HomeMy WebLinkAbout2071 Gayle Way; ; 65-8233; PermitCITY 1ftARllBAD 8233 PUMING
BUILDING D•ARTMENT PERMIT· APPLICATION
owNER H. Inouye •-t-65 !!ff! ~·····•~.)0
~/,'i.Ess 2071 Gayb.e Way
ciTY Carlsbad TEL. No. 729 5495 1-------A----------.
A S i C In BUILDING ,n;, >7/ J · j PLUMBER rrow er,r ae o. c. ADDREss ,c,, v , , A.,,.c,A.-, "'J£, ~
ADDREss6424 Mission Gorge Rd. ~~~~;s;::,._ 7 /
CITY SD 20 TEL NO, 281 3531 GROUP l ZONE
CARLSBAD BUSINESS I • R d
176711
LICENSE No. 6o,, nspect1on ecor STATE LICENSE N
036
I .... ~N~0~·-1-------==-------+--'-F~E=E __ ITEM
TOILET • $1.2!5
BATH TUB • 1.215
SHOWER • 1.215
WASH BASIN • 1.215
KITCHEN SINK • 1.2!5
DISHWASHER • 1.25
LAUNDRY TUB oR TRAY • 1.215
AUTOMATIC WASHER • t.2!5
WATER HEATER a VENT • 1.!50
GAS SYSTEM I TO t !5
.30 EA. ADD. • 1.90
FLOOR DRAIN OR SINK • 1.215
LAWN SPRINKLER • 2.00
MISC. WATER PIPING • U50 l 0:0
GARBAGE DISPOSAL • 1.00
VACUUM BREAKER OR BACK
FLOW DEVICES 1 TO l5 • Z,00
GRADING PLAN PERMIT s 2 00
YES• NO• TOTAL FEE s
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING,
I CERTIFY THAT I AM PROPERLY REGISTERED ANO LI• CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
s1GNATuRE Arrow Serf ice Co. Inc.
OF PERM ITl'EE
APPROVALS
UNDER FLOQR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
DATE
Thi• 11 Ii Plumbing Permlt When Properly All.d Out, Signed end Vattdet.d.
Peirmff void if work is not commenced w1thtn 60 cleys of date of ksuance.
INS~ECTOR'lf SIONATURK