HomeMy WebLinkAbout1736 Mallow Ct; ; 76-4269; Permit.. .
MODEL ,W. --'6()"""'-::._.=,=-r:.-=-=:,==j
BUILDING PERMIT APPLICATION ~ ! 'J?S* ?t..6-50
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm 1I N 0
-, If I 1/ .. ...
JOB AODR rs~
' i ASSESSOR'S
PARCEL NUMBER .
LEGAL I LOT.J<f~ 1 Dt.SCR, .. (n5(C ATTACHED 5HCET) PAGE I I BLK I TH~i BvvK PAR.
0WN£1t
2
MAIL ~{;)DRESS r .a. . l
CONTRACTOR MAil AOOR[SS PHONE S'fATI; ~IC, NO. CITY L1C. NO.
3
ARCHITECT OR .OE51C.NER
4 16; MA,L "09.,u:s,5 • •
CNCIN[[R MAIL AOORCSS PHON[ LtCCNSE NO,
5
COMPENSATION INS~ GARfU6 R MAIL AQOll'CSS BRANCH
6
use OF 9UILDINC
7 NO. BORMS NO. BATHS
8 Class of work: [J NEW 0 ADDITION 0 ALTERATI ON 0 REPAIR 0 MOVE 0 REM OVE
9 Describe work: Lot 212 • .P1 15 A
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEES
t-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: __________________ _, Type of
Const .
1--------------------------------a Soze of Bldg. (Total) SQ. Ft 1.S
1-----------,-----------..----------~ Fore APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone
No. of
DATE DATE Dwelling Units
NOTICE
SEPARATE PERMITS ARE REQUI RED FOR ELECTRICAL, PLUMB-
ING. HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
T ION 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 REAO AND EXAMINED THIS A PPLICATION A N D KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF L AWS ANO ORDINAN CES GOVERN ING T HIS
TYPE OF WORK WILL BE COMPLIED WIT H WHETHER SPECIFIED
HEREIN OR N OT, TH E GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAN CEL THE
PROVISIONS OF A N Y OT HER STATE OR LOCAL LAW REGULATING
CONSTRUCT ION OR THE PERFOR MANCE OF CONST RUCTION.
SIGNATURE OF CONTRACTOIII OR AUTHOIUZED AGENT (OAT[}
SICNAT lltt OF OWNEft {IF OWNER BUILDElltl OAT[}
Special A pprovals
PLANNING DEPT,
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
Occupancy
Group
No. of
Stories
't:1-a/ I
.i/1
I
I PERMIT FEE $
MICRO FILM FEE
LJ
1 Max.
0cc. Load
Use Fore Sprinklers
z one Required O Yes
OFFSTREET PARKING SPACES,
No . Covered
Required
Sq. Ft,
Received
INo, Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O. CA SH
T OTAL FEES$ ________ _
INSPECTOR
LOT d)/c)_
"//4?? Wd~
BUILDHJG
FOOTINGS
FOUNDATION
REINFORCED
GUNITE OR
SHEATHING
FRJl.ME
INSULATION
GROUT6 ,2B · 7-Z,./~
EXTERIOR LATH
INTERIOR LATH
PLUMBING ll-3 UW
SEWER AND PL/CO ~ '-
!c_LUMo~NG UNDERGROUND 1z/1 b6.. ✓K
COPPER
TOP OUT
TUB AND SHOWER prp/1
GAS TEST ~
ELECTRICAL
UNDERGROUND
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM , REF . PIPING #Jf'V
HEAT--AIR
VENTILATING SYSTEMS
FINAL:
PLUMBING PERM IT APPLICATION •'?..IN\ '--.,.vu
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces onl y Phone 729-1181 Permit No ~/,, -511.;
JOI ADDA [$5
LOT NO,
OWNUI M AIL 400fllC55 ... PHONE
2
CON T'l,t.,,O TOA M AI\. ADOACS5 PHONI. STATE LIC, NO.
3
A ACHITECT OR OUIGNf.1111 V MAIL AOOMC55 PHONE I..IC[NSC N O,
4
CNCINECR ""4AIL •ooA[SS PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER M AIL AOOllll[SS 8.-:ANCH
6
US£ OF 8Vll.OING
7
8 Class of work : ~NEW □ ADDITION 0 ALTERATION □ REPAIR
9 Describe work:
PERM IT FEES
No, Type of Fixture or Item
SPECIAL CONDITIONS: WATER CLOSE T (TOILET)
APPLICATION ACCEPTED 8 Y PLANS CHECKED BY APPROVED FOR ISSUANCE BY
DATE
NOTICE
T HIS PERMIT BECOMES NUL L A N D VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WIT H IN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PE RIOD OF 120 DAYS AT ANY TIME AFT ER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND K N OW THE SAME TO BE TRUE AND CORRECT,
A LL 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.
... t C 51GNATUR£ 0,-00NTfll:ACTOfll OR AUTHOIIIIZEO AGCNT
SICNAT11lllt. 0,-OWN[ .. (I,-OWNCIIII IUIL.DE.R) DAT C)
.f BATHTUB
ciJ-LAVATORY (WASH BASIN)
/ SHOWER
/ KITCHEN SINK & DISP
/ DISHWASHER
LAUN DRY TRA Y
I CLOTHES WASHER
I WATER HEATE R
URINA L
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SL OP SINK
I GAS SYSTEMS, NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPT IC TANK I. PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CA SH PERMIT VALIDATION CK. M .O.
INSPECTOR
~•··-
CITY LIC. NO.
Fee
$ -~
I
'\ ')
I \ ~/
-J
' I ; j
I \ :'}
J -;-
$ • ,ill
$ J ' '
C ASH
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JO& ADO .. £55
' 1 _; i..-
l[GAL I 1 ouc•.
LOT NO.
0WH£11t
CONTJIIACTOIII
3 t · i. X1J<:.
AJIICHITCCT OR DESIGHEIII
4
E.NGINE.CIII!
5
L[NOU,
6
USC 0,. BUILDING
7
I T••c r 10S££ ATTA CH£0 SHEET)
MAIL ADDRESS ti. PHON[
I, ; '.
MAIL ADDRESS 'fir
:l. 3'1 \, IC.<UJTC C.
"' I ":;,, I ' ,., I L, 'l.l \.-.., c;
PHON [ STATE LIC. NO.
-1.-•• ' 1
MAIL ADDRESS LICENSE NO,
MAIL AOO .. [SS PHONE LIClNSE NO,
MAIL AOOlll[SS 8,tANCH
8 Class of work: QNEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
Type of Fuel. Oil D Nat. Gas O LPG. D
PERMIT FEES
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
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 ANO 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 N OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
!t.lCN.&.TUJlllt 0,. OWNEIII IP' OWN~III aUILDEIII DATt)
No.
l
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 Heater~-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 SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
y J,);J}'
CITY LIC. NO.
I . I I '
Fee
$
~ UC.
s . -11.
s
CASH
_-,..,...----,_~,.._,.,,... ...... __ ,~~------~~ )'
MOOEL NO.--~-~------
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permi t No
JOB •ooA [55
//
I LOI NO,
1 ~~;~~-/ J_ I OLK I TRACT (["]SEE ATTACHED SHCE. Tl , , ....
OWNUI: MAIL AOO,-CS:S Z IP PHONE
2 I
ASSESSOR'S
PARCEL NUMBER
B--K P AGE I
;'
. .
PAR,
CON TA:AC TOA MAIL A00R£SS PHON( STATE LIC. NO. CITY LIC. NO,
3
ARCt-UTCC T OR OE~IGNC,t MAIL ADDRESS PHO'i E LIC£NSC: NO.
4
CNGI N££A MAIL AOOACSS PM ONE LICENSE N O.
5
COMPENSATION INS. CARRIER MAIL AOD"ESS BflUNCH
6
US£ 0,-&Ull.OING
7 NO. BDRMS NO. BATHS
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
I
,
-
10 Change of use from . I
Change of use to
11 Valuation of work: $ (I' _,), ) {' ',.(;) -PLAN CH ECK FEE S
f-S_P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S_: __________________ ---4 Type o f
Const
1---------------------------------4 Sile of Bldg. (Total) Sq. Ft.
Fire
APPLICATION ACCEPTED ev PLANS CHECKED BY APPROVED FOR ISSUANCE av Z one
DA T E D AT E
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 T HIS
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 VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
, ,
SIGNATURE. 0,-CONTIIU,CTOIII OR AU THOlll!lt.0 AGENT DATE)
SI GNAT Ill![ 0,-OWNER II,-OWN[III ltUILOtJt) DATE)
No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
l
..,. (
Occupancy
Group
No. o f
Stories
Use
Z one
I
._.
7r (
PERMIT FEE S
MICRO FILM FEE
Max.
0cc. L oad
Fire SprlnKlers
Required D Yes D N o
OFFSTREET PARKING SPACES:
No. Covered
Required
SQ, Ft.
Received
I No. 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
TOTAL FEES $ __ -'--I_(_, __ -__ _
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 11
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS
-• -· .'_~
LOT NO, I BLK, LEGAL I 1 DESCR,
I TRACT XU <OsEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE -
2 -~ ·1 ,~---
..., __ -. -~-
CONTRACTOR MAIL ADDRESS _ _.. -.......a PHONE 16 STATE LIC, NO. CITY LIC, NO,
3 . . t ...
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRI ER MAIL ADDRESS BRANCH
6 ' ---. • •~---v
USE OF BUILDING
7 :-';""=
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: --~-.. _..,. __
--
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'l'llCATION ACCEPTED IIV 'LANS CHECKED BY APPROVED FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH, 100 .2.5 25 FUSE OR BREAKER
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 CONSTAUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS,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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO 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.
~ I/ f.,.,~-// .. ~: / TEMP. SERVICE OVER 200 AMP.
,I 7 PER 100
~IGNATURE OF CONTRACTOR OR AU'rHORIZED AGENT (DATE) ISSUANCE FEE 1 2 <.n.
TOTAL FEES 27 0(
51r.wATUR~ n~ nwM~R IF OWNER SUI DER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR