HomeMy WebLinkAbout2071 Gayle Way; ; 74-1225; PermitJ
PLUMBING PERMIT APPLICATION _..
Permit No.~--City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
Joa ADDR £SS
Gay
LOT NO. I ILK I TIIACT
LEGAL I QstE ATTACHltD SHCCT) l otsc~.
OWN£111 MAIL ADDIU:ss tip PHOHlt
2 tnouye, hi ~ 1 •• 4 _, Way 729-
CONT,U,CTOIII MAIL ADOIIIESS PHOM E LICENSE NO.
3 •s 1.~~4 ... ..,. 2 \ Jt. C&r:lslL L 2/J, ~ ' A"CHITECT OR OESIGNE" MAIL AOD ... ESS PHON£ LICENSE NO.
4
£NGINC£11t MAIL ADDRESS PHOM£ LICENSll NO.
5
LENDER MAIL A00Rt5S BflANCH
6
USE or BUILDINC.
7
-
8 Class of work: •NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: C • t f ishwa:f r
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
/ SHOWER
JI 'f /, KITCHEN SINK & DISP.
la _,fi,J P 1 DISHWASHER "'?"r .~ .. ,., .. PLANS CHECKEO BV APPROVED FOR ISSUANCE BY LAUNDRY TRAY
t✓, CLOTHES WASHER
J\ WATER HEATER
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
~ A • ~ le SEPTIC TANK & PIT -,
SIG'NATUftE. 011' CONTftACTOIII Oft AUTHORIZED AGENT (DATE)
PERMIT
SI QNATU 111£ OP" OWNE.N. IP' OWNER SUILOtA) DATE) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
0
~ z
fT1 ll
Fee
$
~ JU
$
$ ';
CASH
L.
0 a,
• 0
0 ll
fT1 "' "'
3
:z
0