HomeMy WebLinkAbout2406 Jacaranda Ave; ; 82-193; Permit"' z 0 ~ "' " ~ frl Q
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0 I hereby aft11m that I am licensed under
provisions of Chapter 9 (commencing with
5.ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lie No Clao;s
I hereby affirm th.at I ilrT1 exempt lrom the Con-~:1f~~~~:;:: !:: ~~1~.~~~~~=:1\~r
covnly which requires a perrr11t to construc1
alter, improve, demolish, or repair any structure.
prior to ,ts issuance also requues the applrcant tor
such penmt 1o file a signed statement that he 1s
licensed pursu.nt 10 the prov,sions of the Con tractor's license Law (Chapter 9 commencmg ,,,.,th
Section 7CXXl of Div1s1on J of the Busmess and Pro-fessions Code) Of that ,s e,rempt therefrom am! !he
basis for the alleged exemption Any v1otahor. of
Sectoon 7031.5 by an apphcant for a perrmt sub1ects
trle apphcant to a Ctv1I penalty of not more than t,ve
hundred dollars ($500)
□ I, as owner of the prope,iy, or my emp!oyM.s
,.,th wages as their sole compensat,on, w1U do !he
wol1<.. and the structure 1s not mtended or oflered tor sale (Sec 7044, Busmess and Professions Code The Contractor·s L,cense Law does not apply to an
owner of property who builds or improves \nereon
and who ooes such work h1mselt or through his own
employees. provided that such 1mprovemeo1ts are
nol ,ntende1 or offered lor sale If, hol!'ever, !he
bu1!dmg or ,mprovement 1s sold w1thm one year of
complellon, the owner OU1!der will have _;he burden
ol proving that he did not build or improve for !he purpose of sale)
□ I. as owner o! !he properiy. am exclus,vely contracting with hcensed contractors to construct
the PfOJect (Sec 704-ot, Busmess and Professions Code· The Contractors license Law does no! apply
to an ovrmer of prope'1y who builds or improves
thereon, and who contracts for each proJects wtth a contracl0f1S) 1ocense pursuant to me Contractor's License Law)
0 I am exempt under Sec
for th,s reason
D I hereby atf1rm th,
to self-msure. or
Compensation Insur,
(Sec 3800, Labor Cdle)
POLICYNoW_CW 6 8 7 0 1
,B &PC
coMPANv West_ . .American
~ z x:ct ~y IS filed Wllh the city
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0 Cer1'11ed copy 1s hereby lurn,shed
CERTIFICATE. Of EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sect,on need not be completed 1I the permit 1s for one hundred dollars ($100) 01 less!
0 I cen1ty that 1n the performance ol the woril tor which th,s permit 1s issued. I shall not employ any
person m any manner so as to become sub1ec1 to the Wori\ers· Gompensat,on Laws of Calllorn1a
NOTICE TO APPLICANT If. afler makml this Ge'1r t1cate of Exemption. you should become sub1ec1 t'J
the Wori\ers· Compensation prov,s,ons o! the Labo<
Code. you mus! for1hw,th comply with such prov,s1ons or thrs perm,! shall be deeme<l revoked
0 I hereby affrrm th.it there rs a construc!ron
lending agency lor !he performance of The worl< lor
whrch !his pe,m11 ,s rssued (5ec 3097, Crvrl Code)
Lenders Name, ___________ _
Lender s Address
USE BALL POINT PEN O•••-=&..:.P,:;;RE:.aS=..S""HAc;;;Rc:.D __________________ _ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA A•·-DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 {714) 438-5525 APPLICATION & !r,RMIT
J08 AO!;)fl ESS •
?406 J.at:arart@>J1.vg,,
AV,. ST, DATE OF APf>LtCATION ·;:t;tc•~ VALUATION PERMIT NUMBER Rt>;
/.±....::..:...__, ,
OWN'EFl'SNAME '"'",_
~:f~ul Leu~lli~ I OWNER'S Pl-fONE
OWNER'S MAI J,.ING AOOR~, '
~
153-3560
j)--
PRIME CONTRACTOR, CONTAAP'Of\S PHONE# ZONE 'j3 Sun Solar Products 2a3.:2221 ·
CONTRACTOR'S_ AOORESS , LICENSE~. PLAN 1.0. # BLOG USE CODE
'6346 Riverdale. Street 396~?3
__ , __ --~NSE #
I .11ame . > • . I
L'OT } BLOCK J s,u~-~ f ASSESSOR PARCEL No. oes1GNER t STATF 1 1 I STANDARD PLAN# I BUILDING SQ. FOOTAGE
QESCRlf"TION OF W()RK -.--.
DESIGNER'S ADDRESS
water hea.ter':~tinage out I ,,, "" ELEV I I No I ace c, I eou I , '' _, ,-STORIES : pf'; ➔ . /'·:'~ttl~-,2 ' YO ND
DESIGNE~~PHONf
RES UNITS REDEVELOPMENT AREA TYPE
CONST
ace LOAD FIRE SPA
.~/ / (!/.c;'.,_.
CE NOUS TRACT 1 ce LANO use I eARKONG seACE
A<
GRADING ~ERMIT ISSUED I
y D N □ YO NO vO NO Not Valid Unless Machine Certified
I •
QTY. PLUMBING PERMIT· ISSUE 71/11 QTY.
EACH FIXTURE TRAP
EACH BUILDING SEWER r •
MECHANICAL PERMIT· ISSUE
INSTALL FURN DUCTS UP TO 100,000 BTU
OVER 100,000 BTU -----+-
BOILER/COMPRESSOR UP TO 3 HP -----.
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
SUMMARY/ACCOUNT NUMBER
----~□1-000-, _2_2_0_,
1
__
01-000-4221 -i-----
01 -000 -4806 --.
---
,YU. -fBR€ EACH WATER HEATER AND/ORVENT -=-:_I~ ~
EACH GAS SYSTEM 1 TO 4 OUT~!S ----+----_ II I BOILER!COM"PRESSOR 3·15 HP TOTAL PLUMBING
-----01-000-4222
~-EACH GAS SYSTEM 5 OR MORE 1 <---I-. ----------t----
EACH INSTA~. ALTER, REPAIR WATER PIPE '
EACH VACUUM BREAKER I ----,-
----
! WATER SOFTNER
t----1--E~~~OOFOR~l~-{INSIDE) -----
1
~ _ V-"'
METAL FIREPLACE
VENT FAN SINGLE DUCT -----
MECH EXHAUST -HOOD/DUCTS ---------·----
---?ELOCATtON OF EA FURNACE/HEATER
TOT.lil MECHANICAL
ELECTRICAL
MECHANICAL
MOBILEHOME
------MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
01-000-4223 ,
01-000-422_c4 __
1
,_ __ _
01-000-4225_-+--
01-000-4226
65-640-0519
-
--
TOTALPLUMBING -. 7~ g: ---------
QTY. ELECTRICAL PERMIT· ISSUE QTY.
NEW CONST EA AMP/SWLBKR
I PH 3 PH
EXIST BLDG EA AMPISWT/BKR
SOLAR· ISSUE
COLLECTORS
I I FIRE SPRINKLERS -----
1 PUBLIC FACILITIES=FE=E __ _
BRIDGE FEE
---f-------+ SCHOOL FEE -DISTRICT
01_-000-4227
25-000-493}
__ Carlsbad _____ 65-623-0519
Encinitas 65-624-0519 ----
<---+--'-'_H 3 PH _']!._l,,., 1c..--·-;---San Dieguito _____ 65-625-0519 _,1__
RE~_o_□_EL_'_A1::_~E_R PER CIRCUIT _\-=J-,,L-+';.l.~'J:-""_'.'c'c_ ___________ j ____ .:._ __ JI--San Marcos -----__ 6_5·626·0_5_19 __
t" TEMPPOLE _2~~~~--
0VER 200 AMPS
TEMP OCCUPANCY (30 DAYS) -T -----------+-------------+----·--.,,
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE l /~~
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f HAVE CAAEf'ULL y EXAMINEt;) ~@MPt..ETED ''APPLtef·uoN AND.'PERMtT" AND DO HEREBY
CEFiTIFY UNDER PENALTY-Q.F fiatJ'UAY THAT "ALL lNFOAM.ll.fJON,1-tEREON INCLUDING THE
OECLAAATlONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF' A PERMIT rs
ISSUED: TO COMPLY WITH ALL CITY, COUNTY Alfil STAT! LAWS GOVERNING BUILDING CON-
STRUCTION, WHETHER SPECIFJED'i-tJ;REtN OR NOT. I ALSO AG.REE TO SAVE INDEMNIFY ANO
KEEP HARMLESS THE CITY OF CAfll$8AD AGAINST ALL LIABfUTIES, JUDGMENTS, COSTS ANO
.. ~rENsES WHICH. MAY.IN ANY _WAY ACCRUE AGA1NST SAID CITY IN CONSEQUENCE OF THE ~ OF TH'S.PERMIT. " ..
Expiration. Every permit~ the BuilcMg Officlat undertha pwvision&d1':ffia, I
Code shall expire by timit&ti<\n and ·bee~ nuJI and void. If the building OPMO~. euthOfized by such permit ia not cotrm1611Ced within 180 days from tM date Of~ permit, Of if tha building or wor~ authOriMd by .$Uch perm.it la suapendec:I or
abandoned at an time after the Wortt •• comm d for • riod of 180
APPLICANT'S SIGNATURE Jf OWNER O CONTRACTOR 0 ~ _.·_ L,,.-,,..., BY PHONE' 0
* AN osttA PEAMrr==· ' · ~YAllONS.· MR 5' 0'' llE£P AND ill!f-1'8UCTIOIM)t, • ..
STRUC1llRfS <MR • "'ill NbGHT . ' . . . V'
RV 1/44 • IQA3tfrt ~ APPROVED_.
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING I
FRAME ' EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC l
ELECTRIC SERVICE
BONDING '
I.
G. F. I. -SMOKE DETECTOR ?
MECHANICAL . •
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPl>'"·;y ISSUED
-
-
-
-
-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES -
INSPECTION REQ IF INSPECTOR·s DATE CHECKED APPROVAL --
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING -----·--
I HIGH STRENGTH
SOL TS r----------·--------
SPECIAL MASONRY
PILES CAISSONS
i
!
I
I
'
-------------·
--
-
-
··-------
-
-------
----------·---, --
l!Cttp of etarlS'bab
REQUEST FOR INSPECTION RECORD
..
INSPECTOR,.(J,~~2!,.i!;~~'.'.'.'..._-c;_
OWNER
ADDRESS
REQUESTED BY J.,J,.~~ ,-.,._L__ _______ _
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
[l FLOOR AND CEILING SUB FRAME
0 SHEATHING D ROOF D SHEAR
D FRAME
D EXTERIOR LATH
D INSULATION
[l INTERIOR LATH OR DRYWALL
o FINAL
~--....,_~::,;;;::::::}.__S,~Fb
PLUMBING
ELECTRICAL
D TEMPORARY SERVICE
[l UFFER GROUND
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D FINAL
MISCELLANEOUS
0 CONDITIONED AIR SYSTEMS ROUND PLUMBING
0 SEWER AND PL/CO
0 TOP OUT PLUMBING
' "\ 0 ""--□ SOLAR HEAT 't-.1 □ PATIO
0 TUB OR SHOWER PAN
D GAS TEST "fw A TEA H EA TEA
D SOLAR WATER
D FINAL
D POOL O SPA
-□ SIGN
D GRADING
D DRIVEWAY
D FINAL
,
SPECIAL INSTRUCTIONS 1,,..A.L.~&l.l(l/L~.t.,1,_._1 .!;~~1/D=:!;...,)c__,_~~~.L.{L~;q__c..MA/4~=c__--'~.ae!~"'-'(!__;"--'---'"'---
u)(U1 ; ?tt!R o/...e _pf ,,
Ready Forr;;s. I pection: □ Monday
D A.M. (II P.M. ----1---------------------.--•--·•
D Tuesday <tvz~ □ Thursday D Friday