HomeMy WebLinkAbout2411 JACARANDA AVE; ; 81-275; Permit"' z 0 ~ a: :l ill 0
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0 I hereby affirm that ! am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lie No Cla1s
I hereby a.tt1rm that I am exempt from the Con-
~f/8~~~:;:: ~J' i7~t~~~l~~1tC~/'_t,;y~,(~r
county wh,ch requires a perm,t to construct
aller. ,mpro..e. demolish, or repair any s1ruc1ure, prior to ,ts issuance also requires the appl,can1 to,
such permit 10 hie a s,gned statement that he ,s
llcensed pursuant to lhe pro~•s1ons of !he Con-tractor's License Uw I Chapter 9 cornmenc,ng w,lh
5ec11on ,COO o! O,v1s1on 3 of the Business and Pro
tess1ons Code) or that ,s exempt therefrom and the bas,-,, tor the alleged exemption Any violation of
Section 7031 5 by an applicant !or a permit subtects
tne applicant 10 a c1v11 penalty of not more than five
hundr8d dollars ($500)
hr I. as owner ot the property, or my employees ~ wages as the,r sole compensat•on, will do the
won<.. and the structure ,s not intended or offered !or
sale (Sec 7044, Business and Professions Code
The Contractor's license Law does not apply to an
owner of property who builds or rmproves thereon
and who cloes such worl< himself or through his own
employees, provided !hat such ,mproveme,<ts are
not inteode-.1 or o!ler8d for sale U. however. the
bu1ld1ng or improvement 1s sold within one year ol completion, the owner-burlder will have the burden
of proving Iha! he d,d not build or ,mprove tor the
purpose ot sale)
D I, as owner ot the property, am exclusively
contracting with 1,censed contractors to construct
the pro1ect (Sec 7044, Bus,ness and Professions
Code The Contractor's License Law does not apply
to an owner of property who builds or improves !hereon. and who contracts tor each pro1ects with a
contract0!1s) hcense pursuant 10 the Contr..ctor'l> License Law)
D lamexemp!unde.-Sec
tor th,s reason
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□ I hereby atf1rm that I ha~e a cert1!1cate ot consent to sell-insure. or a cert1!1cate of Workers
Compensat,on Insurance, or a cert1!1ed copy thereof !Sec JaOO, Labor Code)
POLICY NO
COMPANY
0 Copy 1s !,led w•th !he c1ty
D Cert,1,e<l copy ,s hereby furnished
CERTIFICAH. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need not be completed ,1 the perm11
1s tor one hundred dollars 1S1001 or less)
0 I certify that ,n the performance of the worl< tor
wh,ch !his pem11t ,s ,-,,sued. I shall no! employ any
person in any manner so as to become sub1ect 1o
the Worl<ers Compensation Laws ot Cah!om1a
NOTICE TO APPLICANT It, alter mak1n-J this Cert,
l,cate of Exemption. you should become sub1ect 10
the Worl<ers· Compensat,on prov1s1ons of !he Labor
Code. you must forthwith comply w11h such prov1s,ons or this perm,1 shall be deemed revoked
0 I hereby aH,rm tllat there 1s a construc11on
•ending agency for the perlormance of the work for wh,ch th,s perm,! 1s ,ssued (Sec 3097 C•vil Code1
Lender's Name ___________ _
Len~r s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANU UtVLAnA11u"';;,
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB AOORESS AV. ST., OATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
~II T.a,.,.,,.,..,'l\A LJ. vF r 11,, s: ~A~ I'.~ 9 .J /I ni' RD. '8' I -
OWNER'S NAME r OWNER'S PHONE PR-lME CONTRACTOR CONTRACTORS PHONE # ZONE 2-7J
C.-11.MV. A fl. .c I\} 7\.p If' J/ q,v_1 -3 'I ? I
OWNER'S MAILING AOORESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE -. ..TA l'A.IAl\/1\A AV!. (' J{j .,, ,..,.. • -• I' A ,-~YI/
LOT BLOCK SU801VlSION l A~SSOA~AACEL NO. ~ -sso70 5:i.oo DESIGNER STATE LICENSE# STAN OARD PLAN# BUILDING SQ. FOOTAGE
OESCAtPTION OF WOA~ ,
. . . OESIONER"S AD'OR'ESS DESIGNER'S PHONE e/~~/'C: ~-7~, i I -' ~ A,_. --t ._ r, -...... It-l-ltt.T-71/,! 171 a.Asi ;;' -j " -,. :.i7~.: ~/~:::,: ,' . , -• l-' . -
I .. ,1, FLA ELEV. NO OCC GP EDU
~ .... ::.--. vJ A.r,~ ... ;;!' STORIES . I • .. -vO NO
CENSUS TRACT GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO ND vO NO vO NO Nor Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7.IV QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN_ DUCTS iJP TO 100.000 BTU BUILDING PERMIT --·--·---------------~
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT
EACH WATER HEATER AND/OR VENT --_ -_1 -------------------------·--
BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK "" EACH GAS SYSTEM 1 TO 4 OUTLETS -.., ~("' ,-·------------------------------· --Ix_--BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING ----------~-----·-----------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL
-------··--------__""k,ri: ---------------
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME
---------------------------------
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
~-------------------. --~
EACH ROOF DRAIN (INSIDE) SOLAR --~ TOT/.L MECHANICAL STRONG MOTION -------[ --u;:.,:..rc ~------------------~---
TOTAL PLUMBING FIRE SPRINKLERS --------.--------~-----
PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE ~-----·-------------BRIDGE FEE ----------------~ ·--
NEW CONST EA AMP/SWT ;BKR COLLECTORS SCHOOL FEE -DISTRICT ·----·----. ----------~--
!PH 3 PH STORAGE TANKS Carlsbad ---------~--------------------------EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas -----~ -----------.-------~ ------1 PH 3 PH PUMP San D1egu1to ------------------------------------. ---------~ --------
REMOOEL.'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos ---------------~--·----··--------·----· ----------~ --------
TEMP PO LE 200 AMPS ------------------------------~--------------------------~ --·-----
OVER 200 AMPS --------------------~----------------·--------~-------~
TEMP OCCUPANCY (30 DAYS) -~ ----------------~---·--------------· -------~ ----. --
----~--l --------------------~--------TOTAL ELECTRICAL TOTAL SOLAR I V
TOTAL FEES PAYABLE /y,....
". titAVE CAREFUL\Y EXAMINED THE COMPL.ETEo .. APPUCATK>N ANO PERM1T" AND DO HEREBY , &piration. ~ ~~ bytt'98uilding0Hici~ under the pr'!A~ofthis * AN OSHA PEtWrT IS REQUIRED1=0R EXCAVATIONS OYER 1, 'OEJ:UlFY UNDER PENALTY OF PERJURY THAT Al.L tNFORMATION HEREON INCLUDING THE Co4e fhall expire by limit!fiOn and beOome null !ffld void. If the building or work · 5· 0" DEEP AND OEMOUllON 0A CONSTRUCTION OF DEt(:AMTIONS AffE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ~~such~• not commenced wlthm 180 days fr~l'f! the date of such STAUCl\JRtS OVER 3 STORIES IN HEIGHT _, -BUit COf4: '" _per .oc if Jbe, ,4 lJOJk authoriHd. by Sl.tCh pemut ,s ~ or ~O: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVEANtNG DING . • at.anvti «.work is commenced tor a ... .,;-of 1M~ ......
~. WHETH~ $PEClftfP HEREtN oA NOT. I ALSO AGREE TO SA.VE INDEMNIFY ANO ,. -APS OVED BY ; D~!-:yf gl KEEP ~ THE crrv OF CARL$BAD AGAINST ALL UAB!LITIES, JUDGMENTS, COSTS ANO ~NT"$ Si~·----CONTRACTOR 0
UFiEKSES WHICH MAY IN A~ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF T!i£ ~ : ~ ' ':"O· ,;e.., (/. , ~ BV PHO D ) , , GAANTING OF THIS PERMIT. T ' J l _, 1 I ,,6 ~ NE • . .
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
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
ELECTRIC SERVICE
BONDING
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 I 11/ /.
GAS -, e, I I
BUILDING /1· I ,;, ,
SPECIAL CONDITIONS ' /
CE,RT OF OCCUPANCY ISSUED .
I
/
,,,
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RED IF INSPECTORS DATE CHECKED APPROVAL
----------
SOILS COMP~IANCE
PRIOR TO
FOUNDATION INSP
---
STRUCTURAL CONCRETE
OVER 2000 PSI --PRESTRESSED ~ -----
CONCRETE ----
POST TENSIONED
CONCRETE
FIELD WELDING
----·------------·--------HIGH STRENGTH
BOLTS --~-------···--·
SPECIAl MASONRY
·-----·---~-
PILES CAISSON'.:
----
• ------
----·
----------------~
·-----------------
-----
----·
·-----
-· ----------
---------
C----------------
---------------------------
--
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect_
L,c No Cra;1
I hereby o1tt1rm that I am exempt from the Con
~rot;·~~~;:;:;~; ~~f~~:.1i~~~er9t,;y~i~;
county which requires a permit to construct
alter, ,mprove, demolish, or repa,r any structure, prior to 11s issuance also requ,res the applicant for
such permit to t1l11 a s,gned statemen1 that he ,s
licensed pursuant to the prov,s,ons a! the Con• tractor·s License Law (Chapter 9 commencing with
Section 7000 of D1v1s1on 3 ot the Business and Pro !ess,ons Code) or that ,s exempt therelfom and the
tias,~ tor the alleged exemp11on Any v1ola11on of
Section 7031 5 by an applicant for a penmt sub1ects
tne ~plican1 to a civil penally ot not more 1han five .. .. C J 5 ~ ¼dred dollars ($5(l()l
!. as owner of the property, or my employees
h wages as theor sole compensat•on, wdl do the
wor1<.. and the structure 1s not intended or offered for
sale (Sec 7044, Business and Prntess1ohs Code .. z ~
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The Contractor's License Law does not apply to an
owner of propef'ly who buolds or improves thereon and who does such wol1\ himself or through h1sown
employees, provided tha1 such 1mproveme,11s are
no1 inlende-::l or oflered to, sale 11. however. the
building or ,mprovement Is sold w1thIn one year of
complet,on, the owner-builder will have the burden of proving tha! he did not build or improve tor the
purpose of sale)
D I, as owner of the property. am exclusively
conlractinQ w,th licensed contractors to construct the pro,ect (Sec 704.4. Business and Pro!essmns
Gode The Contractor's License Law does not apply
to an owner of property who builds or improves
thereon, and who conlracts tor each pro1ects with a
conlractOr\SI license pursuant 10 the Contr&etor'l:,
license L.awl
D I am exempt under Sec
!or 1h,s reason
.B &PC
D I hereby affirm that I ha,e a cert,f•cate of consen1
10 self-insure, or a cert,hcate ol Wol1\ers
Compensa1,on Insurance. or a cert1f1ed copy thereof
(Sec 3800, Labor Code)
POUCY NO
COMPANY
D Copy ,s filed with the city
D Cert1t1ed copy IS hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need not be completed 1! the perm,1
Is !or one hundred dollars ($100) or less)
D I cert,!y that ,n the performance o! the wor1<. !or
which this perm,! 1s issued, I shall no1 employ any person ,n any manner so as to become subiect tu
the Wor1<.ers· Compensation Laws of Cal1forn,a
NOTICE TO APPLICANT If, a!!er makIn;i this Cert,
f1cate of Exemption. you should become sub1ect t0 1he Worl\ers· Compensat,on prov1sIons of 1he Lab0r
Code. you must torthw,th comply w,1h such provIs,ons o, th,s perrn,t shall be deemed re,oked
D I hereby a11,rm mat there Is a cons1ruct,on
Iend,n1, agency tor 1he performance of the work for
wri,ch lh•s perm,! ,s ,ssued (Sec 3097 C,vii Code!
Lenders Name, ___________ _
Len<rer s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB AOORESS ~ AV. ST., O~PPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
.,.. /. ./. RD. •/J:Y
~75' I/ ___,,,;,y// ...... ~
OWNER'S NAME V I OWNER'S PHONE PRIME CONTRACTOR / CONTRACTORS PHONE # ZONE
OWNER'S MAIL!~ ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
: --
Lt?~-BLOCK I SUBOI VISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
-·;
DESCfUPTIONOF'WOftK i
--. --OESIG,..£R'S AOOR'ESS' DESIGNER'S PHONE
-~-/ ,..,__,_cA~
• I •
A ~ --~ :_
-. " b/:.:~1-:-1;·7'; .. ,1, FLA ELEV NO DCC GP EDU
"l -:/fr "'1"':" ·~:-"-. . .. 6 STORIES C -
----' -" I . . -vO NO
It~ l :--c• • J ,
CENSUS TRACT 1 GP LAND USE I PARKING SPACE RES UNITS I GRADING ~EAMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR
AREA CONST
YO ND vO NO v □ NO Not Valid Unless lbchine Certified
QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100.000 BTU BUILDING PERMIT -~ -
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT r=_ ---~-
EACH WATER HEATER ANOiOR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK
--~---
--"~~ _,,,,,
EACH GAS SYSTEM 1 TO 4 OUTLETS ---___ ·_ SOI LEA/COMPRESSOR 3-15 HP TOTAL PLUMBING
---
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 7"
---------------
EACH INSTAI. .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MtCHANICAL '
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME
-------
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
---->---------
EACH ROOF DRAIN (INSIDE) SOLAR
TOH\L MECHANICAL STRONG MOTION
-------r --
TOTAL PLUMBING FIRE SPRINKLERS .
PUBLIC FACILITIES FEE ~~ QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR· ISSUE BRIDGE FEE ---
/ NEW CONST EA AMPtSWT •BKR ~ COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TAN KS Carlsbad
----
EXIST BLOG EA AMP/SWT/BKR R6CK STORAGE Enc1r11tas ------------
I PH 3 PH PUMP San D1eguIto --------REMOOE UAL TER PER CIRCUIT PLAN CHECK FEE San Marcos -------------
TEMP POLE 200 AMPS
--~ r7;f,~ ... ------------------
OVER 200 AMPS -.II ----
TEM~ccuPAN!':_ !-~~ □A_YS! J-..:_ _t_ i:,F -:.4 _ ,,_{ ~-----,}a -'g
--
I--TOTALELELTRICAL 1 ;i~ I--------·~--. -------
co"° -fh.J -TOTAL SOLAR TOTAL FEES PAYABLE I~~
"'i$AvE:' Q,RER.Ji,1v EXAlllliEO THE ~~APPt..lCMtOltANO-PEAMfr" AND [)() ttatiri; &pitalioR. ~, 8 ··•••■ued byffle&uiktingOfficial unde(thep,ovisionSO~this * AN OSHA PERMIT JS RE0UIFIEO FOR EXCAVATIONS OYER
CER11FY,'.tJNDEfflfiENM.TY OF 'PERJURY lJ-tAT All.~~ HE~INCLUDING THE COde ~ expke by lhniWltion and become n'-!11 and void. tf the building or work ·5-' O" DEEP AND DEMOl.fTION QA CONS1'IUCll0N OF ~'W11IOE""AIIO'"!;OAIIEl;TANOI-ANO -'IFAPERMIT1$ _.., ___ ..,._w,thint80dayauomlhedateof,,,eh STAUCTUMS OYER 3 STORIES IN HEIGHT . -· -.. . . . . . -,,. . ---'cioN. pennlt. « if U.-:=:a:-WOik authoriz9d by aw::h ~i!~• •~dad or 0: TOOOMPLYWITHM..L CffY, COUNTY ANDST~E LAWS GOVERNING BUllDING .-ablindoMdat-..1iffia• tbewori: lacommencedtor a · of 1 . ~ wtl~~ OR NOT. 1 Al.SO AGREE TQ SAVE INDEMNIFY ANO . -0 APPROVED BY IA~ I DAT'tJ/t! ·KEEP ESSnie--dtYCIF AGAtNSl"AU.UAQl(mes.".JUOGlilENTS,COSl-SANll' ~S~~ If,· OWNER CONTRACTOR □
e,(PEMSES WHICH MAY IN AJl'f WAY ACCRUE AGAINST SAI0 CITY IN CONSEQUENCE OF 1tfE r, BY PHONE 0
GRANTING OF THIS PERMrr. .. · -.,,_
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NSPECTION TYPE DATE -· INSPECTOR
BUILDING
FOUNOATION
REINFORCEO STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
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
ELECTRIC SERVICE
BONDING
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 I , r
MECHANICAL II ' ' -I
GAS l \ I Pl'
BUILDING ~' ,
SPECIAL CONDITIONS
Ci.RT OF OCCUPANCY ISSUED
-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COM Pl IANCE
PRIOR TO .
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI .
PRESTRESSED
CONCRETE ..
POST TENSIONED
CONCRETE
FIELD WELDING
·~ HIGH STRENGTH
BOLTS ------· ------· --~-..
SPECIAL MASONRY
PILES CAISSONS
..
·-·
----------
-·
.
-
·-------------
-