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HomeMy WebLinkAbout2071 Janis Way; ; 71-1065; Permit0 ~ 7 /-/O(p~ City of CARLSBAD, CALIFORNIA DEC 22·11 5~665] .... .~ D -cc " 0 " Applicant to complete numbered spaces only. "' .. JOB ADDA ESS ~ 2071 Janis . )<) b I ;:/ .,__ LOT NO. Im I T~ACT (0SE£ ATTACHED SHl:ET) ~ Ii~ LlGAL I 1 DESC~. OWNEPI MAIL AODIIIESS ZIP PHONE ~ ~ 2 Bo Laubscher 72;1-1 445 " rt 2071 J "11 s \fay -I'- "-.. w ,..... CONTPIACTOft MAIL ADDRESS PHON[. LICENSE NO. r 3 Jvt 'e . lu,. Jing tj l ..... t t St. r~'j-' un ~ .,Ci u7 ARCHITECT OR OESIGNEIII MAIL ADDfltESS PHONE LICENSE NO. .... ~ r 4 ,..._, r" { ENGINEER MAIL ADDRESS PHONE LICl:NSE NO, 5 ~ LtNOER MAIL ADOIIIIESS 8111.ANCH ~ '- 6 r USE Of" BUILDING 7 ~ ~ \ PLUMBING PERMIT APPLICATION 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR -----:... 9 Describe work: C) water heater chan0 eout ~ ~ PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & OISP. DISHWASHER APPUCA\ION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY. LAUNDRY TRAY d ~ CLOTHES WASHER 1 WATER HEATER l '-0 I NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR-SINK OR DRAIN PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO 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 ~/;{JI/;~ CESSPOOL 1:.:::-11.J.-71 SEPTIC TANK & PIT SIGNATURE 0,-CONTRACTOJII Ofll AUTHORl;;t'[D AGENT (DATE) PERMIT $ 50 Sit.NATURE OP' OWNER Cl,-OWNER 9Ull.DEfll DATE TOTAL FEE $ tj CJO WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR Form 100,2 9·69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFIC IALS e ~0 SO. LOS ftOBLES e PASADENA, CALl,-ORNIA 91101