HomeMy WebLinkAbout165 SYCAMORE AVE; ; 78-4355; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. PnOne 729-1181 Permit No.
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COMPENSATION fNS. CARRIER6 ,- ,, -/ :c FUSE or BU ILOINC f
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ADDITION
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ADORESS PHONE "" STATE LIC. NO. CITY LIC. NO.
AODRCSS PHONE . LICENSE NO.
ADDRESS PHONE LICENSE NO.
ADDRESS BRANCH
D ALTERATION ^REPAIR
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SPECIAL CONDITIONS:
APPLICATION ACCEPTER BY
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CKED BY APPROVED FOR ISSUANCE 8Y .
DATE
1 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 AFTERMENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EAPPLICATION AND KNOW THE SAME TO BK TRUE
ALL PROVISIONS OF LAWS AND ORDINANCES GCTYPE OF WORK WILL BE COMPLIED WITH WHET
HEREIN OR NOT, THE GRANTING OF A PERfs
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LA
CONSTRUCTION OR THE PERFORMANCE OF C
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SICNATJR.S OF CONTRACTOR O>- *L TKORT71
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SIGNATURE OF OWNEB (IF
?TrTSENT
OVVNEK BU ILDERI
WHEN PROPERLY
ORCONSTHUC-
20 DAYS, OR IF
SJDONED FOR A
WORK IS COM-
XAMINED THISAND CORRECT.
VERNING THISHER SPECIFIED
<1IT DOES NOT
3 CANCEL THE
N REGULATING
ONSTRUCTION.
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(DATE)
PERMIT FEES
No.
/
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH GASIN)
SHOWER
KITCHEN SINK & OISP.
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 CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE S
TOTAL FEES $
Fee
$
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VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
REQUEST FORINSPECTION
INSPECTOR.
OWN ER.' /rr PERMIT NO..
TIME:
DATE:
/
ADDRESS
BUILDING
d FOUNDATION
CD REINFORCING STEEL
O MASONRY
a GROUT-GUNITE
a FLOOR AND CEILING FRAME
D SHEATHING
C! FRAME
C3 EXTERIOR LATH
O INSULATION
D INTERIOR LATH OR DRYWALL
a FINAL
ELECTRICAL
Cl TEMPORARY SERVICE
O ELECTRIC UNDERGROUND
L3 ROUGH ELECTRIC
D POOL BONDING
C] ELECTRIC SERVICE
a CEILING HEAT
D G.F.I.
C3 SMOKE DETECTOR
O FINAL
j
LJ UNDERGROUND WATER
CH ROUGH PLUMBING
TOP OUT PLUMBING
/ER AND PL/CO
TUB OR SHOWER PAN
CD GAS TEST
C3 WATER HEATER
d FINAL
MISCELLANEOUS
a PLENUM AND DUCTS
CD COMBUSTION AIR
a PATIO
O SIGN
O GRADING
d DRIVEWAY
Q CONDITIONED AIR SYSTEMS
O REFER PIPING
a FINAL
READY FOR INSPECTION:
SPECIAL INSTRUCTIONS.
D MONDAY
DA.M.
DP.M.
a TUESDAY D WEDNESDAY (^THTHURSDAY D FRIDAY
REQUESTED BY..PHONE NO..
PERSON TAKING REPORT.
6
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