HomeMy WebLinkAbout236 Olive Ave; ; 71-308; Permit2 PLUMBING PERMIT APPLICATl@Mr1 ~~:~0 1216**,,-~,.-~ oo 71-3 0 3' City of CARLSBAD, CALIFORNIA -~ r,~ i ..
Applicant to complete numoer:_ed spaces only. ~
•
.,...:....,:.,,'="""=-=-==-'---___,,.........,....._:... _ _____;_ __________________ ~~ ~. ~
JOBA~h ~:,,:; f '::
1 ~~!~~-1 LOT NO. --I BLK ----1! TIIACT -QsEE ATTACHED SHEET) ~ ~
t-2--:-o:?~~=--,~'--------i-l -,-(~~K-.....,1n,--n--/-/:----:,..c:-~-:-,1c:-L._A.,.,D:-'.:D,.:,",.:,Eccsccs----------,,,.zc-:1P=------------=-PH--:o:-N-:E---------t
3
COVCTOPI MAIL ADDRESS PHONE. LICENS£ NO. «_)\
ARCHITECT OA DE~ I+ . MAIL ADD•us PHONE LICENSE NO. t . Q,
:~ ~ ' Mm m•m "''"' c,mo< ,0 ~ ~
MAIL AOD,.ESS B,.ANCH NL~\
4
ENGINEER
5
LENDEPI
6
7
USE 0~ BUILDIN~
8 Class of work: □NEW 0 ADDITION 0 ALTERATION
9 Describe work: ~ /)--' //) _,,~ l'"",J
r ' I
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY, PLANS CHECKED BYr APPROVED FOR ISSUANCE BYr
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 EX AMINED THIS APPLICATIO N AND KNOW THE SAME T O BE TRUE AND CO RRECT. ALL PROVISIONS OF LAWS AND O RDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRA NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CO NSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
u
No.
I
PAIR
PERMIT FEES
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GASSYSTEMS:NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT
✓SVGN;t.TUJIU.'OP' 'PTlAfNa. (I ,-OWNER BUIL-nsA) DATE) TOTAL FEE
I WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
l"LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O.
INSPECTOR
Fee
$
CASH
Form 100.2 9-69 RtOlll:DEllt rl\OM: IN TERNATIONAL C ONFE REN CE OF BUILD ING OFF ICI ALS e eo !!10. LOS ROBLES e PASADENA, CAL"'ORNIA 01 101
CITY OF CAIWBAD
BUILDING DEPARTMENT
LEGAL
DESCRIPTION
BLOCK
USE OF
BUILDINGS
CONTRACTOR
ADDRESS
CITY
FOR APPLICANT TO FILL IN
LOT NO. z
CONTRACTOR'S STATE
LICENSE NO.
CARLSBAD BUSINE&a LICENSE NO.
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER • S3.00 A
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 ,11.00
OVERFLOW SEEPAGE PIT, ORA.INFIELD EXTN.,
CESSPOOL, DRYWELL, MANHOLE • 1!5,00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 0 suso
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER • SI.ISO
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM O $2.00
• •
OWNER'S PERMIT s 2
AUTHORIZATION TOTAL P'IEE
r<'
00
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOV~E D SCRIBED BUILD,
ING TO THE PUBLIC SEWER, ~ /•t, S'
SIGNED THIS 4' '1 DAY OF -,.,'------<--....c...-'-
OWNER OR OWNER'S AGENT----------------
ADDRESS
I HEREBY ACKNOWLEDGE THAT I !iAVE READ THIS
APPLICATION AND STATE THAT THE A8OVE IS CORRECT
AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND
STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROP RLY REGISTERED
AND/OR LICENSED AS REQUIRED BY T CITY OF CARLS-
BAD AND STATE OF CALIF. NIA O T I GAL
OWNER OF THE ABOVE ESCRI IAL PROP.
ERTY.
SIGNATURE
OF PERMITTE:J;,,,,,p~F,llie:1,,<'--..,...-bf::.""'ff;,<.J,l~:C.....----
SEWER
PERMIT • APPLICATION
• !9-68 !":!02908**** **)U.uU
• 19-68 !"::02901•••• •••5.uO
BUILDING
ADDRESS
NEAREST
CROSS ST.
OWNER
MAIL
ADDRESS
CITY ~
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ 4" = __ 6"=--
Add. Horiz. @ 4" = __ 6"=--
Add. Vert. @ 4" __ 6"=--
Total Construction Cost
10% Service Charge
Total Lateral Charge ____ _
Lat. No.: Logged in Plat:
LINE COST DATA
A. D. & Assmt. No. _______________ _
LINE COST: ________________ _
C. C. ®-+ / dwelling _______ .$/? ~
P. S. @ __ / dwelling _____________ _
OTHER-------------------
TOTAL
Grand Total, Lateral, etc.
FOR SEWER LOCATION
~----------------1~
St.
ENGINEERING SEWER DEPT.
NORTH
Signed ---------Signed ________ _
Properly FIiied Out, Signed and Validated
luued By _________________ _
PERMIT VALIDATION