HomeMy WebLinkAbout2804 La Costa Ave; ; 78-4936; Permit. ' PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181
JOB AOOLII [$5
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MAIL A0D"Cf5
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ENG 11.AAIL AOOR[SS
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COMPENSATION (NS. C"ARRIER MAIL AOOllltSS
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USC OF' 8Ull.OIHC. --
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8 Class of work: □NEW 0 ADDITION
9 Describe work: -,
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SPECIAL CONDITIONS.
APPLICATION ACCEPTEO BY PLANS CHECKED ~y APPl10VE0 <011 ISSUANCE BY
'
NOTICE
THIS PERMIT BECOMES NULL AND VOI D 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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO Bf TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES 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.
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" SICNATUftt 0,. CONTlllllii,CTOfll Ofll AUTMOIIIIIIZ.£0 ACU(T IOATE)
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SIGN.-.TUR:£ o, OWNC,t 11, OWN.LA eirt"tocAJ OAT ti
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PHONE LICENSE NO,
BAA.NCH
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
GASSYSTEMS NO.OUTLETS ~
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC TANK&. PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
----., 1,U
CITY LIC. NO,
l -... -
Fee
$
.
CASH
REQUEST FOR INSPECTION
INSPECTOR ~
TIME-· _____ _
;&/a PERMIT NO. _______ DATE:
OWNER -Ee,~ t 1:z
ADDRESS c2f'.t1i ~ tl1!{
BUILDING
OF
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
D ROUGH ELECTRIC MO
D POOL BONDING ., I '11""1
D ELECTRIC UNDERGROU~ND
□. ELECTRIC SERVICE ?· {)''/ff,
D CEILING HEAT ,//~ 71
D G.F.1. 3/
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS /
D PLENUM AND DUCTS r/i /l'vf
D COMBUSTION AIR ~;,,#'ti)
D PATIO /7"
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY □WEDNESDAY D THURSDAY D FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS {,~ h ~
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PERSON TAKI NG R EPORT _ ____,d?t(;£'--='--==----
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. ELECTRICAL PERMIT APPLICAT~9N t2f. q •
City of CARLSBAD, CALIFORNIA 92008Ai I J -/f" _1c1q ~7
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No 1 ~
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JOB ADDRESS
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LOT NO. I BLK, I TRACT (QSEE ATTACHED SHEET) 1 ~~;~~-.,
OWNER I
\'\ 'r \~( 'c ~ MAIL ADDRESS ZIP PHONE
2 ~l,.\..\ ~ ). t .h_· , 7 ' r 3 t ~-'
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CONTRACTOR ~ MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC, NO,
3 >1',. < (... \ \(,!':) I ~ " . -, ........ \ i,,--~ " -) ~ ---,
ARCHITECT OR DESIGNER ~ MAit. ADDRESS PHONE LICENSE NO,
4
ENG IHEER MAIL ADDRESS PHONE LICENSE NO,
5 -' . ....
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 • USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: .
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
' NO INCREASE IN SERVICE
UC. E; U' '"" -~\,,,'4-, :..,, •
NEW CONSTRUCTION, FOR EACH
Al'f'LICATION ACCEPTED av PLANS CHECKE O a V APPROVED FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
,r "
DATEi ,t 7•7d 1v..-ll J J, . -. NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, fQR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE I-" . -~ -APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE!> GOVERNING THIS
,.,
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
I·
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION,
~ \ TEMP. SERVICE OVER 200 AMP.
PER 100 -
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) .. ISSUANCE FEE -..
I. TOTAL FEES ., ' SIGNA Ul'tE OF' WNER IF OWNER BUILDER IOATEl -
WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT I
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
INSPECTOR