Loading...
HomeMy WebLinkAbout1005 CARLSBAD VILLAGE DR; B; 76-232; PermitPLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA JOB ADDR ESS _, , JX*""~V'7 f / fj *v / y j*' fr^^. . LEOAL 1 DESCR OV*NC*** LOT NO t^tvfljg -Irz CONTRACTOR , ,•) X*** •> X7 + y-J/ \ »-3 jC/ f /( , J >£Jr / f V~ X™—* «.» Al*CH1TE 4 ILK »^t/J ~<f< ENGINEER 5 COMPENSATION (NS CARRIER 6 MAIL J^AIL MAIL MAIL MAI L TRACT ADDRESS SI A IIP BHONEJ&&J ADDRESS PHONE LICENSE NO STATE CITY ADDRESS PHONE LICENSE NO ADDRESS PHONE LICENSE NO ADDRESS BRANCH USE OF BUILDING 7 8 Class of work D NEW D 9 Describe work / '*_ y" 7Vt f / ADDITION ,J i I D ALTERATION D REPAIR /<*?«,*: J^*T SPECIAL CONDITIONS APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE 7 NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK TION AUTHORIZED IS NOT COMMENCED WITHIN CONSTRUCTION OR WORK IS SUSPENDED OR ABA PERIOD OF 120 DAYS AT ANY TIME AFTER MENCEO 1 HEREBY CERTIFY THAT 1 HAVE READ AND EAPPLICATION AND KNOW THE SAME TO BE TRUE ALL PROVISIONS OF LAWS AND ORDINANCES GC TYPE OF WORK WILL BE COMPLIED WITH WHET HEREIN OR NOT, THE GRANTING OF A PERf PRESUME TO GIVE AUTHORITY TO VIOLATE O PROVISIONS OF ANY OTHER STATE OR LOCAL LA CONSTRUCTION OR THE PERFORMANCE OF C . •» -^— **/TI'owVTURE OF CONTRACTOR OH AUTHORIZED AGENT SI GNATU *E OF OWNER IF OWNER BU !LDC 'i WHEN PROPERLY ORCONSTRUC 60 DAYS, OR tF NDONEDFOR A WORK IS COM XAMtNED THISAND CORRECT JVERNING THIS HER SPECIFIED rfIT DOES NOT R CANCEL THE W REGULATING ONSTRUCTION / /? ICATE) [DATE! PERMIT FEES No \s Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK GAS SYSTEMS NO OUTLETS WATER PIPING & TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK & PIT ROOF DRAINS PERMIT S TOTAL FEE $ Fee r*-s ^7 f- p*~ J> '! >"'* VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH INSPECTOR INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOH NOTES, FOLLOW-UP, ETC 2-27-76 Floor drains: O.K. T. Mata