HomeMy WebLinkAbout2701 Jacaranda Ave; ; 77-2637; PermitMODEL NO, _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Perm ii No. J-_J/_::; 7
JOB .I.DOR ESS -rn n,-II • ---lll"l.l.u •. 0
2701 Jacaranda Street, Carlsbad, CA RCEL NUMBER
LOT NO, I '" I "~cho
BOOK PAGE I PAR.
L EG.I.L I (□SE[ ATT.I.CH[D SHEET! 1 OESCIO;. 315 Ponderosa IV
OWNER MAIL AOOIO;ESS '" PHONE
2 Ponderosa Hornes. 140 Marine View Dr., 104, Solana Beach, CA 92075 755-9756
CONTIIACTOA MAIL ADOA[SS PH ON [ STATE LIC. NO, CITY LIC, NO.
3 See Above 269581 12424
AIICHITECT OA DESIGNER MAIL AOOR[SS PHONE LICENSE NO,
4 Bates • Bassenian & Pekarek. 1601 Dove St. #275, Newport Beach, CA 92660 752~8924 C8395
ENGINEER MAIL AOOIIESS PHONE LIC[NSE NO.
5 Rick Enuineering. 5620 Friars Rd., San Diego, CA 92110 291-0707 RCE 9416
COMPENSATION INS, CARRIER MAIL AODl'IESS !Ill.I.NCH
6 '!'ho Pmn 1 "'7ers Self Insurance-4050 Wilshire Blvd., Los Angeles, CA 90051
USE OF BUILDING
7 s;n,,,., familv with uaraue 113 2 NO, BDRMS NO. BATHS
8 Class of work: r;i NEW □ ADDITION □ ALTERATION □ REPAIR □ MOVE 0 REMOVE
9 Describe work: RP~i~.,ntial • Model 153A I
,, ' ,.~
10 Change of use from wi ... r o'' / ,1,'
Change of use to ,-
11 Valuation of work: $ 37 /7~ oo ?e; 5~1 PERMIT FEE$ J<;~ ,c--PLAN CHECK FEES
SPECIAL CONOITIONS, ff-(Y I-: -r MICRO FILM FEE Type of Occupancy --Const Group
Size of Bldg. t/ tl-5-No. of I Max. ---
.,,...
(Total) Sq. Ft 25' Stories 0cc. Load . R-1 Fire 3 Use Fire Sprinklers r,r,:;;; APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required □Yes
No. of ~ OFFSTREET PARKING SPACES:
DATE DATE Dwelling Units ~~~ered "2 Sq. Ft. ',/'f(:. f~gen
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-HEAL TH DEPT.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF Fl RE DEPT.
CONSTRUCTION OR WORK ISSUSPENDEO OR ABANOONED 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
C10:ION OR THE PERFORMANCE OF CONSTRUCTION.
1/,n .~ µ,_) S-1Lt-77
51GNATtlllE 01" CCNTAACTOII OR AUTHO"IZCD AGENT (DillTEf
SIGN.I.TUI![ Cl" OWNER 11' OWNEA !IUILDC"l DAT()
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$ ~;2 0 ~
LOT :?/,Sc--..
j
s27t:)/ .~-
·-·. BUI~~ .. FOOTINGS y . -FOUNDATION
REINFORCED STEEL
MASONRY
• GUNITE OR GROUT -SHEATHING 6, z.'6 77 lf?'t"<' -FAA.ME ---7, f 4.-77 tJl!'.,e' -INSULATION 7-;2.:Z' 7? ~,,,e-
EXTERIOR LATH \ Z 77 ~
INTERIOR LATH & DRY~•
• PLUMBING 11 * SEWER AND P
0
L/CO 1,tt' WATER
. "' • S) PLUMBING UNDERGROUND c/;J';f, 77 #
, I~ COPPER 'f, Z.,,9' ,7 W ~ TOP OUT ~ • 22., 77 ✓£
: ~ TUB AND SHOWER -7,/4, 77 ~/':
, •·~GAS TEST ~ • Z2 •77 "",C'
• ELECTRICAL
• "UNDERGROUND
• ROUGH ..
CEILING HEAT ..
BONDING ..
• MECHANICAL
... ..
•
..
DUCT & FLEM, REF. PIPINGft/,1,J/'/A:'.°
HEAT--AIR
VENTILATING SYSTEMS
FINAL: _~,_~_• ....... ~='t)=--.,-....L.1....,t..1_----J(j):::::.,___
'
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 -""'\C -'"Q Permit No 77 ~ / ;;> ,
JOB ADDII C$S ~.,J /~ ·:>
·----~ -·,.-... ~,.-.. _..., ~ ... _ _.... .............
LtGiAL I 1 0£SC~.
LOT •O. / ,r-
~ I ~
2
AflllCMITECT O " OESIGN£11t ✓
4
ENG IN EE"
5
COMPENSATION (NS, CARRIER
6 -,
USE or BU!l.OING
7 };'/,¥;,. ., , , ti, I I
8 Class of work: l:9'NEW □ ADDITION
9 Describe work:
,-
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED av
N OTICE
I :~ACT
MAIL AOOflllESS
MAll. ADDRESS
M AIL AO0Jt[S$
MAIL AOOflll ESS
□ ALTERATION
APPROVED FOR >SSUANCE BY
DATE
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 A N D CORRECT.
A LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HER EIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISION S OF ANY OTH E R STATE OR LOCAL LAW REGULATING CON ST RUCT ION OR THE PERFORMANCE OF CONSTRUCTION.
/./ / I
5IGNATU fl£ OP' OWNtfl 11,-OWNER 9UILOERJ DATE)
tip PHONt
PHONC STATE LIC. NO.
LICENS( NO,
PHONt LICENSE NO,
□ REPAIR
PERMIT FEES
No. Type of Fixture or Item
,,., .. WATER CLOSET (T OILET)
I BATHTUB
:i,.. LAVATORY (WASH BASIN)
} SHOWER
I K ITCH EN SINK & DISP
DISHWASHER
LAUNDRY TRAY
I CLOTHES WASH ER
' W AT ER HEATER
1 URINAL
DRIN KING FOUNTAIN
FLOOR-SIN K OR DRAIN
SLOP SINK
' GASSVSTEMS NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRIN KLER SYSTEM
} SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC T ANK & 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 VA LIDATION CK . M.O.
CITY LIC, NO.
Fee
$ }')' -
I L/
"'\' -. C
I r-.,, ......
I -:,
/ , 2:.
/ -__ (
·"':' ,'
$ ) .•. (.
$ r./7 1.)
CA SH
'I
ELECTRICAL PERMIT APPLICATION )
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
3
ARCHITECT OR OESIGNER MAIL AOORESS PHONE LICENSE NO.
4
ENG INEEA MAIL AOORESS 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:
PERMIT FEES
No. Each
i-.;SPc....;;E;.:C..;.;IA.....:::.L...:C...:O_N...;.D_I_T_IO_N_S_: ________________ --t SWIMMING POOL WIRING,
Al't'LICATION ACCEPTEO BY nANS CHECKED BY 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 AND ORDINANCE~ GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES N OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE Of CONTRACTOR OR AUTHOR I ZED AGENT (DATE)
OAT
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLOG.
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 ANO INCLUD-
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
crTn
l •
M.O.
52
Fee
25 00
CASH
MECHANICAL PERMIT APPLICA llON
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No Joa •001111 tss
LCGAL I 1 ouc ...
LOT NO.
Jl.S
OWNtfll
2 --
CONTfU,CTOfl
,, .. --. l 0 • .,.. ..J.,.. • .,.
MAIL A001'1CSS PMON C STATE L IC. NO.
3 L • A/C, •-• Box 2965 B/<:, • 92021. 44 --',,., . -.,
AflllCHIT[CT 011 0£SIGNCl'I MAIL A0Cflll£SS
4
[NGINE[fll MAIL AOD,.£55
5
LEN Cl"
ust o, I UILOING
7
8 Class of work : GJ.-NEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKEO BY APPROVE O 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
APPLICATION ANO 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 OTl'!ER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR TJHE PERFORMANCE OF CONSTRUCTION.
( '( ;f:t_
. ·,
SIGHATUIIE o,-CONT .. ACT09' O"TUTHOR,Zr:O~ AGENT
...
• G...,..,_TUfll,I: 0,-OWNEII u, OWNE" 8Ull.D[II)
(DAT£)
DATE)
I
LICENSE NO,
PHON[ LICENSE NO,
BflANCH
□ REPAIR
Type of Fuel. 011 0 Nat. Gas □ LPG. 0
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 .
.l Forced Air Systems-B.T.U. . ~-M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T .U. M
Wall Heater~-BT.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.
Tl'\
--
CITY LIC. NO.
r .
Fee
$
-l.100
s ;
S /
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 "270/ Jacaranda Avenue, Carlsbad, California
EXTERIOR WALLS
Manufacturer
Owens-Corning and
Johns-Mansville Thickness/Type '3½" Friction R-Value 11
CEILINGS
Batts,
Blown:
FLOORS
Owens-Corning and
Manufacturer Johns-Manville Thickness/Type 6" Kraft
Manu f acturerThermal-CousticsThi ckness/Type 4\-11 Cellulose
Wt./Bag _______ Sq. Ft, Covered 34 Square Feet
Manufacturer __________ _ Thickness/Type ___ ~----
R-Value 19
R-Value..J.9.._
R-Value.J.L
R-Value
GENERAL CONTRACTOR LICENSE# ______ _
BY
BY
TITLE DATE
INC. LICENSE# 221517 C-2
_1(JLl__d_'.1&~~~[,L----1-~knU1----'---TITLE Vi Ce pres id en t DATE