE COST: _______________ _ C. C. @ ___ / dwelling ____________ _ P. 5. @ __ / dwelling _____________ _ OTH ER TOTAL Grond T otol, Loteral, etc. FOR SEWER LOCATION ~,-----------------1~ St. ENGINEERING SEWER DEPT. NORTH Signed ________ _ Signed ________ _ This 11 • Sewer Permit When Properly FIiied Out, Signed and Validated Issued By __________________ _ PERMIT VALIDATION