HomeMy WebLinkAbout1734 Mallow Ct; ; 77-4270; Permit... ,,k
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MODEL N~·----------
BUILDING PERMIT APPLICATION -;•• -in ... 235.50
City of CARLSBAD, CALIFORNIA 92008 J_/
/./ J ?,t'J Applicant to complete numbered spaces only Phone 7 29-1181 Perm ii N 0
JOB AODFI [Sj ASSESSOR'S . [' . P ARCEL NUMBER
LOT N,O.lJ I OLK lr••cr.z )4 Buun PAGE I PAR,
LE GAL I tO scc ATTACMCO SHCCTI 1 DE5CR,
OWNC,._ 1rrt ,\.::.-,__,.. __ 8 MA IL. AjiORS:iS 0 Zj P C PHpHE F:,f!J 2 • > ' • ;f ,
CONTRACTQR. MAIL AOOR[S5 PHONE STAfE 1C,, NO, CITY LIC, NO.
3
AACMITCCT OA Ot51(fNE,. MAIL AOOR£SS PHONE LIC EN5[ NO,
4 'D dltn. 21671 r ..... n ... Hlm'tl1 --~ .CA ,1;9 171t.h • J. \ C • ' !.NGIN CCR ·-MAtL AOORE!.S PHONE LICENSE NO,
5
COMPENSATION INS. CARRIER MAIL AOOR£55 &JIANCH
6
USE o, 8.JILOINC
7 --,._...,'"''7e ~' "!"1'1 -;,-NO. BORMS ~ NO. BATHS ,0
8 Class of work: □NEW 0 ADDITION 0 Al TERATION 0 REPAIR 0 MOVE 0 REMOVE /)
9 Describe work: 21,. l.an 1291 n A,~
IT fl A-t [ -
10 Change of use from fl aYI ~
Change of use to \ I / I
11 Valuation of work: $ ) I l JI t ) -PLAN CH ECK FEE $ ~ ' PERMIT FEE $
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy u Const. Group
s,ze of 0109. I~ q~ No. o f l Max.
(Total) SQ. Ft. -,J Stories 0cc. Load
Fi re Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED 8 Y APPROVED ~OR ISSUANCE BY Zone ., Zone Required O Y es O No
No. of OFFSTREET PARKING SPACES·
Dwelling Units No. JNo. DATE DATE Covered SQ. F'I. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICA L, PLUMB-PLANNING DEPT.
ING. HEATING, VENTILATING OR AI R CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SA ME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS A N D O R D INANCES GOVERNING THIS WATER DEPT. TYPE OF WORK W IL L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, T HE GRANTING OF A PERM IT OOES NOT
PRESUM E TO GIVE AUTH ORITY TO VIOLATE O R CANCEL THE PROVISI ONS OF AN Y OTHER S'T ATE OR L OCAL L AW REGULATING CON STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/4
SIGNATUR E o, CONTRACTOJI OR AUTHOJIIIIZCD AGE.NT (DATE)
SIGNAT11.-:ir-Of' OWNER IP' OWNER IUILDE.R) (OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
--TOTAL F EES $ --"--'------
J ,
LOT ~I ]
/ .. )J y · ~d.a~
BUILDHJG
FOOTINGS
FOUNDATION
REINFORCED
MASONRY
GUNITE OR GROUT
SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH
PLUMBING 11-~ ~
SEWER AND PL/CO ~
COPPER
TOP OUT
TUB AND SHOWER
GAS TEST
ELECTRICJ\L
UNDERGROUND
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DucT & PLEM, REF . PIPING ~hr p/
HEAT--AIR
VENTILATING SYSTEMS
FINAL: la,b.t b L 'liL ---~7'-/-~/..+-,,J.--"'-----L.:"'------
4 --
PLUMBING PERMIT APPLICATIO~
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only Permit No 7? ~5//(,,
JO& ADO" t$S
1 ·1._ • ' I I r
LtGAL I 1 Dtst•.
LOT NO, ,.,
/ l.3 -3 '-I
OWNCl'I MAIL ADDll!ESS
2
CONT,.ACTO" MAIL ADDR[$.S
3 L
A"CHITCCT O" 0£-'!IIGNUI MAIL ADDflt[.55
4
ENGINEER MAIL AOOA[.55
5
COMPENSATION fNS, CARRIER tr,,;1AIL ADOIIIE.SS
6
use o,-9UILOIN(i
7
8 Class of work: r;!NEW 0 ADDITION 0 ALTERATION
9 0 escribe work:
SPECIAL CONDITIONS:
APPLICATION ACCE PTEO ev PLANS CHECf<E OBY APPIIOVtO FOii •~SUANCE ev
OATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SP ECIFIED
HEREIN 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.
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II -. 'i, / /,,,
.SIGNATURE 'O,. CONT,.ACTO!lli Oft AUTHOl'IIZl:0 AG[NT / IDA)'EI
•tGNAT ,-r 0,-OWNUl i, OWNtlll 8Ull.Otllll tOA TE)
ZIP
> I
PHOM t STATE LIC. NO.
PHONC i.lCCNS[ NO,
PHONC LICENSE NO.
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
.f BATHTUB
LAVATORY (WASH BASIN )
I SHOWER
I KITCHEN SIN K & OISP.
I DISHWASHER
LAUNDRY TRAY
J CLOTHES WASHER
i WATER HEATER
U RINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
I GASSYST EMS NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY LIC, NO,
.:
Fee
$
...
' 11
I
:_ J
I
, ' J
I ~ :-1
·'
$ ,,
' " $ . , ....
CASH
MECHANICAL PERMIT APPLICATION 'Q •
., , ... .J
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI AOOflt [SS ,, 4 .')'l~u..ow C.ou e.r
tOscc. ATTAtHco sMcETl LOT NO. I 8LK i TRACT
.:?, ) 1 .. -+
OWNUI MA.IL A.00"E55 ZIP PHONE
2 I ' ..SHOe.<?-5 6u IWJ\£.~ .. , ~ ' , ,,
STATE LIC, NO, PHONE
i '/ ~'i(
CON TIIIAC TOIII
3 le. ,::C !'-IC.
MAIL ADDRESS ,;) :> ') "' I) ,,.. ,c_c.,..t TI; .... c...
nl1t-.',.1, , . , ()~ (-,!'15"
AIIICHITE.CT 0111 01:SIGN[III MAIL ADDRESS
4
l.NGIN!.tlllt ""4AIL ADDftESS
5
LE.ND[llt MAIL AO0"[55
6
USE. 0" IUILDING
7 r
8 Class of work: c;lNEW 0 ADDITION 0 ALTERATION
9 Describe work: . ·c,t,.c..<:,.O o..1~ H (!A T(N&
SPECIAL CONDITIONS.
APPLICATION ACCEPTED ev PLANS CHECKED BY APPROVED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120OAYS,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 ANO CORRECT. AL.L 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 THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATuilt o> CON'TflPlCT "o" AUTHO9'1ZE.0 AGENT
DATE>
PMONC LICENSE NO.
PHONE LICENSE NO.
0 REPAIR
Type of Fuel: Oil D Nat. Gas ~ LPG, 0
PERMIT FEES
No, Type of Equipment
Air Cond, Units-H.P. Ea.
Refrigeration Units-H.P. Ea,
Boilers-H.P. Ea.
Gas Fired A .C. Units-Tonnage Ea.
Forced Air Systems-B.T.U, M Ea.
Gravity Systems-B,T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heaters. B.T.U. M
Unit He&ters-B.T,U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O, CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CITY LIC. NO.
) l
Fee
$
cl . ) ,_,
s
s 1 '·
CASH
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No 7tf ~,,..J/O
JOB AODRESS
L.OT NO. 18LK, I TRACT <OsEE ATTACHED SHEET) LEGAL I 1 DESCR, r-Q ,,J?h,rr]I"
OWNER -MAIL ADDRESS ZIP PHONE
2 --·-----. .. ',It•~--9 n -..
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC, NO,
,· __ . ."'1f .... ◄ 3 --Z} 1 .,.., __ c '
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRI ER MAIL ADDRESS BRANCH
6 -1. ' ....... -.-. . ,,---.,
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION □ALTERATION 0 REPAIR
9 Describe work: J "'' .,~=. ~~-· -
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
A""LICATIO"' ACCf'TEO BY PLANS CHECKEO BY APPROVEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, 25 -. .. FUSE OR BREAKER 100 .as
DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
f /Zf✓ TEMP. SERVICE OVER 200 AMP.
// , L-J PER 100
'1B
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
'l .i: ISSUANCE FEE .
TOTAL FEES ~ SIGNATURE of oWNER IF' OWNER BUILDER) DATE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CASH
INSPECTOR