HomeMy WebLinkAbout2806 JACARANDA AVE; ; 86-979; Permit"' z 0 ;::
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hereby alllrm that I am licensed under
'ovislons of Chapter 9 (commencing with
·Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
full lor.ce and effec1_ _ C :3 lp
L,c Nr, 3 "7 ?,S-1/ __ ·a,·
nereby affirm t~at 1
I-Jr s L,cense La•;, for the
Bus,~ess and P·aless,Jn\ :;~ce 1.,'es a oerr-• to
'epa·r an)· s!ructcce o ,ca.,r roe such to ea
pursua~: tc the c·o-.,s,cno La·1,· , :ea~:e· 9 commerc1·1g
S1Gn 3 o' 'he Bos,ness and Pr~fesc ons or
e'"or . .,e,e'·G~ and the ~as,s for the ol'ruec e,errol,c~ An1 ·,,o ;,•,on cl Sec· 0n 7031 5 by a, applicant for a perm,· sun
e,'o ·~e app 1cart 'o a uvil oenal!/ of nor rr-c·e :nan fi;e nu1
d•ed dOI ars 1$5CO,
:is c"nw of the prooerli ~r my errol~yees,, 11
as :heir sole comoecsat1c~ w,1, co the work anc ·~e
tu'e ,snot ,0terded or 011e,ed for sa·e 1S~c 1:44 Bus ness
and Drofess,ors Coae The Contractors L cense Ldw ooes
101 aJply to dn :iwner ol prope,ty who Ds1,d1 ~r 1ITT8"0ves !hereon and wh8 does such wor, h,mseli or tr.rough h•s 011-r
em~ Jjees. prov1aed Iha, suer, ,m~rove-enls are 10· 1~•end ec or offered for sa1e 11 ho·11e·1er. :ne ou,ld,ng or mprove
r,s,ent ,s sold w,th,n one year of complet,on the owner-bu, dw
w,I have t~,e burden ol prov,ng that ~e did not build O' ,m
Jrove to' the pu-oose 01 sale 1
i, as owne' of the pro~erty, arr. exclusively contrac• ng
w1ih 1,censed contractors !c conotruct The pro1ect [Sec 7044 Business and Profess,ors Code TM Cant,ac·ors License
Law does not apply to an owner 01 property who ~u1'ds o' ,m
proves the'ecn. and who conl<dCts tor each pro:ects wrlh a
contractor(~·, .,cense pursuant lo the Cont,actor s License
"aw)
As a homeowner I am ,mprov,~g my home. and !he I0I·<i,, ,ng cond,t,ons ex,sl
1 The work ,s oe,ng performed prior IO sale 2 ' have .,·,ed ,n rny home lor twel·,e moaths
prior to comple11on ot t"1s work
I have not cla,med this e,empr,on during tie lasl three year~
I am exempt under Sec for 1h,s reason B & PC
7 I hereby affirm that I hase a cert,f,cate of consenl to
sell-cr,sure or a cert,hcate of Workers Compensatoon In
surance or a cert:.!J.ed copy th~of fi..Sec 3800. Labor Code)
POLICY NO /.,' '{,;) ~_3
COMPANY 1 J;F /JI -,...t_
~ Copy <S filed w,th lhe city
-=-"' Cert1!1ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(Thos seclmn need not be completed If the permit
,s for one hundred dollars iS100I or less)
_ I certify that in the perto,mance of the work for wh,ch
th,s perm,t 15 ,ssued. I shall not employ any person,~ any
manner so as to became sub1ecl to the Workers· Com pen
sat,on Laws of Callforn,a
NOTICE TO APPLICANT: If. after making th,s Cert1f1care
of Exemption. you should become sub1ect to the Workers
Compensation proois1ons of the Labor Code, you must
torthV> ,11, comply with such provrs,ons or th,s perm,r shall
be deemed revoked
_ I hereby a!tirm that there ,s a construct,or lending
agency for the pe,fwmance cf the work 'or ·,,r ch :n,s per
,,--,\ 'S ,ssuea (Sec 3097 ::: vii Code,
Lf'cr1er s Name
Lerder s AdcHPSS
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
"' JOB ADDRE.SS
o'28-olt>
LOT ! BLOCK
AV.ST.RD.
..J A-('._ A-'it A ,J 1) A-
NEAREST CROSS ST.
AuE.
----=--A' ,.,~·c, /JCl'J ;51.,(,,-77.::J~ OWNE A'S PHONE f -r -,
OWNE.R"S NAME CONTRACTOR"S A OD RESS .s • ~, LICENSE NO.
l SUBDIVISION I ASSESSOR PARCEL NO "° ~<:"-{'6_3-/ {~ CONTRACTOR
DATE OF APPLICATION I
"! -Jl, -';ii'-t,, J
BUSINESS LICENSE •
LQ.:37-r
CONTRACTORS PHONE ,i
VALUATION
ZONE ~M
c!_dc, ," -i;-C.... '/3 ~ -0 S 1r e,, 1--'~3:__:3::_::3'._~7_'1:!-~~'...cD~F_e,~l.-.::____°"_'.:J._c,.-+,~~~~~t------..,,_ ____ I
DESIGNER -A-If', t. v E -{L .4-IL{__ ;:s (s ~ j) f e_~ "? ~6-
DESCRIPTION OF WORI(
PLAN 1.0. <: BUILDING SQ. FOOTAGE
,,, __ ~-,.....,n_/; ,t;;"" /) <..Jfl7171L.., /-f-€-19-Y.€ ~ DESIGNER'S ADDRESS LICENSE NO .
f-
D
0
CJ
C a u ,__ > e f LA ELEV NO
S'ORI ES
DCC GP EDU UiJ.i.:.i ,_! ·J l 1_ ,_ -· -~.l-fJ~
"'"US•RAC, I Ge CANO use I >ARKO% seACe RCSUNOVi I
QTY PLUMBING PERMIT· ISSUE 75'~
EACH FIXTURF TRAP 1
EACH BUILDING SFWER t------
f--EACH WAHR HEATER ANU OR VENT ____ .,;)
,,~ ~u
GRADING PERMIT ISSUE'D
I
RE:OEVELOP'v1ENT
AREA
>'O ~ D '~ ,□
QTY. MECHANICAL PERMIT. ISSUE
INSTALL FURN DUCTS iJP TO 100 000 BTU
OVER 100.000 BTU
TYPE
CONST
3 -
DCC LOAD FIRE SPF'
vO r-..[_J Nor Valid Unless M•chme Cerl!f1ed
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001-810-05-o□:suo ----SIGN PERMIT J01-810·00-00-8221 --1------
Pl AN CHFCK DO 1-810-00-00-8806
EACH GAS SYSTEM 1 TO 1 LlUTLETS 1---'--~---------
__ ,i,;t--_-_µ_OI_LER COMPRESSOR UP TO 3 HP
80ILER.'COMPRESSOR 3 Ei HP TOTAL PLUMBING 001-810·00-00-8222 ------t-------/o.ao ---------
-
EACH GAS SYS I EM '.l OR "'10Rt. 1---'---
EACH INSTA~ ALTER, REPAIR WATER PIPE + --IL --VENlFAN_S_1NGLE DUCT MECHANICAL 1}01-810-00-00-8224
"'-" FIREPLACf ELECTRICAL 00181000008223 I I
EACH VACUUM BREAKER ' MECH EXHAUST HOOD 'DUCTS MOBILEHOME 001-810-00-00-8225
1 1 WATE.R SOfT!\JER 1 RELOCATION OF EA FURNA[ ,HEATER
FM>1 RDm 11f1,'.,I', \S .)[
TQT.C,L MECHANICAL --,-----------
' _ '""" -j /C:,. Q6 i I rinc: .;>rr,
I ' I
I QTY. ELECTRICAL PERMIT. ISSUE J -QTY SOLAR -ISSUE
fUIA( Pl IIMRIN[
MOBILEHOME PARK INSP
C'QLAR _J01-810~
STRONG MOTION do -92-33 +-_ --
C:IDC: C,DDINXLERS 0-00-00-8227
PUBLIC FACILITIE 332.·810-0Q.:__00-8939 +---
I -----------t------1f-------
l NEW CONST EA AMP SW! BKR COLU:ClORS _________ SCHOOL FEE -Dl0S~TR~l~CT~--
: 1 PH J PH I J ST09AG' TM,•:s ------cr~----i---------jl Carlsbad
--
1 f.XISf8LlJG[AAMPSWTBKR / 1 ROCKS'.(,RA{;E Encinitas
----+---tr-1 PH 3 PH PIJf,!? --San [)1egu1l0
j --------c,,,,,,'------+----'---11----"'""-'---------
Jr_ R~MOOEL ALHR PEl-l CIRCUIT Pl.A1, (:11Ff:~ FE: _ 7" ----_ ---San Marcos --+---
I TEMP POLE 200 AMPS _/ /
1 --OVER ?OU A MPS -_;,r-·-/ LICENSE TAX , ---------,------,r--I TE\<1P OCCUPANCY )'30 OAYSI I I MFF
001-81 0-00-00-8162
880-519-9'"2;-;scs,---i---------
1•·-,
'I-~-------·-----, CREDIT DEPOSIT
I I Jill AL lll:LIRIU!
J
I~·, .\! S'.::·LC.P TOTAL FEES PAYABLE /0-ca
, .. -, Exp1rat1on Every permit issued by the Bu1ld1ng Oll1c,al under the p,ov1s,ons otth1s I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICAT,ON AND PER'YllT ~t•;', DO HEREBY Code shall e~ptre by 11m,tat1on and become null and void If the bu1ld1ng u, wo,k
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON ,N~LUDING THE authorned by such permit ,snot commenced w,!h,n 180 days from the date o! sue re
* AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
5' o·· DEEP ANO DEMOUTION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I permit 11 the bu1ld1ng or work author,zed by such oerm1t ,s suspended or
ISSUED TO COM PL y Vil TH A LL Ci TY COUN-1 Y AND ST A TE LAV.'S GO'JERN!NG BU! LDING C l~•~b;;'a"~~d~a~, ~•~a~l•~m~•~•'.f~le:'<_lt~h~•~•~o~c"_kc,s"'coQm""m~•~c~cfod"-.!loscc•~~•ccoQOO~o~l~1iso=d~•~•=~~t;:;:~o:TI:'ii7'° ___________ ";;'.;-;:;""----::-;-'"'
STRUCTION. WHETHER SPECIFIED. HEREIN OR NOT ! ALSO AG)--1EE TO SAVE INDEMNIFY ND ANT'S S;z;,G~A R JI-• ER[; CONTRACTOR f7, APP9OVEC· Bl [")ATC: ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUT!ES. JUCGMENTS. COSlS ND OWN /1-9/4
EXPENSES WHICH MAY IN ANY V✓AY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ' pr_, /J/J _ J /JJ ,,-.., a-BY PHONE L] . { f ~
GRANTING OF THIS PERMIT --L!.,,..~l::::!:::;o::; ~ LJ# ~ I , h -/ ., f 7 ~
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY
GUNITE OR GROUT .
I
SUB FRAME C FLOOR □ CEIL,NG
SHEATHING D ROOF □ SHEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
~ SEWER AND BL/CO ::. P~/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
'
ELECTRICAL I
□ ELECTRIC UNDERGROUND □,UFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I .
CALL FOR FINAL /NSPECt/ON WHEN ALL APPROPRIATE
.. ···-··--·-.... ...
FINAL I
PLUMBING I
ELECTRICAL I
' MECHANICAL I
GAS I
BUILDING '
'
SPECIAL CONDITIONS I
I -
-~'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION DATE
----------
REQ IF I iNSPECT08 S
CHECKED APPROVAL ~~~-Jcc~~~
S(JILS CCHv1P~, .:,,'\J -E
Pf'IIOR TO
f-0,...INDA TION l~S;'
STRLJCTL;PAL cc,r-..rf--lt'. E
()VER 20~)-:J rs
..ORES--,-RESSEL!
\,QNCRETE
POST TEN':c'.IONE[;
cor-CRETE
FIELD 1/1/ELOl"JG
~11:~f-, ST9ENc-;rl-'
80l Ts
'cPECIAL .\-1AS'._lNPY
~'lcE-S CAl;~:::,rJr,,.-l
a
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INSPECTOR'S NOTES
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
1!:ttp of l[arlsbab
BUILDING DEPARTMENT
Penn1t # 979
September 24, 1986.
Eddie Appel 2806 Jacaranda Avenue
Carlsbad, CA 92008
. " . .. ~ ... --
Dear Sir:
TELEPHONE
(619) 438-1161
Recently you have had a permit pulled in your nare for the installation
of a water heater. For your protection, it is important that you have
the work done checked out by one of our inspectors. There is no charge
for this service.
Please contact the Buildin~ Department at 438-3101 to have an inspection
done.
Thank you.
BUILDING INSPECTION DEPARTMENT
CITY OF CARLSBAD
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