HomeMy WebLinkAbout1260 BUENA VISTA WAY; ; 74-2593; Permitt PLUMBING PERMIT APPLICATION
7y-2-39 City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. Perm I (No. _-
*-
- I TRACT
’YJZ[$
I LOT NO.
OWNER MAIL ADDRESS ZIP PHONE
4
5
6
1
3 Class of work: 0 NEW 0 ADDITION 0 ALTERATION
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
COMPENSATI&N INS. CARRIER MAIL ADDRESS BRANCH
USE OF BUILDING
1 PERMIT FEES I No. I Type of Fixture or Item 1 Fee
SPECIAL CONDITIONS: I WATER CLOSET (TOILET) I$ I
I I LAVATORY [WASH BASIN) I1 I I SHOWER I1 I I KITCHEN SINK I DISP. I1 I DISHWASHER I
*PPLICATION ACCEPTED BV PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY LITF I I CLOTHES WASHER 1 WATER HEATER
I
,--. - I NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TlON AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- SLOP SINK
D R INK I NG FOUNTAIN
FLOOR--SINK OR DRAIN ,
WASTE INTERCEPTOR
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV’E AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
APPLICATION AND KNOW THE SAME TO eE TRUE AND CORRECT.
SEWER I CESSPOOL
I I
I ~ I I
SEPTIC TANK I PIT 1 I I ROOFDRAINS I 1 I SIGNATURE DF CONTRACTOR OR wTnonizEo AGENT (DATE1 I I I
PERMIT $1 ”3 JC
IDATE) TOTAL FEE ‘If I I s.
SIGNATURE OF OWNER (IF OWNER BUILDER1 I WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Ir f
n
INSPECTOR