HomeMy WebLinkAbout1065 CARLSBAD VILLAGE DR; ; 70-412; PermitPLUMBING PERMIT APPLICATION
PERMIT #-?/) -<£/> City of CARLSBAD, CALIFORNIA $ —
~*~^ - ~ V yMApplicant to complete numbered spaces only _ / /- cc
2
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JOB ADDfl ESS
(I JSEE ATTACHED SHEET)
MAIL ADDRESS
CONTRACTOR /MAIL ADDRESS LICENSE NO
LICENSE NO
ENGINEER MAIL ADDRESS LICENSE NO
MAIL ADDRESS
USE OF BUI LDING
8 Classofwork D NEW DADDITION ^ALTERATION D REPAIR
9 Describe work
PERMIT FEES
Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
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 EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER 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 REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT
S1CNATURE OF OWNER (IF OWNER BUILOER)TOTAL FEE zWHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
\ Form 100 2 9-69
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INSPECTOR
REORDER FHOM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 tNIA 91101