HomeMy WebLinkAbout130 TAMARACK AVE; ; 72-1153; PermitPLUMBING PERMIT APPLICATION 2
0 .. -, :( 0 -I z • City of CARLSBAD, CALIFORNIA .. ► lJ 0 0
" Applicant to complete numbered spaces only. .. .. .. Joe AOOl'I ESS
130 a arack Aye . ;~ LOT NO.
IBLK I TIIACT LEGAL I QsE& ATTACHED SHEET) ~ 1 DESCII.
OWNEl'I 4561 Centlnera Loa Angele• ZIP PHONE
2 l • aeuda \
CONTl'IACTOl'I MAIL ADDPIESS PHONE LICENSE NO. .
3 ob'e · 1umbin 2501 tat• .st . Carlsb d 729-2055 )4(5 I
ARCHITECT 01'1 DES IGNll'I MAIL ADOfU.SS PHONI: LICENSE NO. ~-4 ~ CNGINE.El'I MAIL ADDl'IESS PHONE LICINSE NO,
5 ~~ LENOEPI MAIL AODl'IESS IIIIANCH ~ 6
use 0 ,. BUILDING
7
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8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
' 9 Describe work: Water heater chn -out
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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
CLOTHES WASHER -
WATER HEATER .... JV
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. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
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
I SEWER
CESSPOOL
1).~,./l ,,,-;-/'"/ I -1'~LYJ 8-29-72 SEPTIC TANK&. PIT
srGN ATURE. OP' CONTRACTOR OPI AUT{0'41Z£D AGENT IDATE J ---
PERMIT $ J -!'_
TOTAL FEE $ , ;
!II GNATUJH. OP' OWNUt IIP' OWNE.A 9 UIL0l R) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
AUDIT
Form 100.2 9·69 REO .. D&R l'ROM: INTE RNAT ION A L t':.ONFFRFNt"S:-n c-D111t r-..,.,,,. ,...,.._,,..., •' ... -_,.. --