HomeMy WebLinkAbout2020 CHESTNUT AVE; ; 76-1821; PermitTf.'y
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
*
Applicant to complete numbered spaces 'only.Phone 729-1181 Permit No
- LEGAL
1 OESCR.
2 j^COJJTJR*C
4
5
•*? A S* /"? Jefls&fO Cs&£5>TA/eSf~
LOT NO.
Ig^,
TOR „. J*-*
1£#$ /
Cl*****?
BLK
r^/f
•' 3*
COMPENSATION fNS. CARRIER
6
MAIL
MAIL
MAI L
MAIL
MAIL
TWACT
ADDRESS zi P PHONE
ADDRESS . PHONE STATUE LIC. NO. CITY L 1C. NO . ,
ADDRESS PHONE LICENSE NO. •$$* £^' C*^* ^?
ADDRESS PHONE LICENSE NO.
ADDRESS BRANCH
USE OF BUILDING 1 .' '
8 Class of work: D NEW D
9 Describe work-: jL ^» ^y
ADDITION
re i
D ALTERATION -^REPAIRf A'
^<: /,^z -~f%s*ȣ4 &rfic~
SPECIAL CONDITIONS:
. ". - ••••-•
APPLICAifiCTN ACCEPTEOjBY PLANS CHECKED BY t /APPROVED fOR^SUA/CE BY".
DATE
\ NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORKTION AUTHORIZED IS NOT COMMENCED WITHINCONSTRUCTION ORJWORK IS SUSPENDED OR ABAPERIOD OF 120 DAYS AT ANY TIME AFTERMENCED:
1 HEREBY CERTIFY THAT 1 H'AVE READ AND E
APPLICATION AND KNOW THE SAME TO BE TRUE
ALL PROVISIONS OF LAWS AND ORDINANCES GC
TYPE OF WORK WILL BE COMPLIED WITH WHET
HEREIN OR NOT, THE GRANTING OF A PERr\
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LA\
CONSTRUCTION OR THE PERFORMANCE OF C
'"'•'•:'.'• ' - ^ ' - '" '•'"'
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
SIGNATURE OF OWNER (IF OWNE^ BUILDER;
&&fnb./ /;
OR CONSTRUC-
20DAYS.OR IF
MDONED FOR A
WORK IS COM-
XAMINED THIS
AND CORRECT.
VERNING THIS
HER SPECIFIED
1IT DOES NOT
R CANCEL THE
N REGULATING
ONSTRUCTION.
,
£*<*•/ '0 *:?f
(DATE)
(DATE)
PERMIT FEES
No.
;
/
/
y
/
^/
, Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVAT.ORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL i,
DRINKING fOUNTAIN
FLOOR— Siri'K OR DRAIN
SLOP SINK,'-'
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM STREAKERS
LAWN SPRINKLER SYSTEM
SEWER J? NIIMRFR C-l FAMnilTS
CESSPOO,f ''"
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE $
TOTAL FEES $
Fee
S
/
**r
/~£$
'^*»w-
«—-—«,
&t
WHEN PROPERLY VALIDATED (IN THIS.SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.GASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
-Mr
//
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
6-10-76 Pressure O.K. call in for clearance. T. Mat-a