HomeMy WebLinkAbout2705 Jacaranda Ave; ; CB881178; Permit.. z 0 ;:: .. "' ~ <.) ... Q
~ l ~I hereby ■lflrm .tha1 I am llce.nsed u. nder O ~lalona of Chapter 9 (Commencing w11t1
: 5.ction 7000) of Division 3 ot the Business
~ and Profeaalona Code. and my license 1s 1n
81
full to,oe ood ottoct
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I ne,eby a1t,rrn lhal I arr> exempl from the Cowac tors License Law lor 1ne ro11ow1ng reason !Sec 7031 5
Business ano Professions Code Any cI1y or countv wh,cn re
quires a permit to construct. alter ,mprove demolish u-
repa,r any structure. pr,or 10 ,1s ,ssu.ance .i1so req~ires 'he ao
p11can1 10, sucn pe,,n,1 to file a s1qned s!atemenr t~at ~e 11
1,,:ensen pursuant lo the orov,s,ons ot :ne lon1'actor ,
L,cense Law !Chaoter 9 commenc,ng w,m Sect,on 7000 ol
D,v,s,on 3 ot the Business and Pro!ess,ons Code, or m~t 1s e•
empt therefrom and the bas,s for the allegeo exempr,on Any
vI0IatIon of Sect<On 7031 5 by an applIcanl tor a per,,,,, sub
Iecls the appl,canl lo a c,v1I oenally ol not more 'han r,.,e ~un
ored do•lars iS~001
1. as owner ol the property or "'Y employees ..,,rr wdges
as lhe,r sole compensat<on will dO lhe wor, and !he struc
lure ,s nol ,nlMOed or altered lor sale 1sec 7044 Business
and Protess,ons Code The Conlractor s ( ,cense Law does
nol app1y to an owner of prooer!y who builds or improves
thereon ana wno doos such work hImseI1 or through hrs own
emoloyees. prov,de<l that ~uch ,mprovements a,e nol Inlend
ed D' ottered for sale If however lhe buIldrng or improve
-ent Is sold wIlh,n one year of completion lhe owner bu>lder
will have lhe burden of oroving that he did nor build or ,m
~rove lor rhe purpose of sale)
1. as owner ol the property, a'Tl exclus,vely contracting
·mth licensed contractors to construct the pro1ect (Sec 7044
Business and Professions Code The Contrac10, s License Law does not apply 10 an owner ol properly who builds or ,rr,
proves Thereon and who con1•acts for each pro1ecls wItr a
contractor(SI I,cense pursuant to the Cortraclo• s 1,cerse law)
As a homeowner I am ,mprov,ng "'Y home and the follow ,ng cond11Ions exist
I The work ,s ne,ng oerto,,,,ed prior to sale
2 1 have IIved ,n my home •or 1weve months
prior to complet,on of \h,s won,
I ~ave not cia,med lh,s e,ecnp1I00 durin~ the lasl three years
I am exempt under Sec
tor th,s reason
B & PC
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sX , ~:~r':D~r aaff~~~t ,\~:!t'eh ~:~'J:~:;;: ,~a~~~~~~:~,~~ l I~
surance or a ce,td•ed copy thereot ,Sec '.!800 Labor Code!
POLICY NO
COMC." 1013568-88
)(,c,o, ''SH.i't.~t 'fund
_ Cer!,f ed copy ,s he•eny fum,shed ....
CERTIFICATE OF EXEMPTION FROM
WORt<;ERS COMPE~SATION INSURANCE
1Th1s section need not be completed d the perm,,
,s for one hundred do'lars :$1001 or lrss:•
__ I cer!lty lhat ,n the performance ol the work for .,.,1,ch
m,s perm,t is ,ssued I shall not emplo)' any person ,n ~n,
manne• so as to become sub1ect to the Workers Co'Tlpen
sat<on Laws of Cal1forn1a
NOTICE TO APPLICANT 11, alter making this Cert1l1cate
ol E,empt,on you should become sub1ect to the Workers
Compensation pro.is,ons of the Labor Code you must
for1hw1th comply with such provIsIons or th,s perm,t sha'I
be deemed revoked
I hereby affirm that the,e ,s a construction IP~d·ng
agency for lhe perlorma~ce ot the work •or wh,cl-this per
.,,,1 ,s ,ssued 1sec 309?. Ci,1I Code!
Lender s Name
Lender s Address
None
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS AV ST.RD. THOMAS BROS NO. DATE OF APPL1CAT10N BUSINESS LICENSE # VALUATION
2705 Jacaran_ga Ave Arnai:qos_a Dr 19451 ,o, BLOCK I SUBOI VISION l ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE# ZONE CT
OWN£ A'S NAME
Lou Froqon 1 436_;;;;· PHONE
OWNER'S MAILING ADDRESS
Arlen 011-l,,,,,.: ..... ,...
CONTRACTOR'S ADDRESS
2819 Central _;.ve
,;Q?-41 'il
ST ATE LICENSE NO.
443348 I I
/ . j ?7nc;_ -'11.··-oeSCAIP-TI0N-oF-WOffK
DESIGNER DESIGNER'S PHONE
PERMIT NUMBER
g'6 If 7K'
BUILDING sa FOOTAGE
I DES>GNER"S ADDRESS I STATE LICENSE NO f /f (.,, V L'
.e ecR ccev NO occce EDU it ()9/07/88 ()()01 01
STORIES f ,c ,□ __ 1 '-1 BldPmt
-V140.L.t'1. .,. ·-
02
10.J
CENSUS TRACT PAFIKl".(~<;PAC~ RES UNITS GRADING PERMIT ISSUED REDEVELOPMEr-.T TYPE OCCLOAD FIR SPF!/ ' 1
1 ,r AREA CONST /
rO NO ,□ .... □ v1 "-'CJ 'NotVahdUnlt!nMacf11neCerr1!ied
QTY PLUMBING PERMIT -ISSUE 2 SD QTY MECHANICAL PERMIT -ISSUE l r::; ::':'!2-,_/ SUMMARY/ACCOUNT NUMBER
c7 n
EACH ~IXIURE TRAP
.,. INSTALL FURN DUCTS UP TO 100 000 BTU 7 BUILDING PER~T LIU 1-8 10-OO-D0-822(]
EACH BUllUING SEWER OVER 100.000 BTU 7 SIGN PERM1T 00 1 · 8 • O ·DO· 00-8221
-EA CH WA IE R H EA TE H AN U OR VENT BOILER,CUMPRESSOR UP TO 3 HP 7 PLAN CHECK OD 1-810-00-00-8891
-r EACHGASSYSTEMl T040UTL[TS .,,,._ • -'V BOILER COMPRESSOR 3 15 HP 7 TOTAL PLUr-flBlr-.JG oo· 010-00-00-8222 ~--
EACH GAS SYSTEM J OR MORE 'v1E:. l Al f IRE.PLACE [7 ELECTRICAL OG1 210-00-00-8223 "f'.J..VoVV
EACH INST AL ALIER. REPAIR 1\'ATER PIPE VENT FAN SINGLE DUCT / MECHAN,CAL 00 1-8 I Q-'.)Q-QQ-8224
EACH VACUUM BREAKER MECH EXHAUST HOOU DUCTS 7 MDBILEHOME 00: -8 ° 0 · '.lO-~0-8225
WATER SOFT"JER RELOCATION OF EA FURNACE HEATEJV'" SOLAR oc 1-810-00-00-8225
fAl:>-1 R;J(,'r: r,1R,'.\1\ ,,,.,:, ,H_, DRYER VENT 7 STRONG ~OT10i-: 880-51:l-92-33
F',RE SPRl~J,(LERS OD 1-81 C ·DC· 00-822 7
rUlAl PlU'v1flIr-.c I
TOTi.L MECHANICAL /
PUBL'C FACIL'TIES FEE 320-81,J-00-Q0-8 7 ..:.c n
QTY I ELECTRICAL PERMIT -ISSUE Aj),2. QTY I MOBILE H~ SETUP
BRIDGE FEE 350-810-00-00-87 40
PARK-l~-L1EU ,:AREA
MWCONSTEAAMPSWl l)KH / CAR PORT / •; F 312-810-00-00-8835
I PH l PH / AWNING / LA COSTA TIF 311-810-00-00-8835
FXIST tll [JC EA AMP SV,'T 8KR / GARAGE -/-FMF
I PH _)A"H LICENSE TAX ,~o · -s' •J·,~·'J· ~0-2 · 62
HE'-.HlUELAlltR Pfiy/RCUll / MFF 880-~-' 9-92-S ,-
1 E i,11' P() t f 21Hl~s /
0Vf R )[JU AM_rx'
TfMP U~PANCY '30 [JAYS1 ~
/ / CREDIT DEPOSIT
/ Till Al UlURILA'. I [/ ICT A, TOTAL FEES PAYABLE I
HAI/E CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT" ANO 00 HEREBY
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED· TO COMPLY WITH ALL C\TY COUNlY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
Expiration Every permit issued by the Bmld1ng Otl,c,al under the prov,s,ons of this
Code shall expire by llmtlahon and become null and void ti the building or work
authonzed by such perm,! is nol commenced within 180 days from the dateol such
permit. or if the blllldmg or work authorized by such permit ,s suspended or
abandoned at any hm~l!Jl~r the work is commenc_!!(1_!Q~ a period o! 180 days
APPUCANT"S SIG~TURE )f. QWNER[l CONTAACTOR)Q_
I. /""'\ II
,.,.,,... l"\I"\
.vv * AN OSHA PERMtT lS REQUIRED FOR EXCAVATIONS OYER
5· O" DEEP ANO DEMOLITK>N OR CONSTRUCTION OF
STRUCT\JRES OVER J STORtES IN HEIGHT
APPROVED BY f\ /? OAH/ / /1 /,,,/
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
rllGH STRENGTH
soL Ts
SPECIAL MASONRY
n_ES CAISSONS
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2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
September 7, 1988
Lou Frogon
([itp of ([arlsbab
DEVELOPMENT PROCESSING
SERVICES
2705 Jacaranda Avenue
Carlsbad, CA 92009
Dear Mr. Frogon:
TELEPHONE
(619) 438-1161
Recently you have had a permit pulled in your name for the installation
of a water heater. For your protection, it is important that you have
the work that is done checked by one of our inspectors. There is
no charge for this service.
Please contact the Building Department at !138-3101 to have an inspection
done.
Thank you.
BUILDING INSPECTION DEPARTMENT
CITY OF CARLSBAD