HomeMy WebLinkAbout2598 STATE ST; ; 71-159; Permit0 ~
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PERMIT # City of CARLSBAD, CALIFORNIA F'EB 17-71 -cc 1 t•• ~, )0
PLUMBING PERMIT APPLICATION 2
Applicant to complete numbered spaces only. .. .. .. JOB ADDA ESS 9v '
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LOT NO. I 8LK I TIIACT (J\ ~
LEGAL I (0SEE ATTACHED SHEET) 5 1 DESCII, ~-~ OWNER MAIL ADDRESS ZIP PHONE ~ ¾ ~ 2 I'
CONTPIAC TOPI MAIL ADDRESS PHONlt LICENSE NO, \~~ '0 3 71~ -&~ .2..f>~q C /C,. 2 S .3/--1-'0 W &-Sr£/lA) 4 h 'Tr?, .<: 1;t11u,t'/~K J:'AJG,-('", I'?
ARCHITECT OR DESIGNER , MAIL ADDRESS PHONE LICENSE NO, ;,~
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ENGINEER MAIL ADDRESS PHONE LICENSE NO, ?
5
LENO CR MAIL ADDRESS IJIIIANCH
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6
USE or BUILDING
7
8 Class of work: □NEW ,:E,ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: /A/SrA.u... F/p,:. -s l'R1AJV./ F:~S: /fl/ A./<2:w J.o t?,·r .10 tv r-o
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I PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & D ISP.
DISHWASHER
APPLICATION ACCEPTEO BY: PLANS CHECKEO BY: APPROVEO FOR ISSUANCE BY: LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
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. GASSYSTEMS: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 CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
,J ~ ... A..✓• ~ SEPTIC TANK & PIT --2.-7'7 -71 ::;..,:.. 6 \}M JA ~//4. -/Jld,,-l;J'h-i.-~ 60
51G..-ATURE 01' CONTRACTO,-01' AUTHORIZED AGENT (DATE) ,
PERMIT $ ~ ~o
SIGNATURE 01" OWNER (lpr OW·NER BUILDER) DATE) TOTAL FEE $ s s:o
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.2 9·69 REORDER f'ROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • eo so. LOS R08L[.S e PASADENA, CALS,ORNIA 91101