HomeMy WebLinkAbout2612 Jacaranda Ave; ; 77-2664; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ' '}-;J/_/d Applicant to complete numbered spaces only. Phone 729-1181 Per11J1l N..iL
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7
2612 Jacaranda Street, Carlsbad, CA PARCEL NUMBER
LOT NO, I"' I '"'Rancho
BOOK PAGE I PAR. ,,.., I (QS!:E ATTACH!:D SHEET) 1 DESCR, 300 Ponderosa IV
OWNER MAIL ADDRESS '" PHONE
2 Ponderosa Hornes, 140 Marine View Dr. , 104, Solana Beach, CA 92075 755-9756
CON TRAC TOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 See Above 269581 12424
ARCHITECT OR OESIGNEN MAIL ADDRESS PHONE LICENSE NO.
4 Bates, Bassenian & Pekarek, 1601 Dove St. #275, Newport Beach, CA 92660 752•8924 C8395
ENGINEER MAIL ADDRESS PM ONE LICENSE NO.
5 Rick Engineering, 5620 Friars Rd., San Diego, CA 92110 291-0707 RCE 9416
COMPENSATION INS. CARRIER MAIL AODRESS B"ANCH
6 The Emolovers Self Insurance, 4050 Wilshire Blvd., Los Angeles, CA 90051
USE 01' BUILDING
7 Sin1tle familv with garage NO. BORMS 3 NO, BATHS 2
8 Class of work: 'xNEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: Residential -Model 143B (',
. ,.17, -,l
10 Change of use from vY:~t' 'f ?' "\ ,
Change of use to
,v
11 Valuation of work: $ 3 4--, l1 ~ ?, oo -, o ~ I PERMIT FEE s 14-d---0~ -PLAN CHECK FEE$
SPECfAL CONDfTIONS, MICRO FILM FEE
Type of\f-/v Occupancy 1-.:r Const. , Group -~
Size of Bldg. No. of
J
Max.
(Total) Sq. Ft. !> Stories 0cc. Load --
Fire 3 USO R_ -J Fire Sprinklers L..
APPLICATION ACCEPTED 8Y PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required □Yes oi<o
No. of 1 OFFSTREET PARKING SPACES:
No, ~ <(;f / !No, DATE DATE Dwelling Units 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. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION 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
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ENGINEERING DEPT.
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 DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
nRUCTION OR THE PERFORMANCE OF CONSTRUCTION,
-f/f..//) r8r· ,,.) '~ ;d-77
SIGJQ,TU"E o, CONTRACTON <J" AUTMOl'IIZED '-GENT !D.4. TE l
SIGNATURE o, OWNER IF OWNER 8UILDE") (DA TE)
WHEN PROPERLY VALIDATED (IN THfS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK, M.O, CASH PERMIT VALIDATION CK, M.O. CASH
TOTAL FEES$
• LOT ;?oo
◄ .. c?i. /~. ~~ .. I, ~UILDIC . .
. '
• FOOTINGS 5 , -~-FOUNDATION 77 --REINFORCED STEEL -MASONRY -GUNITE OR GROUT .. SHEATHING 7 • //, 77 ~<
• ..
•
FRAME 7,1',.77 ~ V'
11•014. .,.,.,.;, ~ 7
INSULATION .
• EXTERIOR LATH
• INTERIOR LATH & DRYlvAL
... -..
PLUMBING l
. 1 td· 1 SEWER AND PL/CO ' WATER ----
• PLUMBING UNDERGROUND 4,z:J. 7Z oe'/::'
COPPER S · ] · 7 7 fLd,,
•
4
\\t TOP OUT 7'. :ze:, · 77 K /<::
·, TUB AND SHOWER. ~/2? . .Ef?
GAS TEST
• ELECTRICAL .. UNDERGROUND -
· ROUGH ..
• . CEILING HEAT
.. BONDING
MECHANICAL
DUCT & PLE11, REF. PIP ING
HEAT--AIR
VENTILATING SYSTEMS
FINAL: _·...,_,0...c't.J_-_..:../'...:..'o/_._....;7c......:.7__,,(p_, __ _
PllJMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 -, . ..,_ "\Cl/ ./'\
Applicant to complete numbered spaces only Phone 729-1181 Permit No h• / '/ c,r. (.eo.~
-;J ' "' JO& AOOIIII CS.5 ~/?At
. I ... ..
J. , . ] :., lit'«!// n"A)p/2' .t' ~~/ /l/3 / :.,;...._ . .)
LCOAL I LOT NO.I') I ILK I me: ~ ,.
1 ouco. ~ t1tJ :•to am.-..-.,. • --OWNEIIII MAIL ADO"l[SS 11. PHOM[.
2 7'!'"f, 111'~ ' • -,.. • ~ --
CONTlltAC TOIIII MAIL AOOfllC.55 P1'40NE STATE LIC, NO. CITY LIC, HO.
3 l"'"'~~t;"!! CO:t, -o .... ~ ill 277 I J ' . I
..,.., . . . • • -.
AIIICHITECT Ollt t,(!ICNC.fll MAIL AOOlll[SS PHON t L IC ENS( NO.
4
lNCINE[JI MAIL A001'[S$ PHON( LIC[NS( NO,
5
COMPENSATION (NS. C._RRIER MAIL AOOfl[SS e,iiANCH
6 --e --,r:,,..it,. £
C . ::..:: . :.,;~ ~_, ~· I • ---... .. --.. -use o, B UtLDINCii
7 ' -~~n! .......
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
,i;.·, .. 9 Describe work: T-:-& -
PERMrT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS ~ WATER CLOSET (TOILET) $~ (_./,.J
I BATHTUB I : v'
~-LAVATORY (WASH BASIN) ... , .. c.V
I SHOWER J' ':"'v .
KITCHEN SINK & OISP / 0 ' ; DISHWASHER
APPLICATION ACCEPTEO BY PLANS CHECKEO ev APPROVE O FOR +SS\.JANCE BY LAUNDRY TRAY
I CLOTHES WASHER / ~
DATE I WATER HEATER / ·~ NOTICE URINAL
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-I SLOP SINK
MENCED l GAS SYSTEMS NO. OUTLETS / .SL 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 WATER PIPING & TREATING EQUIP
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 CONSTRUCTION. LAWN SPRINKLER SYSTEM
f SEWER NUMBER CLEANOUTS ~ tsD
CESSPOOL
/.. ~ / ./
,f'/_/{~ /2? SEPTIC TANK&. PIT ;//,. . ._., ROOF DRAINS ~ , S17~•t :f."rTOACTOO 0 0 AUTHOOIZ<O AOCNT , tOA T~-f
ISSUANCE FEE $ rJ #
TOTAL FEES $ 7
fr.lGNAT "r 0,-0 WNt,. 1,-OWNC,. autLDC" DATCI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocomp/etenumberedspacesonly Phone 729-1181 Permit No
;, ...
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I
JOB ADDRESS
2612 V .. anda ., •
LOT NO. I BLK. I TRACT PoncJ ClslE ATTACHED SHEET) LEGAL I 3 0 cho D 1 DESCR.
OWNER -MA: L ~D1Es5. SUi ~p~ ..:1°"!;2075 ., s" ro -ve. r, • ;:; 2 -~ >.i . . -
CONTRA<;_TO_'.'. 1. .ric, Inc. 21 MAI~ ADDRESS co I~:.. .. 'QP STATI; "'t 1'c, 'tl ~-',~O . 3 ✓ ... .... . .t -J • •
ARCHITECT OR DESIGNER MAIL ADDRESS
4
PHONE LICENSE NO.
ENGINEER MAIL AOORESS PHONE LICENSE NO. 5
COMPENSATION INS CARRIER
6
MAIL ADDRESS BRANCH
USE Of BUILDING
7
8 Class of work : □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
~
9 Describe work: lectri. Ugb inisb iring
·-PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH 101 1 .2~ '0( -'"LICATION ACCEPTEO 8V PLANS CHECKEO BV APPROVED FOR ISSUANCE 8V AMPERES OF MAIN SERVICE, SWITCH, 25 FUSE OR BREAKER
DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL ANO VOi DI F 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 AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 TEMP. SERVICE UP TO AND 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.
TEMP. SERVICE OVER 200 AMP.
PER 100 .,
,/ I l' " I
SIGNATUR E Of CONTRACTOR OR AUTHORIZED AGENT (DATE) ~ \1 ISSUANCE FEE
TOTAL FEES 2, lJI.
C: fr.ctJATIIRE nr OWNER If OWNER BUI DER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH • PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
,. .. l
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADOflt [SS
261 a.carnncb Strcr. t
LOT NO, 1 •L• I TOCT LCCAL I .nnch -• Un1 \NlStt A~fHEO SHEET) 1 ouc•. ''-'" 0 •.. ., ,..;;JBQ t o.
OWNCIII MAIL A0011t[.S.S ZIP PHONE
2 • l . I
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J,ue., l -.=onto 1.r.w,, ·te. --~. ._l ·~ ,, • I ' • --CONTfltACTOllt MAIL ADOflttSS PHONC. STATE LIC. HO,
3 --• :m Htg AJ • • 0 296.S B/C. }2021 -. -AfltCHITECT Oflt OE.SICiN[llt MAIL ADOAC$5 PM ONE LICENSE NO,
4
CNGINC.Cft MAIL Aoo,u;s.s PHONC LICENSE NO.
5
LlNOUI ""4AIL AO0flt£5.S 8fltANCM
6 , ,..
USC 0,-BUILDING
7 ,, .l ~ 11"
8 Class of work: 0NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work: Hoo.tine
Type of Fuel. Oil D Nat. Gas f3 LPG. D
PERMIT FEES
SPECIAL CONDITIONS. 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.
l Forced Air Systems-B.T.U. 80 M Ea.
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heateri.-B.T.U. M
NOTICE Unit He&ters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· Evaporative Coolers TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· Ventilation Fan MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHQRliY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTH~~ S ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMP,NCE OF CONSTRUCTION.
( 1-\\ \I ,·t ( l /7 '
A ,._ I ;' I SICNATU,tlt. o, CONTNACTOIII ,,_ AUTHOfl,Zt.0 ·AGENT IDATl.)
ISSUANCE FEE
-•-u•T ,.., o, OWHUI (Ir OWNUI aulLDERI DATU 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
J) -51Jo -
--
CITY LIC, HO, .. , ., ',,
Fee
$
'~ 100
s "G,
s co
CASH
INSULATION CERTIFICATION
This is to certify that insulation has been installed in conformance
with the current energy regulations, California Administrative Code,
Title 25, State of California, in the building located at:
SITE ADDRESS <N12 /,') Jacaranda Avenue, Carlsbad, California
EXTERIOR WALLS
Manufacturer
Owens-Corning and Johns-Mansville Thickness/Type '3½" Friction R-Value 11
CEILINGS
Batts:
Owens-Corning and
Manufacturer Johns-Manville Thickness/Type 6" Kraft
Blown: Manu f acturerThermal-CousticsThi ckness/Type 4;;11 Cellulose
Wt./Bag _______ sq. Ft. covered 34 Square Feet
FLOORS
Manufacturer __________ _ Thickness/Type _______ _
GENERAL CONTRACTOR LICENSE#
BY TITLE DATE
R-Value 19
R-Value__l9_
R-Value_..1_9_
R-Value
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INC. LICENSE # 221517 C-
BY