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Home My WebLink About2061 GAYLE WAY; MULTI-PERMIT FILE; CB911201; Permit. , B U I L D I N G P E R M I T )8/23/CJ! 14:::,6 Page 1 ~>f 1 St1.: ~PtWlt No: C39.L~Gt ProjP-Ct No: A910~~1l Development No: F ._ 4124 08/23/91 0001 01 02 C-PRMT CA~k_ 10.00 Job Address: 2061 GAYLE WY Permit Type: PLUMBING Parcel No: 2)5 152-03-00 Valuation: O Construction ~ype: VN occupancy Group: Class Code: ... ..,..,JEf.J 08/2.:l/91 08/2J/q1 KZH Description: GAS LINE REPAIR Appl/Ownr : BOB'S PLUMBING P.O. BOX 1815 CARLSBAD, CA CONTRACTOR BOB'S PLUMBI~, 4301 HIGHLA~ CARLSBAD, OWNER BELLAK, *** Fees Required -------------------~ - Fees: Adjustments: Total Fees: Fee description 92018 k Enter "Y." for Plum Gas Piping System * PLUMBING T07AL s u F ,e > > Applied: Apr/Issue: Validated By: 619-729-2055 619-729-2055 Credits *** .00 .00 10.00 Ext fee Data 7.50 Y 2.50 10.00 /fNL APPROVAL INS~DATE K·pi,t-1/ CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. -/Zo/ City of Carlsbad Building Department 2075 Las Pal•s Dr., Carlsbad, CA 92009 (619) 438·1161 EST.VAL~-----------PIAN CK DEPOSIT ________ _ VAIID. BY __________ _ I. P£kMI I liPH DATE A -U COmmerctal LI New Bu1idmg Li lenant Improvement B -• Industrial • New Building D Tenant Improvement C -• Residential D Apartment • Condo .)(Single Family Dwelling • Addition/ Alteration • Duplex • Demolition • Relocation • Mobile Home • Electrical • Plumbing • Mechanical • PCX>I • Spa • Retaining Wall D Solar • Other 2. PRCllF.Cf INFORMATION FOR OFFICE USE ONLY -t--e"'dress 2..001 I Nearest Cross Street 1.01>,Q Building or SuJte No. c..,6.(2..Ls::. ~ LEGAL DEstktVI ION Lot No. Sutxi1V1s1on Name/Number Omt No. Phase No. CHECK BEWW IF SOBMII IED: • 2 Energy calcs • 2 Structural Cales • 2 Soils Report • 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.IT. Q NAME ADDRESS ZIP CODE CllY STATE DAY TELEPHONE 4. ::lfAAI t°&IRACIOR CITY UAGENI FOR WNIRACIOR ADDRESS STATE ZIP CODE DOWNER DAGEN I FOR OWNER DAY TELEPHONE S. PROPERIY Ovu<ER ,-::,_ "' , , ,t f(, NAME ~\<.~ V ,,.,.......__,..._ -ADDRESS '2-c::, 0 1 GA \l L.,(=c, ZIP CODE J-0'0£> DAY TELEPHONE CITY STATE NAME cm DB's ?W.J /,Ae,1 ~ C,6.12-LS ~ STATE CA STATE UC. ;;).../ft707 ADDRESS ?. C>. "lbO,.x ZIP CODE ') 2.Cf)8 DAY TELEPHONE LICENSE CLASS C..-'3.(, CITY BUSINESS UC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOltkERS' WMPENSAIR'.1N Workers' Compensation Deciarat1on: I hereby afhrm that I have a certUlcate of consent to seif-msure issued by the Director of industnai Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certllicate of Exemption: I certify that m the periormance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to ~me subject to the Workers' Compensation Laws of California. 8_s1(1;~~1£-JJ/JJ;;fg>ATE e --:::Z.3·-9 I Dwner-Bu1lder Declarat1on: I hereby affirm that I am exempt from the COntractoPs Llcense Law for the foiiowmg reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving chat he did not build or improve for the purpose of sale.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). • I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATIJRE DATE COMPLf'.IE IHIS SEGIION FOR NON-RESIDEN IIAL B0IIDING PERMll'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 255051 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? •YES •NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CYES •NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:tlPANCY MAY Nill BE lSSIJED AFll!R JULY I, 1989 UNUlSS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CDNTII.OL D1SlllICT. 9. WNSIR0CIION L£NDING AGENCY I hereby affirm that there ts a construction lend mg agency for the performance of the work for which chis penmt 1s issued (Sec 3097(1) dvH Code). LENDER'S NAME LENDER'S ADDRESS 10. APP1lCAN I C£kl1PICA:l1UN I certify chat I have read the apphcauon and state that the atxive mformauon ts correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al.'iO AGREE m SAVE INDEMNIFY AND KEEP HARMlJ!SS nm CllY OF CARISBAD AGAINSI' AU. UAIIILITIES, JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY NXJUJE AGAINST SAID CfIY IN CDNSEQUENCE OF THE GRANTING OF TIDS PERMIT. Q,gIA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE (l.. DATE: e',-2.3 -91 PINK: Fmance PERMIT# CB911201 DESCRIPTION: GAS LINE REPAIR TYPE: PLUM JOB ADDRESS: 2061 GAYLE WY APPLICANT: BOB'S PLUMBING CONTRACTOR: BOB'S PLUMBING OWNER: BELLAK, GREG REMARKS: MH/BOB/434-8828 SPECIAL INSTRUCT: TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs CITY OF CARLSBAD INSPECTION REQUEST FOR 08/27/91 INSPECTOR AREA PD PLANCK# CB911201 OCC GRP CONSTR. TYPE VN STR: FL: STE: PHONE: 619-729-2055 PHONE: 619-729-20~55 , PHONE: /7/J INSPECTOR~ ' ACT COMMENTS fjf _______ _ ---------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ., z 0 ~ .. ~ u ~ .. I[ 0 u .. .. 0 ~ 3 ~ .. z ~ z 0 ~ z .. .. ,. 0 u ., "' .. " .. i ![ O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 ol the Business and Professions Code, and my license is in lull force and effect L,c No _____ _ C1a,1 I heretiy att,rm that I am exe"lpT from lhe Contrac tors License Law io, the lollow·ng reason !Sec 7031 5 Business and Professions Code A.ny c,:y or coun!y wh,c~. re- Quires a perm,: :o construct airer Imo,ove demol,sh. or repair any Slructure. prror to ,ts issuance also '€Quires !heap- plicant for such perm,t to Irle a s,q~ed statement that he Is l,censed pursuan: to the provIsIons of l~e ConTractor's L,cense Law ICha~ter g commenc,ng w,rh SecJ,on 7000 of [hv1s,on 3 of the Business and Profess,ons Code/ or Iha! ,sex- empt therefrom and The basis for lhe allegea exemption Any v,olat,on of Sect1M 7031 5 by an applicant for a perm,t sub 1ects the applicant to a c,v,I penalty of nol more lhan five hun- dred dolla,s ($5001 I I, as owner o! the property. or my employees w,1h wages as 1he1r sole compensation will do the wo,k and the struc lure 1s not ,ntended or oflered !or sale (Sec 7044. Business and Protession, Code The Contraclor's license Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through h,s own employees. provided that such improvements are not mtend-ed or offered tor sale_ 11, however, !he bu1ld1ng or 1morove- rnen1 1s sold w1th1n one year of complel,on. the owner-builder will have the burden of proving that he did not build or im-prove 1or the purpose of saleJ 7 I, as owner of the property, am exclusively contracting w11h licensed contractors to construct the pro1ect (Sec 7044, Business and Professions Code· The Conlractor's license Law does no1 apply to an owner of property who builds or im- proves thereon, and who contracts !or each pro1ects with a contractor(s) license pursuan! to the Contractor's License Llwl • As a homeowner I am 1mprov,ng my home, and lhe Jollow-mg cond1t1ons exist 1 The work 1s being perlormed prior to sale 2 I have lwed in my home !or twelve months prior to completion of this work I have not cla,med this exemption during the last three years • lamexemptunderSec _______ fl&P.C !or this reason D I hereby affirm tha1 I ha~e a cert1!1ca!e of consen1 to selt ,nsure or a cer1,tica1e of Workers Compensat,on Insurance. or a certo!,ed copy !hereo! (Sec 3800, Labor Codel POUC<NO o<_ }'-/ '3 ..j j ~· COMPAN'f:.:-jV)f'li:'l-c::P--~_;..- ~PY IS filed w,!h the c,ty ('1 .... 'i',.,i\L-- 0 Cen,11ed copy 1s hereby !um,shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sect,on need not be comple1ed 1! the pe,m1t 1s to, one hundre<I dollars 1$100) or less) 0 I cer'h!y that ,n the performance 01 !he worl< tor wh,ch this pemut ,s ,ssued. I shall no1 employ any person on any manner so as lo become sub1ec1 to the Workers Compensation Laws ot Ca1,tom1a NOTICE TO APPLICANT I!, alter ma1<1n-;i th,s Cer1, !,cate of Exemption you should become sub1ec1 !') the Worl<.ers Compensa1,on prov1s1ons o! lhe Labor Code. you must tor,h111,·,1h comply with such prov1s1ons or this perm11 shall bf> deemed ,evok!'d 0 I hereby atf,rm 1r.a1 there 1s a coristruct1ori 1end,ng agency !or thf' p!'norrnance u• lhe worl< lor wr.1ch this perm,1 ,s ,ssued ,Se, 3097 C,v11 Code, .-lender s Narae N (, :,..._. t;:::; Lenders Address __________ _ USE_B_ALL_P()INT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT 1200 Elm. Carlsbad, California 92008·1989 {619) 438•5525 APPLICATION & PERMIT J08 ADDRESS o?t<o i GA 'I u;;:, WA,</ %71 BUSINESS LICENSE # i5' €.:,1'~ f, f I l_r, _ LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. ~IHAC~URSPHONEJt ZONE ) 3 ·o_w.~ER·s NAME OWNER'S PHONE '22<.c 22...30 , t '~-_-, /'"---,··,f , -7·1 C _7._tC-1, G>' CONTRACTOR~'$ ADDRESS UCENSE NO, PLAN 1.0. # BLDG USE CODE ~IE,•.. §'L.A1"-JE L--1 ,<!> .!I ~ (I OWNER'$ MA<UNG ADORES$ ~ 3 • fl€:"• -,,3Cc,Q_-, / AV.7·· NEAREST CROSS ST. Moi-.:i~.;.~ ST\ lo.2•~;:~cfoN,_ VALUATION PERMIT NUMBER <;~-. I DESIGNER LICENSE# STANDARD PLAN# BUILDING SQ FOOTAGE oe7:~~1?~1'(,! Of ~AK ;, I -C.-1:i-fo,_;y:::..t"_ .6<.TI DE$lGNEA•s ADDRESS OES«lNER'S PHONE 1--• I --------4 ,,, ece ,ccv J J NO I occ Ge J EDU ! , STORIES vO r-.0 CENSUS TRACl GP LAND USE GRADING PERMIT ISSUED TYPE CONST OCC LOAD FIRE SPP -,f :. ' ( .,;~, .. :. _, ... -CNGSSACC RES UN>TS 1 YON • I REDEVELOPMENT AREA ,• '"• vO NO Nor Valid Unless Machine Certified QTY. PLUMBING PERMIT· ISSUE ;-2::-QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP I / I I INSTALL FURN. DUCTS UP TO 100.000 BTU I I BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER ~ I OVER 100,000 BTU SIGN PERMIT 01-00·00-8221 EACH WATER HEATER AN0iOR VENT ~ -~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ----- EACH GAS SYSTEM 1 TO 4 OUTLETS __ +--_ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING _ ______22_~~0~Q-8222 EACH GAS SYSTEM 5 OR MORE i METAL f-lRtPLACt ELECTRICAL 01-00-00-8223 ! u , c. "'--' EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 1 I --I 7 EACH VACUUM BREAKER MECH EXHAUST HODO/DUCTS MOBILEHOME 01-00-00·8225 WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER I II MOBILEHOME PARK INSP EACH ROOF DRAIN (:NSIOE1 ·--__ 01-00~-0=·=~+----------, STRONG MOTION 80-92-33-0519 SOLAR TOT kl MECHANICAL --------- TOTAL PLUMBING O (.'(:, FIRESPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT· ISSUE 5"-QTY. I SOLAR · ISSUE BRIDGE FEE NEW CONST EA AMP.'SWT BK R COLLECTORS SCHOOL FEE -DISTRICT !PH J PH STORAGE TANKS ----- EXIST BLOG EA AMP1SWT:BKR Carlsbad 80-92-21-0519 ROCK STORAGE 1 PH 3 PH Encinitas 80-92-22-0519 PUMP San Dieguito 80-92-23-0519 REMODEL'ALTl:R PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 TEMPPOLE 200AMPS OVER 200 AMPS LICENSE TAX 01-00--00-8162 TEMP OCCUPANCY 130 DA YSJ CREDIT DEPOSIT TOT Al ELfCTRICAL I I TOTAl SOLAR TOTAL FEES PAYABLE r /C.i (--G t HAVE, l!ARErlJLt. Y EXA,t_l~ED THECOMPL~j:f) "'Af>PWCATJON AND--Pt:RMIT" ~.ND oo' HEREBY tx~:i~~ .:a~lie-!'Jlf4!11.$!*'M~lhe Provisions Ofthi& J, CERTIFY ,UNGER f'EN_AltY··OF P6RWRY T~A:T ALL INFORMATION HEREON INCLUDING THE "-'Cockt'S"-8 •t:trv l~:..ai\~Qrtiie9~vOid. tf fM_~OT-wbik DEC,LARfTIONS·A~E TRUE ANO CORRECT Af>W l Ft'.JRTHER CERTIFY 'Afu> AGREE IF A PE'SMIT IS -=~ b,'I ttw, ':::;.1!11119 npt-c:Qmmtnc~ ~')1lodli)'$',!rom the dafe 61-su(;h tS$JJED:' t0 ~PL¥ ~ AlJ.. 'CIT2t,-COU~ ANO ST ATE LAWS GQVERNlNG·BU!LDING CON-~dofwid 1at ti~ •:x: ~:':-c°"ited -~ ~c:.,.~~ is ,5'~~ qr * AN..~ISREQUROEOREXCAY"'10NSOYE'I 5' (I,;-· 0£eP 4NOO£MOUTION Of! CONSTRUC"TfON'Of stAUtTURls OVER 3 ~TORtES IH'ffEfGMT STRUCTJON, WHET-HER Sf>iCtflEQ i-lEj;!E1"{ QFI: NOT. l, ALSO AGREE TO SAVE INDEMNIFY AND o l KE.eP'~M_t..ESS·jHEGHY·GF CAJ:iil.SflAO-AGAt'VST ALL LIABILITIES, JUDGMENTS, COSTS ANO PPt.f S SfGNATUAE-1f. ;c)WNf:a0 EXPENSf;S wt,-~H,MAY I~ 'l,.N-;t"WA';( ACC~ AGAINST SAID CITY IN CON$EQUENCE OFT ·~0 _ '..<::::::L~. · ·. '," GAANTffl;G.QF nus PERJ.'.lff, • • • .,,, ' ~-----L-L.~t<-CL .~.<:,,<,.,L,,£,~ APPROVED BY .>/J DATE 1)-,;-Jy 1 •I I ~ LL ~ ~ 0 0. E ~ f-- "' 0 l'.l c rn 0 0. 0. <l'. I ~ C 0:: 0 00 00 ~ 00 00 <l'. I ~ 2 ii, >- "" 00 w 0 0 ,i: rn ;;; 0 ~ w 0 C rn .E LL -I C w w 0 0 0 ~ 0. 00 C ~ ~ ~ TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME I 7 l SHEATHING • ROOF • SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING I _l T SEWER AND BUCO •!PUCO UNDERGROUND D WASTE • Vl,'ATER TOP OUT • WASTE • WATER TUB AND SHOWER PAN GAS TEST • WATER HEATER • SOLAR WATER ELECTRICAL C ELECTRIC UNDERGROUND • UFFER ROUGH ELECTRIC -,- • ELECTRIC SERVICE • TEMPORARY • BONDING • POOL ' MECHANICAL 1 • DUCT & PLEM., • REF. PIPING HEAT -AIR COND. SYSTEMS i VENTILATING SYSTEMS DATE INSPECTOR CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE ITEMS ABOVE HAVt: BEEN APPROVED. __ PLUMBING ELECTRICAL MECHANICAL GAS BUILDING FINAL I X) j"'#fW?t\lt\\ ~ SPECIAL CONDITIONS . . $''-f-73 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL - SOILS COMPLl/1,N(E PRIOR TC f-OUNDA TION INSf-' ---·· ·-··-------------- STRUCTURAL CONCRETE OVER 2000 PS' --PRES TRESSED CONCRETE POST TENSIO/\;EO CONC9ETE FIEL.D WELDIN(-; ,_ ----------- H1(;>-1 STREI\/G H--1 BOLTS - ::;PECIAL MASONRY • -- PILES CA1::,sor-s~-; ---------~--- ---· --- ·. -- 2 72-/18' 0 .. t 0 z .. City of CARLSBAD, CALIFORNIA "' • :~ " 0 0 " / PLUMBING PERMIT APPLICATION Applicant to complete numbered spaces only. ,. .. .. Joe ADD" ESS 2061 Cayla ay 1: LOT NO, I BLK I T"ACT (0SE£ ATTACHED SHEU) LEGAL I 1 D£SC"- OWNE,. Laine Louie MAIL .. 2o06i ZIP PHONE 2 De Oayle ay Carlsbad ' CONT,.ACTO" MAIL ADDfu:ss PHONE Ly;t,•s NO. 3 Bob's Plwtbln 2501 State St. Carlabad ARCHITECT OR DESIGNER MAIL AOO,.ESS PHONE LICENSt NO, 4 It ENGINEER MAIL ADDRESS PHONE LICENSE NO, 'c I _• 5 1-~ ,1 ... LENDER MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 8 Class of work: •NEW 0 ADDITION 0 ALTERATION 0 REPAIR Describe work: changeout I 9 water heater :, --- PERMIT FEES I No, Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER -J KITCHEN SINK & DISP. DISHWASHER .. APPLICATION ACCEPTED ev: PLANS CHECKED ev: APPROVED FOR ISSUANCE BY: LAUNDRY TRAY CLOTHES WASHER WATER HEATER .1 5u 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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER CESSPOOL ~ , '~ 4 -(_ ~ ~ , . ~~ 8-28-72 SEPTIC TANK & PIT SIGNATURE OF CONTRACTOR OR AUTH°t'"Z.EDGE.NT (CATE) -- PERMIT $ ;J DV SIC.NA.TUR£ OP' OWNEflt (I,-OWNER BUILDER (DATE) TOTAL FEE $ .5 f.)V WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH AUDIT