HomeMy WebLinkAbout2653 ROOSEVELT ST; ; 79-151; Permit' PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only Perm it No 79-1:51
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cotr~r4At TOIII -,, MAil A0OR£5$ PHONt. STATE LIC, NO,
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CNGINECA MAIL ADDA CSS PHONC LICENSE NO.
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COMPENSATION (NS. CARRIER MAIL AOOlll£55
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usi o, BUILDING
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION ~EPAIR
9 Describe work : I, I ,, ., L ✓-.,.. .,_,.,,.,.
SPECIAL CONDITIONS:
APPflOIIED FOil ISSUANCE 8Y
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY 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 LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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No.
I
PERMIT FEES
Type of Fixture or Item
WATER C LOSET (TOILET}
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GA S SYSTEMS, NO.OUTLETS
WATER PIPING &. TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK .. PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
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CITY LIC, NO, ;37g 7
Fee
$
$
$
CASH
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DATE
USE SPACE BEL01
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INSPECTION REPORTS
ITEM REMARKS
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Signed
SEND PARTS I ANO 3 WITH CARBONS INTACT.
PART 3 Will BE RETURNED WITH REPLY.
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INSPECTOR
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