HomeMy WebLinkAbout1739 MALLOW CT; ; 78-6149; PermitMODEL Nq._________ I /1
BUILD(NG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocomplete numberedspacesonly Phone 729-1181 Permit No
JOB AOOR E~S ASSESSOR'S
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LO'T NO, I I LK I TRACT BOuK PAGE I PAR,
LEGAL I tOS[l ATTACHED .SH[[T) 1 OtSCR,
OWN[" MAI L A DDRESS l IP PHONC
2 I (:/ £,.'#f.//-
CONTIIACTOR MAIL ADDRESS PHONE ST ATE LIC, NO, CITY L IC, NO,
3 c../r ,141?, ~ ,,~ F5<"'. ? '1/ .. --, ~ ---
it.RCHIT(C T OR 01.SIC:.NCllt M AIL A00AES5 PHONE LICENSE NO.
4
ENGINEER M AIL AODAESS PMON C LICENSE NO.
5 --,u/rs ,,,__,F'/r T'('r;.,,n/ p __ .I. ~ ) . : -
COMPENSATION INS. CARRIER MAil. AQO .. ESS 811tANCH
6
U.9£ 0,-BUILDING
7 ·~~ ,;t c-f.' , / NO. BDRMS NO. BATHS
' 8 Class of work: Ill NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: s (J;.,I / ~,,,. ;IC-.... f / .A, c; ~v/ ~/ /',.0,,4 , 116 J7_J ,
10 Change of use from
Change of use to
11 Valuation of work: $ ~, '-1-3 '7~ ff6!, I PERMIT FEE $
/.J.C I -PLAN CH ECK FEE S
SPECIAL CONDITION S: MICRO FILM FEE Type of Occupancy
Const Group
Stze of Bldg. No. of Max.
(Tot al) Sq. Ft. Stories 0cc. Load
-. Fire Use Fire Sprinklers
APPLICATION ACCEPTED $V PLANS CHE CKE OBY APPROVED fOR ISSUANCE BY Zone Zone Required □Yes 0No ,; ~ ~ I . /). : OFFSTREET PARKING SPACES f ,I ..2A;~l,I No. o f _,,, ;J , Dwelling Units No. 'No. DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Requ ired
SEPARATE PERMITS ARE REQUI RED FOR ELECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING. VENTILATING O R AIR CONDITIONING. HEAL TH OEPT.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED W ITHIN 120 DAYS,OR IF FIRE OEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT A NY TIME AFTER WORK IS COM
MENCED. OTHER (Specify)
I HEREBY CERTIFY T HAT I HAVE READ A N O EXAMIN ED THIS ENGINEERING DEPT. APPLICATION A NO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING T HIS WATER DEPT.
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 AN Y OTHE R STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE F;'E:R FORM ANCE OF CONSTRUCTION.
I/ J~ ---r .11. n:-;-·
SIGNA'fUJlt 0,-CONTfllACTOJI 0111 AUTf1OJIIZ.ED AGENT ~DA TC)
/
5 1GNATUfU: 011'" OWN[fll (I,-OWfrrilCIII IUILOCIIU (OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M.O. CASH i)
A /. ,
T OT AL FEES $ __ .-/ __ / ____ _
INSPECTOR
0
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
/"'I
FINAL >j./4 , ~
I I
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
I 11 I' 7 1
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Perm it No
JO& AODllt C$S
.I:? (') I T~ACT
OWNC .. MAIL ADDlltC.SS
2
CON TlltAC TOllt MAIL 40DRCS5
3 PD<__./~ , -
A9'C°HITECT 0111: OCSICNCJI MAIL AOOR[55
4
CNGINECl1 MAIL AOOIII CS$
5 .-~<"" /CU·
COMPE:NSATION (NS. CARRIER MAIL ADOllll[SS
6
USI. o, BUILDING
7 -·
8 Class of work : 0 ADDITION 0 ALTERATION
9 Describe work : -, / / l-J// , ,.,, e
J
SPECIAL CONDITIONS
APPLICATION ACCEPJEO ev PLANS CHECKED ev APPROVE O F"0R ISSUANCE. BY
/ I ....) ;/ I ,I -. '.I . ,
DATE f ,/~_/2;
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 R EAD ANO EXAMINED THIS APPLICATION A NO KNOW THE SAME TO Bf 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 O F 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.
? I
(OJtlfC"I -
•t t.N .. T ,.r OP' OWM(III (I,. OWNE III 8UIL0E.A) {DATE.)
'?2ooJ--'
., p PHONC
PHOHE STATE LIC. NO.
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PHONE LICCNSC NO.
PHONE LICENSE NO.
A
8AANCH
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
/ WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
I GAS SYSTEMS.NO.OUTLETS
I WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
f VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
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
11,00 p
CITY LIC. NO.
Fee
$
$ ..... {
$
CASH
I /I l'J 7
.. 17L7 •· I I~ I 1
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
App/icanttocomptetenumberedspacesonly Phone 729-1181 Permit No
JOB ADDRESS -t" 1 tJ I? /...S IJ,9 o ,,.._
1·
1 ~~~~~. I LOT NO, I BLK, I TRACT (QSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 I
, 'c vUlt: ,
1~c.o BP 7t..OO TL
CONTRACT of! MAIL ADDRESS PHONE STATE LIC. NO, CITY LIC, NO,
3 I ,. ./~ l o 1"°" ,; ~
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENG !NEER MAIL ADDRESS PHONE LICENSE NO.
5 -.~ ' . r, . ~ ,' . ir ~ 1, ,,.,,. 1 LI
COMPENSATION INS CARRIER MAIL ADORES§ . BRANCH
6
USE OF' BU ILOING
7 ("", r, / J , .,,. , . ' ... , ,
8 Class of work: GI NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ~Le-,,, 7 £'_ n . ; /
PERMIT FEES
No. Each
SPECIAL CONDITIONS: i=-=.::.:.:.::.=..:=:.:.=:.:..:.::.=.:..:.::.: _________________ -t SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
~------------------------·-NEW CONSTRUCTION , FOR EACH
~--L-,c-.. -T-,o-.. -.. -C-CE~P":'TE~O'."""B'."""V~~,-LA~N~S~C~H::-:EC'."""K":'E~0":'8'."""V ---1'"'.A~P::-:PR~O'."""V~E D~FO'~R'."""l::':SS'."""U-A'."""NC::-:E'."""8'."""V-i ~ r~R EJR ° F B ~~~K 1i RV ICE' SWITCH.
1---~) __ f_,_>"__._·_-_,_-__ ._,_• __ ...i.;o;.;.";.;.T.:..; .... /;..,;.,'J P;;...;;.~.;;.½.;.'J.;;;J--4 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·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS,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 AND KNOW THE SAME TO BE TRUE ANO 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/
91.GNATURE OF CONTfiACTORIOR A(ffHORIZED AGENT
SIGNATURE OF OWNER IF OWNER BUILDER DATE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
)
M.O.
Fee
5
CASH
•
·-
JNTERbEPARTMENTAL INFORMATION SHEET RECEIVED
DATE: _ _.O..uE__.,C,-.;S:;a,._-41..1-971-1.81---BUILDING DEPARTMENT
BUILDING ADDRESS: /ZJ,? ~~ OITYOFCARLSBAD
f EJ~ui~ent
PLANNING DEPARTMENT
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:
ENVIRONMENTAL PROTECTION REQ:
SCHOOL DISTRICT FEES: !STRICT: AMOUNT:
ADDITIONAL COMM
( 7/ OK TO FINAL DATE -------------
ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS, _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS P:1'::: ~DRAINAGE, ____ _
LEGAL DESCRIPTION AfJ.;;;J./ C.,,/ J,;)-3 t/ {;&dl-3
ADDITIONAL CO
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
lREQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
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