HomeMy WebLinkAbout2343 ALTISMA WAY; BLDG A; 75-780; PermitPLUMBING PERMIT APPLICATION
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Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA
JOB ADDR ESS
([ |SEE ATTACHED SHEET)
MAIL ADDRESS
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CONTRACTOR MAIL ADDRESS LICENSE NO.
ARCHITECT OH DESIGNERt/.MAIL ADDRESS LICENSE NO.
ENGINEER MAIL ADDRESS LICENSE NO.
MAIL ADDRESS
USE OF BUILDING
8 .Class of work: ^NEW D ADDITION G ALTERATION D REPAIR
9 Describework:
PERMIT FEES
No.Type of Fixture or Item Fee
SPECIAL CONDITIONS:WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE -«23
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.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLtCATION 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 SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPfllNKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK* PIT
SIGNATURE oretailflftwreR-OR AUTHORIZED AGENT
PERMIT
i _SICNATURE or OWNER (IF OWNER BUILDER)TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.SH
£~O.
INSPECTOR