HomeMy WebLinkAbout2350 CAMINO VIDA ROBLE; ; 79-3039; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. / / ' 3$ ~3 s
JOB ADD* EfS Carlsbad iterebouse
2350 Canino Vida Koble. Carlsbad,. Ca«
(213)UHNbK «W«P^ nuwnK.^9 *. P •- i-HWHL \ £* JL+3 f -> -f \J'rm "• w> W
2 Oceanslde Developers; 15233 Ventura Blva, Suite 710 Shenaan Oalcs, Ca.91403
CONTRACTOR
3
MAIL ADDRESS4455 STATE LIC. HO. CITY LIC. NO.
30404C
ARCHITECT OR DESIGNER MAIL ADORE3S LICENSE NO.
4 Peterson & Stice & Aasociatos (213) 555-1425
MAIL ADOHESS LICENSE NO.
COMPENSATION fNS. CARRIER
6 Aniorican AutoaaoMle Insurance Qa -H.Co» "*"" C/I4) 232-B17
Ca» 92101
USE OF BUILDING
8 Class of work:D ADDITION D ALTERATIOW' D I1EPAIR
9 Describe work:ang installatdop ( &£} gutonatlc fire sprinkler protection.
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 PLANS CHECKED 8V APPROVE D ^OR ISSUANCE BY LAUNDRV TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK ISSUSPENDED 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 THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPUED 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 REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: fcO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS.
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OP CONTRACTOR Ofl AUTHORIl6$ AGENTCharles R» Bradshau 8-2-ISSUANCE FEE
SIGNATURE Qf OWNER UF OWNER BUILDER)TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR