HomeMy WebLinkAbout2687 SAUSALITO AVE; ; 85-389-65; Permit.,, z 0 ► C a:
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G:il I hereby affirm that I am licensed under
in&,lslons of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profe11lons Code, and my license is in
~~II ~~,c~~~l§'.'2t1 Clm _B ___ _
I hereby allum that t am exempt lrom lhe Contrac• lor s Loeense Law lor Ille followu,g reason (Sec 7031 5 Business and Protess10ns Code Any city Of county whicr. re-
quires a permit to construct. alt~. improve demolish. °' repair any Slructure. pnor 10 11s ,ssuance also reQu1res !heap·
phcant !Of such permit to Ille a s1Qned slatemenr thal he 1s
bcensed purstWlt lo the provisoos of lhe ConuactOf s
Locense Law (Chapler 9 conwr,,nc,ng w,th Secl,on 7000 of Olv1s1C)O 3 of the Business ancl Protess,ons coc:se, or that ,sex·
empl therefrom and the basis IOJ the allegeo exemphOn Any v,otahon of Seehon 7031.5 by an apphcant fo, a permit sub·
1ects the applicant to a cw11 penally of not more than hve hun•
dred dollars (S500)
I. as owner ot the property or my emp!Oyees w,1h wages
as trie,r soIe compensatt00 w,11 do the wor'k ano the struc-ture 1s not Intended or offered lor sale {Sec 7044 Busmess
and Proless,ons COde The COnlractor's license law does not apply to an owner 01 property who builds Of 1mp,oves !hereon and who does such work hlmself Of lhrough hrs own
employees. provided that such 1mp,DYemenls are nol in lend ed Of offerec lor saie ft, oowever. the buikf1ng Of ,mprove
ment 1s sotd w,thin one year of completion. the 0Yrner•bu1ktef will h.ave the burden of proving that he dtd no! butld or im•
prove lor the purpose of sate)
I, as owner of the properly. am exctusively contracting
with bcensec contractors to construct the pra,ect (Sec 70t4 8usniess and Prolessions Code The ContractOf·s License
Law does not apply to an owner at property who builds or 1m• proves thereon. and who contracts tor each pra,ecls w,lh a
contractor(s) license pursuant lo the Conlracior's lteense Law)
L As a homeowner I am ,mprovmg rrry home. and lhe follow 1ng cond1hons exist
t The work ,s being performed prlOf 10 sale
2 I have hved 1n my home IOf' h~elve months r:: :'1P!':ct°' 11t11:-:'!p1-on duung the
last three years
I am exempt under Sec _____ _ B&PC 10f this reason ____________ _
~~ereby alhrm lha1 I have a cert1f1eate of consent 10
self.insure. or a. eertlhca.le of Workers· Compensat1on In•
surance. or a cenil1ed copy ttlereol (See. 3800. Labor Code)
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ----------.... -·· --·-· -. ··---······-. ------··-· -··--·--·--· ,,---------------------------------------------------------------------------------, , ,. CARLSBAD BUILDING DEPARTMENT ERMIT
, , Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & P Ir-------------------------------------------------------------------..,....-------~ I JOB ADDRESS -· AV. ST. RO. NEAREST CROSS ST. IOATE OF APPLICATION' BUSINESS LICENSE • VALUATION PERMIT NUMBER
: 12 6 8 7 s au s a 1 i to Avenue Pontiac Drive 5 / 2 / 8 6 I 13 0 3 8 14 8113 ~ .s-
1 LOT BLOCK I sueo, v,s,oN I ASSES:,OR PAflCEi..t;m. r. -:"\ CON TRACTOR CONTRACTORS PHOl'<E • ZONE 8 5 -3 8 9-~
I 6'i . 84-35 I \9"1 :::> l.J. \,Vu . ·
1 o wNE<i·s NAME t o wNER'SPHoNE Mike Foote Development 569-1883
I • CONTRACT OR'S ADDRESS LICENSE NO PLAN t.D. # BUILDING SQ. FOOTAGE
1 Mike FooteMvelopment 569-1883 5205 K V'll w a 2 1 352821
I OWNER'SI\AA,1NG ADDRESS earny i a ay 1' ??QQ
I • • DES•GNER DESIGNER'S PHONE
1 5205 Kearny Villa Way, Ste 211 San Diego . 67'1G'/B690ut.. 5117•87
1 DEScR1PT•ON OFwOR1< Bn7.ard Henn1nl!' 278-6855 .... --·
1 P 1 an 5 DESIGNER'S ADDRESS LICENSE NO.
SFD w/attached garage 4RR1 RnnAnn C1,urt SD. C4729
-F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --2 R -3 1
A REA CONST CENSUS TRACl I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPR
6 6 1 1 y O N O , 0 "~ u N v O NiP Nor Vahd Unl~s M~chtne Certified
Q TY. PLUMBING PERM IT . ISSUE l • 5 O QTY. MEC HANICAL PERMIT. ISSUE 3 • 0 0 SUM M ARY/ACCOUNT NUMBER
16 EACH FIXTURE TR AP 4 0 • 0 0 1 INSTALLFURN DUCTS UP TO 100.000 BTU 4 • Q 0 BUILDING PERMIT 00l·8t0·00·00·8220 5 5 6 • 0 0
1 EACH BUI LO ING SEWER 6 5 0 __ OVER 100.000 8~ SIGN PERMIT 001·810·00·00·8221 ____ _
1 EACHWATER HEATERANOORVENT 2 50 80ILER!COMPRESSORUP T03 HP PLANCHECK 001·Bt0·00·00·8806 'Hi1 00
1 EACH GAS SYST EM I TO 4 OUTLETS __ -f--2 .._5_() BOI LER/COMPR ESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 _6 6 • 5 ()_
EACH GAS SYSTEM 5 OR MORE ---1 METAL FIREPLACE _ 1 1) n ELECTRICAL 001·810·00·00·8223 10 0 n
EACH INSTAl . ALTER. REPAIR WATER p~ _ • 1 VENT FAN SINGLE DUCT ? () n MECHANICAL 001·810·00·00-8224 1 ? n n
EACH VACUUM BREAKER MECH EXHAUST -HOOD DUCTS MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN l'-JSIDEI SOLAR 001·810-00·00·8226'-t----------t
-;i ,.. ~ ~ = 1,.. i-b--b S ---~-~-7 5.Q TOT t;L MECHANICAL ~TRONG MOTION ---880-519-92·33 _ 10 , 3 7 _
-·---TOT AL PLUMBING I 6 6 -5 0 , ') ,('\ ('\ FIRE SPRINKLERS 001·810-00·00·8227
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POLICY NO T C 6 2 1 8 0 7 5 9 9
coMPANYMarv land Ca sualt.i. X:X Copy 1s !ilea witrr' u,e city -(
QTY. E LECTRIC AL PERMIT. ISSUE 5 . 0 0 QTY. SOLAR . ISSUE PUBLIC FACILITIES FE_E __ 332·810·00-00-8930 2 • 9 6 2 • 0 0
z w ~ 2 0 0
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0 Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Th1s sec1Ion need not be compl.eled If ttte permII
1s tor one hundred dollars tS 100) or less)
~
l....i I certify tha.t In the performance ol the work for which
1h1s permit Is Issued. f sttall not employ any person in any
manner so as 10 become subject to the Workers· Com pen•
sation l aws of Cahfornia.
NOTICE TO APPLICANT It, after making this Cert1l1cate
of Exemption. you shoufd becotne SUDJect 10 ll'le Wo,kers
CompensaiUon PfOvlsions ol the Labor Code. you must
lorthw11h comply with such prov,s,ons or I his permit shall
De deemed revoked.
ffi agency tor the performance of the work IOI" which this P8f· lxlx I hereby affirm that there is a construction len. ding
0 m,t is Issued (Sec. 3097. Civil Code) ~ Lender's Name~al th__ _,
Lender's Addre8V 5 A e r O _j)~r-
San Diego , CA
NEW CONST EA AMP SWT BKR l 0 0 2 'i 0 0 COLLECTORS SCHOOL FEE· DISTRICT t---------
1 PH 3 PH STORAGE TANKS Carlsbad _ XX
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San D1egu1I0
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 001·810·00·00·8162
TEMP OCCUPANCY 130 DAYSI MFF1 ta 1 1 ? n 880·519·92·57 1 1 ? () () ()
CREDIT DEPOSIT ,
TOTAL ELEC1RICAl I TOTAL SOLAR TOTAL FEES PAYABLE I 30,00 $5,117.87
I HAVE CARE FULL y EXAMINED THE COMPLETED •APPUCA TION AND PERMIT AND DO HEREBY Exp,ral,on Every permu issued by ll>e Building Oll,c,al under tr,e prov,s,o,,s 011h•s * AN OSHA PEFWIT IS AEOUIAED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY Of PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,lation ar,d become null aoa vo,d II lhe building or wor~ S' o· oe•ft ION OR CONSTRUCTION OF authorized by such~r t 1& not commenced w1th,n 180days from the dateot such :.~.-~~-1 DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT lS iwrmil. or ,t !he bu• or work authorized by such permit ,s suspended or STRUCT\JAES 0V STORIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY COUNlY AND STATE LAWS GOVERNING BUILDING co,; L~••l!.n,sdo~n!!ed~•!!l..!•~ny(.1,1' ~•!!!!•r~l!!!he!_,~ .... ,r!_k,!!•S:,..!C,20.'!!m~m~•'C,!!ed!!..,!!:fO!!,_r!_•~ oer!,!llOd~O!,..f '!Jl80!!L!!dl!J'•t1-•-=~i"'!"!~~~~~""'--------~~.,..-""'."'_....,
~~:~c:~~~L~;:~~~RC~:vEg~~fR~~=!~ A°c.:r:.~~ A'Lti~f:ii:i~~ ~~g~~~~~~~;~~; :~g APP•~r T'S SI TUl~E 4 OWNER O CONTRACTOR 91" APPROVED ~y • o/it ~/2
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ., AA , ./ b~A I BY PHONI'□ I\ I c.. 0 1 GRANTING OF THIS PERMIT '//// 'I~ .,.. // \}__. 1') h
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TYPE I DATE INSPECTOR I
BUILDING i
..... .. ' .. ' ' . -
_.-j ' 't; \
' "\. 1?5'-~-'7o--'~ .\ . -
FOUNDATION I
-. . ' FIELD INSPECTION RECORD ' '
REINFORCED STEEL !
I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME O FLOOR D CEl~ING SOILS COMPLIANCE
SHEATHING D ROOF D SH'EAR PRIOR TO
FRAME I
FOUNDATION INSP
EXTERIOR LATH I
i
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO D P~/CO
UNDERGROUND D WASTE D WATER
TOP OUT □ WASTE □ WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSOl'.S
D WATER HEATER D SOLAR WATER
I
I -
ELECTRICAL I
□ ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC ' I
0 ELECTRIC SERVICE 0 TEMPQRARY
D BONDING □ POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC,~
1
ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED. '. L I -. ---FINAL I
PLUMBING ' I ~
ELECTRICAL I ~ I
MECHANICAL I .... \ ~ -
GAS I .!. " ~~
BUILDING I --.. ""--I .. . "'"-. SPECIAL CONDITIONS I '"' ~-
I ' ~
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-389-65 DATE: 10-21-86
ADDRESS:
PROJECT NO.: 84-35 , · r{/6 _______ UNIT NUMBER: -------=---PHASE NO.:
MA Its
___ ,::___----\":~'.JB.~~N.~ANct
°MENr
CONTACT PERSON: ___ Da_r_y_l ___________ .::,__ ________ --'1.-(#..---
TYPE OF UNIT: ____ S_F_D _______ NUMBER OF UNITS:
CONTACT TELEPHONE: __ 7_::_2 .:__9 -....:2::...:J_::_2...::..0 ________ ----==------=------------======9~S~
all depts
INSPECTED DATE Rf, /DISAPPROVED BY: INSPECTED: //--}t)-APPROVED i
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS:-------------------------------
.....
(/
Rev. 1/86 WHITE: Suspense GREEN: Englneerl g
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-389-65 DATE: 10-21-86
PROJECT NAME: ____ Fa_l_c_o_n_H_11_1_s _______ ----'---------------
ADDRESS: 2687 Sausalito Ave
84-35 PROJECT NO.: _______ UNIT NUMBER: -----=--PHASE NO.: ______ _
TYPE OF UNIT: ____ S_F_D _______ NUMBER OF UNITS: l
CONTACT PERSON: ___ oa_r_y_l ___________ .:....:..____: ___________ _
CONTACTTELEPHONE: __ 7_2_9_-_2J_Z_O _________ ---=:.... ____________ _
INSPECTED tQ DATE ~ ~
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE ' BY: INSPECTED: APPROVED DISAPPROVED \
i
I
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
Rev. 1186 WHITE: Suspense GREEN: Engineering CANARY: Ut ties
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-389-65 YW~ DATE:
PROJECT NAME: ____ Fa_l_c_o_n_H_i_l_l_s __ --+bk--,,....,,..'---,,,,./'--------------
ADDREss: 2687 Sausa 1 ito Ave
10-21-86
PROJECT NO.: ____ B_4_-_3_5_ UNIT NUMBER: ------'---PHASE NO.: ______ _
TYPE OF UNIT: ____ S_F_D _______ NUMBER OF UNITS: 1
CONTACT PERSON: ___ D_a_r_y_l ___________ .=.,. _____________ _
CONTACTTELEPHONE: __ 7_2_9_-_2_32_0 _________ _;_ ____________ _
all depts
INSPECTED~
BY: ~1 DATE ~ /~ INSPECTED: /7 ~ ~/ APPROVED --4 DISAPPROVED
INSPECTED DATE ~
BY: INSPECTED: APPROVED DISAPPROVED ~
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
coMMENTs: ----'"CA-~-==---J1a~C---L-1 ..... 1+/~s~-----'"""o~li"'""c___,~"-&J,----------
Rev. 1/86 WHITE: Suspe ARY: Utllltles PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE:
PROJECT NAME: ____ F_a_l_c_o_n_M_i _1 _1 s ______________________ _
ADDRESS: ______ .. _·6_8_7_S_o_us_a_l_i_t_o_P._v_e ___________________ _
PROJECT NO.: u4-3~ _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: SFO ____________ NUMBER OF UNITS: 1
CONTACT PERSON: ___ ~_a_r_y_l _________________________ _
CONTACT TELEPHONE: __ ?_2_9_-_t._J _ _'.;_J _______________________ _
a 11 uepts
INSPECTED DATE
BY: INSPECTED:
INSPECTED DATE
BY: INSPECTED:
INSPECTED DATE
BY: INSPECTED:
Costa Real Mor,i~ioAI w~tP.r District
coMMENTS: Engineering Oepinroent
, . ........ (619) 438-3367
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
Rev. 1/86 WHITE: Suspense GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire