HomeMy WebLinkAbout2613 Jacaranda Ave; ; 77-2628; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicantto complete numbered spaces only Phone 729-1181 Perm 11 No
JOII ADDl'l [SS APA 18·77 . '.~~••••319 DI 2613 Jacaranda Street, Carlsbad, CA MBER •
T ,,, "" 1'" I '"'Rlmcho Ponderosa IV BOOK PAGE I PAR, L[ GAL (0SEE ATTACHED SHEET) 1 OESCR. 312
OWN ER MAIL ADDRESS ". PHONE
2 Ponderosa Homes, 140 Marine View Dr., 104, Solana Beach, CA 92075 755-9756
CONTRACTOR MAIL ADDRESS PHONE STATE LlC, NO, 12424° NO. 3 See Above 269581
ARCHITECT 01'1 DESIGNtlit MAIL ADDRESS PHONE LICENSE NO.
4 Bates-Bassenian F. Pekarek. 1601 Dove St. #275-Nebnv>rt Beach. CA 92660 752-8924 C8395
ENGINEER MAIL ADDl'ltss PMON E LIC[NSE·NO.
5 Rick Enaineerina 5620 Friars Rd-. San Diego_ CA 92110 291-0707 RCE 9416
COMPENSATION INS. CARRIER MAIL ADD"'ESS 8"'AMCM
6 Tha t::=1 --·rs Self Insuranre -4050 Wilshire Blvd. -Los Anoeles-CA 90051
USE OF BUILDING
7 "4~rr1a -"--"'·-... ~+l. oararra 4 21< NO. BDRMS NO. BATHS
8 Class of work: x,cNEW □ AOOITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: Residential -Model 2144AX .
() I H~--
10 Change of use from U", ... ,., ,. , ,p
Change of use to \V
11 Valuation of work: $ (',., :.:J 64?;0.9-PLAN CHECK FEE$ ) ()b ~9---I PERMIT FEE $ !J/3~
SPECIAL CONDITIONS:
Typeof li-N Occupancy / -:r MICRO FILM FEE _......,..1--
Const Group
Size of Bldg. ~5,' No. of a Max. ,........ L,
{Total) SQ. Ft. Stories 0cc. Load
Ftre 3 Us, P-1 Fire Sprinklers er;:;;;+-APP LI CA T!ON ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone ReQuired □Yes
No. of OFFSTR£ET PARKING SPACES: 1 No. 3 bSDINo. DATE OATE 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. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF Fl RE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK tS 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 ~~~NS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CTION 0':,; ~~ERFORMANCE OF CONSTRUCTION.
-n ,,-, -· h , . ::? -1,1.-7 7
J1~TURE o, CONTfiACToi DR AUT~DAIZEO AGENT !DA TE)
SIGNATURE o, OWNER IF OWMEfl IIUILDEfl) DA TE)
WHEN PROPERLY VALIDATEO IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION cK. M.O. CASH
TOTAL FEES$
-LOT 7/.:Z -_ .. -·'e?t/?·~-
BUILDING .. FOOTINGS -FOUNDATION .. -REINFORCED STEEL
-MASONRY
-GUNITE OR GROUT ,_:--,
-SHEATHING '.2.7•7"/ ~A:'" ----EXTERIOR LATH -INTERIOR LATH & DRYWA L -PLUMBING -SEWER AND PL/CO 1,fi,J~ATER ----• -PLUMBING UNDERGROUND¢,z5,77 cf(R"
-COPPER 'j · l,J' · l] h.Js. -TOP OUT ~ •2~ 1'7 IJt!'K -TUB AND SHOWER 7, r,-77 ~ . --.. ELECTRICAL
" UNDERGROUND
ROUGH /1 If• 77 tr"' ,.C-
. CEILING HEAT
BONDING
. • MECHANICAL
.. ·oucT .& PLEM, REF. PIPINGU,6z/b82
HEAT--AIR
VENTILATING SYSTEMS
.. FINAL:_/t_~_-_3~--1_1_----iq?'----__
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JO& ADON E$5
I I ::. ,., _J . , ")o/A./,· ~ ),re.,.,,,..,., ,z,9,,J o?/1/~ • I
LWL I LOT "°Ji.:;i~ I OLK I TOA CT
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.,. .ill l ocsco. /:,,.( ,
OWNUt ........ IL •oc .. C5S ... ~07~ PHON[
2 fl c// /ldh"--> ..-f11 /1/Ytt.) ~~ . et_//(',,,, ,. , L '"-
CON TftAC TOR MAIL AOORE.SS PHONl STATE LIC. NO, CITY LIC. NO,
3 '/,'J;i/_,,Nr'J st \ ruy µ/~( ,1/ ..) l )7?-S~1 -~; ,// ), 7 /· I ..;...._,,,;9 ,·
,UICHITCCT OR OCStGNUI v MAIL A00R[S5 PHON [ LIC tNSE NO,
4
!.NGINC£R MAIL AOOR[SS PHONE LICCN5C NO.
5
COMPENSATION (NS, CARRIER MAIL AOORCSS 8fllANCI-I
6 ' I ' _, .. /1/t.: .dt//l ~I/IJ /:°<✓ t' I I: A. 7~ A. ///.
use or BUILDING
7 'J//.J ~~ f\17/_,,J /
, .
8 Class of work: [:]1JEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: l:t.J h/1 d. /t 151 ...,
PERMIT FEES
No, Type of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $ 1., (;
/ BATHTUB I ,)( -LAVATORY (WASH BASIN) 7 ~ ..
/ -SHOWER .,, ,, KITCHEN SINK & DISP /
DISHWASHER
APPLICATION ACCEPTED av PLANS CHECKED ev APPROVE O FOR ISSUANCE BY I LAUNDRY TRAY / _.l)
I CLOTHES WASHER ,/ ,· J
DATE f WATER HEATER J _, ·' .J
NOTICE URINAL
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR 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, / GAS SYSTEMS NO. OUTLETS / ~.;!.> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION A N O KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO 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 V IOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, LAWN SPRINKLER SYSTEM
/ SEWER NUMBER CLEANOUTS ") I
:!11~ / / / CESSPOOL
z<~/2-, SEPTIC TANK & PIT • •• ,,,, •• , ,:Z., , ROOF DRAINS
51GN .... T-0Rc_p,f,~()NT,.ACTOll Ofll AUTHORl:ttO AG[NT ; (OA}"I c,.~ 7 , ,,, ,,I I , ..
ISSUANCE FEE $ ,,,
$1GN.6.Tulil[ o, OWNEIII 1, OWNtll I UIL.O[fll) 10-'TE) TOTAL FEES $ ·c '(
WHEN PROPERLY VALIDATED (IN THIS SPACEI 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
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS
LEGAL I t DESCR.
OWNER
.> ,.. C r
LOT NO.
312
4.e I BLK. I TRACT -. o Pond ... -i l[J~~E ATTACHED SHEET)
MAIL ADDRESS ZIP PHONE 2 --::._._.., .v • SUi .. l lJ 271"--.,
CONTRACTOR
3 ~ ..,L' Inc. 2 -
MAIL ADDRESS
-·
PHONE STATE LIC. NO, CITY LIC, NO,
• ) S-2 1 75 _ .. ...
ARCHITECT OR DESIGNER
4
MAIL ADDRESS PHONE LICENSE NO. .._.
ENGINEER
5
MAIL ADDRESS PHONE LICENSE NO,
COMPENSATION INS C A RRIER
6
MAIL ADDRESS BRANCH
USE OF' BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 1 ctric l gh ini iring
1-------------------------------------------------·-PERMIT FEES
r,.;SP:,;_:E;;.:C:..:.l,;_A.:..:L:...C,;_O;:,.N...c..:..D_IT_l,;_O_N_S_: _________________ __, SWIMM! NG POOL WIRING,
"PPROVEO FOR ISSU"NCE BY
DATE
NOTICE
THIS PERMIT BECOMES NULL A.ND 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 ORDINANCE~ 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.
/
/ /
SIGNAT URE OF' CONTRACTOR OR AUTHORIZED MENT (DATE)
•qr..NATURE of OWNER IF OWNER BUILDER DATE
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER
PER 100
ISSUANCE FEE
TOTAL FEES
200 AMP.
WHEN PROPERLY VALIDATED (IN THIS SPA.CE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
No. Each
xm
lOC lj.25
M.O.
Fee
25100
' . .,.,
'7 OC
CASH
,
u \
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JO& ADD" tss
2 1_,
I
T•AC T
ancho i", •· ~ -:... .:.,f•G
• 16 tOsct ATTACHED SHCET) ,,nl .. 1~0. .;.
OWN[,t MAIL AO01tESS
2 o •-r)• -• l 11: i
M•tL AOOACS5
3 :!.1 -· ..,. Al • • 0~ 29 •
AIICHITCCT Olt 0£51CNCIII M•IL AOOlltESS
4
CHGINttPt MAIL AOOltE.55
5
LEN DUI MAIL AOOJltE.5$
6 ';.J, •"-'
uat 0,. IUILOING
7 .asi .... .t
8 Class of work: ~NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
4PPLICATION ACCEPTED 8Y PLANS CHECKED ev APPROVED FOR ISSU4NCE ev
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 OTHE-R STAT!;_ OR LOCAL LAW REGULATING CONSTRUCTION OR T~E PERFqRMANCE OF CONSTRUCTION.
-
(DATil
(DATU
z,. PHONE
• • , . ' .. : .. c •
PHON [ ST 4TE L IC, NO.
r I I .., s E/C . -• 92 21
PHONE L I CENSE NO,
PHONE LICENSE NO,
8 ,.ANCH
0 REPAIR
Type of Fuel Oil D Nat. Gas 8 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-B.T.l.A .' ~rl M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-8.T.U. M
Wall Heater~ B.T.U. M
Unit He&ters B.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 SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
)7-.f.2 Y2
·-
CITY LIC, NO.
Fee
$
q. 1~·--.
s ·c
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 bui;ding located at:
SITE ADDRESS ,..Jb/3 Jacaranda Avenue, Carlsbad, California
EXTERIOR WA'LLS
Manufacturer
Owens-Corning and
Johns-Mansville Thickness/Type '3½" Friction R-Value 11
CEILINGS Owens-Corning and
Batts: Manufacturer Johns-Manville Thickness/Type 6" Kraft
Blown: Manuf actur erThermal-CousticsThi ckne ss/Type 4i,n Cellulose
Wt./Bag _______ Sq. Ft. Covered 34 Square Feet
FLOORS
Manufacturer -----------Thickness/Type
GENER AL CONTRACTOR
BY TITLE
--------
LICENSE#
DATE
R-Value 19
R-Value...19_
R-Value.J.9._
R-Value
------
INC. LICENSE # 221517 C-
BY