HomeMy WebLinkAbout2380 CAMINO VIDA ROBLE; ; 79-1009; Permit--"-*• • -.*,
PLUMBING PERMIT APPLICATION
Applicant to 'complete numbered
City of
spaces only
CARLSBAD, CALIFORNIA 92008 v ,;../?- **s? yx>J^rf
Phone 729-1181 Permit NO //~/^*y*
JOB ADOR E*S _, ___^ * ^^
• LC4AL1 DESCR.
OWNER
LOT NO.• LK TRACT ^^^ *-*
MAIL ADDRESS , ZIP PHONE
CONTRACTOR J3 J*ir.n*/fcpp« i
ARCHITECT OR BESIttHER I f
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ENGINEER
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COMPENSATION fNS. CARRIER
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UILDINC
8 Cltti of work: D NEW C
9 Describe work:
MAIL ADDRESS • PHONE STATE LIC. NO. CITY LIC. NO.
MAIL AOBRESS PHOHl klCEN&t NO.
MAIL ADDRESS PHONE LICENSE NO.
', MAIL ADDRESS / BRANCH
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ADDITION
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SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY AP
D
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WO
TION AUTHORIZED IS NOT COMMENCED WITH
CONSTRUCTION OR WORK IS SUSPENDED OR A
PERIOD OF 120 DAYS AT ANY TIME AFTE
MENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AN
APPLICATION AND KNOW THE SAME TO BE TR
ALL PROVISIONS OF LAWS AND ORDINANCES
TYPE OF WORK WILL BE COMPLIED WITH Wh
HEREIN OR NOT, THE GRANTING OF A PPRESUME TO GIVE AUTHORITY TO VIOLATE
PROVISIONS OF ANY OTHER STATE OR LOCALCONSTRUCTION OR THE PERFORMANCE OF
t *«-^3ION*y>RE OP CONTRACTOR OR Au THORft If ACENT
0
SICNATU IE OP OWNER (IP OWNER BUILDER)
-PROVED FOR ISSUANCE BY.
*TE
RKORCONSTRUC-
IN 120OAYS.OR IF
BANDONEDFOR A
R WORK IS COM-
D EXAMINED THIS
UE AND CORRECT.
GOVERNING THIS
ETHER SPECIFIED
ERMIT DOES NOT
OR CANCEL THE
LAW REGULATING' CONSTRUCTION.
3~$.i* ""//
[DATE) *
(DATE)
PERMIT FEES
No.
/
/
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK <r DlSP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING 1 TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK A PIT
ROOF DRAINS
ISSUANCE FEE S
TOTAL FEES $
FM
$
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WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT ~7 &&
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.
INSPECTOR