HomeMy WebLinkAbout1307 PINE AVE; ; 77-617; Permit.... ^Jt-jr--»i».*.ia.mgm-.<»i H JH.I ^iiB.:i^^^<»iiMi«»ftr:^^..-^^»afMi^^B«K&r;aatofMl»MI""• •••>.;«=*•«*'••• '^.; .•.•':.• ' ^ $. . ' '^r^iJJIWBl
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to completfl Numbered spaces only. Phone 729-1181 Permit No.77~ £>/?
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1 DESCR.
OWNER
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LOT NO.
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ARCHITECT OR DESIGNER
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ENGINEER
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COMPENSATION (NS. CARRIER
6
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USE or BUILDING
7
8 Class of work: D NEW D ADDITION
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ADDRESS ZIP PHONE
ADDRESS PHOME STATE L1C. NO. CITY LIC. HO.
**..!—, -ADDRESS PHONE LICENSE NO.
ADDRESS PNONE LICENSE NO.
ADDRESS BRANCH
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J>«tTERATION ~D REPAIR
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SPECIAL CONDITIONS:
APPLICATION ACCEPTED BYr^ - ^^riU*J>.F.PLANSCHECKEO BY APPROVED FOR ISSUANCE BY
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK
TION AUTHORIZED IS NOT COMMENCED WITHIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABA
PERIOD OF 120 DAYS AT ANY TIME AFTER
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EAPPLICATION AND KNOW THE SAME TO BE TRUEALL PROVISIONS OF LAWS AND ORDINANCES GC
TYPE OF WORK WILL BE COMPLIED WITH WHETHEREIN OR NOT, THE GRANTING OF A PERfi
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LA
CONSTRUCTION OR THE PERFORMANCE OF C
SIGNATURE ir CONTRACTOR OR AUTHORIZED AGENT
5IGNATU «E OP OWNER nr OWNER BUILDER)
OR CONSTRUC-
20DAYS.OR IF
NJDONED FOR A
WORK IS COM-
XAMINED TH(SAND CORRECT.
HER SPECIFIED
R CANCEL THE
ONSTRUCTtON.
(DATE)
(DATE)
PERMIT FEES
No.
''f
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
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 NUMBER CLEANOUT^
CESSPOOL
SEPTIC TANK A PIT
ROOF DRAINS
ISSUANCE FEE $
TOTAL FEES $
FM
$
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
2-14-77 Underground Plumbing - No leaks all okay to proceed, has not tied into
sewer yet. Septic has not been filled. T. Mata.