HomeMy WebLinkAbout1738 Mallow Ct; ; 76-4268; Permit-_,,
' MODEL NCJ: _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 .....
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB AOOI' CSS ASSESSOR'S ~.,, PARCEL NUMBER
LOT NO, I 8LK l TRAC7~ J!t BvvK PAGE I PAR.
L[ GAL I 1 tOstc ATTACMED SMCCTI 1 Ot.C•.
OWN(R ~~ .. ., ... _ nnn r MAIL AQQRCS.S ... l u• n..,..,.,.'t,,, ~ 2'~8 ;6n"i 2 • er •
CON TRAC TOR MAIL ADDRE SS PH ON t STATE LIC. NO, CITY LIC, NO,
3 .
I ·)_:; I
ARCHITECT OR Ot.SICN[R MAIL ADDRESS PMON C LIC(NS( NO.
4 Ill I'll . ·~11671 S., n~ • Runtlll' ,. , :t.ch. C.A S.-'"" _ ~ 1134 .. .. .
CNGIN[Cllf MAIL AOORCSS PHONE LIC[N5[ NO.
5
COMPENSATION INS. CARRIER MAIL AOORCSS BJIIANCl-4
6 ~ • US[. Or BJILDINC
7 ~,.. f':-:-~ ! ~ A_ . ... -NO, BDRM$ NO. BA,i'HS 2
8 Class of work: Q NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE J
9 Describe work: 1.otl 211. Plan 1291 ppi,;IPI f r, -'fJ a.)o
10 Change of use from I I/ I
Change of use to
Valuation of work : $ ' .,
I 11 ..> /, ,,J I / -PLAN CHECK FEES PERMIT FEE S
SPECIAL CONDITIONS: Type of Occupancy MICRO FILM FEE
Const Group
S,ze o f Bldg. r:,9~ No. o f 1 Max.
(Total) SQ. Ft. .. Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone -, Zone Required D Yes 0No
No. o f OFFSTREET PARKING SPACES,
Dwelling U1,,ts No. JNo, DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE 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 ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT, TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER SlATE OR LOCAL LAW REGULATING
CONSTRUCTION OR T HE PERFORMANCE OF CONSTRUCTION.
, i
51GNATU1tC or CONT .. ACTO .. o .. AU THO .. IZE.0 AGENT (DATE)
•IGNATU,_t 0,-OWN[,_ llr OWNCJI: I U ILDC"') DATE.I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK, M.0, CASH
,,. -TOTAL FEES$ ________ _
INSPECTOR
LOT .::7// . •
BUILDING
FOOTINGS
FOUNDATION
REINFORCED
MASONRY
GUNITE ·oR GROUT
• SHEATHING CP ---
FRAME
I NSULATION
EXTERIOR LATH
INTERIOR LATH #✓
·PLUMBING 1/--3 ~
SEWER AND PL/CO ~
?LUMBI_NG UNDERGROUND/2./? /16 ~
COPPER
TOP OUT ,/2 l1r1? I %
TUB AND SHOWER :pf;f;t: if
GAS TEST ¢,,pr:¥
ELECTRICAL
UNDERGROUND
ROUGH
CEILING II:CAT
BONDING
MECHANICAL
DUCT & PLEM , REF . PIPING #,r£
HEAT--AIR
VENTILATING SYSTEMS
FINAL:
P~UMBING PERMIT APPLICATION$ ~\1!.c:ussll 29.00
City of CARLSBAD, CALIFORNIA 92008 "7' -:.-1 ~1 Applicant to complete numbered spaces only Phone 729-1181 Permit No re _,,
Joe AODIIII CS.5
17..s._
\.EGAL. I 1 Dtsta,
coT NO, ':J.lf Im /7 Ja
MAIL AOD,.ESS tip PHONC
'1 ~4/..!)ot ' CON TftAC lPR
3
MAIL A00,.ESS ~u PHONt
? <to'J?:J --,..1:
STATE L IC. NO,
i
MAIL A00111£3S I ,tdlCMITCCT 0111 OtSfGN'Cft
4
[HGINE[IIII MAIL AOOIII t.SS
5
COMPENSATION INS, CARRIER MAIL AOOll![SS
6
use o, l!IUILOINC
7
8 Class of work . ~~EW 0 ADDITION 0 ALTERATION
9 Describe work ·
SPECIAL CONDITIONS:
APPLICATION ACCEPTED ev PLANS CHECl(EO ev APP~OVE O FOR ISSUANCE SY
DATE
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 H EREBY 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 TD GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
,{? ~ ~.r-r-/~;,~'
SIGNATURE of-CONT,ACTO" OR AUTHOR lltD AG[Nl -I' 1oAT£1
SIGNAT11RC Or OWN[llt Ir OWN[" IUILO[lltl lOATC)
PMON[ LIC ENSl NO.
PHONE LICENSE NO.
91111ANCM
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
I BATHTUB , LAVATORY (WASH BASIN)
I SHOWER
I KITCHEN SINK & DISP
I DISHWASHER
LAUNDRY TRAY
I CLOTHES WASHER
I WATER HEATER
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 NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
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
' -·
CITY LIC, NO,
I
Fee
$ -' __,.' _,,
I -') . ' I , ") ,_,i
I ) ,":
I } -
I -)·
I I
$ J
$ j
CASH
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces on y. Phone 729-1181 ,..., .. , Permit No.
J OII AOOft ES S
'1 . ~ m_t.\u.ow C.ou e T
LOT NO. I mer
OWNtft MAIL ADD"CSS
2 ·I.
CONTfU,CTOft
3
f ',., ''-J:tJ c...
A,iCHITE.CT Oft DtSIGNtllll MAIL ADDRESS
4
tNGINE.E,i MAI L AOClll:tSS
5
LENOUI' ~AIL AOOftESS
6
USE 0,. BUILDING
7
8 Class of work: [iJ NEW 0 ADDITION 0 ALTERATION
9 Describe work: : ot-c.e.o Qt~ "4e.C\.,...1M"'
SPECIAL CONDITIONS:
APPLICATION ACCEPTEO BY PLANS CHECJ<EO BY APPROVED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 C ERTIFY 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 VIOLATE OR CANCEL T HE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
·•• •. ,\ I
SIGNATUIU:: o, COkT]rACTOIII Oft AUTHOIIIZEO A.GI.NT IUTtlf
..
(0Sct ATTACH£0 5H£ETI
Z1. PHONE
I :/ ·"J
PMON C STATE LIC, NO.
✓ ~" )'tf
PHONE LICENSE NO,
PHONE L ICENS[ NO.
0 REPAIR
Type of Fuel. Oil 0 Nat. Gas Di 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.
I 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
CITY L IC. NO.
Fee
$
'1 C' J
ISS UANCE FEE $
st.cu TU"I: OP' OWH[fl (If' OWNUI ■UILDl.fl DATE TOTAL FEES s
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICAT10N
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB ADDRESS
' ., 11.r,-:""t e~
LOT NO, I BLK, I TRACT -(Q SEE ATTACHED SHEET) LEGAL I uz 1 DESCR, 211 #•,m, -· --
OWNER MAIL ADDRESS ZIP PHONE ,,. -f"', '' \ ! ---9 • f7 2 ~~
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC, NO,
3 ~c 1 ---. 1 ..
ARCHITECT OR DESIGNER MAIL AOOR ESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 .. berV• 1,C: , • ~
USE Of' BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ·~~t. ::--_--
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'PLICATION ACCEnED IV 'LANS CHECKED BY APPROVED FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 100 .25 2S 00
CATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE 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 AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND 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.
/ //1/// ~~I TEMP. SERVICE OVER 200 AMP.
PER 100
C 7B
SIGNATURE Of' CONTRACfOR OR AUTHORl?ED AGENT (DATE)
ISSUANCE FEE I . , 2 ' ,,, TOTAL FEES Zl SIGNATURE OF OWNER F OWNER BUI DER IDA E .
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR