HomeMy WebLinkAbout2550 CHESTNUT AVE; ; 76-1261; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.Permit No./
JOB ADDR ESS
LOT NO.
„ LEGAL
1 DESCR.
2550 Che«tnat
BLK TRACT
OWNER MAIL ADDRESS ZIP PHONE
2 J» SISCSJOOI-I^KI 2550 Chestnut .^traet, Carlgbad 92008 729-8650
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. STATE CITY
3 BOB?* rnmiSG SSJWICS 2S01 **tat» St re«t Carlsbad 729-2055 t&SP&ftHl&x 93^3
4
ENGINEER
5
MAIL ADDRESS PHONE LICENSE NO.
MAIL ADDRESS PHONE LICENSE NO.
COMPENSATION fNS. CARRIER MAIL ADDRESS
6 Stats CoBpenaatian Insurance fund, P* 0. Box %
BRANCH
WJ8, MtUJtJX f*ftn Ui»gO, C&.
USE OF BUILDING
7
8 Class of work: D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work:
Wator softener Installation
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY
,/
S/ ^ /J/-
THIS PERMIT BECOM
TION AUTHORIZED I
CONSTRUCTION OR V
PERIOD OF 120 DA
MENCED.
1 HEREBY CERTIFY
APPLICATION AND K
ALL PROVISIONS OF
TYPE OF WORK WILHEREIN OR NOT, 1PRESUME TO GIVEPROVISIONS OF ANYCONSTRUCTION OR
PLANS CHECKED BY APPROVED f OR ISSUANCE BY
DATE
NOTICE
ES NULL AND VOID IF WORK OR CONSTRUC-
S NOT COMMENCED WITHIN 60 DAYS, OR IF
VORK ISSUSPENDED OR ABANDONED FOR A
YS AT ANY TIME AFTER WORK IS COM-
THAT 1 HAVE READ AND EXAMINED THIS
NOW THE SAME TO Bf: TRUE AND CORRECT.
LAWS AND ORDINANCES GOVERNING THIS
L BE COMPLIED WITH WHETHER SPECIFIED
HE GRANTING OF A PERMIT DOES NOT
AUTHORITY TO VIOLATE OR CANCEL THE
OTHER STATE OR LOCAL LAW REGULATING
.THE PERFORMANCE OF CONSTRUCTION.
5/^/76
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER {IF OWNER BUILDER) (DATE)
PERMIT FEES
No.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 SPRTNKLER'SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
fRO£F DRAIJ^Hater aortaii*!1
PERMIT $
TOTAL FEE $
Fee
$
07
50
*e —
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR