HomeMy WebLinkAbout2602 LA GRAN VIA; ; 78-4378; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ' ?JJ .. -Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. . L
JOB ADDA E$5
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OWN£flil MAIL AOOA[S5 ZIP PHONt
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CON TRAC: TOIII .,,. MAIL. .-.ooA[SS PHOHt "4✓.>~'1-~ STATE LIC. NO. CITY LIC. NO.
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AIIICMITCCT OA OE51CNC.R MAIL AOOAE5$ PHONE LICENSE NO.
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[NG.INEER MAIL AOOA[SS PHONE LICENSE NO,
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COMPENSATION (NS. CARRIER MAIL AOOIIIC.55 BIIIANC.H s.~. 6 .. r...:;,, 7:.c.2' !.'.'. ' ... · --....Z-A,,..::. /4A,r'V/ P,o._,.q... . o~-•''/·''i .:.t.'K.3 ~ "'-¥ / v..;il
US[ OF BUILDING .
7
0 NEW ./ □ ALTERATION 0 REPAIR 8 Class of work: 1\00ITION
9 Oescribework: .,/A'.s-n,// ~,q-5 L_,,Al...e, ~Cl A/eve,, 1/e~/:zl..A:...
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PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDlTIOJIIS: I WATER CLOSET (TOILET} $
) I /( ( y r'") '\ (1 ~ BATHTUB
/-, ,, .. . LAVATORY (WASH BASIN)
I• J / A /} ..... ..4.. SHOWER
-//-, ,J ~ .... ,, ~., l ~/' t..,,,(,,,,,// KITCHEN SINK & DISP.
'· < DISHWASHER
APPLICATION ACCE.PTEO BY PLANSCHECKEO BY APPROVE O •OR ISSUANCE BY LAUNDRY TRAY y
~-r ) CLOTHES WASHER
j OATE I WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM• SLOP SINK
MENCED. I GAS SYSTEMS: NO.OUTLETS ~ ~ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT, fl. WATER PIPING & TREATING EQUIP. ;►~ :3 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS ·-TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS ;) ( I PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL.
/' . A-SEPTIC TANK & PIT . ... ~.I ROOF DRAINS ,t.
SIGNATUl't!: o, CONT .. ACTO .. 0 .. AUTHcf"AtZEO AGtNT I0~Ttl
·•
ISSUANCE FEE $ .::::::: c; '
51G,NA,TUR£ 0,-OWN[" 11, OWNER BUILDE"J DATE) TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
Applicant to complete numbered spaces only. .-.&£~ !2Z Permit No.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
4
5
6
7
8
9
(□SEE ATTACHED SHEET)
MAIL ADDRESS .,L , ,,,_;, ,/ K.. 9,2
ZIP PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS
~
ENGINEER MAIL ADDRESS
/'JI~/ Al<
COMPENSATION INS MAIL ADDRESS ., .., /.
Class of work: 0 NEW .e(AoolTION 0 ALTERATION
Describe work:
. Pr CHECKED BY APPROVED FOR ISSUANCE SY
DAT E
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC•
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
I NATURE F WNER IF OWNER BUI DER DATE
PHONE
PHONE LICENSE NO.
0 REPAIR
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
ISSUANCE FEE
TOTAL FEES
No.
I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
Each Fee
CASH