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HomeMy WebLinkAbout159 SEQUOIA AVE; ; 76-2235; PermitPLUMBING PERMIT APPLICATION s City of CARLSBAD, CALIFORNIA 92008 . ·" ~5 Applicant to complete numbered spaces only Phone 729-1181 Permit No " ~ 713• ·~· 4 12.:.0 ?t-o-J.-2..3'..,J-:- JOB A.00111 C$S /.5 2 CCOAL l 1 ouc•. LOT NO ... l TSACT OWNEIII MAIL A.00111ESS %IP PHONC 2 .,J , , 1c 111 1 r. , ,) I I ... I ,, I I CON TIIIACTOIII MAIL A0011t£5$ PHONE STATE LIC, NO, 3 l ' AIIICHIT[CT 0111 OE.SIGN[l'I MAIL AOOIIIC5S 4 CNGIN[tlll MAIL AOOIII CSS 5 COMPENSATION (NS. CARRIER MAIL A OOJllllt SS 6 USE or BUILDING 7 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 9 Describe work : SPECIAL CONDITIONS: APPLICATION ACCEPTED ev PLANS CHECt<EO BY APPROVE O FOR ISSUANCE ev ,. / /')/ -DATE -NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 Bf TRUE A N D CORRECT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WH ETHER 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. " I .,, . 51GNATUIIIC or CONTIIIACTOfll OR AUTHOIIIIZ.ED AGENT (DATE ) SIC.NATUfllt 0,-0 W"4[,_ 1,-OWNC.111 IIUILOCR) OAT C) PHONIE LICENSE NO, PHONE L ICENSE N O, ltltANCH 0 REPA IR PERMIT FEES No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. D ISHWASHER LAU NDRY T RAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK GAS SYSTEMS: NO.OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VA CUUM BREAKERS LAWN SPRINKLER SYSTEM ) SEWER NUMBER CLEAN0UTS CESSPOOL SEPTIC TANK & PIT ROOF DRAINS ISSUANCE FEE TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE} THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M .O. INSPECTOR CITY LIC, NO, /l"'t,)-G, 7 . Fee s j ('' $ ,1:.:J. :..,--~ CASH '7& ... ..2d-'3~- INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR ..___ - USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 7-19-76 Good sewer hookup has been done. Left notice to call ns when septic tank has been filled. T. Mata APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM CITY OF CARLSBAD ENGINEERING DEPARTMENT 729-1181 EXT. 35 FOR APPLICANT TO FI LL IN BUILDING ADDRESS /59 ~uo1r:\ OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUILDING LEGAL DESCRIPTION REMARKS: j. \ EXISTING BUILDING L ,, t1 I.,-t I (- LATERAL LOCATION ST. X LATERAL NO. _______ INSTALLATION DATE----------1 2 BUILDING DEPT. ISSUED BY ___ __;___c._ __ ::....::....c..:_-=... ______ _ DATE ISSUED __ _c__...=_--=.-=-:.. ________ _ VALIDATION LATERAL CHARGE COMPUTATION OVER 30' H. @ FT. _________ _ OVER 10' V. ___ @ ___ FT. _________ _ STANDARD 6" (Max. H. 30', V . 10'l---------:---- OVER 30' H . ___ @,~ ___ FT----------- OVER 10' V. @ FT.---------- TOTAL CONSTRUCTION COST------'---=--.,--- SERVICE CHARGE (REPAVING ETC.) _____ _...:.----,--,- TOTAL LATERAL CHARGE------'-------'~-- LINE COST DATA ASSESSMENT DIST. NO.-------'-------- FRONTAGE ____ COST PER FT. ___ TOTAL __ _ OTHER ___________________ _ CONNECTION FEE NO. UNITS--i-_COST PER UNIT_c_ __ TOTAL--- PUMP STATION FEES NO. UNITS ___ COST PER UNIT ____ TOTAL---