HomeMy WebLinkAbout1120 CHESTNUT AVE; ; 71-720; PermitSEP-7-
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. ,
JOB ADDR ESS
1120 Chestnut Ave.
.LEGAL[DESCR.ATTACHED SHEET)
MAIL ADDRESS
Honda, Eiroshi 1120 Chestnut 729-3743
CONTRACTOR
Bob's Plumbing
MAIL ADDRESS
... 25P3L State-St».-
PHONE
729-2035
LICENSE NO.
21x^707
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
rfAIL ADDRESS LICENSE NO.
MAIL ADDRESS
USE OF BUILDIN G
8 Class of work: D NEW O ADDITION D ALTERATION D REPAIR
9 Describe work:water heater changeout
PERMIT FEES
No.Type of Fixture or Item Fee
SPECIAL CONDITIONS:WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
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
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 NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS 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
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
PERMIT
SIGNATURE OF OWNER (IF OWNER BUILDER)(DATE)TOTAL FEE $ 500
WHEN 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
INSPECTOR
REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • SO so. LOS ROBLES • PASADENA, CALIFORNIA 91101