HomeMy WebLinkAbout2840 STATE ST; ; 71-636; Permit?/-'62.c. ~..(--~ : I
City of CARLSBAD, CALIFORNIA AOO l9-11)'«10 .... ; 1 ·
Applicant to complete numbered spaces only. .. ,I ~ 'tR ..
JOB ADDRESS a ,R-4-o ./ ,4 ;
~ A' _A,,£/., rt) LOT NO. I BLK TlltACT -~ LEGAL I Qsu ATTACHED aHtET) ~ 1 0uc11.
2 OWN[II ~A A ..,,, L ~ 1 ADDIIUS ZIP PHONlt t A.~ -0
I
PLUMBING PERMIT APPLICATIO 2
00
CONTRACTO~ f MAIL ADDlltESS PHONE LICENSI: NO, ,.~
3 f1 Ill .A.. J A_
AlltCHITECT Ollt 01:SIGNE1' MAIL ADDflEIIII PHONE LICENSE NO. ~ 4 ~ ENGINEE" MAIL ADDRESS PHONE LICE.NS[. NO,
5 -. :,._ '
LE.N D£N MAIL AOD,.CSS 811tANCH ~ ~ 6 /) ~ ~
US£ 0,-BUILDING
L-~ ~ ,-......; ~~ 7 , / 'AnnlJA i).
./ I ---8 Class of work: □NEW 0 ADDITION 0 AL TE RATION l...!'~"IR
9 Describe work: A A A/: a /J.. A. ~_,,µ,~ ,,/ ll d~~ , --
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPL3?~BY. PLANS CHECKED BY. APPRf/~CE BY; LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER / I ,.,rb
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 V IOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
rf&~1AJA r,t~ ~A)A
CESSPOOL
tl/1 SEPTIC TANK & PIT
5TVNATUAI£. 0,-CONTRACTOR OR AUTHORIZED AGCHn...,.., (DATE) /
~ PERMIT $ '< 1-ro
TOTAL FEE $ .4-Oo 1f GllilATU"t 0,-0WNI£." II' OWNCR BUILDER) (DAT[.
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100,2 9-69 RCO .. DE. .. ,1110M: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • eo so. LOS .. OIILl[S e PASADtHA, tALl,.ORNIA 91101