HomeMy WebLinkAbout2311 CARINGA WAY; BLDG 1; 73-3400; Permit' -'\*t' • i*#-
„ PLUMBING PERMIT APPLICATION »'""*-15-*
Permit *rf?r ^S£*^0&fc* of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
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CONTRACTOR h * /: ~~~ MAIL ADDRESS ' PHONE LICENSE NO. ^^
ARCHITEcV'bt DE^isittR ^^ ~* ""RWlL ADDRESS ' PHONE LICENSE NO.
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ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: D NEW ^ItmJITION D ALTERATION D REPAIR
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9 D^ribework:^^^^ ^ A^A^JfJlf^ ^4J%tZZ*S,
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SPECIAL CONDITIONS:
j^7APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVE/) BOR ISSUANCE BY
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NOTICE ^
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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S1BNATURE 0^ 'CO*SMAC TOR OR AUTHORIZED AGENT (DATE!
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
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2n3 JOB ADDRESS*"PERMIT FEES
No.
to
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK*, DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK* PIT
PERMIT $
TOTAL FEE $
Fee
$
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
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PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
Permit
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
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JOB ADDR ESS
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ARCHITECT OR DESIGNER
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ENGINEER
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LENDER
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MAIL ADDRESS ZIP PHONE
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MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS BRANCH
USE OF BUILDING
7
8 Class of work: Q"NEW H'ADDITL8th
9 Describe work:
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D ALTERATION D REPAIR Q
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SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY:
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PLANS CHECKED BY:
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF VTION AUTHORIZED IS NOT COMMENCED WIT
CONSTRUCTION OR WORK IS SUSPENDED OR
PERIOD OF 120 DAYS AT ANY TIME AF
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ftAPPLICATION AND KNOW THE SAME TO BE 'ALL PROVISIONS OF LAWS AND ORDINANCTYPE OF WORK WILL BE COMPLIED WITH \HEREIN OR NOT, THE GRANTING OF APRESUME TO GIVE AUTHORITY TO VIOLAPROVISIONS OF ANY OTHER STATE OR LOC/>CONSTRUCTION OR THE PERFORMANCE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
;•"* " ,-*" •"; •
SIGNATURE OF OWNER (IF OWNER BUILDER)
APPROVED FOR ISSUANCE BY:
\
YORK OR CONSTRUC-
rHIN 60 DAYS, OR IF
ABANDONED FOR A
TER WORK IS COM-
ND EXAMINED THIS
FRUE AND CORRECT.
ES GOVERNING THIS
WHETHER SPECIFIEDPERMIT DOES NOTTE OR CANCEL THEiL LAW REGULATING
OF CONSTRUCTION.
(DATE)
(DATE) I
c
2n•}JOB ADDRESS jPERMIT FEES
No.
/
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT $
TOTAL FEE $
Fee
$
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</:
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C"T
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
Permit No.
MBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant fto Complete *numblsred spaces only. ^
JOB ADDR ESS *} ~2 J J ^/^^^^^^^^^L..^ AjL- '^ x7 / / / /
. LEGAL1 OESCR.
OWNER
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CONTRACTOR
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ARCHITECT OR DESIGNER
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ENGINEER
5
LENDER
6 '
MAIL
MAIL
MAIL
MAIL
MAIL
TR ACT /" *~^ __ /] f([ |SEE ATj/CHED SHEET) /
ADDRESS ZIP PHONE
ADDRESS PHONE LICENSE NO.
ADDRESS PHONE LICENSE NO.
ADDRESS PHONE LICENSE NO.
ADDRESS BRANCH
USE OF BUILDING
7
8 Classofwork: Q'NEW L? ADDITION
9 Describe work:V/a
SJ D ALTERATION D REPAIR fl
/),is'saJM/A ; 0^£ll4^L^
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SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY:
.-"'" •<* .'*
PLANS CHECKED BY:APPROVED FOfl ISSUANCE BY
/"
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NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK
TION AUTHORIZED IS NOT COMMENCED WITHIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABA
PERIOD OF 120 DAYS AT ANY TIME AFTER
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND E
APPLICATION AND KNOW THE SAME TO BE TRUE
ALL PROVISIONS OF LAWS AND ORDINANCES GC
TYPE OF WORK WILL BE COMPLIED WITH WHETHEREIN OR NOT, THE GRANTING OF A PERfPRESUME TO GIVE AUTHORITY TO VIOLATE OPROVISIONS OF ANY OTHER STATE OR LOCAL LACONSTRUCTION OR THE PERFORMANCE OF C
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
SIGNATU IE OF OWNEPTIlF
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OWNEtt BUILDER) t
WHEN PRpOPERUY
PLAN CHECK VALIDATION CK. \
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OR CONSTRUC-
60 DAYS, OR IF
NDONEDFOR AWORK IS COM-
XAMINED THISAND CORRECT.
3VERNING THIS
HER SPECIFIEDrfIT DOES NOT
R CANCEL THE
W REGULATINGONSTRUCTION.
(DATE)
- ij
(DATE) *
c
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3 JOB ADDRESSPERMIT FEES
No.
/
J
f
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK <• PIT
PERMIT $
TOTAL FEE $
Fee
$
£
/J
tj» •
£
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9&
&&
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VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ' "^ "
M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR