HomeMy WebLinkAbout2055 CHESTNUT AVE; ; 71-283; Permit2f PLUMBING PERMIT
'y/- 3L.O/3) City of CARLSBAD, (
Applicant to complete numbered spaces only.
APPLICATION
"Al IFORNIA ioBoo/^iS''*10 .,*«.*-'"'-i rv^rvMirt Rrn253™71/i cc »Wf*
JOB ADDR ESS .... X^^S 'J "
„ LEGAL
1 DESCR.
OWNER
2 /
LOT NO.BLK TRACT
(|_)SEE ATTACHED SHEET)
. , MAIL ADDRESS /~~~^ ZIP PHONE
CONTRACTOR • /
ARCHITECT OR DESIGNER
4
ENGINEER
5
LENDER
6
€. ^J^^c/7^ O&&S/$H? 7JJ?-//7Y°
MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS BRANCH
s
USE OF BUILDING r^. j| j^\
8 Class of work: D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work:
_— - —f7 ' *~~Z1 0 /^t
Lj/tTrtLL. . r^LO&?^< £/AJ&
*^TT^L #finn/l /xJ /^fe>^/^^
SPECIAL CONDITIONS:
X
APPLICATION ACCEPTED BY:
I / I *
PLANS CHECKED BY: APPROVED FOR ISSUANCE BY:
P
NOTICE ^
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS "RUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, DR IFCONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 1 :OR A
PERIOD OF 120 DA
MENCED.
1 HEREBY CERTIFYAPPLICATION AND KALL PROVISIONS OFTYPE OF WORK WILHEREIN OR NOT, TPRESUME TO GIVEPROVISIONS OF ANYCONSTRUCTION OR
^•SsS==J^»-^-C_
SISNATURE OF C*NTRACTO
SISNATURE or OWNER (IF
YS AT ANY TIME AFTER WORK IS COM-
THAT 1 HAVE READ AND EXAMINED THIS
NOW THE SAME TO BE TRUE AND CORRECT.LAWS AND ORDINANCES GOVERNING THISL BE COMPLIED WITH WHETHER SPECIFIED"HE GRANTING OF A PERMIT DOES NOTAUTHORITY TO VIOLATE OR CANCEL THEOTHER STATE OR LOCAL LAW REGULATINGTHE PERFORMANCE OF CONSTRUCTION.
"/ O tfi/S-Xl V_t^r-V^ 7/>6/?S
R OR AUTHORIZED AGENT / (DATE/
OWNER BUILDER) (DATE)
O
aPIr*«
^
I
"$nuin
V:oa
$
PERMIT FEES
No.
/
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
$
«=-_.
^— J
<^
^_
-JC-
^)
\
S
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O. CASH PERMIT VALIDATION CK.M.O.CASH
Form 100.2 9-69
INSPECTOR
REORDER FROM: INTERNATIONAL, CON FERENCE OF BUILDING OFFICIALS • so so. LOS ROBLES • PASADENA, CALIFORNIA 91101