HomeMy WebLinkAbout1743 Mallow Ct; ; 76-4280; PermitMODEL NO. ---'LC)==--=....,__,===-==1~9 ' ' BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
,.
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
Joa AOOR ('3S ASSESSOR'S
w PARCEL NUMBER
LOT NO. I OLK I TRACT,2 Bvv PAGE I PAR.
LEGAL I tO:src ATTACHED 5HEET1 1 D£5CR. 22J Jt>
OWN[,a MAIL ADD,.E55 ZIP PMONE
2 ~nnrn;.,i.:: .. m:~m • Ha.nt.tnc _..,._.,. f ~ A 0 "' ... ) .; , ·---• ! • CONTRACTOIII MAIL A0OAESS • PHONE STATE LIC. NO. CITY LIC, NO •
3 .... .. -'
ARCHITECT OR O[SICNCR MAIL A OOAESS PHONE LICtNSC NO,
4 1 21 71 .ano .• ach, ".A9: li'J . •
[NGIN[[R MAIL A0O~[55 PHONE LICENSE NO.
5
COMPENSATION INS, CARRIER MAIL AOOACSS l!UU,NCH
6 f..
USC OF 9VILOINC J 7 J:.e ~ lly N • . --
NO. !i'ATHS 2 NO. BORMS ...
8 Class of work : fJ.JIJEW □ ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE \\
9 Describe work: 22J 12 1 C -\~\J\ r ~
\\ \ \~ h ~ vlv 7~
10 Change of use from ~y 'Y$ '~I\
Change of use to \ \'
11 Valuation of work: $ , I / PLAN CHECK FEE $ ,; -I PERMIT FEE $ ► .,.
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy 41 Const. Group
Sile of Bldg. _. lt' No. of 1 Max.
(Total) SQ. Ft. Stories 0cc. Load
Fire ., Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BV APPROVED FOR ISSUANCE 8Y Zone Zone ReQuored 0 Yes 0 No
No. of OFFSTR~ET PARKING SPACES:
Dwelling u11,ts No. !No. 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. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
T ION 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 AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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 STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
5 1GNATUA£ or CONTIIIACTOllt Ollt AUTHOIIIIZtO AGENT IOATt)
!.IC.tU.TUR£ OJI' OWNCIII ft,-OWNtllt I UILOCIIII OAT£)
WHEN PROPERLY VALIDATED (IN THtS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -J TOTAL FEES$ ________ _
INSPECTOR
t
PLUMBING PERMIT APPLICATION ~u »
City of CARLSBAD CALIFORNIA 92008 . -• "'5__,;-;:c-!'21~ ' :5'0'531) Applicant to complete numbered spaces only. Phone 729-1181 Perm,.! No.
JO& ADOR £$5 -J i /Y.3 , I 1 R.R,.•
LOT NO. I ■LK , T•A~/ ~3f L<GAL I ___ .. _:t3 t cuca.
OWN£11t MAIL AD0"C9S ZIP PHONE
2 ✓-Jk-~ )-;-' '' 0-U --
CONT~Ayt>l't
A~
MAIL ADOlltCSS . PHONl STATE LIC, NO. CITY LIC. NO,
3 C L , I ' -~vvvL -Satm I I .J (' -~-,
ldlC"ITCCT Ol't 0£,JICNCJt (J MAIL A0011t£55 PHON C L.ICCNSt NO.
4
,
ENGINEER M,._IL A00lll:[55 PHONE LICENSE NO,
5
COMPENSATION INS. CARRIER MAIL A001'[$S l!UIANCH
6
USE OF 8UILOINC
7
8 Class of work: ){_NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONOITIONS. .A WATER CLOSET (TOILET) $ ~ r ,
-· I BATHTUB
,...~ -~ . LAVATORY (WASH BASIN) -f SHOWER ! ',0
I KITCHEN SINK & DISP i ~
• J
1 OISHWASHER J ' APPLICATION ACCEPTED BY PLANS CHE CKE O BY APP~OYE O FQ~ ISSUANCE 8Y LAUNDRY TRAY
J CLOTHES WASHER J \1.1
DATE I WATER HEATER I --.~
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK O R CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR-SINK OR DRAIN
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. I GASSYSTEMS,NO.OUTLETS J J I I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO Bf TRUE AND CORRECT. WATER PIPING & 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CON STRUCTION. LAWN SPRINKLER SYSTEM
I SEWER 4 .• NUMBER CLEANOUTS
/} /U ~ CESSPOOL
/4~-1 .
,. SEPTIC TANK & PIT
I • ROOF DRAINS ' "
SIGNATURE 9' CONTA:lCTOfll ,bit AUTHOlltlZ[C AGCNT , /IDATEI
ISSUANCE FEE $ ) .. -
•1GNATt1 ,tr o, OWNEii. tt, OWN£111 I UILDEA lOATE) TOTAL FEES $-;, ·,
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 5 "0 ,....
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADOII tSS
... , · • f!.r
LOT NO,
L £0AL I 1 DCSC~. .J
OWNt.i,tll MAIL AODlllESS
2 I 1
CONTlllACTOIII:
3 .:.,
AIICHITCCT 011 Dt.SIGN£111 MAIL AOD .. ESS
4
£.NG IN EtR MAIL AO0flES5
5
LlNOClll MAIL AOOIIIESS
6
USE. o, BUILDING
1 -
8 Class of work: 0NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS·
APPLICATION ACCEPTEO BY PLANS CHlCKEO BY APPROVE O 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 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 THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I • ' . " SIGNATUfH 0" CON"T~CTOJII 0111 AUTHOllllltO AGil.HT
•lr.!M.aT IU: OP' OWNEIII UP' OWNUI •UILDE"} DA.TC
l05tt ATTACHED SHEET)
ZIP PHONE
-f ., , ., ,
PHONC. STATE LIC. NO.
: ' PHONE LICENSE NO,
PHONE LICENSE NO,
1111 ,NCH
0 REPAIR
Type of Fuel. 011 D Nat. Gas 111 LPG. D
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.
Forced Air Systems-8 .T.U. M Ea.
Gravity Systems-8.T.U. M Ea.
Floor Furnaces-8.T.U. M
Wall Heater~-8 T.U. M
Unit Hei.ters-8.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 SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
y
CITY LIC. NO.
; I J
Fee
$
·f O ,
s
s 'l uo
CASH
ELECTRICAL PERMIT .APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No ..
JOB ADDRESS
' ' .. !V ct
LOT NO, I 8LK, I TRACT <OsEE ATTACHED SHEET) LEGAL I 1 DESCR, . ----... ,, Ph XU
OWNER MAIL ADDRESS _ ~., ZIP PHONE
2 • _:;:;i;, ;'():!; ,S"". .... ia -.. ,,.~ !.t~: . -~i. -:gu,m ~~,l .. -.. -
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO, C ITV LIC, NO,
3 ~b!-.1.c .2701 i --l ~_,~-., r688 I -· -
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRI ER MAIL ADDRESS BRANCH
6 1~-~ ---~ ' J [?d. -----· --. __ ':::;;,,. -.. -
USE Of BUILDING
7 -~ . .
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: :tri. ----~
PERMIT FEES
No. Each Fee
SPECIAL. CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH 2" Al'f'llCA TION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, 100 • .25 FUSE OR BREAKER
DATE NEW SERVICE ON EXISTING BLOG.
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 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 ANO 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:/ TEMP. SERVICE OVER 200 AMP.
PER 100
)/78 --
SIGNATURE Of C0"1'RACTOR OR AUTljORI ZED AGENT (DATE) ISSUANCE FEE
., -e .
I TOTAL FEES ,,;;-,
SIGNATURE Of" OWNER I, OWNER BUILDER DAE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O . CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
LOT ;;;;'~J
IZfL? l2?4ff~
BUILDING
FOOTINGS
FOUNDATION
REINFORCED
MASONRY
GUNITE OR
SHEATHING
FRA..ME
INSULATIOH
EXTERIOR
INTERIOR LATH
PLUMBING /)-2~
SEWER AND PL/CO ~
PLUViBING UNDERGROUND/.l ~ 76 r::t'/::,
COPPER
TOP OUT
TUB AND
GAS TEST
UNDERGROUND
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM , REF. PIPING #¥-'
HEAT--AIR
VENTILATING SYSTEMS
FINAL: ----'---'~'+-i;_,,_: /4 ___ 7/V~----