HomeMy WebLinkAbout2311 CARINGA WAY; BLDG 1; 74-686; Permitp.n.it»n
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
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JOB ADD
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OWNER
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LOT NO. BLK TRACT J*~"~
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MAIL ADDRESS ZIP PHONE
CONTRACTOR J. 1 £~~ £? MAIL ADDRESS PHONE LICENSE NO.
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ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEE
5
LENDER
6
use OF E
7
8 Class
R MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS BRANCH
UILDING
of work: D^tfEW L9^DDITION D ALTERATION D REPAIR
9 Describe work: „ . , M«- - *A \e « ^ t\ t •'<-•
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SPECIAL CONDITIONS:
APPLICATION ACCBPTEDB* PLANS CHECKED BY: APPROVED FOR ISSUANCE BY
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THIS PE
TION A
CONSTI
PERIOD
MENCE
1 HEREAPPLICALL PRTYPE CHEREII>PRESUliPROVISCONST
NOTICE
RMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
UTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
AUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
D.
BY CERTIFY THAT 1 HAVE READ AND EXAMINED THISATION AND KNOW THE SAME TO BE TRUE AND CORRECT.OVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
)F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
t OR NOT, THE GRANTING OF A PERMIT DOES NOT
rtE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
RUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATU
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IE OF OWNtH (IF OWNER BUILDER) ' (DATE)
c
r•}JOB ADDRESSPERMIT 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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<••';. £.
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT /
CD
3
0
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR