HomeMy WebLinkAbout2056 PLAYA RD; ; 76-227; Permita 1 • ••
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Pe rmit No
JOB ACOR ESS .i .
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LOT NO. .._,-I ILK I T~ACT
L[GAL I 1 DESC~.
OWNER MAIL A0DRl:$S ZI p PHONE
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CONTRACTOR MAIL ADDRESS PHON t LICENSE NO, STATE CITY
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ARCl-41TCCT OR DESIGNER MAIL ADDRESS PMON E LIC CNSC NO, 11: gs 1 .,__ 4 .,.
tNGIN[Cft MAIL ADDRESS PHONE LICtNSt NO,
5
COMPENSATION (NS. CARRIER MAIL AOOl'IESS BffANCM
6
USE OF' BUILDING
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
q Describe work: -~,'dn Od..r ~~ ,A-::.:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET {TOILET) $
BATHTUB
LAVATORY {WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTljO BY PLANS CHEC~ED BY APPROVED FOR •51lJANCE fY LAUNDRY TRAY
,,} J DATE cl-/.9£,, ~ CLOTHES WASHER
lY I 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 :,;, ~· ~ 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
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CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SI GNATURt o, CONTlltACTON Ollt AUTH0flll1Zt0 AG~NT (DATCI
PERMIT $
SIGNATUll'E 0,. OWNl:1111 1, OWN[III 8UILOERJ OATCJ TOTAL FEE $1• / ,~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
IPq.oo
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
..:J-e,1.,-?C, -%,,,~,. ,ti __ / /~.:za-01 o/ A~~-
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.