Loading...
HomeMy WebLinkAbout1755 VALLEY PL; ; 77-10593; PermitPLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 JOI ADDN ES5 I /JJ_t}_/Jh, LJ/ /7 <;'<::' L..,.-NO, --~ I LII" I mtT LEGAL I 1 ouco. OWN£." ~ fl-IP M; ;_0;; JJJ/u, A ti. PMONC 2 }#!--~-;<: COHT~CTO!lt • r -._. --~/je, • ,.4'"AtL .. ADD"CS5 V Pl-40N[. STATE LIC. NO. CITY LIC, NO . 3 LI Ll A ~/ni 11'1 2fA(j 7 <;:/_ f <.f -, ~ej ~ 1/91 t ~t./8.J..9{) II.SO:?.. •,.c."k,"Tft'T o• ~...,tll" .. / ~AIL AD .. A E5S -Pl10N E , LIC[N5[ NO. _,, 4 [NCilH[[" MAIL ADDA [SS PHONE LICENSE NO, 5 I COMPENSATION (NS, CA/cL-P~ M AIL AODlttSS 811tANCH 6 r· \. use Of' BUILDING I 7 8 Class of work : O NE¼ 0 ADDITION 0 ALTERATION ~IR 9 Describe work: Hu n-1/2\Ar-A . . / PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER K ITCHEN SINK & OISP. DISHWASHER APPLICATION ACCE~ PLANS CHE CKE O BY APPROVED ,:o~ ISSUANCE BY. LAUNDRY TRAY Y-3~ CLOTHES WASHER DATE WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION O R WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK MENCED. I GAS SYSTEMS, N O.OUTLETS "') / s" I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION A ND KNOW THE SAME T O BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF L AWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUT H O RITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW R EGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM . SEWER NUMBER CLEANOUTS 1---oLC ~IJJl~A~ CESSPOOL 1;;/?7/2-SEPTIC TANK&. PIT ROOF DRAINS -, -., ... ..,,,,,., YGNATl/ .. C Of' CONTRACTOR OR A UTHO,.IZ[O ~CNT ,,~ .,..../ , ISSUANCE FEE $ -''? J ~IGNATU .. I' 0,. OWNCfll II" OWNC.fll I UILDCR OAT£) TOTAL FEES $ (, Cl WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M .O. CASH INSPECTOR REQUEST FOR INSPECTION TIME _/ _O •_, ;>_6 __ I /, Inspector ......... J..7 .... , ............................. Permit No.·················-·········· Date J.).,.~_?..~.~ .. 1..7 Owner __ ~~.LL.'-""""-----~-'-==""--"""--------------,,---- Address .. MISCEL NEOUS ~ Insulation ................. O .................................. O ........ .... ... . .. . . ..... .... ... Plen ucts ....... □1 Drywall .................... O Gas .......................... □ Pool Bonding.......... ~·····~··) Fdn. Forms .............. O Water Heater ............ O Temp Pole ............. 10 ....... . Steel ........................ O Sewer ................ O ive ...... . Sheathing ................ O Undergrnd. Plbg ....... O Underground .. .... . Sign . 1,/···· 0 Lath .......................... O Undergrnd. Water .... Q Ceil Heat ............ D Wall. ··(J······· O Frame .... , ................. O Rough ...................... O Rough .................... O Fence ········-\--·········· O :::~ ·;~~···;~s·~~~~;~·n ~ F::~ .. ······;~~~:·.······~:., Fin~ur~:·.····~ O Grading •••••••••••••••••••• O ~ 0 "'r;'~·r:;:r.··-~----~~=--1L:M.a •• %~ Aequ~y ....... QA;k_ ... ~.O .. ~ ... ~.\.~ 6 1 ~ Phone number •.•..••.•.••••••• q=tr-q. ....... Yiq.\.t-......... Person Takihff Report: ···+··························· I 2-z J --7?