HomeMy WebLinkAbout2100 CHESTNUT AVE; ; 78-4004; PermitPLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. . Phone 729-1181 •' Permit No.
JOB ADDR ESS
2/00
LEGAL
[DE5CR.
MAI L ADDRESS
CONTRACTOR MAIL ADDRESS
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STATE LIC. NO. CITY LIC. NO.
ARCHITECT OR DESIGNER .MAIL ADORES^. LICENSE NO.
LICENSE NO.
COMPENSATION fN S.Jt A RS I ER MAILiADDRESS
USE OF BUILDING 7"
7 /
8 Glass of work: D NEW D ADDITION D ALTERATION PAIR
9 Describe work:
PERMIT FEES
No.Type of Fixture or Item Fee
SPECIAL CONDITIONS:WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY.
Ir •
PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
I NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED.IS NOT COMMENCED WITHIN 120 DAYS.OR IFCONSTRUCTION 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 B£ TRUE AND CORRECT.
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 GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
DRI'NKING 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 & PIT
ROOF DRAINS
I/GN TOR/OR AUTHORIZED AGENT tff/
ISSUANCE FEE..
SIGNATURE OF OWNER (IF OWNER BUILDER)TOTAL. FEES-$• ,3
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O. CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR