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Home My WebLink About2420 GARY CIR; MULTI-PERMIT FILE; CB031239; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-29-2003 Plumbing Permit Permit No: CB031239 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2420 GARY CR CBAD PLUM Status: ISSUED 04/29/2003 SB 04/29/2003 04/29/2003 Parcel No: 1671551000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: BROOKS RES NEW H20 HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 Inspector: 0 0 0 0 1 0 0 Owner: BROOKS STEVEN A 2420 GARY CIR CARLSBAD CA 92008 3919 04/30/03 0002 01. 02 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 CGP 27-00 Total Payments To Date: $0.00 Balance Due: $27.00 EXPIRED PERMiT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.!3.C. SECTION 106.4.4 &if DA1"E wilz (Z I 03 ~SIGNATURE ...S..-=~--r- FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn of lees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.ff You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT_ APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f x i n fw. h I . n N Tl ii r hi whi i I PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ~i[ ;fj~ _,:ROriEC.[!INWB.MA·tiQ~r~~~illftif,i~V~m:~iLJffl~~:Ji!~~~~~m~~jrr~~:J~~tf.~t~i~llatr-r&~]litt41 2420 Gar Cir FOR OFFICE USE ONLY PLAN CHECK NO. ____ _ EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Address (include Bldg/Suite #I Business Name (at this addresst Legal Description Lot No. Subdivision Name/Number SFR Unit No. Phase No. Total # of units Assessor's Parcel # 167-155-10-00 Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms Water Heater Re placement n .. · .. , ......... : ... ~-·-. "' ,.,~,.!'~' "jC ,.1,, •• .-c .... ,,., ...... , •• :;.n,.=4,~ ·,,,,;, ~ '))''dl-t4it'!•li\,t:1~.~l:lt-::r'i. '."'I?. '.1,<i,! '"'i·."im. . ·r;.~~~l\M. -· •~!~ff~~i;j:Sll;.?,j~.~-''").h>"•~'~,~~i~~i,,~1!.rf}!:~1.•1ttt~~,H~;1;1,;'h1. -·~~--~:r:J:Jij;,.4tf,!.1'~.-~l;"Jilf,#i~f(~i,r~~.t~~;.;l'i1.~ffiif:'.i~.--f'"!',~\,ij,~~t/l'-f:~:h~!~:f!, .. '.r:i!':!w.r.~~~;ff~•:!1t'~;·,;;','.1;t!l;,:tr:,;.~c:1l,•c~i-' ,!7)'~J~i~~,&l!~~i~~llf.•!QO~;mun1 .. ~128'1~§'~4 fff1<L•,iJiimw,~~c:fTs~a"i>ll,r~~ .... ~s,i~~/2'dn{a~''f#;~Gtf: o/JJ.:g::7t1'1i;•!4jjtl,:c;,,r,.•~ Name Address City State/Zip Telephone # Fax # l~fe?f~~~~ff~!l~~!l"~~J~;~ ifi>J.:~~·[~1r1~~nt!~trf~~r~~~!~Jli§'~tf~!llittll~;~j,~/g~r~:;,,,~1,o/;1':!·,, Name Address City State/Zip Telephone # !ttl?i~JP.ij'O~E'ijn{~~QWNl!8.!li.J~~;~~:~~tllf-f~'.i]~'.illr:1~~~filff~i~l!t~{t~t~~}il~lfQJi~~lf.Jt~L~illi1:imr~1~r~~i~mi:a~~~;~111t~~llli!~~rt~~iilLl\'.[~~rt~w:d~P;;~!~~;~;;,.},i Brooks , Steve 2420 Gary Cir Carlsbad Ca. 92008 760-729-7139 Name Address City S.tate/Zip Telephone # t~,~~~Jt .<iNtl:#:~1tiB~~~MPAN~ISilM~~~tr~~.l:i!t~~{~~-f~!li~~-:m~~i~ffi~T~Jf1'~i~~llfi'!?01t2IZ~1!!l1'J:::1~'fil~~1Tuj~tJt2~~1f~! (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50011. A & ,T Easter PJ rnnhi ng J 37D6 B Hwy 8 Bns El Ca joo CA 92D2) ( 61 9) 39D-4477 Name Address City State/Zip Telephone # State License# 630120 License Class C-36 City Business License# 1210836 Designer Name Address City State/Zip Telephone State License # Nn A · · tli)1l]'~Jt.W.oJfllilS~ClQMREN~fA!t1ll~'7~}Jl~ltt~~fflm~Tm~li~~t~~1WJ:l~IJ.ii~~-aiffi;~JJJ;~-WF~~ll~~~~1ji~?J'1\~~~1f ~i1~~nrr;zyJ~~j:Tit~kl!~:~;~~ji;::~~::i~~it11~::~~~:;i:~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. X O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's eompensatlon Insurance carrier and policy number are: Insurance Company State Camp Ins Policy N467 DJ QQQQ7 ] 3 Expiration Date Q4-Q) -03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O CERTIFICATE OF EXEMPTION: I certify.that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure work ensat~on c erage awful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In itlo '::/st c~mpens ....-tlL,t,<.,A.es as provided for In Section 3706 of the La or ode interest and attorney's fees. SIGNATURE. ______ =----------a---,r--------------DATE __ .....,_...o=c....., ____ _ ~1ii~PW~e.11:ieJ0~~1:t1P~.c1J&a~~•QN~~,~~m~1.~~~~1~~~i~' ~~~~~r~:~~l~~~Jim~~~~~~~'1'~~:riffi:~k~~1~~~Jilit;~~~li~l;~w.2J~~;m~]~~~~¥~~T~~~~mtffi~~~~8~~¥~~r.ij:r;~f~i§!~~~3~t;f~ I hereby affirm that I am exempt from the Contractor's L cense Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profe~sions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Lawt. · 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have notl signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firmt to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license numbert: _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following parsons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. !Jl~1;11~9N~f:il'Qtfm:l?Nlil'.t:f,iijj"~],iIA~E_ijq;y11~;~:1z~r~tlfi~~~i'i!ltil~~mil.t~IJ.~f~~f;l?.EIJi:.~i.:~~:ir1~1iwJ'~~I;jj(1)!.fift~fi£iii!fi~IN}~!~~,11~1-1~.t!f/t/f~:t,:1;T;;;('fi~t!!): ·\;:'.·('!'; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ---~N-NE~~--------LENDER'S ADDRESS __________________________ _ il'iH::~(A~:iii.;t(:l:ffiffileflf:trt=cr.c):;1JQ!111'm~\1t:i~~~~1&1J~~,~~r.;iii.~la•~~,~'1:~!Iiii'.~f[i!l;."ffi'i'Il'~1'illl~m:r~~]~lilf,illii~{i~j,:,:11;;jjjtll;,J ~;;fJ'.1,'.\[.il+[,~ I certify that I have read the application and state that the above Information is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by lhe building Official under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit is not commenced within days from the date of such permit or if the building or work authorized by such permil is suspended or abandoned at any time after the work Is commenced for od O days ( on 1 O lform Building Code). _.--c;.-<.,.-1;.~J APPLICANT'S SIGNATURE DATE PINK: Finance • Jc./~6 18:54 Page 1 of 1 B U [ L D I N G Job AdJress: 2420 GARY CR Permit Type: PLUMBING Parcel No: 167-155 -10 00 valuation: 0 P E R M I T Suite: Lot#: Permit N<': CB9o0616 Project No: A96008oJ Development No: 68">.2 04/03/96 RQ01 ¥1 - )ccupancy Group: Reference#: Construction Typ~fR~EW :7.~ Status: ISSUE:> Applied: 04/02/96 Apr/Issue: 04/02/96 Entered By: RMA 619-729-7139 Description : REPLACE WATER HEATER Appl/Ownr : BROOKS, LYNN 2420 GARY CR CARLSBAD CA *** Fees Required Fees: Adjustments : Total Fees: Fee description Enter tty for Plumbi Each Water Heater an * PLUMBING TOTAL 92008 CITY OF CARLSBAD .oo .00 27.00 *,, * Ext fee [>atd 20.(,0 Y 7.00 27.00 n NAL APPRov · L INSP. ) DATE _~,fl-1b CLEAF.. NCE ___ j 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Pl!RMJT IY'PUCATION PLAN GIECK NO. City of Carlsbad Building Depertllent 207', LN P•I-Dr., Carlsbad, CA 92009 (619) 4311-1161 L Prmtf i1P£ T'rom List I (5ee back) give code-or Pennil-Type: ___________ _ -------------·-········------············-·------ for Residential Projects Only: froro Ust 2 (see back) give Corle or Structure-Type: ________ _,S""°"'------------ Net Loss/Gain of Dwelling Units 2. PRUIFCT INFORMATION Address FOR OPPICE USE ONI.Y 2420 Gary Circle Huildmg or Suite No. Nearest Cross Street Trieste Dr a : LEGAL DESCRIPIION Lot No. Sulx11V1s1on Name/Number Onu No. Phase No. D 2 Energy Cales • 2 Struc~ural Cales D 2 Soils Report D 1 Addres.1ed ~nvelope ASSESSOR'S PARCEi. EXI¥1N% gs~ DESCRIPTION OF WORK water Heater Replacemen 7ilion PBOPQSED USE SQ. FT. 11 OF SffiRIES II OF BEDROOMS # OF BATIJHOOMS 3. WN iACI PEJC50N (I( dulerenl lrom applicant) NAME (last name first) Brooks, Lynn ADDRESS 2420 Gary Circle CllY carlsbad STATE CA 729-7139 NAME (last name first) CllY El cajon carol Foster STATE CA ZIP CODE usine s, Suite B DAY TEI.EPHONE 39o-44 77 S. PKOPEkiY UWNrut NMfE (last name first) Brooks, Lynn STATE CA ADDRESS 2420 GAry Circle CllY car lsbad ZIP CODE 92008 DAY TELEPHONE 729-7139 6. WNiRACIOR A & J Foster, Inc. 13706 Highway 8 Business, suite B NAME (last name first) ADDRESS 91977 CllY El cajon STATE STATE UC. 11 CA ZIP CODE 630120 LICENSE CLASS DAY TELEPHONE 390-4477 C-36 1200354 DESIGNER NAME (last name hrst) ADDRESS CllY BUSINESS UC. 11 •. CllY STATE ZIP CODE DAY TELEPHONE STATE LIC. II 7. WditJO.JtS' WM PENSA I ION Workers' Compensauon Dedarauon: I hereby ail1rm that I have a cen1lica1e of consent to seli-msure issued by ihe Director ol lndustnal Relations, or a certificate of Worken' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Departq1ent (Section 3800, Lab. C). INSURANCE-COMPANY Republic Indemnity POLICY NO. PC3509422 EXPIRATION DATE 5-1-96 Certificate al Exemption: I cerufy that m the peiiormance al the work lor which this penmt 1s 15.iued, I shall not employ any person m any manner so as to become subject to the Workers' Compe lion ws of California. SIGNATUREm. ntlCUnl DATE LJ 8 fJ & • • • Owner-Builder Declaration: I hereby alhrm ffiat I am exempt irom ffie Corifracfofs Ucense Law ior ffie loilowmg reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the snructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvementJI are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose or sale.). I, as owner of tli~ property, am exclusively contracting with licensed contracton to construct the project (Sec. 7044, Business and Professions C<Xle: The Contractor's Ucense Law does not apply to an owner or property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.S Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to itJI issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commencing: with Section 7000 o( Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIIRE DATE WMPL£1E IRIS SECIION FOR NON-RESIOEN IIAL 8011DlNG PERMll'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25S0S, 25S33 or 25S34 of the Presley-Tanner Hazardous Substance Account Act? •YES •NO Is che applicant or future building occupant miuired to obtain a permit from the air pollution control district or air quality management district? • YES • NO Is the facility to be consuucted within 1,000 feet of the outer boundary of a school site? • YES • NO IF ANYOFTIIJ!ANSWERS ARE YF.S, AFINALCl!RTIFICATEOFOCDJPANCY MAY NOf BE~ AFmRJ\ILY I, 1989 UNLESS TIIE APPIJCANT HAS MET OR IS MElmNG nm IIF.QIIIREMENTS OF nm OFFICE OF EMERGENCY SERVICF.S AND nm AIR POLLUTION illlflllOL DlSllllCT. 9. WNSI KOCI ION 11.NUMG AGENCY l hereby aihrm that there lS a construcuon lending agency ior U1e perlonnance of the work ior which lfos penmt 1s 1SSueJ (Sec 3097(,) Cival Code). LENDER'S NAME None LENDER'S ADDRESS 10. XPPUCXNI OltitFICAIION I certify that I have read the application and stale ihai the above miormahon 1s correct. I agree lO comply wnh ail City ordinances and State laws relating to building construction. I hereby authorize representatives or the City of c.arlsbad to enter upon the above mentioned propeny for inspection purposes. I AJSO AGREE TO SAVE INDEMNIFY AND KEEP IWIMLFSS nm Cl1Y OF CAI\ISBAJ) AGAINsr AIL UABIUTIF.S, JUDGMENTS, CX)!;J'S AND EXPENSF.S WIDOI MAY IN ANY WAY N:DlUE AGAINST SAID Cl1Y IN illNSEQUENCE OF nm GRANllNG OF nus PERMIT. OSIIA: An OSHA permit is required for excavations over S'O" deep a'nd demolition or construction or structures over 3 stories in height. Expiration. Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 36S days from the date of such pennlt or If the building or work authorized by su:ru~t~":~~~~~E°ba~ at a_ny t~mmenced for a period of_15.o d-•~-~iJ7ql;ifo~J~ilding aide). 1r111·;1· •·1 --,-,, ,. · " ,.,.. • PERMIT# CB960616 DESCRIPTION: REPLACE TYPE: PLUM JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 04/11/96 WATER HEATER STE: INSPECTOR AREA PLANCK# CB960616 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: CONTRACTOR: 2420 GARY CR BROOKS, LYNN PHONE: 619-729-7139 PHONE: OWNER: REMARKS: BJN/STEVE/729-7139 SPECIAL INSTRUCT: TOTAL TIME: CD 25 LVL DESCRIPTION PL Water Heater/Vents ------------------------------------------------------ PHONE: INSPECTORJ/~'----------- ACT COMMENTS !-11-£Md~ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS L PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only Permit No 7~.,, JOB ADDA C.$5 LE~Al I 1 oescft. LOT NO. OWN[R 2 I TftACT MAIL AD011t£.SS ZI p • ... • • --PHONE '\ CON TRAC TOPI MAIL ADOACS.S PHONE LICCNS£ NO. STATE 3 ARCHITECT OR DE.SIGNE,_ MAIL A00f't;S.S 1..ICENSE. NO, 4 MA.IL AOORCSS PHONE LICENSE NO. 5 COMPENSATION (NS. CARRIER t,.,tAIL ADDRESS BRANCH 6 ._, ·' ,. . .,. _::-_ ~ -rC1S11'"L!°4...:.111J1jVf .J... o. Bcril: .-.-• -:: San Di.e.-w. C11. ,_ USE Of' BUILDINC. 7 8 Class of work: •NEW 0 ADDITION •ALTE RATION 0 REPAIR ·•1'11'-q Describe work: 'd ,. ---- , PERMIT FEES No. Type of Fixture or Item SPECIAL CONDITIONS: WATER CLOSET (TOILET) ll }_ljJ A _,L.A APPLICATION AClTtf 8Y /..,;1 . I . PLANS CHECKEO SY APP ROVE O FOR ISSUANCE 8 Y DATE r NOTICE 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 HE.REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND O ~DINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE.D WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,11/76 51GNATU"£ OF CONTRACTOfl OR AUTHORIZED AGtNT (DATE) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & OISP. 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 ROOF DRAINS PERMIT .!5IGNAT 11tr 01' OWN[llt r, OWNER BUILDC") lOATE) . TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR ' ·_,~, CITY Fee $ $ $ 'f,' ,, HI CASH