HomeMy WebLinkAbout1734 MALLOW CT; ; 79-4042; PermitMODEL NO. _________ _
BUILDING PERMIT APPLIC Tl0N'~ I ;.if
IIJl1 • •
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181
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L.OT NO,
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Permit No
ASSESSOR'S
PARCEL NUMBER
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OWN£"
2
MAIL AOOA[55
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CON TRAC TOLi': •• .r' MAIL ADDRESS STATE LIC. NO. CITY LIC. MO.
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A,t(Hll[CT OA 0£.SIGNCA MAIL AOOAC55 PMON[ LICENSt NO.
4
!.NGIN CEA MAIL AOOq[.55 PHONE L.IClNSE NO.
5
COMPENSATION INS. CARRIER MAIL AOOllttSS BfltANCH
6
U$£ 0" lhJILOING
7 NO. BORMS NO. BATHS
8 Class of work : □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: f\.)
10 Change of use from
Change of use to
11 Valuation of work: $ -~ PLAN CHECK FEES
f--'S'-P_E_C_I_A:..:L:...C.;..O.:__N_D_I_T_I O_N_S_: -------------------1 Type of
Const
l------------------------------i S1ze of Bldg (Total) SQ. Ft.
.,_-----------,.---------.....,.----------4 Fire
APPLICATI; A:C;EP?8~; ;~~NS ~C"-ED BY APPROVED FOR ISSUANCE BY ::n:f
DATE , ___, DATE Dwelling Units
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING. HEATING, VENTILATING OR AIR CONDITIONING.
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 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 SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIC.NATUIIIE or COHTlll:A.CTO,t OJII AUTMOlll:lltD 4CCNT (DATE) r) r
' l'-X... l o --,... -
51GNAT1111t[ 0,-OWNEIII 1r OWNUI BUILOE.111 (OAT£)
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
Fl RE DEPT
SOIL REPORT -OTHER (Specify)
ENGINEERING DEPT
WATER DEPT.
Occupancy
Group
No. of
Stories
use
Zo~e
I PERMIT FEE s
.. ~
-..,_:~~--
...)
MICRO FILM FEE
Max
0cc. Load
Fire Sprtnklers
Required 0Yes DNo
OFFSTREET PARKING SPACES:
No.
Covered
Required
Sq. Ft.
Received
INo. Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
:s.:! TOTAL FEES$ ________ _
INSPECTOR
L
BUILDING DEPARTMENT
BUILDING ADDRESS:
'PLANNING DEPARTMENT
ZONE 'f3,---{
~~
INFORMATION SHEET
AUG l 5 . ~: l
DATE: ________ _
CITY OF CARLSBAD
Building Depal'tment
7 or
LOT, SI ZE _________ LOT WIDTH, __ .,__ __ ~---
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED __________ _
% COVERAGE ALLOWED PROVIDED __________ _
BUILDING HEIGHT ALLOWED __________ PROVIDED __________ _
FRONT SETBACK: r
ALLOWED -~f:~b ___ _
SIDE SET).IACK:
7
REAR SETBACK: '11/
PROVIDED, __ ~~~------========-----======~-
INTRUSIONS _____ _
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: __.E ... · :..,,c:_6_/JZ.1,C/4_1 ____________ _
SCHOOL FEES: DISTRICT: AMOUNT:
ADDITIONAL COMMENTS:
OK ,o "80" ~;;:t(i,-/rt,, ,0 FUU.t_~ _____ DATE ___ _
ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS _______ ;___.DRAINAGE ____ _
LEGAL DESCRIPTION ____________________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE:_,_..,....~ DATE 8'-fL;'-JCf PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRI!iKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS. _______________ _
FIRE HYDRANTS LOCATION, _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE. ________ _