HomeMy WebLinkAbout2775 ROOSEVELT ST; 3; 78-4889; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit N;y,.f_ <//.Ji,,, ~/J .i
JOB ADO" ($5
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OWNC" MAIL. AOOJIII CSS ll P PHON(
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CON T"AC TOllt ... --~ M AIL AOOJIIIESS PHONE STATE LIC, NO. CITY LIC, NO,
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M AI L AODJIIIESS
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CNGINECR MAIL A00,.£55
5
COMPENSATION fNS. CARRIER MAIL A00"E55
6 A/11 ~ -..0/,. ,./.--('
USC 9'FW'BUll.01NG . . /
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATI ON
9 Describe work:
, .
SPECIAL CONDITION S:
APPROVED FOR ISSUANCE BY
DATE
NOTICE
TH IS PERMIT BECOMES NULL AND VOID I F WORK O R CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DA YS.OR I F
CONST RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT A N Y TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE T RUE AND CORRECT.
ALL PROVISIONS OF L AWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECI FIED 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 REGULA T ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
'Z--2-217 (DATE)
51GNAT11J111r 0,-OWNC,t (i, OWNCJIII IIUILOER) OAT CJ
1 ~t; -IJti ( I
L.ICCNSE NO.
PHON( LICENSE NO,
~REPAIR
PERMIT FEES
No. T ype o f Fix ture or Item
WAT ER CL OSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN )
SH OWER
KITCHEN SINK & D ISP.
DISH WASHER
LAUN DRY TRA Y
CLOTHES WASHER
WATE R HEATER
URINAL
DRINK IN G FOU NTAIN
FLOOR-SINK OR D RAIN
SLOP SINK
I GAS SYSTEM S, N O.OUTL ETS ~ . WATER PIPING & TREATIN G EQUIP.
WASTE INTERCEPTOR
VA CUUM BREAK ERS
LAWN SPR INK L ER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPT IC 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
Fee
$
CA SH
REQUEST FOR INSPECTION T cr>=f PERMIT NO 71✓ 'Ii ff INSPECTOR
•
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
A "J \
INSPECTION: '5\MONDAY READY FOR
1 □A.M .
0 P.M.
D TUESDAY
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY ~' PHONE NO._~z _r_~fl'--9 __ I ~f/-PERsoN TAKING REPORT _______ _
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