HomeMy WebLinkAbout1320 CHINQUAPIN AVE; ; 70-454; PermitPERMIT #-?&
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA Jt»io-70
2
Applicant to complete numbered spaces only
JOB ADDR ESS
. LEGAL
[DESCR 7 CZ3SEE ATTACHED SHEET)
CONTRACTOR MAIL ADDRESS LICENSE NO
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO
ENGINEER MAIL ADDRESS LICENSE NO
MAIL ADDRESSESS^
/,
USE OF BUILDING
8 Class of work [NEW n ADDITION n ALTERATION n REPAIR
U
S3
a
PERMIT FEES
No 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 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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT THE GRANTING OF A PERMIT DOES NOTPRESUME 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
SIGNJ-tURE OF OWNERJIF OWNER BUILDER)TOTAL FEE DO
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH
Form 100 2 9 69
INSPECTOR
REORDER FROM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 SO LIFORNIA 91101