HomeMy WebLinkAbout1273 CHINQUAPIN AVE; ; 71-705; PermitPLUMBING PERMIT APPLICATION
2
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only
JOB ADDR ESS
,LEGALIDESCR QSEE ATTACHED SHUT)
MAIL ADDRESS
CONTRACTOR MAIL ADDRESS LICENSE NO
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE HO
MAIL ADDRESS LICENSE NO
MAIL ADDRESS
USE OF BUILDING
8 Class of work D NEW J^CODITION D ALTERATION D REPAIR
9 Describe work
PERMIT FEES
No Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP
DISHWASHER
APPLICATI D BY PLANS CHECKED BY APPRi LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS 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 THIS
APPLICATION 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 NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION 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 SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
SIGNATURE THORIZED AGENT
PERMIT
OF OWHWUF OW«ER BUILDER)(°*TE)TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
Form 100 2 9-69 REORDER FROM IN TERN A TION A L CON PERENC E OF BUI LOIN Q OFFI Cl ACS • 50 SO LOS ROBLES • PASADENA CALIFORNIA fl&Ot