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?