HomeMy WebLinkAbout155 CHESTNUT AVE; ; 75-768; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.Permit No.
JOB ADDR ESS
. LEGAL
IDESCR.
MAIL ADDRESS
O
CONTRACTOR MAIL ADDRESS LICENSE NO. STATE CITY
ARCHITECT OR DESIGNER MAI L ADDRESS LICENSE. NO.
ENGINEER MAIL ADDRESS LICENSE NO.
COMPENSATION fNS. CARRIER MAI L ADDRESS
USE OF BUI LDjNG
8 Class of work: D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work:
PERMIT FEES
No.Type of Fixture or Item Fee
SPECIAL CONDITIONS:WATERXLOSET (TOILET)
BATHTUB
LAVATORY .(WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY.PLANS CHECKED BY APPROVED FOR ISSUANCE BY 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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND O R DINANCES GOVERNING THISTYPE 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
ROOF DRAINS
SIGNATURE OP" CONTRACTOR OR AUTHORIZED AGENT
PERMIT
SIGNATURE Of OWNER U F OWNER BUILDER)TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR