HomeMy WebLinkAbout2614 Jacaranda Ave; ; 77-2677; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD CALIFORNIA 92008 ' Perm rt No/ 7-'".J L 7 Applicant to complete numbered spaces only. Phone 729-1181
JOB ,._DOil ESS •PR 18-77 . l~~••••,i,u. )( 2614 Jacaranda Street, Carlsbad, CA MBER 1 '" " 1'" / '"'"Rancho Ponderosa IV
BOOK PAGE I PAR. I. E G.-.1.. (□SEE /lTTllCHED SHEET) 1 DESCR. 299
OWN[R MAIL /lOORESS m PHONE
2 Ponderosa Homes, 140 Marine View Dr. , 104, Solana Beach, CA 92075 755•9756
CONTR/lCTOR M/lll.. /lOORESS PHONE STATE LIC, NO. CITY LIC, NO,
3 See Above 269581 12424
/lRCMITECT 01'1 DESIGNEl'I MAIL /lOOl'IESS PHONE LICENSE NO.
4 Bates, Bassenian & Pekarek, 1601 Dove St. #275, Newport Beach, CA 92660 752-8924 C8395
[NGINEEl'I Milli.. llOORESS PMONE I..ICENSE NO.
5 Rick Engineering, 5620 Friars Rd. , San Diego, CA 92110 291-0707 RCE 9416
COMPENSATION INS. CARRIER MlllL llOORESS 8111/lNCH
6 The Rnmloyers Self Insurance, 4050 Wilshire Blvd., Los Angeles, CA 90051
USE 01" !IUILOING
1 Single family with garage 4 2½ NO. BDRMS NO, BATHS
8 Class of work: (xNEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: Residential • Model 284B fl
() ,.✓ch 1' ,
10 Change of use from v"t" ';r 1
,0
Change of use to
11 Valuation of work: $ 49. /k,9 0-0 q 3 ~ 1 PERMIT FEE S 181~ -PLAN CHECK FEE$
SPECIAL CONDITIONS, . Tt--N MICRO FILM FEE/ ..... Type of Occupancy 1-...:r Const. Group
Size of Bldg .. ;::)£) No. of ~ Max.
(Total) SQ. Ft. I 3 Stories 0cc. Load --.....
Fire ~ Use IL-J Fire Sprinklers -APPLICATION ACCEPTED BY PLANS CHECKED BY APPFIOVED FOFI ISSUANCE BY Zone Zone Required DYes f>INo
No. of I OFFSTREET PARKING SPACES:
DATE DATE Dwelling Units No, d. So. Ft, 4 Gl:r I~~~" Covered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH OEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTAUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF Fl RE DEPT.
CONSTRUCTION DR 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 ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. 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 LJOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ~nNS OF ANY OTHER STATE OR LOCAL LAW REGULATING UCTION OR~FORMANCE OF CONSTRUCTION.
I.-</,, ,-, -· J..,; .. ) , ~. / L/-7 7
Sl~'lJRC 01" CONTR/lCTOR..._ THORl?.£0 AGENT IOI< TE)
SIGN/lr"E 01" OWNER II" OWN£" BUILD£") OAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$ dD0 5~
----.,,'·BUI~ . · .•
-FOOTINGS s ' ·-FOUNDATION . -·REINFORCED STEEL -.
MASONRY . --GUNITE OR GROUT -SHEATHING 7 • 8 •77 ~;C. ..
-FRAME 1,/f,11 ~
.... INSU.LATION ,,()-.M.. . ;.7 J £
-EXTERIOR LATH -INTERIOR LATH & DRYWAL -..
...
...
PLUMBING . t;11
SEWER AND PL/CO ·1, I , WATER
PLUMBING UNDERGROUND ::J,2, 77~,
-COPPER 5 · ) 7 7 ~ .. .
TOP OUT -TUB AND SHOWER ...
TEST
ELEC'fRICAL
-"UNDERGROUND ,' .. -.... ' .. ... .. -.. ... .. ..
ROUGH --J,M,J7 cf/?
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPING 7,?(.JJf
HEAT--AIR
VENTII~TING SYSTEMS
FINAL: /,::5 -c:2.L>-21
,
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Appltcant to complete numbered spaces only Phone 729-1181 Permit No
Joe AODIII £$S l •I /,',' J, {ii,◄-'/ ! µ~/ -.,;,/;,lff7 .1-2..Al ~ ,i:J/3£(/: 11;; i .. , ... . I
LOT MO, ?t.;') ]"LK I T~AC T --~ ....... , nuit IV Lt~U I ---1 ouco. --~
OWN[. .. MAIL AODlltt.SS ZI p PHOH[
2 . --::~. .Ull'. .1._::a .i.40 ' . .__ :... . ~0 •iat7 Dr. n.•nA 1l'i"T"S -"'·-, ~ ) I -..
CONTlltACTOllt MAIL A.00111[55 PHON[ STATE LIC, NO. CITY LIC. NO.
3 --ets_ ··.-ny V.tll 277-5 -,.
I ~' I ... • • •
AIICHITtCT 0111 OC51GNCR MAIL AOOIIESS PHONC L. IC CNS£ NO.
4
[NGINEElt MAIL A0011t(SS PHONC LICCNSC NO.
5
COMPENSATION (NS. CARRIER MAIL ADOIIESS 81tANCH
6 -,-~,.. Blvd~ Ful"· .. : .. ~ -.... • ~· ' -~---------·---.,
use Of' 8 UIL01NG
7 ---,. . .,
8 Class of work: □NEW 0 ADDITION □ ALTERATION □ REPAIR
9 Describe work: ----,"",,. r .,... .,_
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS· ) WATER CLOSET (TOILET) $ ~I <o
I BATHTUB I --:-,> ~, LAVATORY (WASH BASIN) /. {)V
I SHOWER / -i)
I KITCHEN SINK & DISP '/ ".""J
DISHWASHER
APPLICATION ACCEPTED ev PLANS CHECKED ev APPROVED FOR 1SSUANCE. BV LAUNDRY TRAY . , CLOTHES WASHER / r
DATE J WATER HEATER / IJJ
NOTICE URINAL
THIS PERMIT BECOMES NULL AND 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. GASSYSTEMS NO.OUTLETS / ('.,) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND 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 VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS ~ J_>
1/ CESSPOOL
I ~ ~ 9/ J SEPTIC TANK & PIT ,. ?
ROOF DRAINS
SIGNATURE o, CONT"ACTOIII 0111 AUTH011111t0 AGENT (DATE)
ISSUANCE FEE $ l J
SIC.NAT fU o, OWN[ft 11 , OWNEIII BUIL.OEft (OAT£) TOTAL FEES $ ·--co
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CAS_H PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
..
ELECTRICAL PERMIT APPLICATION .
City of CARLSBAD, CALIFORNIA 92008 7
Applicant to complete numbered spaces only. Phone 7 29-1181 Perm it No )
JOB ADDRESS
2614 :J a.r •
LEGAL 1 DESCR.
I LOT NO, 299 I BLK. I TRACT
':'l;L~ Po 1 IP'fE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 , --1.40 . ~ suit c. . -. -l 207) 2. 18 2
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO,
3 ·, nr L ~ rte, .Inc. 21 · ... . . , :., • co S-2001 6 7S
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
1
8 Class of work : □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ectric -ini h iring
PERMIT FEES
SPECIAL CONDITIONS: ~--.;._ _______________________ SWIMMING POOL WIRING,
Al''LICATION ACCEPTED BV PLANS CHECKED ev APPROVED FOR ISSUANCE BV
DATE
NOTICE
THIS PERMIT BECOMES NULL AND 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 ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO 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.
I
.I
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE 01-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 200 AMP.
PER 100
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
No. Each
100 • 25
M.O.
CITY LIC, NO,
l -,il~
Fee
25 00
---
27 00
CASH
·MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181
JOB ADDft [SS
LE:.GAL I 1 DUCft,
OWN["
2. o. ,_ ::,Y-
CON T'-AC TOfll:
M•tL AOORCSS
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MAIL ADO,-CSS
ZIP
:to 'U'n, ~ ·nl7 . -• •
PHON[
Permit No
PHONE ·J ' •
STATE LIC. NO,
21
,.
.,6
.t "JI I
-·S
CITY LIC, NO.
3 • A/ • • 2965 E/C, • ~ 21 }-771 JO? .7 11266
APIICHITtCT 0111 OtSIGNE" MAIL A00Plt£55
4
lNGINtCIII MAIL AOOfllt55
5
MAIL AOOIIIC.SS
6.:).,J
ust o, I UILDING
7 .(;"l. t;
8 Class of work: 9NEW 0 ADDITION 0 ALTERATION
9 Describe work : -.. rtl'-• ._ •· FT ·ir--
SPECIAL CONDITIONS:
APPROVEO FOR ISSUANCE ev
NOTICE
THIS PERMIT BECOMES NULL AND 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 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 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANC• OF CONSTRUCTION. ,,.
(, ( V .
SIGNATUfU: 0,. CONTIIIACTOIII ()fll A\ITHOi.1zc0 AGCNT (OAT£)
SIGNATUPIC g,-OWHl:PI (I,-OWNUI 8UILOCIIJ (DATE
PHONE LICtN5C NO,
PHONE LICENSE NO,
!JIU.NCH
0 REPAIR
Type of Fuel. Oil D Nat. Gas E3 LPG. 0
No.
,L
PERMIT FEES
Type of Equipment
Air Con<j. Units H.P. Ea.
Refrigeration Units-H .P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonna.11'!. E;I. _
ForcedAirSystems B.T.U . .i ... -· U!U. MEa.
Gravity Systems-8.T.U. M Ea.
Floor Furnaces-8.T.U. M
Wall Heater~-8.T.U. M
Unit He~ters-8.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
Fee
$
.
$
$
CASH
~!