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Home My WebLink About2801 JACARANDA AVE; ; 78-5345; PermitMODEL,.Nr..~--B-UILDING PERMIT APPLICATION'? City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No J08 ADDA £5 S c:28'ol -l;I( .. r. ( ,~ /✓/ c_ . l.Ol NO. LE GAL I /-J'Y 1 DtSCR. I ·L• ITAACT -,~~ , (nS[C ATTACH£0 SMEET) OWNtflt R /.,; 1,r-r,1✓. MAIL •OOAC55 iAU,,,tfµ:}J4 tip PHONE 2 -. ..Pnf. • 1 .,, I l:t2.tJ08 I , 1 ASSESSOR 'S PARCEL NUMBER BOOK PAGE ,/k-.f, • • PAR. CONTAACTO" < MAIL ADDlitC$$ PMOJ'\I [ STATE LIC. NO, CITY LIC. NO. 3 --✓ - ARCHITECT OR OC.SIGNC.,. MAIL AOOAESS PHON £ l.lCCN5£ NO, 4 [NGIN C.CJII {, -MAIL AOOAESS PHONE LICCN 5[. NO, 5 COMPENSATION INS. CARRIER MAIL AOOACSS IIIIIA,NCH 6 use 0,. BUILDING f 7 r··, Mt. 'f ---NO. BDRMS NO. BATHS 8 Class of work: □NEW Cf-ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE ~ 9 Describe work: 1~7/.rvr /Mno #1-70 /()Y~ 10 Change of use from Change of use to .,. f (.1 -, ' I t 11 Valuation of work: $ -//,; -__J PLAN CHECK FEES -PERMIT FEE $ SPECIAL CONDITIONS: MICRO FILM FEE Type Of Occupancy I Const Group Soze of Bldg. No. of Max l (Total) SQ. Ft Stories 0cc. Load Fire Use F,,.,,Spr\n~ APPL!CA TION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone zone ReQulr'ifl Yes □No I'. l y' OFFSTREET PARKIN( s~ DATE / f N o Of Dwelling Units No. o. DATE Covered SQ. Ft, Open NOTICE Special Approvals Required RecE ~d Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING DEPT. "' \ ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. 1-.\ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-)11 \ \ /I TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT \) I PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· -( r MENCED. OTHER (Specify) I .... -I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS ENGINEERING DEPT. r' ' v ' J -(./1 APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. I I, 1 /I ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Iv HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT II" . ~ PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE // / I/ ,-/ 4 \ PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING "'-,., CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. /"\,. "' I V I'\ \ I V V '1 / I ..., \ .SIGNATUllll o, CONTIIIACTOIII 0" A4,TH0'-1Zl0 AGtNT jDATC) I / /v I . r;. ;/£~!' ;; t .. ~ I I I I --I J SIGNATuiih 0~ OWNER ti, OWNCIII IUILDl'0 DATE> WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS l OUfYPERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA N0N CK. M.O. CASH ,-TOTAL FEES$ _______ _ INSPECTOR '• . CITY OF CARLSBAD BUILDING DEPARTMENT (714) 729-1181 CERTIFICATION 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. If, after making this certificate, I become subject to the workers' compensation pro- visions of the California Labor Code, I will forthwith comply with Section 3700 of the Labor Code. I understand that if I fail to comply with the workers' compensation laws, this permit shall be deemed revoked. I further certify that if I should contract or subcontr ct with any person, including any firm or company, to do all or part of the work for wh" his permit is issued, I shall assure compliance by that contractor or subcontractor with io 38 oJ the California Labor Code. SIGNED:-/,~~~[&£~~------- PRINT NAME AND TITLE: JOB ADDRESS:_....::...c.=..:...,.....:::.::..:=e:=="-----'--=-'-------- DATED: -~'-f-'...!..L....t..!!. __________ _ TIME_· --~-~--RE~UES~ ~d,~SPECTION ,INSPECTOR , ~ PERMIT NO ________ DATE: OWNER __________ tv,1.,£="--"...U,-~•_.,,/<.,,!:!!,~,(,!!!e .... ,.,_._,~------------- 9~o1,-/ ~ ADDRESS_~;;J_~f"_:d~/~~~,L!_/J~C:~,'9-,~<,~,4~/V~ci~-Q~-------- BUILDING ~.i.,CUJ>1DATION REINFORCING STEEL D MASONRY D GROUT -GUNITE 0 FLOOR AND CEILING FRAME D SHEATHING D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING D UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT D G.F.1. ~ SMOKE DETECTOR 1 CF FINAL MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: ~NDAY D TUESDAY □WEDNESDAY D THURSDAY D FRIDAY DA,M. □P.M./~./A ~hf / SPECIAL INSTRUCTIONS ____ _.~..__¥-J.'--'-)Lf:__--"---'~L-C:....c'-'=-~~,:;.._-.=..-_tp,e-=,,,.:..__e_~ __ _ REQUESTED BY __ --=.._....:_ ______ __c=--_____ ,PHONE NO. __ sJ.-; __ --# __ • __ PERSON TAKING REPORT _______ _ REQUEST FOR INSPECTION TIME-· _____ _ • -~] ' INSPECTOR . · . > Ac'.J-.-::--::: PERMIT NO _______ DATE: OWNER ________ ,,... ______________________ _ BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: □MONDAY VruESDAY DA.M. /' ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGRO°JtN 0 ROUGH ELECTRIC Ai0 'r 0 POOL BONDING I~ I/ /15 l 0 ELECTRIC SERVICE f./lf;._; 0 CEILING HEAT v' ffl, 0 G.F.I. /) /? ) 0 SMOKE DETECTOR // D FINAL MISCELLANEOU 0 PLENUM AND DUCTS / 0 COMBUSTION AIR / ti&(. D PATIO V' Ill If D SIGN fV I 0 GRADING ;/ D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL □WEDNESDAY □THURSDAY □FRIDAY DP.M. _/' SPECIAL INSTRUCTIONS _____ ___,t._~-ff-.."'-----""-""-'"'"--k:""'°"·"---...:,r"""~~-~-"=='=~✓,c.._ ___ _ -13,t-t)f''/'.I --~ REQUESTED BY PHONE NO. r;½.P _____________ P_E_R_S_O_N_T_A_K-IN'G REPORT ,/-IL .