HomeMy WebLinkAbout2071 JANIS WAY; ; 77-3253; Permit..
:,.
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Permit No ?
JOB ADDA ESS
LEGAL I 1 ouca.
LOT NO,
j I BLK ' I TU,CT
, -~L~~ -,( I
OWN EA
2 P.OBEJ< Lt
CON TftAC .0!'
3 008 S ;-
MAIL 400RE.55 PHONE LICENSE. NO. STATE CITY ,. -... ""'~-.... -~-2 ATI S'1'. ,:-:.~-·-. ?2 2oc;5 245707 :3
ARCHITECT OR OE51CNEA MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEEA MAIL AOOA[SS PHONE LICENSE. NO,
5
COMPENSATION (NS. CARRIER __ • !Atl'Tn'D
6 ATE .allD CC~"'
MAIL A00R£.5S
'UlWiCE P -•-----·--. i■"'l&•1-■,. C1 8fltANCH
l)e
US£ O'F &V il.DING
7
8 Class of work: 0 NEW 0 ADDITION □ALTERATION 0 REPAIR
q Describe work:
-· ---PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BAT HTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK &, DISP.
DISHWASHER
.APPLICATION AS::CEl'TED i!v ,~ l J
PLANS CHECKED ev .APPROVED FD~ ISSUANCE ev
-I/ 11 I OA.TEc).,. _. 1
LAUNDRY TRAY
CLOTHES WASHER
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. GAS SYSTEMS: NO. OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME: TO BE TRUE ANO CORRECT. I WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THl~,..1---1-----------------------1---+---i ~~~~1~t 0~0 i~f1i,.t-HrEGcR0_:J-ii~~ ~~THA w~\T~1~R c5bi~IF~6~"' WASTE INTERCEPTOR
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I -
SI GNATURE. Of' CONT .. ACTO"I 0 .. AU TMOIIII ZED ACE.NT ,..
J -
(DATCI
CATE)
VACUUM E)REAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
•
PERMIT
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O.
INSPECTOR
$
CASH