HomeMy WebLinkAbout1150 PINE AVE; ; 71-245; Permit%%
PERMIT #
^ .PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA HAR 31-7
2
1
Applicant to complete numbered
JOB ADDR CSS
only.
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ATTACHED SHEET)
CONTRACTOR
MAIL ADDRESS
MAIL ADDRESS LICENSE NO.
ARCHITECT OR DESISNCR MAIL ADDRESS LICENSE NO.
ENOINECR MAIL ADDRESS LICENSE NO.
MAIL ADDRESS
USE or BU1LD1N0
8 Claaofwork: □ NEW □ ADDITION □ ALTERATION □ REPAIR
9 Describe work:
PERMIT FEES
No.Typa of Fixture or Item Fes
SPECIAL CONDITIONS:WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK ft DISP.
DISHWASHER
riON ACCEPTED BY:PLANS CHECKED BY:APPROVED FOR ISSUANCE BY;LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PEF/mIT 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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINQ THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOTTHE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
IISNATURE OP CONTHACTOR OR AUTHORIZED AOllKT
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING ft TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK ft PIT
PERMIT
SIBNATURt OF OWNER (IP OWRKR BVILQIR)(PATCl TOTAL FEE
cn
^1^
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
Form 1(X>.2 9-69
INSPECTOR
REORDER FROMI INTERNATIONAL CONFERENCE OF BUILDINO OFFICIALS • EG 80. LOl RO BL ES S PABADEHA, CALIFORNIA SIIOI