HomeMy WebLinkAbout2617 Jacaranda Ave; ; 77-2674; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
C S D C o PAIO City of ARL BA ' ALIF RNIA 92008'ift 1e-1j,~~•~1po
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JO!I ACOR ESS ASSESSOR'S
2617 Jacaranda Street, Carlsbad, CA PARCEL NUMBER
LOT NO, I '" 1 "i:mcho
BOOK PAGE I PAR.
LEGAL I Ponderosa IV (□SEE ATTACHE0 SHEET) 1 0ESCFL 314
0WNLR MAIL A00RLSS '" PHONE
2 Ponderosa Homes, 140 Marine View Ave., 104, Solana Beach, CA 92075 755-9756
CONTRACTOR MAIL A00RLSS PHONE STATE LlC. NO, CITY LIC. NO.
3 See .Above 269581 12424
ARCHITECT OR DESIGNLR MAIL ADDRESS PH0N L LlCENSL NO.
4 l:ln+=~ -• nn F. . 1,;n1 Thma St #275 M=,mort Beach-CA 92660 752-8924 C8395
ENGINELR MAIL ADDRESS PHONE LICENSE NO.
5 o.;, ... 1r 1J...,,rr.;,----~-r,a ~,;?n ..,_, ~-n ll,1 . c:~n ni an--,_ rA 92110 291-0707 RCE 9416
COMPENSATION INS, CARRI ER MAIL AbDRESS BRANCH
6 'T'h -'C""""' 1 <'n1-l' T· ,1.n~n i.r,1~1,i-~ R1m1 • Tn~ Anm>1PS. CA 90051
USE Of llUILD'TNG ~
7 Sin11le family with garage NO. BDRMS 4 NO, BATHS 2½
8 Class of work: Se NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: Residential -Model 284C J
Al~f. -:1'
10 Change of use from v rA/
Change of use to
11 Valuation of work: $ 49 I (" 0r e>5J. PLAN CHECK FEE$ ~ .~s9. I PERMIT FEE $ {'y7QQ
SPECIAL CONDITIONS, ' MICRO FILM FEE :--Type of ~ -f// Occupancy / ·:--r -Const Group -.._
Size of Bldg. • No. of ?.... Max. ,,,, ,,,,..
(Total) SQ. Ft:ZO/ 3 Stories 0cc. Load
Fire .3 Use 12 -I Fire Sprinklers ,/' APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required Oves □..,.
No. of OFFSTREET PARKING SPACES:
DATE DATE Dwelling Units I ~~~ered <"""\ Sq. Ft, Y ~', !~g~n
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REOUI RED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUC-HEALTH DEPT.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS,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 1S 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 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 CO"'.,._ 'CTION OR THE PERFORMANCE OF CONSTRUCTION. (),7 ) If 1,1.,0 '. /2,,-, P,,) J-/t..t-77
s1-...TuRE 0,. CONTRACTOR CIR AUTHORIZED AGENT (DA TE)
51GNATUIU: 0,-OWNER IF OWNER 9UJLOER) DATE)
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$
LOT 3/Y
• ~ t. I 2 JJ~~,
BUILDk ..
• FOOTINGS l/ + I '2.,,Y
FOUNDATION '?, ..
... REINFORCED STEEL
-MASONRY -...
.. ..
-...
..
...
•
◄
...
◄
◄ ..
•
•
•
◄ . .
•
•
◄
•
GUNITE OR GROUT
SHEATHING " • 2.1 •741 ~.-4:'
FRAME
INSULATION t/6/?7
EXTERIOR LATH
INTERIOR LATH & DRYWAL
PLUMBING · 11 SEWER AND PL/co1,1t• WATER
PLUMBING UNDERGROUND 4, 2-5, 77 t?'/f::'
COPPER 1 , 2,) • }] 6,./4
TOP OUT ' • U 77 elf'.,f'
TEST " ,., W, 77 ,t:'/f"
ELECTRICAL
UNDERGROUND
"ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF, PIPING 11'1 J7 J;f",.t::
HEAT--AIR
VENTILATING SYSTEMS
FINAL: __ /_{)_-_3_,,._1---'-1_<:j)~--
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 C 1 //.
Applicant to complete numbered spaces on y. Phone 729-1181 Permit No. 7 7:)';:t_,.,Qrrt cu
JOB AOO A E5S ) ... -:,,, . ,, /
L [GAL I 1 ocsc•.
OWN!.ft
2
CONT"-ACTOfll
1 T•ACT
MAIL A.00fllESS
lou .or .•
t-4.t.lL A0011tt5S
--.,
tlP PMONC
1
PMON[ STATE LIC, NO.
3 co. 111-n ~-. ·• 277-
AftCHITtCT O" 0£51GN£11t
4
ENGINEER MAIL ADOfltt55
5
COMPENSATION (NS. CARRI ER MAIL AOOIIIIESS
6 -~--.. ,
USE Or l!IUILOING
7 -. .
--·---t. ~---~
8 Class of work: [J NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
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 AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEC IFIED 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.
//
.SIGNATUfU. OF" CONTRACTOft OR AUTHO"!lE.0 AGENT (OAT£)
51CiNATU ft£ o, OWN[.ft 11,-OWNER 8Ull..0CR DATE)
PMONC LIC[NSt NO
PMONt LICENSC NO.
•
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
I BATHTUB ., LAVATORY (WASH BASIN)
I SHOWER
I KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRA Y
I CLOTHES WASHER
I WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
I GASSYSTEMS,NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC TANK&. PIT
ROOF DRAINS
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,
INSPECTOR
CITY LIC, NO.
Fee
$ ·I r ....
I w
~ lh'>
,I n,
/ ("b
$ '} ) ,_,
$ _;.
CASH
. .._
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocomplete numberedspacesonly Phone 729-1181 Permit No
JOB ADDRESS
b C,_,.;au..;ia ·t. ' ,rt5>f, ' , ...
LEGAL 1 DESCR.
I LOT NO. 3 I BLK. I TRACT .. ncho Po ro ~ ~IJE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHON~
2 .-~ -~ ·--1 V suit ia Be 75 27S-1. 2
,_ ·-·£--:11.1 • ..-• :J ;,;.
CONTRACTOR MAIL ADDRESS o--PHONE S-20 1 STf~t,· Nj, ,lr.,1-~C. NO.
3 . ric, xnc. 2 -~
ARCHITECT OR DESIGNER 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: (] NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: lectri 1 ugb 6i iD.i h iring
·-PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE I,
NEW CONSTRUCTION, FOR EACH
A'nlCATION ACCEPTED IIY PLANS CHECKED BY APPROVED FOR ISSUANCE ev AMPERES OF MAIN SERVICE, SWITCH, 10( .2! 2! 0)
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 AND EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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 , ,, 1// /
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEN'I' (DATE) L ~;,
ISSUANCE FEE
TOTAL FEES '2. , Ui.
11;.IGNATURE OF NED JC 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
' ...
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 l] ... 1/:)~,
Applicant to complete numbered spaces only. Permit No.
JOI ADOl'I r.ss
,... , , '/ ; :..c:.:.rancla Utreet
LOT NO. set •l.1~HCO SHE.CTI
LEGAL I 1 DUC~. T'
I BL~ I TOACT . nd . i:t • --,.,,:_, AC~
OWN[l'I MAIL AODl'l[!!i5 ZI p PHONC: .. --
2 --.l.nc. 140 ax· inc View Dr. Ste, --"
, ,..
.. 0·1:.!eroaa .:-,._., ] 171· .;:. ' t .. -,. •
CONTIII ACTO.-: MAIL AOOJH.5$ PHONC STATE LIC. NO. CITY LIC. NO.
3 ... :.. -! .... •. .J..:thOS Htn & Al~-, ~·."' . Jox 2965 ivc. 'l • 92021 l.l-J-777 J0717 11265 ....
AJII CHITECT 0111 DESIGN[" MAIL ADOAtSS PHON t LIC CNS[ NO.
4 '
U ~GlNt[flt M A IL AOOIIIE$5 PHONE LIC[NS[ NO.
5
L t N Ot N MAIL AD01111£$5 81U,NCH
6 v •-'
US£ o, I UILOING
7 Sl ent:i~
8 Class of work: G1 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ;; 1(---' !. ': "'ff
Type of Fuel Oil D Nat. Gas ~ LPG. D
PERMIT FEES
SPECIAL CONDITIONS· N o. 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.
I Forced Air Systems-B.T.U.J.'-... -~ M Ea.
APPLICATION ACCEPTED BY PLANS CHECl(ED 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 120DAYS,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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO 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 AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTH£R STAT~ OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFO MANCE OF CONSTRUCTION.
'r y ' (.. r ,tJ-r, t . -.
SIGNATU"t 0,. CONTPtACTOfl 0 11 AVTHOfll ll0 Ai tNT (DAT E}
ISSUANCE FEE
TOTAL FEES ... TUlll:r Of' OWNFIII: T1J' OWNEIII: aUIL.OEIJII DA.Tl
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O. CASH PERMIT VALIDATION CK.
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' (
'
INSPECTOR
M.O.
Fee
s
loll l -:
s . ., 'JG
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CASH
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,
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 ,20 ;z 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 R-Value 19 --------
Blown: Manuf acturerThermal-CousticsThi ckness/Type 4}11 Cellulose R-value ]9
Wt./Bag _______ Sq. Ft. Covered~3=4--=S~q~u~ar=-e=----~F~e~e~t'----
FLOORS
Manufacturer -----------
GENER AL CONTRACTOR
Thickness/Type ___ ~----
LICENSE#
BY TITLE 01\TE
R-Value-12.__
R-Value
------
BY
INC. LICENSE # 221517 C-
....i(}1.'../!_1f.t~'e/4~(;,{:___(-~f,f_~Uf_---'--_-TITLE Vice Pres id en t DA TE