HomeMy WebLinkAbout1581 Jeanne Pl; ; 72-794; PermitPermit~-7'7
MBING PERMIT APPLICATION.,·
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
Jo••:;~/?/ Q .. f-/ .-e.... 0 C -U ,,,..._ • om z •ea , m ;i,,~
LOT HO. V I"" I TIIIACT 10s1u ATTACHED SHlllT) ~ 8z LEGAL I 1 DESCIII:. "" m
OW•~;, MAIL ADDltESS ,,. PHONE '-ii 2 /' " _ f'1 MA.J->t '1 ~ ~o• N( 7, ADDlll:ESS PHOHlt LICENSE HO.
,,,,~ ---.,, ,· ½--' ~ -,~ ·~
AIIICHITEC:T 0111 DESIGNEJI: MA1LACYS PHONE LICENSE NO, ~ ' 4 --~-I" '\ ENGINEEIII MAIL ADDllll!SS PHONE LICENSE HO, .# 5 ·~ '\
LENOEIII MAIL ADDlll:£5S IIIIIANCH ,.. ~-K: 6 -· ~
USE Ofl" BUILDING _?,,' .,,..,:,,../
7 r==s::.. ,, . .t:<, ~f~A 1,
'8 Class of work: □NEW p,,ttr15ir10 N □ ALTERATION □ REPAIR ..
9 Describe work: --< ~ <
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
/1 /"/ DISHWASHER APPLOCATION;ay PLAN-;ra APPROVED FOR BY LAUNDRY TRAY
~ CLOTHES WASHER
< ! / WATER HEATER I ~ '" NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR--SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. / GASSYSTEMS:NO.OUTLETS ,I I<""' I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VA,CUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
'
rJiJ( ll ,,11 /1z,, CESSPOOL
SEPTIC TANK & PIT ,-1./
SIG ATU OP' CO'l'ITIIACTOII 01'1 AUTHOIIIZll:0 AG!:H.T y>ATE)
PERMIT $ ? .. ~
•!GN-"T"1'1:"' 01" OWNl:111 'II" OWNEII. ■UILDEIII DAT£) TOTAL FEE $ L. I-., (.-
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O, CASH
INSPECTOR