HomeMy WebLinkAbout148 SYCAMORE AVE; ; 78-909; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No / P .. ,7? '.J?
JOB AOOA [$S
/"[ <) \/CAMl'lli"L 4 ,,e
LOT NO,f I ■LK I TUCT
L EGAL f 1 OESC ~. I
OWNE.Pt MAIL AOOfllESS ZIP PMON £
2 {:, k'I. f/,::: Ail, JAi e 43 IA 'I t.AC:. ~ • / , ,(
CON TflAC TOPt MAIL. ADORES.$ PHON C STATE LIC. NO, CITY LIC, NO,
3 JI, T"-. •JL./. <' I '1~7,,_t (! I.., • ,. ,-r. l µ/_,A ~ ~ 101.£ "7:J..2,. :iCG o --~.1-1, / / I _,,_?
AfllCHITECT ON DESIGNER MAIL AODRC55 PHON C LICENSE NO,
4
ENG IN[Efll MAIL ADDA [SS PHONE LICENSE NO,
5
COMPENSATION (NS, CARRIER ,,.__ M,A,IL A00AE5S BJU,NCH
6
use OF DUi l.DiNG
7
8 Class of work : □NEW 0 ADDITION 0 ALTERATION ~ REPAIR
9 Describe work : I(~ PA I
, s I C
PERMIT FEES
No, Type of Fixture or Item Fee
SPECIAL CONDITIONS : WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
K ITCHEN SI NK & OISP.
DISHWASHER
APPLICATION ACCEPTEO BY PLAN} CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
/) 1/. . ,. I ;• CLOTHES WASHER
/ DATE 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 FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED O R 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 ANO CORRECT, WATER PIPING & TREATING EQUIP, ALL PROVISIONS OF LAWS ANO 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 OTH ER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
//(.., CESSPOOL r _,_ ) /7., SEPTIC TANK & PIT .... ,✓~ t:, .'t' :-,,,""' It. I ROOF DRAINS { ~
"stGNATUAE OF' CONjRACTOft OR AUTHORIZED A.GtNT I (CATE)
ISSUANCE FEE $ 7 ~-(,,
SI GNATllllt£ OP' OWNE" 11,-OWNEllt BU ILOE RJ (OAT£) TOTAL FEES $ c; ., ,,,..,.
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
;,-11' ~. -4 /,~~ --
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.