HomeMy WebLinkAbout2435 SIERRA MORENA AVE; ; 77-4865; PermitPLUMBING PERMIT APPLICATION
c·t f CARLSBAD CALIFORNIA ,y 0 ' Permit No. 77-l/fb,') Applicant to complete numbered spaces only.
JOB A.DOR ES5 a,s sDIIIA ..
LOT NO, Im I T•ACT
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OWNEllll MAIL AODllllESS ., ZIP PHONE
2 TJDIA., .nlff $3.5 SUD& .. c.&RtSa&D 92008 -~1192 •
CONTfllACTO .. MAIL ADDRESS PHONE LICENSE NO. STATE CITY
3 10a•s ruat!IIIJ SDnm 2501 srm n .• ·•-ct1u" 129-2055 -S'/01 9343
ARCHITECT OA DESIGN[Jt MAIL ADO"ESS PHONE LICENSE NO.
4
CNGINEER MAIL AOOIIU.SS PHONE LICENSE NO,
5
COMPENSATION rNs. CARRIER MAIL AOOJltESS IUtANCH
S'b.ftC011'11SA.TIO ~--IIJI -. SAi DIIGO, CA 9'Zl.'8 6 --, •
USE Of' BUILDING
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
q Describe work: Bl&ftlt IIPL&CBlliff
PERMIT FEES ' ~ No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
~j CLOTHES WASHER
CATE X WATER HEATER 'I, uu
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 CONSTRUC,1.0N. LAWN SPRINKLER SYSTEM -' SEWER
CESSPOOL -' SEPTIC TANK & PIT
6-21.-71 ROOF DRAINS
SIGNATURE o, CONT .. ACTOfl. Ofl. AUTHOIIIIZED AGENT (DATE)
PERMIT $ -
TOTAL FEE $ '1'e l rv
SIGNATUfl.£ 0~ OWHEIII llY OWN£fl. 8UILOElit) fOATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
PLUMBING PERMIT APPLICATION
Applicant
City of CARLSBAD, CALIFORNIA 92008
to complete numbered spaces only Phone 729-1181 ~p;~itN/:77~.~~'E•
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LOT NO. BL• I T" ACT
LEGAL I 1 DESCO.
OWNUlt .).,L/35'J;~;~ 1\-ioRf.v.(
ZIP 'f Joo'<
PHONt
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PHONt STATE LIC. NO. CITY LIC. NO.
3 'h.,t-c>f No.L) .. t-l,•/ Vu,A 'dll-~o3 ;Jj-c/t, 3o , ti~ I
AttCHITECT 0 .. DESIGN[ .. , MAIL AD0.£55 PHONE LIC[NSE NO.
4 ~
. ' ' tHGINEtfll MAIL AO0~[55 .,~ jl PHONE LICENSE NO,
5 .
6 COMPEZ5~~10\'\s\ c;RIER J.AAIL AO0"E55 il.w IUIIANCH I
USC or BUILDING ':-l1t 7 .
1 8 Class of work: □NEW 0 ADDITION PAL TE RATION 0 REPAIR
9 Describe work: I N\-~LAT,i.>N QF WA ,-<:."n. c. 0 1,H),T• v~ ~
fa PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: . WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
,. SHOWER
f KITCHEN SINK & OISP.
DISHWASHER
"PPLICATION ACCEPTED ev PLANS CHECKED B'f APPIIOVE0 FOIi ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
OATE WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A .I FLOOR-SINK OR DRAIN
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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO Bf TRUE ANO CORRECT. I WATER PIPING & TREATING EQUIP. ( ,,,/ 0 ALL PROVISIONS OF LAWS ANO O RDINANCES 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 NUMBER CLEANOUTS
~-1°}1/77 CESSPOOL
SEPTIC TANK & PIT . --~ v,./'0~ t,.,,v-, ROOF DRAINS
51GNATUOE o, CONT.AC TD. OR AUTHDOlt AGtNT 'r (DATE>'
ISSUANCE FEE $ ,. ,, -·
SIGN,t..Tt•fltt 0,. 0WN[N 1,-OWNEJIJ BUILDER) (OAT[) TOTAL FEES $ 7 J-
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.Q. CASH
INSPECTOR