HomeMy WebLinkAbout2805 Jacaranda Ave; ; 78-4066; PermitPLUMBING PERMIT APPLICATION k_ ~-•• ~~
City of CARLSBAD, CALIFORNIA 92008 =-11 yi;_ L
Applicant to complete numbered spaces only Phone 729-1181 Permit No · ::,
JOI ADOIIII C~S
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OWNEIII MAIL AOD,-CSS Z1 p PMONC
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CON T(IIIAC TOR MAIL A00-flfCss~ -'------,.----PHONE. ... STATE LIC, NO, CITY LIC, NO,
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All':CMITCCT OR OESICN£11l ~--MAIL A0t>"llt's5"" PHON [ LICENS[ NO.
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lNGINECR MAIL A00fil[5$ PM ONE LICCNSC NO,
5
COMPENSATION (NS. CARRI ER MAIL ADDllltSS &1111.AHCl-t
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US( o, BUILDING
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work :
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 ev PLANS CHECKED BY APPl'IOVED ~OR •SSUANCE BY LAUNDRY TRAY
CLOTHES WASHER 1 ..
DATE . WATER HEATER I
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. GAS SYSTEMS: NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND 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 NUMBER CLEANOUTS
CESSPOOL -,72 4,. I{ ,. i" .., I . 'i¥1 ,.-'.,Jj SEPTIC TANK C. PIT
j, / •• ·~, ,,,,-, I ROOF DRAINS
~1ct"P.U.TURC o, CONT,.ACTO" 01111 AVHO .. IICD AGENT (OATEI
,i "e •· ,f.'t>:.,Dr -.J f'
ISSUANCE FEE $ •.
!ltCNATU"C 0" OWN[ .. 11, OWNtlll I VILDE") IOATC) 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