HomeMy WebLinkAbout2802 CARLSBAD BLVD; ; 78-5649; Permit.n,
City of CARLSBAD, CALIFORNIA 92008
5*0*3
Applicant to complete numbered spaces only.Phone 729-1181
JO* ADORE**
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ARCHITECT OH DEBIBNER MAIL ADDRESS LICENSE MO.
MAIL ADDRESS L4CKMSI NO.
. CARRIER MAIL ADDRESS
USE or SUILDINS
Cimufwork: D NEW IB ADDITION O ALTERATION D REPAIR
9 Describe work: T>V v\<r. A i K 1% -' -^ ^
PERMIT FEES
No.Typt of Fixture or Item F«t
SPECIAL CONDITIONS:WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASHBASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTED BV PLANS CHECKEg 8V Awnoveo FOR ISSUANCE BV LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
J*THWPERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED Ofl ABANDONED FOR APERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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 NUMBER CLE*niTR
CESSPOOL
ROOF DRAINS
• lONATUBt Or CONTRACTOR OR AUTHORIZED ACENT (OAtEt
.ISSUANCE-FEE
"**«'WHEN PROPERLY VALIDATE 6 (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.MXX CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714} 729-1181
CERTIFICATION
I certify that in the performance of the work for which this permit is issued I shall not
employ any person in any mariner so as to become subject to the workers' compensation
laws of California.
If, after making this certificate, I become subject to the workers' compensation pro-
visions of the California Labor Code, 1 will forthwith comply with Section 3700 of the
Labor Code.
I understand that if I fail to comply with the workers' compensation laws, this permit
shall be deemed revoked.
I further certify that if I should contract or subcontract with any person, including any
firm or company, to do all or part of the work for which this permit is issued, I shall assure
compliance by that contractor or subcontractor with Section 3800 of the California Labor
Code.
PRINT NAME AND TITLED /T/?7
JOB ADDRESS:
DATED: