HomeMy WebLinkAbout1738 MALLOW CT; ; 78-5718; PermitMOOEL NO._· ________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 I U"
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
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PARCEL NUMBER
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LOT NO. I 8LK I u•cr BvvK p AGE I PAR,
LCO.L I ~\ (nSE( ATTACHEO SH[CT) 1 D£SCIII. , ' < r-.: I l ._
OWN CR MAIL. AOOllt[SS ZIP PHOt,C • .l. (,
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COHlfU,C TOA , .. u.n .. ADDRESS PHONE STATE LIC. NO, CITY LIC, NO.
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ARCHITC.CT OR OESICNER M Ail. ADDRESS F'HONC LICENSC NO.
4
f.NGINtCR M AIL AOOftESS PHONE. LIC[MSE NO.
5
COMPENSATION INS. CARRIER MAIL AOONCSS 81114.NCH
6
US( Of' BUILDING / ~ 7 NO. BDRMS NO. BATHS
8 Class of work: O NEY / 0 ADDITION 0 A~ERATION 0 REPAIR 0 MOVE 0 REMOVE -
9 Describe work: I \ \ \lt1JoL-/ ./r
' _........-::: -
10 Change of use from
Change of use to
11 Valuation of work: $ 1, ,i 3. S'o PLAN CH ECK FEE S ?-J I PERMIT FEE $ '-Ii
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const Group
s,ze of Bldg No. of Max.
(Total) Sq. Ft Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Rcauired OYes ONo
I !. ) 'I • if . No. of OFFSTREET PARKING SPACES
'I No. INo.
DATE ., ' DATE I V Dwelling Units 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. HEAL TH 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 ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT.
TYPE OF WORK WILL BE COMPL IED 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.
' ' : .....
SIGNATl,H'lt 0,. CONTIIIACTOl'l Ollt AUTHOllllllO AGtNT IDATt)
~IGNATllfll:£ Of" OWN£11t It,-OWNEIII ■UILDE:lltl OATt)
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$ ________ _
INSPECTOR
INSPECTION RECORD
~
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
' ( .; '
FINAL \"1,t fl
'
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Pho 729 1181 .. 1 ne -•PermtNo.1 • p
JOII AOO,t ESS .
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LOT NO. I OLK I T~ACT
LlUL I ~l\ 1 OtsC~. l .JI '!_,,-:'j ~ . --
OWNC" MAIL A00,ttSS ~ .. PHONE f:, .+Ir~
2 -::-<;,. Tl-t1-Rh -.,.. _. ... \)~(..(.)tiO \ ,vf,,..,,ri
CON TIIIIACTOfll 7"') MAIL A00A£.5S PHONt STATE LIC. NO. CITY LIC. NO.
3 l }l\\lc..--., \ '-'4 ')L c., -wt ~, ._,1 I G, ~""' c Y.
AflCHITCCT 01111 OCSIGNCR MAIL AQQ,t[SS PH0N t LICENSE NO,
4
CNt;tNEtllll MAIL AOOfU.55 PHON( LtCtNSC NO,
5
COMPENSATION INS. CARRIER µ,4.tL AO0"[SS IUIANCH
6 --
US[ 0" BUILDING I' 7 ,
~ /
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: I }
ti/I"'-\_ 't,,\ (_ \ • \,A .-'~,c ,=-
:-) "")
r. ,c. ~ \ ''" . \ r,,,, ,l
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 PLANS CHECKED BY APPROVED FOR ISSUANCl BY LAUNDRY TRAY
I . CLOTHES WASHER , , '/Y OATE /,/L,h I WATER HEATER { '£
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. I GAS SYSTEMS: NO.OUTLETS .J ; ..,
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ~ t"}) APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. I WATER PIPING a. TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT. THE GRANTING OF A PERMIT ODES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE I VACUUM BREAKERS .,I. <-' •
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
'1 \ 'l f ) CESSPOOL
~ •. ' \ -~ SEPTIC TANK C. PIT
I ,v ROOF DRAINS .
.SIC.NATUIIU 0,. CONTftACTO" O" ·AUTHOftllEO AGCHT (OAT£)
ISSUANCE FEE $ ). , "\;;
SIGNATUlltC 0,-OWNCPI {I,-OWNC.111 9UILDEJlO (OATEI TOTAL FEES $ , I . ct"t'I
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 APPLICAllQN 1.00
City of CARLSBAD, CALIFORNIA 92008 1/7 _ ,5 1;; ,1
Applicantto complete numbered spaces only Phone 7 29-1181 Perm it No ~ ·
JOB ADDRESS
~,\U .. .£..>W .._,.:?,-,
LDT NO. I BLK. I T'RACT (OSEE ATTACHED SHEET) LEGAL I f ..:,l~K' "'\ I 1 0ESCR. . ' ~ ..... -
OV(NER MAIL ADDRE;SS l),::. ZIP PHONE
_, _-,,
2 _.c.._ "11\,.:h e..>..e C-((..>iTO. I t-1 1 \, I
CONTRACT OR ,~,\/2'H "iZ:,L< MAIL ADDRESS \,.t. c. 10 c_; PHONE '"' ..
STATE LIC, NO, CITY LIC, NO.
3 . \ . 2' I -l
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 I I -,.
USE OF BUILDING -I ,,
7 t. ~
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: \\J\ \.,. l_ L,j \ t:? I I \ C.,. f O It
-J \ '1T. \ c..:,~L
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE §'_ ) l ~ j
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED IIY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER . ' l ~"l (l".JI • DATE /,//~fl/// ,,
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 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
INCREASE
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.
\: ' \ ~ } TEMP. SERVICE OVER 200 AMP.
' -PER 100
. .,.., ~ ,y ~ .
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE
TOTAL FEES ''l I j
.._,r,NATURE OF nwNER IF OWNER BUILDER 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
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• : INTERDEPARTMENTAL INFORMATION SHEET
1}.-3 r.1 q,__,,
7~
RECEIVED
DEPARTMENT DATE: ________ _
OCT 25 1978
PLANNI~N~G--==~A=R~T~M=ENT
ZONE _________ LOT SIZE _________ LOT WIDTH. ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED __________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
1 ENVIRONMENTAL PROTECTION REQ:
__________ ._•._DATE, ____ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION DRIVEW~LOC~A ONS
GRADING PERMIT --~--~~-EASEMENTS~/'-""'/41%Jt,L~=~~-'-!f--1===--DRAINAGE ____ _
LEGAL DESCRIPTION~ '
ADDITIONAL co ENTS_~~'-"'-"-~~~~e.c...--=-:i----------------------
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FIRE DEPARTMENT
SPRINKLING 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, ________ _