HomeMy WebLinkAbout2712 JACARANDA AVE; ; 80-531; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is in full force and ef-
fect.
OWNER-BUILDER DECLARATION
C'I hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5_8usiness and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to lite a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than live hundred dollars
($500).
c:· I, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure is not intended or of-
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not intended or of-
fered for sale. 11, however, the building or improve-
ment is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
=.1, as owner of the property, am exclusively con·
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor"s License Law does not ap-
ply to an owner of property ·•ho builds or im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant lo the
contractor's License Law)
I am exempt under Sec _____ , B. & P.C.
for this reason ____________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby aflirm that I have a certificate of con·
sent to self-insure, or a certificate of Workers'
Fel or a certified copy
r C(l(l!le),,
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit is for one hundred dollars ($100) or less)
I certify that in the performance of the work for
which this permit is issued, I shall not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer-
tifir-.,ate of Exemption, you should become subject
to t,1e Workers· Compensation provisions of the
Laber Code, you must forthwith comply with such
i;rovi:,ions or this permit shall be deemed revoked
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
11)-,0/7
NO. JOB ADDRESS ~ 1,\ 1'2.1 1JiA('.,,J)\l:..A1N1DA, ,A~ I ti I I I I I I ow,~Cffi I ('1>.i1u OWNER'S PHONE
-'\~~ ow,~_:,1\f"' ·~Nl{(~ NV ,/
~\ I BLOC<
0EscR112Nrwo1Xr)\ N,
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..... ~[')1:Z-.1
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AVRr· 10AT,1\APPLICATIONI B~ r~_t.-M1..,,.
, , , , I , ~ Pf) 14rt; ,
"~~1°rt) ~~ I ~~\Cf
SK'e\"c~ 1t1✓c\ ~'2-1J')
0,"""" v· · · l,_,.,,.,,,~ ~~ ooaw✓e-,,~ DESIGNER' w ~~~"~~w u DESIG~S PHONE ~c: ~~~ e~ RES. UNITS PARKING SPACE sf
PERMIT NUMBER
go-S3J.
# l '"M"'" """' Not Valid Unless Machine C,rtifitld
BLDG SQ, FT. BLDG USE occ. GP I STANDARD PLAN# IPLANID# I TYPE CONST I occ. LOAD I
QTY. PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
Issue
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
1 PH .25
EXIST BLDG EA AMP/SWT/BKR
1 PH .25
REMODEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TssnP.
TOTAL ELECTRICAL
CONTRACTOR
3 PH
3 PH
AMT. QTY. MECHANICAL PERMIT
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
;2,,--. BOILER/COMPRESSOR UPTO 3 HP
~-BOILER/COMPRESSOR 3-15 HP
~-BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER -a-3_--., O"o*ll-+I ~I,.....s~s~u~e
TOTAL MECHANICAL 'J . a'l11 CONTRACTOR
AMT. QTY. MOBILE HOME PERMIT
.5. > AWNING
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
z. .. oo
7 p'?>
AMT.
j. u u
AMT.
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY 1/1/ITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
l=ltPl=N<:I=<: W'-'lrl-l .... ,.,, IN l>NV WAY ArC:RlJF Ar.A INST SA In rlTV ,N rnN<:l=n!ll=NC'.I=
"AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5'-0" DEEP AND DEMOLIT~N OR CONSTRUCTION OF HRU:;~;}~',~".L---
VALUATION: ,,-• /, ~9
BUILDING PERMIT
SIGN PERM)'f'~ -'f_-i!fU ~
PLAN CHE~ -2. d, 0 d ffi / 3J>oo
ALL INCLUSIVE PER
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
MICO-FILM
STRONG MOTION:
TOTAL FEES PAYABLE l l
SCHOOL FEES:
~l
J.
I
l
J
J.
J.
I
I
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I I o/'.tl I-,
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I 1.201-
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I SITE
: ACORESS: OWNER PERMIT NO:., zro-s3t . FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES I
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • TOILET .
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOP
UNDER SLAB PLUMBING
FOOTING• FORMS• SETBACK• TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMB I NG
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK • PLACE STUCCO
I ,,
1 FIREPLACE /0.y\
' DAMPER &STEEL I L,,V L,.,,
PLATE Tl ES/HEIGHT OF CHIMNEY
~I.I
OTHER !\ I ' TEMP POWER (POLE) '
SEWER i , c)i
GAS TEST ! i!v
SWIM POOL • STEEL BONDING ! 1: .
• PRE DECK /v ':V
• FENCE PREP LASTER l./ v SHOWN • FRAME , ,
• PAN ' ,ti Fl NAL ! NSP BY BLDG DEPT l[f O P-IER DEPT'S REQ COMPLETED , I
: ;.;;:LEC Mt:.TER-PERM-TEMP
r--:-,:;As METER-PERM-TE~,~~" r .
·--··~-
i I
f------------: ~E>H OF :::JCC~PA~CY ISSUED
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 {commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is in full force and el•
feet.
OWNER-BUILDER DECLARATION
C'I hereby affirm that I am exempt from the Con·
tractor's License Law for the following reason
(Sec. 7031.5_Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state·
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex•
emption. Any violation of Section 7031.5 by an ap·
plicant for a permit subjects the applicant to a
civil penalty of not more than live hundred dollars
($500).
CI, as owner of the property, or my employees
with wages as their sole compensation, will do
the worl<., and the structure is not intended or of•
fared for sale (Sec. 7044, Business and Profes•
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such worl<.
himself or through his own employees, provided
that such improvements are not intended or of•
fered for sale. If, however, the building or improve-
ment is sold within one year of completion, the
owner•builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
::::1, as owner of the property, am exclusively con•
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap·
ply to an owner of property ·•ho builds or im•
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec ____ , B. & P.C.
tor this reason ____________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that l,,bave a certificate of con-
sent to self.insure, a c e of Worl<.ers'
Compensation certified copy
thereof (Sec 3,.,.,,0...,"l ,S
POLICY NO.__J"---j;c-:-\----------
COMPANY ----'s.cr
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit 1s for one hundred dollars ($100) or less}.
I certify that in the performance of the worl<. for
which this permit is issued, I shall not employ any
person in any manner so as to become subject to
the Worl<.ers' Compensation Laws of California
NOTICE TO APPLICANT: If, after mal<.ing this Ger·
tilic~te of Exemption, you should become subject
to tt e Worl<.ers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provi~ions or this permit shall be deemed revol<.ed.
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
"'· , \kf ~Ill A ,l ;n A00 ,"A;\I,€' 1
;Vffr. D~r~:, jiLICATION 'l: '\ ,1 ' ' I I I I I I ' '
OWN!h,
.,
(<A( t><·-'
. OWNER'S PHONE ee<~o-,;;ol~f~~ fA~ " ;, (NV\. If J
OYi"l'IER's MA< ·~ AO~Y\ ~'1 i'\f\-M ~ AJP.J
CONTRACTO S 4:DDRE'."S.S .........._., f I
. '1~ \,..e '\\\ f 't f\ \(')'(\ ,-, ~ ._;-I\
1/B BLOCK 1~DlVISION l11AlaSSOR-,S '.~nE~~-I~' DESIGNER .__,
I r"II I ' hilNYII I\ n r11t1l✓f; 0""':f;o&J?/' -r>"/41 ~·A.Ice. J-yJ'7'.//7? DESIGNERS ADDRESS ~
CENSUS TRACT GP LANO USE ZONING sf
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
;~~ PERMIT NUMBER
STATE LICENSE Yr:i-s3IA ..,__,,. .C\ ,.,
;=-~CTOR'S
~r 1/7"j
STATE LICENSE
DESIGNER'S PHONE
I RES. UNITS I PA#KING SPACE I NUM8ER OF STORIES
Not Valid Unless Machin• CMtifi«J
BLDG SQ, FT. BLDG USE occ, GP I ST AN OARD PLAN It IPLANID# I TYPE CONST I occ, LOAD I
ClTY. PLUMBING PERMIT AMT. ClTY. MECHANICAL PERMIT AMT.
EACH FIXTURE TRAP ~ . :.:.vi;, INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT ') .()0 BOtLER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16·30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT VALUATION: :2,5'CTD
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I I
~ .----' n' T~~11n 3,00 SIGN PERMIT I I I I
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I .ti,,.,
CONTRACTOR j7 .tJt, CONTRACTOR ALL INCLUSIVE PERMIT I I I
7. AMT. TOT Al PLUMBING I I .JI it'/
QTY. ELECTRICAL PERMIT AMT. /' ClTY. MOBILE HOME PERMIT ELECTRICAL I I . I
NEW CONST EA AMP/SWT/BKR ' -----AWNING MECHANICAL I I . I
lPH .15 3 PH PORCH MOBILE HOME I ' • I
EXIST BLOG EA AMP/SWT/BKR .•' SET-UP SOLAR I I I . I
lPH .15 ·"3 PH :/ RAMADA, CABANA I I I . I
REMODEL/ALTER PER c;Jl!CUIT ./I FENCE OVER 6' I I I . I
TEMP POLE 100 M,IPS° -A !(: TOTAL MOBILE HOME MICO-FILM I ' I . I
OVER 200 AMPV'' I I I I I . I
TEMP OCCV,ANCY (30 DAYSI / I I I . I
rs sue z .• 0 0 STRONG MOTION: I I I . I
TOTAL ELECTRICAL TOTAL FEES PAYABLE
I va "lfl CONTRACTOR I I
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT,AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-0" DEEP AND DEMOLITI NOR CO STRUCTION OF SCHOOL FEES: FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTUREl'tOVER JST( IES \N H G[/ COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ...,.;fJ!lt'f>i' ;hi SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO / I -:111
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE -.. ·--,-, -----____ ,...,, A.,h~~--~.J ,. . r>,ATC:C
! < C ~
5 >= ~ 0.. "' ~
SITE
ADDRESS, OWNER: PERMIT NO, ---_ • FIELD INSPECTION R~CORD --
INSPECTION DATE ·INSPECTOR , INSPECTOR'S NOTES , -,,
WOOD FLOOR •
FOUNDATION• FORMS• SET BACK• TOILET ,, -·
UNDER FLOOR PLUMBING . . . .
UNDER FLOOR HEATING
OK TO INSTALL SUS FLOOR
SLAB FLOOP
UNDER SLAB PLUMBING
FOOTING• FORMS• SETBACK• TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO / 7 .
FIREPLACE I V./1
DAMPER & STEEL 7 .A
c._./
PLATE TIES/HEIGHT OF CHIMNEY
,1 rry
OTHER ' -.,N. .,,
TEMP POWER {POLE)
SEWER •7Jlv Ii I I
GAS TEST /F)}J SWIM POOL • STEEL BOND!NG
• PRE DECK ,,rv
• FENCE PREPLASTER ' .(/\ SHOWN . FRAME
• PAN J j V
FINAL INSP BY BLDG DEPT
i 0T~ER DEPT'S REQ COMPLETED I---~
L_:::LEC -~ETER-PERM-TEMP
i G,\S !J,ETER-PEi's:M-TEMP ' .
' i I----·-' I --~--' ' . i
LERI-OF C>CCU?ANCY I.?~~ E:::::. '
,,.,,--~ REQUEST FOR INSPECTION TIME_· ____ _ INSPECTOR ~ PERMIT NO _______ DATE: /l·l.'{·JP
OWNER ______________________________ _
BUILDING
0 FOUNDATION
CJ REINFORCING STEEL
CJ MASONRY
C GROUT· GUNITE
0 FLOOR AND CEILING FRAME
[] SHEATHING
L' FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
~ FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
D TUBORSHOWERPAN
0 GAS TEST
0 WATER HEATER
~ FINAL
READY FOR INSPECTION:
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
~ FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
_,a FINAL
□TUESDAY □WEDNESDAY □MONDAY
DA.M.
DP.M. ~
0 THURSDA:,J!JRIDAY
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY __ ~~-+---~~~---------PHONE N0':-:,___,,,'5;;::/} _ _,_._ ____ _
PERSON TAKING REPORT .:;
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
lltitp of lltarl.sbab
. LAST .AND FINAL NOTICE.
TELEPHONE:
438-5525
IF NO ACTION TAKEN -MATTER WILL 1IE REFERRED TO THE CITY ATTORNEY'S OFFI
To: Homeowner
2712 Jacaranda
CCarlsbad, CA. 92008
Re: BP# 80-531A
Last Inspection:
FINAL INSPECTION
Fran: Building Dept. -city of Carlsbad
Date: 1-21-8 2
Pool & Solar·
7-10-80.
NEVER CALLED FOR
Subject: Final Inspection
Dear Sir:
EXPIRED BUILDING PERMIT
'lhe Carlsbad Building Department reoords show the required inspections including
a final inspection have not been made on your property.
It is i,rportant to have a permit but you must also have a reoord with our
department of all inspections and finals. Building permits are void if work
is not =nienced within 18 O days of issuance, or if construction or work is
suspended or abandoned for a period of 18 O days at any time after work has
cx:mrenced. YOUR BUILDING PERMIT HAS LONG EXPIRED.
Upon selling your hane many lenders require proof of penni ts, inspections
and fi."1al inspection. If not available,a conpliance inspection is required,
$25.00, and any work not to code must be corrected, and permits not obtained
will be :::-ec;uired.
Our depart:rrent ·,,uuld li.s:e· to have your hare safe and to keep the reoords of
your property as ac=ate as JJC)ssible for your oonvenience,
Please oontact our office for a YINAL INSPECTION.
Thank you,
Tim Phillips
C1'i'Y ~UILDING INSPECTOR
Field Inspector can be reached between 3 and 4 p.m. (Monday through Friday).
Building department telephone No. (714) 438-5525 •.
--
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
DATE: _______ _
RECEIVED
JlJN4 .,
ZONE, _________ LOT SI.ZE. ________ LOT WIDTH. ________ _
'l'.f'NITS ALLOWED ___________ UNITS PROVIDED ___________ _
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED ____________ PROVIDED _________ _
BUILDING HEIGHT ALLOWED PROVIDED _________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ______ _
PROVIDED ______ _
INTRUSIONS ____ _
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
SCHOOL FEES: $
ADDITIONAL COMMENTS:
P. F. FEES:~· ,ttcJ
OK TO ISSUE: ~=J-.L"---'"""'-DATE6_;oK TO FINAL _______ DATE. ____ _
ENGINEERING DEPARTMENT rJJ ~3f O 'RJ
R.O.W. _____ INDUSh(iAL WASTE ______ IMPROVEMENTS ______ _
SEWER CONNECTION _______ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT _______ EASEME~S _________ DRAINAGE ____ _
LEGAL DESCRIPTION p-/J,,..;c.i 'l I liifbiRllv1l::::4 I 13-1,Y
ADDITIONAL COMMENTS. __________________________ _
P. F. FEES: $
OK TO ISSUE:L1UtL DATE G·.S:-JS() PWI. ____ OK TO FINAL ____ DATE. ___ _
'
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP, ______ _
FIRE ALARMS EXITS ______________ _
FIRE HYDRANTS LOCATION ________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE, _______ OK TO FINAL ______ DATE ___ _
'WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE. _______ _
80.SJ/
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
TELEPHONE:
(714) 729-1181
This document will certify that I am aware of the provisions of the
California Administrative Code, Title 24, Section T20-1406(c),
"Swimming Pool Heating", as shown on form DPL ;}297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located atZ\\'2... j{J{'~~ 61e2
(sit~ address) I certify that all of thefo owing requirements for
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to allow future. solar in:;itallation.
4. After January 1, 1982, new heaters installed must have 75%
thermal effi.ciency.
5. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print Owners Name:
Owners Signature:
Contractors Signature: Date:
Address: