HomeMy WebLinkAbout2010 COSTA DEL MAR RD; ; 75-30; PermitPermit No
Applicant to complete numbered spaces only
PLUMBING PERMIT APPLICATION
of CARLSBAD, CALIFORNIA >
JOB ADDR ESS
La Costa Spa Addition, La Costa Country Club
LOT HO BLK TRACT
- LESAL (FJSEE ATTACHED SHEET)
1 DESCR
OWNER MAIL ADDRESS ZIP PHONE
2 La Coste Land Company Costa Del Mar Road, Rancho La Costa, CA 92003
CONTRACTOR MAIL ADDRESS PHONE .; LIC ENSE V&nnK JMf
3 Tri City landscape, Inc. 1277 Azusa Street, San Die*o 92110 299~17kU 265387 ~?
4 La Cceta Land Coapany ( Costa Del Mar Road, Rancho La Costa, CA 92008
ENGINEER i J MAIL ADDRESS ' ^ < ,. ,. PHONE ^ - LICENSE NO
5 .. •
LENDER MAIL ADDRESS BRANCH
6 Central States SouthEast 5 South West Area Pension Fund P.O. Box 8668, Chicago, 111
USE OF 8UILDINC tHJU^X'j
7 Recreation Facility
8 Class of work SNEW SSftSfflBM. D ALTERATION D REPAIR
9 Describe work ZSISBSSS^SSSSS^^^1'^^^. sprinkler zyst°ia
-
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 THIS
APPLICATION 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
I : S ' ' I ' J
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
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PERMIT FEES
No
1
XX
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
CESSPOOL
SEPTIC TANK & PIT
PERMIT $
TOTAL FEE $
Fee
$
2
2
•\
- T
30
00
•50'in
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO ' CASH
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INSPECTOR
INSPECTION REPORTS
DATE ITEM
"
REMARKS
,
INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC
1-15-75 Partial O.K. B. Nelson