HomeMy WebLinkAbout156 CHERRY AVE; ; 72-1249; PermitPermit No.
PLUMBING PERMIT APPLICATION
' '/'/City of CARLSBAD, CALIFORNIA
Applicant to complete numbered sp'aces only.
JOB ADDR ESS ^ > jtr** . ..
LOT NO. BLK f TRACTLESAL (LJSEE ATTACHED SHEET)
1 DESCR.
OWNER .. 1 Jf\ I MAIL ADDRESS ZIP PHONE
7 f ^1 f^f^ U IWT|I/- s -~j<!* -• ''-''C"^/- ***' jf1/^V vl^rt S/ t,^f \e? \ t * » lv(^»^«' •oc*^'^ •*'••<?/& \J&y'/$>'if:Z£.£t&
CONTRACTOR , -s-*iw MAIL*ADDRESS RHONE LICENSE NO.
3 $jud&\/Son 1. Iticb^iA^JLii ^t-4i 5ik-fe • • "^(s^
ARCHITECT OH DESIGNER * . MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE ' LICENSE NO.5 „_.--------
LENDER . MAIL ADDRESS BRANCH
6
USE OF BUILDING
7 ,v • • - - . . . . -
8 Class of work: @NEW D ADDITION D ALTERATION D REPAIR
*9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY:
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.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION 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 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.
/
-• /^t' i ^^~~±^
SIGNATURE OF CONTRACTOR OR* AU THOR I Z ED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
.(.
p
3
%
•,-s
^\
«-,
Sj^*
s>
ft
) <-; O• a
' §D31
Flww
X
JA
V*
>l' rs
^
t >^
PERMIT FEES
No.
£<
To
^
fe
/1
m
1
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 ./JT^*,
GAS SYSTEMS: NO. OUTLETS (^*£— _)
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT $
TOTAL FEE $
Fee
$ ',
c?
t «'
$ v'" '
V/
1
/
f
/
/
- -~~>
.,-'
•// *
v'f*--*
/)^
j* f
V
V
^ <f
"^'}
" -^-ts
^
/ r'/
;> <-•
rfi ;
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT " ~
"DCD
3
^o
''""* .
v"
'"^^
•'V»?
v*--*,
^L,
Jf
•*f"*
#
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.