HomeMy WebLinkAbout1330 CHUPAROSA WAY; ; 78-4007; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729"1181 ^ ^Pgrfnit^
L60AL
DSSCR.
MA'L. ADDHESS
MAIL ADDRESS STATE LIC. NO. CITY LIC. NO.
LICENSE NO.
ENGINEER MAIL ADDRESS LICENSE NO.
COMPENSATION fNS/CARRI MAIL ADDHESS
USE OF BUILDING
8 Class of work: D NEW D ADDITION D ALTERATION PAIR
9 Describe work:
PERMIT FEES
No.Type of Fixture or Itam Fee
SPECIAL CONDITIONS:WATER CLOSET [TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED *OW ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
J NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME 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 SYSTEM
SEWER NUMBER CLEANOUTS.
CESSPOOL
SEPTIC TANK 4 PIT
ROOF DRAINS
A^NATURE D OR AUTHORIZED
ISSUANCE FEE
SICNATURE OF OWMEH 1IF OWNER BUILDER)TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR