HomeMy WebLinkAbout1236 LAGUNA DR; ; 73-1011; PermitPLUMBING PERMIT APPLICATION 2 {
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City of CARLSBAD, CALIFORNIA 'l, •·,j 1: ~ .._ 1'1~
Applicant to complete numbered spaces only. '" r, ~ JOB ADD" ESS' i I t,. ( · r1 Ii'\ ,4 i//
LOT NO, !OLK I T"ACT Osr.s. ATTACHED SHEET> LEGAL I \ 1 DESC"• t"
OWNEJt \ MAIL ADl;)R:ESS ZI p PHONE
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CONTRACTOR: 1 r ct?.✓. MAIL ADDR:ESS PHOM[. 7[ LICENS£ NO, ........
3 I e I ( ( 71 / ¥ It It t~ v \ 1, • t ' ARCHITECT OR DESIGNEPt MAIL ADDPIESS PHONE I..ICtNSE NO, r-... 4 ,,,
[.NGINEE" MAIL AODftESS PHONI. LIC[.NSC NO,
5 ~ I·•, ' I'-' Lt:NOER MAIL AODJIIESS B"ANCH ~ 6 .
USE OP" BUIL DING
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' 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR \.1
~ t, ~ 9 Describe work: IN s I l'1 l-[ C ~cf<. 1,JJ
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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 & OISP.
DISHWASHER
APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: LAUNDRY TRAY
CLOTHES WASHER
(...,/ -✓\ WATER HEATER
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 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 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I LAWN SPRINKLER SYSTEM
1 SEWER ' /
CESSPOOL
-J,-{'#15 SEPTIC TANK & PIT ' ., ,;. --SIC.NATURE o,-CONT1'ACTOPI 0 .. AUTHOJIIZED AG!:.NT (DA.TEI
PERMIT $
!!IIGNATUJIE OP' OWNUI IP' OWNER BUILDER) (DAT£) TOTAL FEE $ \ ;
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 REORDER FROM: INTERNATIONAL CONFERENC E O F BU I L DING OFFICIALS e ~o so. LOS .. oaLES e PASADENA, CALl,.ORNIA Q1 10 1