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Home My WebLink About2606 Jacaranda Ave; ; 78-904; Permit~ I MOO~L Nc1. ---'•------- BUILDfNG PERMIT APPLICATION City of CARLSBAD CALIFORNIA 92008 ' ·73; '?CJ~ Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. JOB AODIII ('!! 5 ::r~Cat.A"Q.A'\.ck__ ASSESSOR'S ~000 Ave C'-:.....,.. l • lr\o ) PARCEL NUMBER _QT NO, I OLK I TaACT BvvK PAGE I PAR. LC ••L I '.ev, ~:if ~~' L tOStl. ATTACH[O SHE.CTI 1 ocsc•. .... I f OWNllll MAIL AOD"-[SS ZI p PHONt 2 -¼.. vv\ {;_ l, t \ I -• ,,, --} C..-12.ooJ ) . w ' "',(:; -r .. ... . CONTIIIACTO!lt ., MAIL ADOACSS -PHONC STATE LIC. NO. C ITV LIC. NO • 3 ·~ c . ...... .Q...., AIIIICHITCCT O"-0l51GNEIIII MAIL AOOJl[SS PHON C -LICtNS,E MO, 4 t-v.,,. -(. tNG IN CC"I MAIL AODA[SS PHONt LIC(N5£ NO. 5 COMPENSATION INS. CARRIER MAIL AODIIIC55 lflANC~ 6 .-t. . ust o, 11.JILOING 7 •(..> NO, BORMS NO. BATHS 8 Class of work: 0 NEW D ADDITION 0 ALTERATION 0 REPA IR 0 MOVE 0 REMOVE 9 Describe work: t' +-Yo. " . Lo v -e.,,.r ~ 'c,k \:~. ,I \. . l 10 Change of use from /pi. \\ ~ . Change of use to ( ,3i{ . 11 Valuation of work. $ , tqtf ([) PLAN CHECK FEE-:, ~ I PERMIT FEE $ -; ,c; .J . ,. ...... SPECIAL CONDITIONS , MICRO FILM FEE Type of Occupancy Const Group Sile of Bldg -~ No. of Max li (Total) Sq Ft Stories 0cc Load . ' 1 Fire use Fore Sprtnklers APPLICATION ACC[PTEO ev PLANS CMECl(f D BY ,t APPROVED FOR IS~UANC( 8V Zone Zone Required 0Yes □No / r J.; ,. 1t No. of OFFSTREET PARKI 3 SPACES· ,/' Dwelling Units No. INo. DATE DATE Covered Sq. F.t Open ' NOTICE SpP,cial Approvals Required 1 lfl!c 1ved Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• . PLANNING DEPT. j X. ING, HEATING. VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. V ' A THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC• TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT ,I A I I '/ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT VI} 'l / "" A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM l / I n MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT ~ /v A \ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. u 41 ( \ \ TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED ~1 ,, -HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE -l (/ PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ' A " tr.__ ' I V u -\ \ J '\I -f SIGNATVlill o, tONTfllA.CTOtl Olil AUTHOfllZlD AGENT IDATC) I \) J \J I JL d )t-.-A I \. I./ u VJ ' I I 'J '-./ ~ICNATU"l o, OWN[fll 11, OWN[IJI ■UILDl.111) OAT[) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS \(O~ PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA'l-lt>N CK. M.O. CASH Cl TOTAL FEES $ __ /_O ____ _ INSPECTOR RE.~UEST FOR INSPECTION .. . INSPECTOR, ___ . _--r;,_,__:.----,..-...--"'-~-'-'-=---PERMIT NO ________ DATE: TIME~·-----~~, ..?-y_ 7, OWNER _____________________ ,:------------- BUILDING r;29--.fOUNDATION b REINFORCING STEEL 0 MASONRY 0 GROUT -GUN I TE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER D ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL ELECTRICAL D TEMPORARY SERVICE 0 ELECTRIC UNDERGROUN4- D ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE D CEILING HEAT 0 G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS D COMBUSTION AIR 0 PATIO D SIGN 0 GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY DA.M. □THURSDAY '!FRIDA DP.M, SPECIAL INSTRUCTIONS _____ ~_,.._.,.,_-"-----'="--",}--''-• ______________ _ REQUESTED BY __________________ PHONE NO. __ '9-;--~ri=='--- PERSON TAKING REPORT__,_G_,,~-I"-<----=-F _ _,_. -- • • ~AtN /N ""'r,N1-r C•1,tt.1 A.l~T Sc.~ 7~/'e,-• . ...•. ·---·-·--------- Re!LUEST FOB INSPECTION INSP~CTO~ . "1!""h- TIME_· _?_:_4_'.:>_--__ _ PERMIT NO _______ DATE: ';)-/,)-'li OWNER __ __,_/j_....,.O'-t-'-S.""-'-t--''.Y::-~.=..1r_,.n-.l-"'\-t-------------------- ADDRESS "d-() 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY ~ □TUESDAY ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN 0 GRADING 0 DRIVEWAY □ CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL DWEDNESDA~D FRIDAY SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY~\')....,_ "'~,..c,,,,.,9~ ______________ PHONE NO. _______ _ PERSON TAKING REPORT_,.'o/71 . .__> ____ _ Ali.QUEST FOR INSPECTION TIMEc_· ---- INSPECTOR; __________ PERMr,' NO . ...c' _______ DATE: t~ y OWNER __ _,,._2'2,~L1/,~~_.::..,;,~~-~k¥s:= _________________ _ c2 & rJ& J Cl C t1 /f /J Al J) ,9 ADDRESS 0 REINFD CING STEEL 0 MASDNRY 0 GRDUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION OR DRYWALL ~ PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING D SEWER AND PL/CO 0 TUBORSHOWERPAN 0 GAS TEST 0 WATER HEATER D FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC~ D POOL BONDING (Y I ,:; o ELECTRIC SERVICE -:1.1;(}/hJ 11 0 CEILING HEAT J/'. D G.F.1. 0 SMOKE DETECTOR 0 FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING D DRIVEWAY 0 CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL > READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY D THURSDAY D FRIDA 0A.M. 0P.M. ' SPECIAL INSTRUCTIONS " ' I r\ .IY . .; REQUESTED BY \ PHONE NO. ~ PERSON TAKING REPORT • ~~~/4wu_~ ?~~.--k,:ZZCC ~;z;-~ ~~~. ------......................... _______ _ . .. CITY OF CARLSBAD BUILDING DEPARTMENT (714) 729-1181 CERTIFICATION ---·--·-----.......... ~. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. If, after making this certificate, I become subject to the workers' compensation pro- visions of the California Labor Code, I will forthwith comply with Section 3700 of the Labor Code. I understand that if I fail to comply with the workers' compensation laws, this permit shall be deemed revoked. I further certify that if I should contract or subcontract with any person, including any firm or company, to do all or part of the work for which this permit is issued, I shall assure compliance by that contractor or subcontractor with Section 3800 of the California Labor Code. SIGNED: ....,.)"'---'--;2--'--'o-'-'~ .... ---=· 9'<""". "-lfr,=1------- PRINT NAME AND TITLE: _______________ _ JOB ADDRESS: ~(p j 11-C./f-K,,+Nl) Jf 'S'!" • DATED: 'J -7-] t· ---------------------------···-·-·