HomeMy WebLinkAbout230 Pacific Ave; ; 74-1224; PermitPLUMBING PERMIT APPLICATION
Permit No. Z'l /r _,;, "/ City of CARLSBAD,
Applicant to complete nu';{ered spaces only.
CALIFORNIA
JO& AODft. £5!1
2JO f'ac1 \.6 Ave
LOT NO. I ILK I Tft .. CT
LCGU I QsEE ATTACHf.D SHE.ET) 1 ocsc".
OWNE" MAIL AOD .. ES!I ZIP PHONE
2 -toll, David 230 'IICifiC
CONT,.ACTO,. MAIL ADD .. ESS PHONE LICENSE NO.
3 •• l bin 2501 .1tate • C rls ~ 729-20.55 2k57 7
A,.CHITECT OR OC!IIGNClll MAIL ADD .. ESS PHONE LICENSE NO.
4
ENGINEER MAIL ADD .. E!IS PHONI. LIC[NSE NO,
5 -
L.E.NDUt MAIL AODIIIE5S 91'1ANCH
6
USE 0,-BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: X Changeout of to11et
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: 1 WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
/ SHOWER -I KITCHEN SINK & DISP.
I DISHWASHER
.APPLIC.ATION ACCEPTED ev PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
( CLOTHES WASHER I__, ,,/\ f() 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. GAS SYSTEMS: 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 r/"1/1
,
(i/J/74 SEPTIC TANK & PIT
SI GNATURC 0,-CONTfllACTOfl OR AUTHOlltl?ED AGENT (0 .. TCJ
PERMIT
51GNATUIIIE OP' OWNEJII IP' OWNER BU ILDER 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
111
:0
Fee
$ c; 00
$
$ '-,, 00
CASH
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0 0 :0
111 UI
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