HomeMy WebLinkAbout2709 Jacaranda Ave; ; 77-2672; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. "7')..-~)..
JOI! ADDI'! Ess •rn It!"// • •E_.___,.__, ------c_ov
2709 Jacaranda Street, Carlsbad, CA PARCEL NUMBER
I ,,, "' I '" l~~o
BOuK PAGE l PAR, LEGAL (□SEE ATTACHED SHEET) 1 DESCR, 319 Ponderosa IV
OWNEl'I MAIL ADDIIIESS "' PHONE:
2 Ponderosa Hemes, 140 Marine View Dr., 104, Solana Beach, CA 92075 755-9756
CONTl'IACTOIII MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC, NO.
3 See Above 269581 12424
AIIICHITECT OR OE.SIGNER MAIL ADDRESS PHDN E LICENSE NO.
4 Bates, Bassenian & Pekarek, 1601 Dove St. #275, Newport Beach, CA 92660 752-8924 C8395
ENGINEEl'I MAIL ADOl'IESS PHONE LICENSE NO.
5 Rick Engineering, 5620 Friars Rd., San Diego, CA 92110 291•0707 RCE 9416
COMPENSATION INS. CARRI ER MAIL ADDIIIESS Blll,t,NCH
6 The Fmployers Self Insurance, 4050 Wilshire Blvd., Los Angeles , CA 90051
USE OF ll;JILOING
7 Single family with garage NO. BDRMS 4 NO. BATHS 2!.l
8 Class of work: [XNEW □ AOOITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: Residential• Model 284C l
(J~. _,7
10 Change of use from \./:,.. ·, ,Y
I,)
Change of use to
11 Valuation of work: $ /../9. tlo9 C/0 C 3 ~ I PERMIT FEE s L ~ 7 CJ.!!_ -PLAN CHECK FEE$
SPECfAL CONDITIONS, I ]l-/Y MICRO FILM FEE Type of Occupancy / ~ Const. Group -
Size of Bldg. 2i No. of 2-Max.
(Total) SQ. Ft '() / 3 Stories 0cc. Load -
Fire 3 u,e ;e-/ Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required DYes G,,-i;
No. of I OFFSTREET PARKING SPACES:
No. °:2 ,l/ I No. OAT E DATE Dwelling Units Covered Sq. Ft, I I Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID tF WORK OR CONSTAUC-
TlON AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT.
CONSTRUCTfON 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 AND 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 DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
~CTION OR THE .£.FORMANCE OF CONSTRUCTfON.
-l/1r! -,,,.., µ,1) C "::j' ;J-77
S~vnE o, CON'!'l!ACTOI! On~ .. HOl!IZEO AGE~'!' lDA'!"E) ,
SIGNATUIIIE o, OWNER 11, OWNEIII 8U!LD£111) DA TE)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $
--
• ...
----..
-... -. ----.. -
LOT __ 3'/ 9
··-_;;7ct'4~
· .. BUI~ ~
FOOTINGS
FOUNDATION .
·REINFORCED
MASONRY
GUNITE OR GROUT
SHEATHING 6, • ll, 71 .e'/~
FRA.1'1.E 1.11, 71 ?/'/<
1,-0a:/.I-:, • 7, .,,,, 71 £!
INSU.LATION
EXTERIOR LATH
INTERIOR LATH
PLUMBING 1
. (J/1
SEWER AND PL/CO 1, WATER
PLUMBING UNDERGROUND (/,,Vj; n c,f1{::
-COPPER lf,27, 71 of'~
-TOP OUT t ·ZI• 71 &"R
:(STUB AND SHOWER .
-GAS TEST J,t/, 77 ~
• ELECTRICAL
.. 'UNDERGROU1'1D , .. ..
.. ' -• --...
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPING,1//,77~
HEAT-'-AIR
~ VENTILATING SYSTEMS ..
1111 FINAL: '1/-...:fO -77
I/
PLUMBING. PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only Permit No 7 7· d 595
JOB A00" [SS I' -11i::fcV1.1,..'l<W< ").!!'. -? 7·, / JA'c. , ,..[?;u., ./· _")//rf-' rr le/In r.7if</ . ' LOT NO. 17 I OLK
I T"AC T
LEGAL I 1 ouc". . .;,,t'!~O .. ... llnf,t izo. I J
OWN£" MAIL AOD,.[5S tip PHON[
2 ) '"-'---~--. I40 t .. :~, u . i-rM nr .... m~ ./)l '1nn ~~.: .) ,_;,., '..J J, ..
COHT .. ACTOJII MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 .l c· 1~.nr, Co ... ~l =• I -.-~ •"ftU VI '111 .., P-~ ~"1'1 s~.·--}l ~ ,. -:. ,. -'• . .... ..... .!....:_--
A,tCH I TCC T OR 0£51 CN£R MAIL A00RC55 PHONE '-"1CtN5E NO.
4
ltNGIN[[lfll MAIL AOOl'll.SS PHON( LICENSE NO,
5
COMPENSATION INS, CARRIER MAIL AOOlll[SS 9"ANCH
6 i..._::_.-.'...:. =-_t_ ....... ...__....; ~ ... ,·, '.1'.·M'r ~-: .. Pttl111 -il"!n11 . , ., -..
use 0,. 9VIL01NG
7 .,,.,'.'.l'._ J~l'~Jt_ .
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: lnM'l-\4,.._, -
PERMIT FEES
No. Type of Fixture or I tern Fee
SPECIAL CONDITIONS· WATER CLOSET (TOILET) $
I BATHTUB
4 LAVATORY (WASH BASIN) . .-
J SHOWER / (
I KITCHEN SINK & DISP / .z;o
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHEC~E O e Y APPIIOVE O FOIi •SSUANCE SY LAUNDRY TRAY
I CLOTHES WASHER I V
DATE J WATER HEATER I <(,
NOTICE URINAL
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COM MENCED WITHIN 120 DAYS.OR I F
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR-SINK OR DRAIN
PERIOD, OF 120 DAYS AT ANY TIME AFTER WORK IS COM SL OP SINK
MENCED. I GAS SYSTEMS NO. OUTLETS / ,-o I HEREBY CERTIFY THAT I HAVE REAO ANO 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 CON STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS ,, ,:,1,-,
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE. 0,. CONTIIIACTOII 0111 AUTMOIIIIZtO AGENT (OAT CJ
ISSUANCE FEE $ 7 c:;:)
TOTAL FEES $ -.. ><J 51GNATU"£ 0,-O'WN(III 1,-OWNER BUH.0[1111) (DAT £) -
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB ADDRESS , 1 !f' • '!(,i -27 .; car a J-• I LOT NO, I BLK. I TRACT Os:fE ATTACHED SHEET) LEGAL 3 g ,-~,.."o 1 DESCR. Po re J
OWNER MAIL ADDRESS ZIP PHONE
2 I l ~ --140 r i l l .1. --V • • , ; .,;,
____ .. --· --CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC, NO.
3 I'. -. .__ :tric. I c. 2 u '1. Baco: u. S-200 r:. 7 ;,> l 2 . • -ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARR ER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: GNEW 0 ADDITION 0 ALTERATION 0 REPAIR
ectrical i cl..!. -= J.8 iring 9 Describe work: -
, __
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
""''LICATION ACCEPTED ev 'LAN$ CHECl(EO ev APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, 10· .2! 2. ( FUSE OR BREAKER
D ATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
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 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
,, . -SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE .. I.I•
TOTAL FEES 21 !! ~ s TURE Of" OW F OWNER BUILDER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACEI 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
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
, 52.Y7
Joa ADDIII tSS
2709 jacarana.a ~trc
LOT NO. Im I T~CT L<GAL I --nd ..... -uUJ n1 ( ~ A~l\,"HtD SHEtT) 1 ouc•. . . •wU.V' ----..... __
OWNtlll MAIL A DDRESS ll P PHONE _ ,, _,-, .. ..,.., ..
2 ,83 --14, l !::!n'lnfln (;_ " ea. 92075 0 .... 'I' ii • ... • <.:.i.l.'' . .. ♦ ' CON TIIIAC TOIII MAIL AOOAESS PHONE STATE LIC, NO, CITY LIC. NO.
3 .... 1 • ... ~~a IItB 6 A/-• • 0% 2965 E/, 92021 g-117? J0717 ~) 11266
AIICHITEtT 0" 0E51GNE.ft MAIL AODIIIC$$ DHONE LICENSE NO.
4
tHGINEtJII MAIL ADDRESS PHONE LICCN5C NO,
5
LENOUt tr.4AtL AODIIICSS 8,-ANCM
6 e,r,_
ust 0,. BUILDING
7 e i t·
8 Class of work: 0NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: tlna
Type of Fuel Oil D Nat. Gas ~ LPG. 0
PERMIT FEES
SPECIAL CONDITIONS· No. Type of Equipment Fee
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 . ...l 'J'-''>lJ,i.A M Ea. ... uu
APPLICATION ACCEPTED BY PLANS CHECKED 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 120 DAYS.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 ANO 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 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. -I
( (' \~ V /2 I I . . . ~.,,-·-SIOHATUltl: o, CONTf'ACTO,t Ollt"AUTHOll1ZCD AGENT IDATE.)
ISSUANCE FEE s )\ I
TOTAL FEES s )
SIGN Ill. o, OWNUI 1, OWNE.fll aUILOUI DATC)
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M'.'o. CASH
INSPECTOR
.•
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 ,2 7Q 9 Jacaranda Avenue, Carlsbad, California
E.XTERIOR WALLS
Manufacturer
Owens-Corning and
Johns-Mansville Thickness/Type '3½" Friction R-Value 1
CEILINGS
Batts:
Owens-Corning and
Manufacturer Johns-Manville Thickness/Type 6" Kraft R-Value 1
Blown: Manuf actur erThermal-CousticsThi ckness/Type 4k" Cellulose R-Va l ue__l;
Wt./Bag _______ Sq. Ft. Covered 34 Square Feet R-Value~
FLOORS
Manufacturer Thickness/Type ___ ~----R-Value -----------
GENER AL CONTRACTOR LICENSE#
BY
BY
------
TITLE DATE
INC. LICENSE # 221517 C
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