HomeMy WebLinkAbout1065 CARLSBAD VILLAGE DR; ; 74-342; PermitPermit No
Applicant to complete numbered spaces only
LUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
JOB ADDR ESS
(QSEE ATTACHED SHEET)D
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MMV. ADDRESS
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CONTRACTOR
3 ", /-/1 - / ^
WAIL ADDRESS LICENSE MO
ARCHITECT OR DE5ISNEB MAIL AOOHE3S LICENSE NO
ENGINEER
5 /"
MAIL ADDRESS UICENSE NO
LENDER
6 /
MAIL ADDRESS
A
USE OF BUILDING
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8 Class oi voork " Q NEW (2'ADDITION D ALTERATION D REPAIR
9 Describe work
PERMIT FEES
No Type of Fixture or Item Fee
SPECIAL CONPITIONS WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCENTED BV PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AMD VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IFCONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL 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 REGULATING
CONSTRUCTION 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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
PERMIT
SIGNATURE OF OWNER (IF OWNER OUILDEB)TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM
'
REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC