HomeMy WebLinkAbout2831 CAZADERO DR; ; CB950900; Permit07/07/95 16!21 B U ! L D I N G PERMIT
Page 1 of i
Job Address: 2831 CAZADERO DR
Permit Type MISCELLANEOUS
Parcel No. 215-320-42-00
Valuation 0
Construction Type VN
Occupancy 'Group-
Description: FIRE DAMAGE REPAIR , «^LAC1
' LIKE WITH LIKE CONSTRUCTION
Suite.
Lot#
Permit No- CB950900
Project No. A9501282
Development No:
Appl/Ownr : PAUL DAVIS SYSTEMS
9225-F CHESAPEAKE DRIVE
SAN DIEGO, CA. 9212.3
*** Fees Required
Fees
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee
* MISCELLANEOUS T
619 560-0444
Status- ISSUED
Applied: 07/05/95
Apr/Issue: 07/07/95
Entered By: MDP
ected & Credits ***
.00
. 00
75.00
Ext fee Data
75.00 PERMIT
75 00
C7/07/95 0001 01 02
75.00
,-^
CLEARANCE
PPROVAL
DATE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
4
City of Carlsbad Building Department
2075 Las PaImas Dr., Carlsbad, CA 92009 (619) 438-1161
1 PhRMTTTYPfc
From List 1 (see back) give code of Permit-Type
For Residential Projects Only From List 2 (see back) give
Code of Structure-Type /V\5 2^~~ 7
Net Loss/Gam of Dwelling Units
PLAN CHECK NO.0 Q Q()
EST VAL ^ p-:L.
PLAN CK DEPOSIT
VALID BY j?>4-
DATE '
FOR OFFICE USE ONLY
Address
cNearest Cross Street
Building or Suite No
LEGAL DESCRIPTION Subdivision Name/Number Unit No Phase No
CHECK BELOW IF bUBMIl ItL)
D 2 Energy Calcs D 2 Structural Gales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL ,
DESCRIPTION OF WORK fafe
SQ FT
EXISTING USE PROPOSED USE
<e. j2££7*e*2/VVio\>*-' -- /) & $~r$i}@'Ttsf&AL~ £^£j"Ai£77<H- &h.Ly
# OF STORIES / # OF BEDROOMS # OF BATHROOMS
3 UJNIAL."! FLKiUW (it ditierent irom applicant;
NAME (last name first) ADDRESS
CITY ^ STATE ZIP CODE DAY TELEPHONE
4. APPLICANT BT&N TRACTOR D AGENT FOR CONTRACTOR U OWNER U AGENT FOR OWNER
NAME (last name first) ffiui_ bAO\ 5
CITY STATE ZIP CODE DAY TELEPHONE
b VKOPtHlTf UWNtK
NAME (last name first)
CITY
ADDRESS £/F* filMS* P P-
STATE ZIP CODE DAY TELEPHONE
o. UONIKACIuK
NAME (last name first)ADDRESS
DAY TELEPHONE/'" s
STATE LIC # LICENSE CLASS CITY BUSINESS LIC
STATED. ZIP CODE
NAME (last name tirsi)ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC #
7. WORKERS'ODMPLNbAUON
Workers' CompensaLion Declaration I hereby affirm that I have a certificate of consent to self-insure Issued by the Director ot Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C)
4!d£*4. ^V^1^- -. I I
INSURANCE COMPANY^ jOT*, /Onfjs>jAyi o~) #/^*TOUCY NO /jfo1?? */2,-^XPiRATION PATC /~ I *^f
Certificate of Exemption I certify ffiat""ih°'tfierperformance ot the work tor 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
SIGNATURE DATE
8 OWNLH-BUlLUhK UfcUAKAllUN
uwner-iJuuaer Declaration l hereby arlirm that l am exempt rrom the Contractors License Law lor the lollowing reason
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
offered for sale (Sec 7044, Business and Professions 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 offered for sale If, however, the building or improvement 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 )
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions
Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law)
I am exempt under Section Business and Professions Code for this reason
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500])
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINGTERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, AITNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AltR POLLUTION CONTROL DISTRICT
j) OUNb'mUC;nUN LENDtNCi AtiENUY
I hereby afllrm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(,ij Civil'Code)
LENDER'S NAME LENDER'S ADDRESS
TO APPLJCAN1
I certify that I have read the application and state that Hie above inlormation is correct I agree to comply with all City ordinances and State laws
relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THt CITY OF CARLSBAD AGAINST ,ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GR/uMTING OF THIS PERMIT
OSHA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height
Expiration Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authonzed by
such permit is suspended oipsbandonediat any time after {he work is commenced for a penod of 180 days (Section 303(d) Uniform Building Code)
APPLICANTS SIGNATURE \ \ > H ^ , X DATE J~
rfllJiiFile YELLOW: Applicant PINK: Finance
. «- ' CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB950900 FOR 01/10/96
DESCRIPTION: FIRE DAMAGE REPAIR / REPLACE
LIKE WITH LIKE CONSTRUCTION
TYPE: MISC
JOB ADDRESS: 2831 CAZADERO DR
PAUL DAVIS SYSTEMSAPPLICANT:
CONTRACTOR:
OWNER:
REMARKS: MW/PER
SPECIAL INSTRUCT :
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB950900
OCC GRP
CONSTR. TYPE VN
STE: LOT:
619 560-0444
CD LVL DESCRIPTION ACT COMMENTS
19
29
39
49
ST Final Structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
***** INSPECTION HISTORY *****
DATE DESCRIPTION
072195 Shear Panels/HD's
072195 Roof/Reroof
072195 Insulation
072195 Gas/Test/Repairs
071995 Shear Panels/HD's
ACT INSP
AP PY
AP PY
AP
NR
PA
PY
PY
PY
COMMENTS
ND GAS TEST'
NO ONE THERE
PAUL DAVIS SYSTEMS
Restaation Specialists
June 29, 1995
Estimate 4285
Page 1
LARRY GUSTAVSON
WALSH ADJUSTING COMPANY
3547
CAM I NO DEL RIO SOUTH
SAN DIEGO, CA.
92108-4024
Home
Loss
Phone
Date:
KEWLEY,RUBY C
2831 CA2ADERO
CARLSBAD CA
92008
438-0802
05/17/1995
DRIVE
DEAR LARRY;
THE FOLLOWING IS OUR ESTIMATE TO REPAIR DAMAGE CAUSED BY FIRE AT THE ABOVE
REFERENCED PROPERTY;
v Length >
01 WEST ELEVATION
_
20'
Offset 13'
0"
0" '
Wi
0'
0'
dth
0"
0"
Hei
8'
6'
ght
0"
0"
WINDOWS
1. INST. ALUM. WINDOW SCREEN 10-16 SF
ROOF
2. REMOVE CDX ROOF DECKING
3. REMOVE & REINSTALL TILE ROOF, RE-
PLACE 'FELT PAPER (APPROX 5 SQUARES
ONE SIDE OR GABLE END)
4. INSTALL ROOFING FELT, 15LB
5. INSTALL CDX PLYWOOD ROOF DECKING
6. REPAINT BOXED EAVES (COLOR TO MATCH
EXISTING MIN. CHARGE)
EXTERIOR
7. REMOVE STUCCO a LATH (INCLUDE
STUCCO AROUND CHIMNEY)
8. REMOVE LIGHT FIXTURE
9. REMOVE&REPLACE 2X4 WALL FRAMING
(EXTERIOR WALL INCLUDE SHEER PANEL)
10. INSTALL STUCCO AND LATH, 1 STORY
(INCLUDE CHIMNEY & COLOR COAT TO
MATCH)
11. PROVIDE & INSTALL EXT. LIGHT
FlXTURE
Unit
1 EACH
96 S.F.
500 S.F.
500 S.F.
96 S.F.
1 L.S.
275 S.F.
1 EACH
20 L.F.
30 Y.D.
1 EACH
mULMMS SYSTEMS
Restoration Specialists
June 29, 1995
Estimate 4285
Page 2
02 LIVING ROOM
CEILINGS
12. REMOVE 6"
Offset
Offset
Offset
-
BATT INSULATION, R19
Length
19' 6"
5' 6"
5' 6"
2' 6"
Unit
403 S.F.
Wt
16'
3'
4'
2'
dth
6"
0"
0"
6"
He i
11 '
8'
8'
8'
ght
0"
0"
0"
0"
13. REPAIR CEILING JOISTS ( 2X8 FIRE
DAMAGED AREA -PROVIDE PROPRER
SUPPORT FOR UNDERLAYMENT) 1 L.S.
14. REPAIR SHEETROCK, WIN. CHARGE
(8 FT. CEILING AREA) 1 L.S.
15. REMOVE&REPLACE WOOD PANEL
(CEDAR 1X6 PLUS 1X1 TRIM - HIGH
CEILINGS) 439 S.F.
16. REMOVE & REINSTALL LIGHT FIXTURE
(TRACK LIGHTING) 1 EACH
17. INSTALL ACOUSTIC CEILING (8 FT.
CEILING AREA) . 85 S.F.
18. INSTALL 6" BATT INSULATION, R19 403 S.F.
WALLS'
19. REMOVE SHEETROCK WALLS (ONE WALL) 132 S.F.
20. DEMO 2X4 WALL FRAMING (AROUND
FIREPLACE INCLUDE 1X6 CEDAR PANEL-
ING) 1 L.S.
21. REMOVE 3 1/2" BATT INSULATION 132 S.F.
22. INSTALL 1/2" SHEETROCK WALLS 132 S.F.
23. JNSTALL WALL PANELING <1X6 - CEDAR
AROUND FIREPLACE - INCLUDE
WOOD STORAGE BOX TO RIGHT OF FIRE-
PLACE) 80 S.F.
24. INSTALL THIN SET CERAMIC TILE
(PROVIDE TILE TO MATCH EXISTING -
6X6 TILES) 20 S.F.
25. INSTALL 2X4 WALL FRAMING
(FRAMING ARUOND FIRE BOX TO
CElLING) 200 S.F.
26. INSTALL 3 1/2" BATT INSULATION, R13 132 S.F.
27. TEXTURE DRYWALL, (TO MATCH EXISTING
(TO MATCH EXISTING - ONE WALL) 160 S.F.
28. SEAL AND PAINT SHEETROCK WALLS 1008 S.F.
TR iM
29. REMOVE AND REINSTALL BASE TRIM 79 L'.F.
PAUL DAVIS SYSTEMS
Restoration Specialists
June 29, 1995
Estimate 4285
Page 3
Cont i nued 02 LIVING ROOM
30. INSTALL WOOD MANTLE (4X6 TO MATCH
EXISTING - FINISH TO MATCH ) 14 L.F.
31. REPAINT BASE TRIM 79 L.F.
WINDOWS
32. PROVIDE & INSTALL VENETIAN BLINDS,
SMALL (FOR 1/10 X5/0 WINDOW) 1 EACH
33. PROVIDE a INSTALL VERTICAL BLINDS,
LARGE (FOR 3/10 X 5/0 WINDOW) 1 EACH
34. PROVIDE a INSTALL VENETIAN BLINDS,
EXTRA LARGE (FOR 5/10 X 5/0 WINDOW) 1 EACH
FLOORS
35. REMOVE THIN SET CERAMIC TILE FLOOR
(HEARTH TILE -6X6) 32 S.F.
36. INSTALL CERAMIC TILE FLOOR,THIN SET
(PROVIDE TILE TO MATCH 6X6) 32 S.F.
' MISCELLANEOUS
37. REMOVE FIREPLACE a 14" STACK 1 L.S.
38. INSTALL FIREPLACE ( FMI. ELIMINATOR
36E - INCLUDE 14" X 14' DOUBLE WALL
STACK - FLASHING THROUGH ROOF a
CHIMNEY FLASHING a TOP FIRE ARESTER 1 L.S.
39. REPAIR ELECTRICAL,
(PROVIDE NEW FEEDS FOR POWER a
PHONE AS NECESSARY) 1 L.S.
40. REPAIR 1/2" GAS LINE PLUMBING,
(PROVIDE NEW GAS VALVE FOR
FIREPLACE a PRESSSURE TEST GAS
LINE) 1 L.S.
Length
03 MASTER BEDROOM
Offset
C I oset
15'
6'
7'
0"
6"
6"
Wi
15'
3'
6'
dth
0"
0"
0"
Hei
8'
8'
8'
ght
0"
0"
0"
41 .
42.
CEI L INGS
MASK AND BAG ROOM FOR PROTECTION
SEAL AND PAINT ACOUSTIC CEILING
05 KITCHEN
Unit
100 L.F.
289 S.F.
Length Width Height
12' 0" 9' 0" 8' 0"
PAUL DAVIS SYSTEMS
Restoration Specialists
June 29, 1995
Estimate 4285
Page 4
Cont t nued 05 KITCHEN
CEILINGS
43. SEAL AND PAINT SHEETROCK CEILING
Unit
108 S.F.
WALLS
44. SEAL AND PAINT SHEETROCK WALLS 168 S.F.
06 DINING ROOM
Length
10' 0"
Width
9' 0"
Height
8' 0"
CEILINGS
45. SEAL AND PAINT ACOUSTIC CEILING
Unit -,
90 S.F. \
WALLS
46. SEAL AND PAINT SHEETROCK WALLS 232 S.F.
07 ENTRY
Length Width Height
14' 0" 4' 0" 8' 0"
CEILINGS
47. SEAL AND PAINT SHEETROCK,CEILING
Uni t
56 S.F.
WALLS
48. SEAL AND PAINT SHEETROCK WALLS 256 S.F.
08 HALL
Offset
Length
7'
11 '
Width
5' 6"
3' 4"
Height
8' 0"
8' 0"
CEILINGS
49. INSTALL ACOUSTIC CEILING
50. MASK AND BAG ROOM FOR PROTECTION
Un I t
79 S'. F.
49 L.F.
09 BEDROOM #1
nset
CEILINGS
51. MASK AND BAG ROOM FOR PROTECTION
52. SEAL AND PAINT ACOUSTIC CEILING
Length
11' 0"
3' 0"
Width
12' 10"
3' 6"
Un i t
53 L.F.
130 S.F.
Heights' 0j
8" 0"^
PAUL DAVIS SYSTEMS
Restoration Soecialists
June 29, 1995
Estimate 4285
Page , 5
Length
10 BEDROOM #2
Offset
C 1 oset
1 1 '
3'
2'
8"
4"
4"
Wi
11 '
2'
8'
dth
0"
4"
0"
Mei
8'
8'
8'
ght
0"
0"
0"
53.
54.
CEILINGS
MASK AND BAG ROOM FOR PROTECTION
SEAL AND PAINT ACOUSTIC CEILING
Un I t
72 L.F.
154 S.F.
11 MISCELLANEOUS
MISCELLANEOUS
55. FURNISH SCAFFOLDING (HIGH CEILINGS
REMOVE & REPLACE T&G ALONG CEILING)
56. SECURE BUILDING PERMITS
57. FURNISH DUMPSTER, 40 CU YARD
TOTAL
Uni t
1 L.S.
1 L.S.
1 LOAD
$15,682.76
JOSEPH E HIMICH Dated
6195S00676 PflUL DflVIS SYSTEMS
T-913 P-002 JUL 05 '95 14:39
COMPENSATION
IN SUFVANCC
PO BOX 807, SAN FRANC1SCQ,CA 94101-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE Oa-01-94
POLICY NUMBER 1207942 - 94
CERTIFICATE EXPIRES: 08-O1-8S
COUNTY OF SAN DIEGO
ATTNi BUILDING DEPARTMENT
5201 RUFF IN ROAD
SAN DIEGO CA, 92123
JOB- ALL. OPERATIONS
This is to certify that we have issued a valid Workers' Compensation insurance policy m & form approved by trie
California Insurance Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund except upon 30 clays' advance written notice to the employer
We will also Cfive you go <fays' advance notice should this policy be cancelled prior to its normaJ expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by trie policies listed herein Notwithstanding any requirement term, or condition of any contract or other documentwtih respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the
policies described herein is subject to all the terms, exclusions and conditions of such policies.
PRESIDENT
EMPLOYER'S LIABILITY LIMIT- 13,000,000.00 PER OCCURRENCE.
ENDORSEMENT #2055 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08/01/94 IS ATTACHED TO AND
FORMS A PART Of THIS POLICY.
EMPLOYER LEGAL NAME
PAUL DAVIS SYSTEMS OF S.D. INC.
9225 CHESAPEAKE OR #F
SAN DIEGO CA 92123
PAUL DAVIS SYSTEMS OF S D. INC
PRINTED- 07-21-94 PQ410
City of Carlsbad
^f~ ••^^^••^'••^^^^^•^•^^^^^^••'^•••i^^B^IBuilding: Department
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations,
I have and will maintain a certificate of consent to self-insure for
workers' compensation as provided by section 3700 of the Labor Code, for
the performance of the work for which this permit is issued.
have and will maintain workers' compensation, as required by section 3700
f the Labor Code, for the performance of the work for which this permit is
sued. My workers' compensation insurance carrier and policy number are'
INSURANCE COMPANY EXPIRATION DATE:POLICY NO.
^A.^Asa..™/ja>25jsa.-55il.
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS IFOR 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
im C. workers compensation laws of California.
Signature Date
Warning: Failure to secure workers' compensation coverage is unlawful, and shall be
subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars ($100,000), in addition to the cost of compensation, damages as provided for
in Section 3706 of the Labor Code, Interest and attorney's fees.
March 3, 1995
2075 Las Palmas Dr • Carlsbad CA 92009-1576 • (619) 438-1161 - FAX ^619) 438-O894