HomeMy WebLinkAbout2342 CARINGA WAY; BLDG L; 75-3165; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only,^Permit No
JOB ADDRESS X'jf >*"> / J*~'\ •>' ^ f' / "*~~" J ^ J
4 LEGAL
1 DE3CR.
/"%
CONTRA*
4
LOT NO.
ItJ' / /
;">'/,-/
„. i "»•
/{/f5/,
•Us./CJ
BLK
/^U "LX,Z*/->
•' ./^'
ENGINEER
5
COM»E!*^*TIOM-f&S. CARRIER ..-
''.'€
'5'/t
MAI L
MAIL
,,-MAtt
USE OF BUI LDINC
7
8 Class of work: D NEW D ADDITION
T"ACT -/ / yi/ '•**
ADDRESS , "" --JJHF ••-"•"• "••y£»*'gr~7 /HONE
^sf/'/r • • /*• ^'-^/^ ay$-
AOORESS / y y, JfHOHf , _ LICENSE NO. STATE CITY
ADDRESS PHONE LICENSE NO.
ADDRESS PHONE LICENSE NO.
ADDRESS , _,-,' - j. ./ .X ... »«ANCH J— «-
/
• ..y*
D ALTERATION D REPAIR
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED &V
' • .<'*"
'••• ' - -V '
P.LAJSIS CHECKED BY •FTWOUEO FOR ISg^ANCE BY
DATE
V 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 EAPPLICATION AND KNOW THE SAME TO BE TRUEALL PROVISIONS OF LAWS AND ORDINANCES GCTYPE OF WORK WILL BE COMPLIED WITH WHETHEREIN OR NOT, THE GRANTING OF A PERN
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LAV
CONSTRUCTION OR THE PERFORMANCE OF C
SIGNATU <E A K^tON TRACTOR OR AUTHORIZED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER)
'\ . c/ -
OR CONSTRUC-
30 DAYS, OR IF
MDONED FOR A
WORK IS COM-
AND CORRECT.
VERNING THIS
HER SPECIFIED
1IT DOES NOT
3 CANCEL THE
V REGULATING
ONSTRUCTION.
JL^JLy^ft&y/c/?£.
iDATE)
(DATE!
PERMIT FEES
No.
^t
_"J
/*
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
SEPTIe TANK <• PIT
ROOF DjRAINS .^-..-j
tt/£ T~ fc-Ot-A-s
PERMIT $
TOTAL FEE §
Fee
$
/
*f ".
/ -
s <
'? t
' $(
•> c.
^\c,.*-'r
f>£>
5"^
"/C-
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
r O
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.