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HomeMy WebLinkAbout267 Juniper Ave; ; 73-2872; Permit.,. & PLUMBING PERMIT APPLICATION Permit No.13--4._j ~ City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. JOB ADDA ESS d&17 (J_ /.,urv ~ d ~ ~ o~~ 0 C. -u :; 0 ('D z lll3 l'1 ►~ LOT NO, laLv ,.~ACT lJ g :z LEGAL I QsEE ATTACHED 5HE£TJ 1 DESC~. lJ? l'1 OWNEft MAIL ADONCSS L ZIP PHONE. .. 7 .. 2 I;_ I ' , I F j ,t? ,J 1/-~· CON TRAC TOIII MAIL ADD~ESS j PHONE LICENS[ NO, 3 / li I J ./ ARCHITECT OR DESIGNltft --MAIL ADONESS PHONE LICENSE NO, .. /"- 4 I" EHGINEER MAIL AODNE.SS PHONE LICENSE NO, 5 \ LEND EA MAIL ADDRESS IUIIANCH 6 -- USE OF BUILDING /2~ __/, \. 7 . ~/ 4 ··~ It 8 Class of work: □NEW □ ADDITION 0 ALTERATION 0 REPAIR I•- Eo..~J ln//2.A (I, , .... 9 Describe work: /A/)_ ,1-/1✓ _.,, c_ I' I PERMIT FEES ~ No. Type of Fixture or Item Fee SPECIAL CONDITIONS: I WATER CLOSET (TOILET) $ IK BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTEO ev PLANS CHECKED ev APPROVED FOR ISSUANCE ev LAUNDRY TRAY f~~ 'J;/ ~IK CLOTHES WASHER ' WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOi DI F WORK OR CONSTRUC-DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 GASSYSTEMS:NO.OUTLETS / ~JI'., I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN DR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK & PIT .SIGNATURE 0,. CONTRACTOIII 0111 AUTHORIZED AG£NT (DATE) ✓ 1 PERMIT $ SIGNA"rUIIIE 0,. OWNER (IP' OWNER BUILCER) {DATE> TOTAL FEE $ WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR '" ,., 0 PLUMBING PERMIT APPLICATION 0 • 5 i , City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. ·----Permit No 7 j -:_,/r 'cf 7 Joa .-.ooR tss 'i..67 Junl~or LOT NO. I BLK I T"AC T LEm I 1 0£5C"• OWN[llt MAIL ADOIIIESS II P • PHONE 2c J. A. :nnlbert?. naa. CONTfllACTOR MAIL AODAESS PMOH[. LICENSE NO. STATE: CITY 3 <'wnet ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO, 4 ENGIN[lR MAIL ACOR [55 PHONE LICENSE NO. 5 COMPE:NSATION [NS. CARRIE:R MAIL ADDRESS 8111ANCH 6 USE OF BUILDING 7 . 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR q Describe work: .r.11a M.at-,,.r 1r!hnn.r.e PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVEO FOR ISSUANCE BY LAUNDRY TRAY '-/)t/. CLOTHES WASHER DATE: WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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. / GAS SYSTEMS NO. OUTLETS / (,. -.,.l I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK & PIT ROOF DRAINS -nf)~:•;;_N::A;J•.¼TjJ;;fiA !DAT£) 1/,.(✓/2, PERMIT $ 7 I~'- $~ 0/) 51GNATU"lr: 0,-OWHIE.-i&.T~Wlll" 8UILO[RI # . i IDATE} TOTAL FEE -. WH~AOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 9-8-75 Gas changeover: good work, O.K. to clear. T. Mata