HomeMy WebLinkAbout2636 DAVIS AVE; ; 71-1044; Permit2PLUMBING PERMIT APPLICATION
V/ - 10 4 4 City of CARLSBAD, CALIFORNIA we -9-71 'Twsi**
Applicant to complete numbered spaces only
- LEGAL
1 DESCR
OWNER
2
2636 DAVIS PLACE, CARLSBAD
LOT NO BLK TRACT
(I [SEE ATTACHED SHEET)
MAIL ADDRESS ZIP PHONE
WILLIAM ES2SQF 2636 Davis PI. 92008 729-843.6
CONTRACTOR MAIL ADDRESS PHONE ~ . - .-LUMNSE NO
3 BOB'S PLUMBING SER7ICE 2501 StateSt. _722.-2Q55 24570?
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO
5
LENDER
6
MAIL ADDRESS BRANCH
USE OF BUILDING
7
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work Install water heater
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
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OHSPf
TION A
CONST
PERIOD
MENCE
1 HEREAPPLICALL PFTYPE CHEREirPRESUfPROVISCONST
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NOTICE y /
ERM/IT BECOMES NULL AND VOID IF WORK OR CONSTRUC
UTHORIZED IS NOT COMMENCED WITHIN 60 DAMS OR IF
RUQTION OR WORK IS SUSPENDED OR ABANDONED FOR A
) OF 120 DAYS AT ANY TIME AFTER WORK IS COM
D
IBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISATION AND KNOW THE SAME TO BE TRUE AND CORRECTtOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS)F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED4 OR NOT. THE GRANTING OF A PERMIT DOES NOTME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE.IONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGRUCTION OR THE PERFORMANCE OF CONSTRUCTION
sk^'i^U'* ' •> ' »' :*r f TO /I IT\'"^ , i JL£/ i/ ( JL.
SIGNATURE OF CONTRACTOR OR AUTHORfZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
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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 SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT $
TOTAL FEE $
Fee
$
1
3
5 <
•50
50
DO
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
.00
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PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
Form 100 2 9-69 REORDER FROM
INSPECTOR
INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 SO LOS ROBLES • PASADENA CALIFORNIA 9IIO1