HomeMy WebLinkAbout2654 SAUSALITO AVE; ; CB880807-216; Permit.,, z 0 ;::
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APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ----USE BALL POINT PEN ONLY & PRE_~S HARD
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XX I M<eby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profaaalons Code, and my license Is In
full force and effect.
I hereby attum lhal I am e.:empt lrom the Contrac-
lor·s License law for the toUowmg reason (Sec 7031 S Business and Proless,ons Code Any city or county whK.li re-quires a perm,I lo construcl, alter. improve, demoltsh, or
repa,r any suucture, pnor 1011s issuance also requires !heap· phcant lor such permit 10 hie a signed s1atemen1 that he 1s
hcensed pursuanl 10 the prO"lmons ol the t,;on1rac1or s license Law (Chapter 9 convnencmg with Sec.t1on 7000 ol
01v1s10n 3 of the Business and Protess1ons Code) or that ts ex-
empt lherefrom and the basis !or the allegea exemphon Any
v,olat,on of Sectt00 7031 S by an appltcanl tor a permit sub· 1ects lhe appheanl 10 a c1v,1 penally o1 not more than five hun-
dred dollars ($500)
l I. as owner ol the property. or my employees with wages
as their sole compensahon w1U do the WOlk and !he suuc-
lure 1s not intended or oflered 101 sale (Sec 704•. Busmess
and Protess,on~ Code The Contrac.1of's license Law does
nol apply to an owner ol property who builds or improves
!hereon and who does such work himself or through his own employees. prO'IKSed that such improvements are nol intend♦
eel or ottered IOJ sate If. however. the building or improve♦ ment is sold wllhtn one year ol completion. the owner-builder
will have the burden ot provmg thal he did not build or im-
prove IOf the purpQSe of sale)
11 I, as owner ot 11'le property, am exclus,vefy contracting
with 1tcense<1 contractors to construe! tne pro,ect (Sec 7044.
Business and Professions Code The Contractor's Ucense Law does no1 appty to an owner of prl)perly who builds or 1m·
proves thereon. and who contracts !or each proiecls wllh a
contractor(s) license pursuant lo the Contcactof's license Law)
f 1 As a homeowner I am 1mp(ov1ng my home, and the follow
mg cond1ttons ex,sl 1. Tl'le WOfk ,s being performed prt0r to sate
2 I have lived m my hOrne for lwelve months pnor lo completion ot lh1s work
3 I have not claimed this e,cemptmn dunng ine
1as1 three years
0 I am exempt under Sec ______ , B & P C.
IOJ this reascn ____________ _
~ I hereby alflrm !hat I have a cer11hcate of consent to
~f-insure. or a certificate ot workers Compensatioo In-
surance. or a certil1ed copy thereof (Sec. 3800. labor Code)
POLICY N<P O O 51 6 4 4
coMPANZeni th X: Copy IS hied with the city
0 Cer11hed copy 1s hereoy lurn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
,This section need not be completed if the permit
1s tor one hundred dollars ($100) or less)
0 I certify that in the performance of the work tor which
th,s perm,t 1s issued. I shall not employ any person in any
manner so as to t>ecome subJect to the Workers· Compen-
sation Laws of Cahforn,a.
NOTICE TO APPLICANT· If. after making this Certificate
or Exemptton. you should become sub1ect to the Wotkers
Compensation provisions of !he labor Code. you must
lorthw1th comply with such prov1s1ons or this permit shall
be deemed revoked
l XtJ I hereby alllrm that there ls a constructton lending ffi agency for the performance of lhe wol1( for wh,ch this per-
0 m,1 Is issued (Sec. 3097. C1v11 Code)
~ Lender. Na.C Offiffi.0-Il w.e-a-1-t---h--~
Lender"s M,64..6-S-~ Dr
SD
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92~·191~619) 438-1161 APPLICATION & PERMIT
JOB AOORESS AV. ST. RO. THOMAS BROS NO. I OATE OF APPLICATION] BUSINESS LICENSE • VALUATION PERMIT NUMBER
2654 Sausalito Avenue 13038 140,957
CONTRACTORS PHONE • ZONE LOT-I BLOCK
7.1 6 I
SUBDIVISION
R4-7;~
I ASSESSOR PA~L NO .,...;""\ I tt,1 '.::. <&> I O Y ·uv
CONTRACTOR 1 CJ, 880807-216
569-1883 OWNf R'S NAME -OWNER"S PHONE IFnnf-"" n,:nro 1 ,...,...,..,,. ... + r,..
CONTR-AC:TOA'S ADORES~ STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'SMAILINGADOR ss 1s2os KearnY-Villa Wa)! #21~ 3s2a~~ I I O I
5205 Kearny Villa Way #211 SD 92123 0Es1GNER DESIGNeRs H e 20 8
DEscR1Pr10N oF woRK Buzard Hennin2: & As soc
SFD w 0Es1GNER·s ADDRESS
~'° Plan 4A l4_883 ronson Ct . #R
~ F/P FLA ELEV.
vO NO l CENSUS TRACT PARKING SPACE GRAOI A~IT I O ~,REDEVELOPMENT
469 ~ AREA ,,_";:;:¥0_ _ v□NrJ
QTY. PLUMBING PERMIT · ISSUE 9~ ... Ja\V ~ANICAL PERMIT. ISSUE
1 6 I EACH FIXTURE TRAP I 4 0. Ofl l~J.~Ll FURN DUCTS UP TO 100.000 BT_l)
sn
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STORIES
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TYPE
CONST VN
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278-6RSS
STATE LICENSE NO.
r.4_7__2_(
occ GP I EDU
R3 I 1
occ LOAO I FIRE SPP
vO ~
U 98 08/10/BB 0001 01
BldPm~
Not Valid Unlt!Ss Machine Certified
SUMMARY/ACCOUNT NUMBER
l!□l[~lf1tl ~m11T ~~I-S1~-~~-~~-m~ I 7tb
EACH BUILDING SEWER OVER 100,000 BTU I -·-··. -·······
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP I E'
Sif.N PFRMIT 00 t-810-00·00·8221
PLAN CHECK 001·810-00·00·8891 , 509
1 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP
EACH GAS SYSl EM~ OR MORE -~ 1 METAL FIREPLACE 6,50
EACH INST AL . ALTER . REPAIR WAT ER PIPE 1 VENT FAN SINGLE DUCT 4.5-
TOTAL PLUMBING 00 i ·810·00-00-8222
ELECTRICAL 001-810-00·00-8223 30
MECHANICAL 001-810-00-00-8224 46
? EACH VACUUM BREAKER c; £Ht 1 MECH EXHAUST HOOD DUCTS 6.50 MOBILEHOME 001-810·00-00-8225
WATER SOFTNER
EACH ROOF DRAIN I 11\JSIDE I 1
RELOCATION OF EA FURNACE/HEATER
DRYER VENT 4 .. 50
SOLAR 001 ·810-00·00·8226
STRONG MOTION 8so-s 19-92·33 I 10
02
8552-\l\
TO I Al PLUMBING ] 64.00
TQT,-L MECHANICAL 4 6. 0 0 I .. · -·--· •. -·--~ 1 FIRE SPRINKLERS 001-810-00-00-8??7
PUBLIC FACILITIES FEE • ()3IJ10-oo-oo-8740 J 4.934
QTY. ELECTRICAL PERMIT -ISSUE -5~ QTY. I MOBILE HOME SETUP
BRIDGE FEE 360·810·00·00-87 40
PARK-IN-LIEU (AREA 2 l ] 786
NEW CONST EA AMP SWl HK R __l_Q_Q_ 25.00 CAR PORT TIF 312-810·00·00-8835
1 PH 3 PH AWNING LA COSTA TIF 311·810·00·00-8835
EXIST BLOG EA AMP•SWT 8 KR GARAGE FMF
1 PH 3 PH LICENSE TAX 00 )-810-00·00·8162
REMODEL AL TtR PER CIR CUil MFF 880-519-92·57 1590
TE MP PO LE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 OAYSl
CREDIT DEPOSIT -20.0
TOTAL ELELTRICAl ] 30.00 lOTAl TOTAL FEES PAYABLE l 8552
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND DO HEREBY Expiratron E,ery permit issued by the Building Ollicial under lhe pro•151on• ol lhis * AN OSHA PERM:T tS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation •nd become null "nd •O•d II lhe bu,ldong or work 5· 0" DEEP ANO DEIIIOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ aulhonzed by such permil 19 nol commenced wrlhm ISO da s lrom the date ~I su~~ STRUCT\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON a STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND L!A:::.:!!l~~::..!.~,;it:~!!!!:_;~~~~~~~~~~n:,c,!..~.!.!!l,W!!!.ll--~P"A•P•P•A•O•v•E•D-B•Y----------•~-"""'•~-i,----...,
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~~ ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHO E []
GRANTING OF THIS PERMIT N
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH ' :
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS ;
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING "' --ELECTRICAL t--.
MECHANICAL \ ' " GAS ½ x-
BUILDING ' N \."\.~
SPECIAL CONDITIONS l • ~
"
. C i O,t.gg-0807-~,c.,, ,--
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS .
SPECIAL MASONRY
PILES CAISSONS
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5'i . . -t .
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I ,· ,.,.1 ~ ... ~ •• 111
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FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE: J
PROJECT NAME: _____ F_A_L_C_O_ll_f-l_l _L_L_S __________________ _
ADDRESS: 26S SAUSALITO AVE lUE
. T 6 -35 PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: _ F_n __ / A_T_T_A_C_. _____ NUMBER OF UNITS:
CONTACT TELEPHONE: ____ 7_l_9_-_2_3_l _0 ______________________ _
XXX LL DEPART T
DATE /
--'C INSPECTED: APPROVED / DISAPPROVED
... , INSPECTED DATE
BY: INSPECTED: • APPROVED DISAPPROVED I ,.
INSPECTED DATE
BY: INSPECTED:
I
APPROVED DISAPPROVED
,.
/ /
COMMENTS: ----------------------------------
,
'FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: )( 88-0807-216 DATE:
)
January 6, 1988
PROJECT NAME: _____ F_A_L_C_O_N_H_I_L_LS __________________ _
ADDRESS: 26511 SAUSALITO AVENUE
PROJECT NO.: _::_T_S_IJ_-_l_S ___ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: SFD W /ATTA~ &) uAf ,\ r-NUMBER OF UNITS: 1
M CONTACT PERSON: _____ ·c_H_U_C_K~-_F_O_l.l_T_l::_i>_c_V_c_L_v_t--'_ll::._,_T _____ ___,,_,o ____ _
LL >r=r"' <T , 11
1BNY~. PECTEDi.\. ~•A ()?-~LL DATE 1 ~" I <7'Ci) / !£ S½t-'~~--INSPECTED: f I /o ~ APPROVED --'~"'----DISAPPROVED __ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED __ _ DISAPP~OVED __ _
APPROVED DISAPPROVED __ _
COMMENTS:---------------------------------
r
Rev. 1/86 WHITE: Suspense BLUE: Water Dlstric CANARY: Utilities PINK: Planning GOLD: Fire
, ,·
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r
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: -~ 88-0807-216 DATE: January 6, 1988
PROJECT NAME: _____ F_A_L_C_O_N __ H_I L_LS __________________ _
ADDRESS: 2654 SAUSALITO AVENUE
PROJECT NO.: ..:T e4-35 UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT:<"' FD W / ATTACnciJ vAkA . NUMBER OF UNITS: 1
CONTACT PERSON: _____ C_H_U_C_K----'---"--F_O_C,_T_c_u_c_V_c:_L_v_t'_."v1_l::_I_T ___________ _
CONTACT TELEPHONE: ____ 7_2_9-_2_3_2_0 _________ ~-------------
INSPECTED !'1\\. ,
BY: ------'N'--_P_ Yv.__...../ __ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
~~iECTED: JAN. 2 0 1989
DATE
INSPECTED:
DATE
INSPECTED:
DISAPPROVfD, _, __
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
Costa Real Municipal water Oist11q1
COMMENTS: ___ _..::E=n-'-'g=i_n_e-=-e,-ri_n,=;g=D,.,.e_p"""a"""r .... t ___ mr-e_n_t __________________ _
Jf4N I O 1989
COSTA REAL
Rev. 1/86
(619) 438-336/
REEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire I
-p I J\1 .....
(I
' FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: K 88-0807-216 DATE: J nuar-y 6, 19813
PROJECT NAME: _____ F_A_L_C_O_N_H_I_L_L_S _____________ ------::::::;:;~;:::--
ADDRESS: _______ 26_5_4_S_A_U_S_A_L_I_T_O_A_V_E_N_U_E _______ --=---c-'--.,.:-------"-""77'-
PROJECT NO.: CT S'4-]S
TYPE OF UNIT: ,.FO \'I I ATTAC ... ' ' NUMBER OF UNITS: 1
CONTACT PERSON: _____ C_H_U_C_K~ ___________ T ___________ _
CONTACTTELEPHONE: ____ 7_2_9_-_2_3_2_0 ______________________ _
-\LL -p 'T _ JT
INSPECTED DATE I-/9 ~ APPROVED ✓ BY: INSPECTED: DISAPPROVED
INSPECTED DATE ~
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE 1 ' BY: INSPECTED: APPROVED DISAPPROVED •• . t
COMMENTS:
?t. TT7l A._
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engine .
FINAL BUILDING INSPECTION
RECE\VED J#\N 1 1 198
PLAN CHECK NUMBER: 8-0807-2l6 DATE:
PROJECT NAME: _____ F_· _L_C_O_N_ . .,_,_L_L_S _________________ _
ADDRESS: 265 SAUSALITO AVENUE
.. T O -35 PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: _______ _
TYPE OF UNIT:
CONTACT TELEPHONE: ____ 7_l_-_l_3_2_0 ______________________ _
~y~PECTED C -C:>c&c:L., DATE 1/iq I"( L ~ INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED 11
COMMENTS: ---------------------------------
Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Plannln~