HomeMy WebLinkAbout2616 Jacaranda Ave; ; 77-2640; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 n. -:;;J;.:1-_") I ,x i.l... ~o
JOII ,lOOl'I E5S ASSESSOR'S
2616 Jacaranda Street, Carlsbad, CA PARCEL NUMBER
lOT NO I ... / '" "'Rancho
BvOK PAGE I PAR.
l.E G,lL I (□SEC ATT,lCHEO SHEETJ l OESCR, 298 Ponderosa IV
OWNER MAil ADDRESS "' PHONE:
2 Ponderosa Hemes, 140 Marine View :or., 104, Solana Beach, CA 92075 755•9756
CONTRACTOR MAil ADDRESS PHONE STATE LIC, NO. CITY LIC, NO,
3 See Above 269581 12424
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4 Bates. Bassenian & Pekarek. 1601 Dove St. 11275, Newport Beach, CA 92660 752-8924 C8395
ENGINEER MAil. ADDRESS PHONE LICENSE NO.
5 Rick Engineering. 5620 Friars Rd •• San Diego, CA 92110 291•0707 RCE 9416
COMPENSATION !NS. CARRIER MAil. AOORESS II RANCH
6 The Rnmlnver•s, Self Insurance. 4050 Wilshire Blvd. . Los Angeles, CA 90051
USE OF IIUll.OING
1 Sin11le familv with 11ara11e NO. BDRMS ' NO. BATHS 2
8 Class of work: ~NEW 0 A00ITI0N 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: Residential -Model 153C I
-• ~ 1/
• ~ .. r,, ,Y' 10 Change of use from .o
' Change of use to
11 Valuation of work: $ ,-:2., 7. / 7,:;_ 0~ 75 5._g. I PERMIT FEE $ {~( 1)~
PLAN CHECK FEE$ -
SPECIAL CONDITIONS: .
(-:: 'T i,b!ICRO FILM FEE
Type of 7T -JV Occupancy -
Const. Group
Size of Bldg. / </5 No. of I Max. ,.... -(Total) SQ. Ft. ~ Stories 0cc. Load
Fire '<, Use fl ---l Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required Dves n
No. of OFFSTR£ET PARKIG SPACES:
Dwelling Units No d-... 5'-'.fNo, DATE DATE Co\/ered 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 ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS ANO 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
CnUCTION OR THE PERFORMANCE OF CONSTRUCTION,
k,/J,10 ,hr P, · , ~ 1~-77
SIG,..ATURE OF CONTRACTOR OR AUTHORIZED A.GENT (OA TE J
SIGNATURE OF OWNER IIF OWNER IIUILOER) (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$
•
---------. -..
... --..
-..
--
FOOTINGS s
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SHEATHING J;/3, 'Tl te1/: .
FRA-ME J' #, 77 ~
INSULATION w~ g.tf.7? 4'
EXTERIOR LATH
INTERIOR LATH
PLUMBING '1'
SEl'IBR AND P.L/co-11t/, ..,WATER
PLUMBING UNDERGROUND 'f· zc(, 7] h-,/2
COPPER S'-3 · 7 7 }v1.,
TOP OUT 7,_2./. ?7 cx"'/C
TUB AND SHOWER
GAS TEST -1 ELECTRICAL
... ·uNDERGR.OUND · .. --...
•
..
•
-JI
ROUGH 71-;f. 77
CEILING HEAT
. BONDING
MECHANICAL
DUCT & PLEM, REF. PIP ING 7/Jtf, 7
HEAT--AIR
VENTILATING SYSTEMS
FINAL: O}-2-~ ;_. 71
\
PLUMBING PERMIT APPLICATION i
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB ADOlfll £1,5 .
-~-
.✓t,...r'(~ ./HQ//,,-.,-,/ .. .tJ£,;, ;:,,,7/ ~¥?'"7 /:l/l;J /53
LOT-~~??/' I OLK I T"ACT -... Q;lit LEGAL I 0.,., ·-~-• 1 o•sc•. -
OWNtlll MAIL AOD,.ESS tip PM ONE
2 " .-~• ' .ii;.40 I .. , m:. 01 -·· ::::a . u
' .
". ,; • j .. . -..
CONTIIIACTOlfll MAIL A0O1f11£S5 PHONt STATE LIC. NO,
3 -•-·"-,:;.: .. '
-~ ,--~;nl"!! . co •. 'i . __ J Villa Cd. --·--_ ·1.,.~ 11 •-· ~'
AlltCHITECT Olfll DESIGNER MAIL A00R(S5 PHOH E LICENSE NO.
4
ENG.IN£Elfll MAIL AOOJll£.SS PHON[ LICENSE NO,
5
COMPENSATION (NS. CARRIER MAIL ADDJU:.SS 1111:ANCM
6 ~ -1 -" ~ ..: .. ~-.r·~--.. --· Ill ·--if • ---US[ OF BUILDING
7 , ... ; ,~M.--n
8 Class of work: 0rNEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 'U·TIM~i!---
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: -WATER CLOSET (TOILET) -J BATHTUB
_:::1 LAVATORY (WASH BASIN)
I SHOWER
J KITCHEN SINK & DISP
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
' 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
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
MENCEO. I GAS SYSTEMS· 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. I LAWN SPRINKLER SYSTEM
/ SEWER NUMBER CL.EANOUTS
/ CESSPOOL
.4~ ? / / 'V-<-~-~---/2 J
SEPTIC TANK I. PIT _;~ /!..,,,,__.. ~ . ROOF DRAINS
_,.,s,CNAf~'4J'o" CONTftACTOJt OR AUTHOJH?£D AGENT ~ (DAT'1
ti,~ .. ~
ISSUANCE FEE
SIC.NATVJtt 0,-OWH[.llt I,. OWNt1' 9UILOCft) (DATt) TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
'
CITY LIC. NO, --~-
Fee
$ -.~
/ ·.:.-'
' • 1•-.t.,
/ "':.,J ,,, -~ ~ '·
/ -(,
.I l_tt'")
/ £7\ -
r'i'I')
$ -, ) ,, ...
$ . '7 ◄ ,:_)
CASH
··-... ,.
ELECTRICAL PERMIT APPLICATION .
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City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
'""\, 51 _;-~
JOB ADDRESS
261 ;ear .:> .•
LDT ND. I BLK. I TRACT ~p LEGAL I 298 cho =--::ro E ATTACHED SHEET) 1 DESCR.
OWNER MAIL ADDRESS ZIP PHONE ~
2 -ro --140 IT l. :'I suite l C ·~ 75 -.,-952 I ... •_,
CONTRACTOR MAIL ADDRESS
3 :-, .. 1.·"' --,_, __ .ci:rlc, . 21, 1 -: ' r
,:HONE STATE LIC. NO. iT Li
NO. -----7 s-20 1 756 • .~ v
ARCHITECT OR DES IGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENG \NEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: CY.NEW 0 ADDITION 0 ALTERATION 0 REPA IR
9 Describe work: l ct.ric:al ugb 1ni Wiring
··-PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'PLICATION ACCEnEO av PLANS CHECKED av APPROVED FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH, 1:0( • 25 25 1 00 FUSE OR BREAKER
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF 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 ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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 TEMP. SERVICE UP TO ANO 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. I , I I'
PER 100 _j ~
' ~ 77 -SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE ·~ oc
-
TOTAL FEES 1, I •Jl
SIGNATURE OP-OWNER IF OWNER BUILOERI lDATEl
WHEN PROPERLY VALIDATED (IN THIS SPACEt THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
crTn
'
\
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOI AODllt £.5S
I TRAC~ . --..
OWNEII MAt L A00A£55 -•·• ··-. • 10 OI:r. t -
--;
ZIP
1.,P.V -•
I
' •
C.E A TX.CHED SHEET) , .
PHOM(
I . • •
--,. .
..-c:lt .... _,;,,,
CONTlll:ACTO,_ M.4.tL ADOlltESS PHON t STA.TE LIC. NO. CITY LIC. NO.
3 l.Len • A/ • ' . 2021 f _,.-. 1 ~ I j ~,' r'.' ~,..... .., !.. ~ .t'. ~
AlltCHITECT Ollt Ot51GN£11t MAIL. AOOllt[$5
4
ENGIN[t.llt MAI L. AOOR tss
5
LlNOUI MAIL AOOAESS
6
USE o, I UILDING
7 ~Si c.-.ti ..
8 Class of work : ~NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS
APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
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
APPLICAT ION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO 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
CONSTRU5;:TION OR THE PE~FORMANCE OF CONSTRUCTION.
t r . # • ..
) \Y --
SIGNATUIII[ OP' CONTfU,CTOIII 0111 AUTt,tOlillZ.[0 AGI.Nl'
. ..,
•1c.NAT11•r O P' OWtrd:" UP' OWNIUI 8UILD[III) (DATE
PHOM E LICENSE NO.
PHONE LIC£N.SE NO,
8111:ANCM
0 REPAIR
Type of Fuel. Oil D Nat. Gas El 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 Tonnai eJ~.i!. _
Forced Air Systems-B.T.U . .!. '·•.~._.,.. M Ea.
Gravity Systems-8.T.U. M Ea.
Floor Furnaces-B.T .U . M
Wall Heater,-8.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 SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
I CDS:
Fee
$
.
$ ·,
$ { :,J\i
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 _.J?dfo Jacaranda Avenue, Carlsbad, California
EXTERIOR WALLS
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: Manu f acturerThermal-CousticsI'hi ckne ss/Type 4k" Cellulose
Wt./Bag _______ Sq. Ft. Covered 34 Square Feet
FLOORS
Manufacturer __________ _ Thickness/Type ___ ~----
R-Value 19
R-Value-19,__
R-Value_lL
R-Value
GENERAL CONTRACTOR LICENSE# ______ _
BY
BY
TITLE DATE
INC. LICENSE # 221517 C-2
-Ll:,LJL-"!J.&,,l!~-/{,,<1--f-:r='f4.!,,,,,!c'..f-_:__ -TITLE Vice president DI\ TE