HomeMy WebLinkAbout1265 CARLSBAD BLVD; ; 70-1088; Permit7/>tocomt
PLUMBING PERMIT APPLICATION 2
City of CARLSBAD, CALIFORNIA
Applicant t6 complete riumB&recTspaces only.
rer 29-70
JOB ADDR ESS
ATTACHED SHEET)
MAIL ADDRESS
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ji y»ML AfcDHESS LICENSE MO.
ARCHITECT OR DES1SNER MAIL ADDRESS LICENSE NO.
MAIL ADDRESS LICENSE NO.
MAIL ADDRESS
USE OF BUILDING
8 Class of work: Q NEW D ADDITION ALTERATION D REPAIR
9 Describe work:
\
o-05
PERMIT FEES
No.Type of Fixture or Item Fee
SPECIAL CONDITIONS:WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)50
SHOWER
KITCHEN SINKi DISP.
DISHWASHER
APPLICATION ACCEPTED BY:PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMlt feECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED tS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEMnSEWER
CESSPOOL
SEPTIC TANK & PIT
SJC:
SIONATURE OF CONTRACTOR OR AUTHORIZED AGENT
PERMIT
SIGNATURE OF OWNER (IF OWNER BUILDER)TOTAL FEE j /
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
.L CONFERENCE OF BUILDING OFFICIALS • 50 3O. LOS ROBLES • PASADENA. CALIFORNIA 91101