HomeMy WebLinkAbout1130 CHINQUAPIN AVE; ; 65-8345; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
PLUMBING
PERMIT - APPLICATION
OWNER
MAIL
ADDRESS
CITY TEL NO
STATE
LICENSE MO
CARLSBAD BUSINESS
LICENSE NO
h. NO
1
j
'
\—
ITEM
TOILET
BATH TUB
SHOWER
WASH BASIN
KITCHEN SINK
DISHWASHER
LVUNDRY TUB o
@ $1 25
@ 1 25
@> I 25
@ I 25
@ 1 25
@ I 25
TRAY @ 1 25
AUTOMATIC WASHER @ 1 25
WATER HEATER &
G«iS SYSTEM 1 TO
3O EA ADD
VENT @ 1 5O
15
@ 1 50
FLOOR DRAIN OR SINK @ 1 25
LAWN SPRINKLER @ 2 OO
MISC WATER PIPING @> I 5O
GARBAGE DISPOSAL @ 1 OO
VACUUM BREAKER OR BACK
FLOW DEVICES I To 5 @ 2 OO
GRADING PLAN
YES Q~] NO n
PERMIT $
TOTAL FEE $
FEE
^
2
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I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI
CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND
STATE 01 CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCR^fffi^ RESIDENTIAL JJROg
SIGNATURE
OF
BUILDING
ADDRESS
CROSS SST
L.V
GROUP ZONE
Inspection Record
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC
GAS TEST
UTILITY CO NOTIFIED
FINAL
DATE INSPECTOR s SIGNATURE
VALIDATION
This is a Plumbing Permit When Properly Filled Out Signed and Validated
Permit void if work is not commenced within 60 days of date of issuance