HomeMy WebLinkAbout2835 ROOSEVELT ST; B; 77-272; PermitPLUMBING PERMIT :APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only
JOB ADDA ESS
?ti')~ senlt.
LEGAL I 1 ocsc•.
LOT NO. I T•AC T
OWN[lil
2 th et.
MAIL AOD .. tSS
''•C • X 864
CONTfllACTOA MAIL ADDIIIESS
3 ..__,
AACHITECT Ofll DESIGNER MAIL AODIIIICSS
4
ENGINEER ~AIL AOOACSS
5
COMPENSATION fNS. CARRIER Jr.A.AIL A00 .. £55
6
USE Of' BUILDING
7 iratter beauty salon
8 Class of work: 0 NEW 6J. ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
•PPLICATION •CCEPTEO ev PLANS CHECKEO BY APPIIOVEO FOIi ISSUANCE BY
J) , f
' CATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
Permit No
PHONE
7 4)81
PHONt L.ICENSE NO, STATE
PHONE LICENSE NO.
PHONC LICENSE NO.
0 REPAI R
PERMIT FEES
No. Type of Fixture or Item
1 WATER CLOSET (TOILET)
BATHTUB
5 LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
1 LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR -SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
CITY
Fee
s / ..;>
J --◊
,
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, T HE 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. LAWN SPR I NKL_E_R_s_v_s_T_E_M _________ __,1--+-----1
SEWER
CESSPOOL
SEPTIC TANK & PIT
Jan. ,s. 197? ROOF DRAINS
(DATE)
PERMIT
SIGN.A.TUA[ 0,. OWNER (I, OWNER BUILDER) (DATE) TOTAL FEE $ I ' I}
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR