HomeMy WebLinkAbout2653 SAUSALITO AVE; ; CB880807-222; Permit..,
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USE BALL POINT PEN ONLY & PRESS HARD ---. ----. ---APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
IC ~ [Xl[])CI her-'>y affirm that I am licensed under u p,ovlalona of Chapter 9 (commencing with
: Section 7000) of Division 3 of the Business
,-. and ProleHlona Code, and my license is in ~ lull force and effect.
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I hereby afllrm !hat I am exempt lrom the Contrac-
lor' s license Law tor the following reason {Sec 7031 5 Business and Proless.ons COde Any city Of county wtuc.t, re·
quires a perm11 10 construct. al1er improve. demoltSh. or re~ir iny s1ructure, pnOf to 11s ,ssuance also reqwes !heap·
p1tcan1 '°' such permit 10 tile a signed slatement that he ,s licensed pursuant to the provisions ol lhe t:on1rac1or s
License Law (Chapter 9 coovnencmg with Section 7000 of 01v1s1on J ol tne Business and Pfotess1ons Cadet or lhat 1s ex-
empt therefrom and the basis for the anegea exemphon Any
v1olat1<1n ol Sechon 7031.5 by an applicant for a permit sub·
iects !he applicant to a c1v1I penalty of 001 more than hve hun-
dred d<ilars ($500)
I, as owner of the property. Of my employees w1lh wages as their sole compensahon will do the work, and lhe slruc·
lure 1s not mtended or ol1ered for sale (Sec 7044, Business
and Prolesst0n!t Code The Contractor's Ltcense Law does no! apply lo an owner ol properly who builds or 1mpr011es
!hereon and who does such w0tk himself or lhrough his own
emoloyees, piovlded that such improvements are noI intend-ed or ottered lor sale II, however, the butldmg or Improve-
men1 Is sold within one year o1 comptetlOll, lhe owner-builder
wtll have lhe burden of proving that he did no! bt.11ld or 1m·
prove for the purpose 01 sateJ
I I, as owner o1 the prcperly, am exclusively conuaclmg
w1U1 licensed contractors to construct lhe project (Sec 7044. Business and Professions Code The Con1racl0t's license
Law does not appty 10 an owner ol property who builds or im-proves !hereon, and who contracts tor each protects with a contractor(s) license pursuant to the ContractOf's License law)
t l As a homeowner I am ,mprov1ng my tiome, and lhe follow mg cond~IOOS exist
1 The work 1s bemg per1ormed puor to sale 2 I have hved 1n my home tor twelve months pnor to complehon of lh1s work
3 I have not clatmed lh1s exempllon during the
last lhree years
□ I am exempl under See ______ . 8 & P C.
lor this ,eason -------------
y "jJ; I hereby affirm Iha! I have a cen1hcate ol consent to
~.insure. or a cert1hcate ol Workers· Compensauon In-
surance or a cerhhed copy thereof (Sec. 3800. Labor Code)
POLICY NO P 0 0 5 16 4 4 ~I coMPANYZeni th Ins. ~ x~ Copy IS ltled wtth the c,ty ~
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CJ Cert1heel copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(Th,s section need not be completed it ttle perm,t
,s for one hundred dollars ($100} or less)
0 I certify lhat m the performance of the w0tk tor whicn
Ih1s permit Is issued. I shall nol employ any person in any
manner so as to become subject to lhe WOJkers· Compen-
salton Laws of California.
NOTICE TO APPLICANT. If. after ma.king Uus CerUftcate
of Exemption. you should oecome subject to lhe Workers·
Compensation Pf0vls1ons of the Labor Code. you must
forthwith comply with such prov1s1ons or this permit shall
De deemed revoked.
~x hereby affirm that there 15 a construction lending
agency to, 1he perfonnance of the work fOf which this P8f·
mI1 Is Issued (Sec. 3097. C1v1I Code)
lenders Nam.C 0InIIlQilWe a.Lt.h-M.o r
lenders AddressS....~B-f}Y-5--e
SD
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, C A 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RD. THOMAS BROS NO. I DATE OF APPLICATION! BUSINESS LICENSE • VALUATION PERMIT NUMBER
2653 Sausalito Avenue 13038 164,031
LOT BLOCK I SUBDIVISION I ASSEirt..;s9i1 ~'+ 'Do CONTRACTOR CONTRACTORS PHONE • ZONE Cl, 880807-222 22 84-35 1
OWN£ R'S NAME I s69 ~iss5iHONE
Foote Development Co. 569-1883
Foote Development Co. CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNE R·S MAILING ADDR £5S 5205 Kearny Villa Way # 21 352821B 2299
5205 Kearny Villa Way #211 SD 92123 DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WOR K Buzard Henning & Assoc. 278-6855
SFD w/attached 3-car garage DESIGNER'S ADDRESS STATE LICENSE NO.
Plan SC 4883 Ronson Ct. #B SD C4729
F/P FLA ELEV. NO OCC GP EDU 1198 00/10/88 0001 01 02
vO NO
~RIES R3 1 BldPmt 950:,0: I CENSUS TRACT I PAR~•;~ SPACE I RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE DCC LOAD FIRESPR
AREA CONST
'D ND ,□ ..xi VN vO ,J{]X Not Valid Uni~, M#chine Certifi«J
QTY. PLUMBING PERMIT· ISSUE 7-si> QTY. MECHANICAL PERMIT · ISSUE rs csa SUMMARY/ACCOUNT NUMBER
1 7 EACH FIXTURE TRAP 42 .. sn 1 INSTALL FURN. DUCTS UP TO 100.000 BTU a on BUILDING ~tHMI I 001·810·00·UU·oau 867
1 EACH BUILDING SEWER f:. .t:;(l OVER 100.000 BTU SIGN PERMIT 001-810·00·00·8221
1 EACH WATER HEATER ANO OR VENT ? .C::A BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8891 564
1 EACH GAS SYSTEM I TO 4 OUTLETS ") .c::" BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00-8222 hq
-6. ~o EACH GAS SYSTE M~ OR MORE 1 METAL FIREPLACE ELECTRICAL 001-810·00·00·8223 ·H1
EACH INSTAL . ALTER, REPAIR WATER PIPE 1 VENT FAN SINGLE DUCT 4.50 MECHANICAL 001·810·00-00-8224 .1.1.h
1: EACH VACUUM BREAKER -, -C:: n ~ MECH EXHAUST HOOOtDUCTS 0.50 MOBILEHOME 001-810·00·00·8225 --WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226
EACH ROOF DRAIN I INSIDE l 1 DRYER VENT 4.50 STRONG MOTION 880-519·92·33 1 ') -TOH,L MECHANICAL FIRE SPRINKLERS 001-810-00·00·8227
TO I AL PLUMBING I 69 .. 00 46~00 PUBLIC FACILITIES FEE n ~2tl:-810·00·00·8740 c::.., ,1 1
~ BRIDGE FEE 360-810·00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA Z / ts b )
NEW CONST EA AMP SWI HKR 10 0 25.00 CAR PORT TIF 312·810·00·00-8835
1 PH 3 PH AWNlNG LA COSTA TIF 311 ·810·00·00-8835
EXIST HLDG EA AMP1SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001 ·810·00·00·8162
REMODEL ALTtR PER CIRCUIT MFF 880·519·92·57 .L5YU
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT -200
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I 30.00 q i=;nc;
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued by the Bu1ld1ng Off1c,1t under the p,o.,,1s1ons of lh•s * AN OSHA PERM:T IS AEQUIAEO FOR EXCAVATIONS OVEII
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tation and become null and void 11 the bu1td,ng or work 5' o·· DEEP ANO DEMOLITION 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ aulhoflzed by such permit 1s not commenced w1th1n 180 days from the date of such STRUCT\JAES OVER 3 STOAIES IN HEIGHT ~ or 1f th~~'"H Of work authorized by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON ab ned at an a er t""-work ,s commenced tor a oenod ot 180 ttavc.
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APr>t.i'I~~ OWNE~ CONTRACTOR 0 APPROVED BY 4)1 ~l"I 8!' ~ f EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS ANO
XPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /2 ~ Bv PHONE rJ GRANTING OF THIS PERMIT
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF D SHEAR
FRAME
EXTERIOR LATH '
INSULATION I
INTERIOR LATH & DRYWALL :
'
PLUMBING
□ SEWER AND BUCO D PL/CO
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 ! ~
MECHANICAL I ~ I
GAS " \. _.
BUILDING '\J~ ' -~ \
SPECIAL CONDITIONS . '--\ --
.. -... ' Cl,~ ()gl) 7 ;' ~~ • ✓ . ,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH . BOLTS .
SPECIAL MASONRY
PILES CAISSONS .
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FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-,222 DATE: 1-9-89
PROJECT NAME: _____ F_a_l_c_o_n_H_l_ll_s ____________________ _
ADDRESS: ______ 2_6_5_3_S_o_u_s_a_l_lt_o_A_v_e __________________ _
84-35 PROJECT NO.: ________ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: ____ S_F_D _______ NUMBER OF UNITS: 1
CONTACT PERSON: ___ C_l_1u_c_k ________________________ _
CONTACT TELEPHONE:, __ 7_2_9-_2_3_2_0 ________________________ _
II '~pt
INSPECTED ~~ ·
BY: ---~~-='---"-'<...:....=:c....=:,,-=-
INSPECTED BY: _________ _
INSPECTED BY: _________ _
~AiiECTED: JAN. 2 0 1989
DATE
INSPECTED:
DATE
INSPECTED:
Costa Real Municipal Water District
COMMENTS: Engineering Department
(619) 438-3367
APPROVED __ /_ DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
. '
Rev. 1186 WHITE: Suspens~ GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 800807-222 DATE: 1-9-89
PROJECT NAME: ______ Fa_lc_o_n_H_l_ll_s __________________ ~....._-
PROJECT NO.: ____ 8_1J_-_3_S_ UNIT NUMBER:
TYPE OF UNIT: _____ S_f_O _______ NUMBER OF UNITS:
CONTACT TELEPHONE: __ 7_2_9_-_2_32_0 ________________________ _
II >
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED ~ISAPPROVED __ _
APPROVED DISAPPROVED -----"•-
.,
APPROVED DISAPPROVED __ _
COMMENTS:--------------------------------~-' " ' ' \
I
Rev. 1/86 WHITE: Suspense BLUE: Water Distric GR~~g CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-222 DATE: 1-9-89
PROJECT NAME: _____ F_u_l_co_n_H_l_lf_s ____________________ _
ADDRESS: 2653 S usallto Ava
PROJECT NO.: _____ S_IJ_-_35 __ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: ____ S_F_D _______ NUMBER OF UNITS: 1
CONTACT PERSON: ___ C_h_u_c_k ___________________ ___.:. __ ___:_:=.__-=.:...:..
CONTACT TELEPHONE: __ 7_2_9_-_2_3_2_0 ________________________ --+-
lll dept
INSPECTED DATE f-.19 Y9 APPROVED v BY: INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
r COMMENTS:
Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engine ng PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 8 0807-222 DATE: 1-9-89
PROJECT NAME: Falcon HIiis
ADDRESS: 2653 Saus llto Ave
PROJECT NO.: 84-35 UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: SFO NUMBER OF UNITS: 1
CONTACT PERSON: Chuck
CONTACT TELEPHONE: 72 -2320
INSPECTED ai✓ DATE M / ...-::. BY: INSPECTED: APPROVED DISAPPROVED
t INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utlllt~ GOLD: Fire
FINAL BUILDING INSPECTION RECEIVED JAN 1 1 1988
PLAN CHECK NUMBER: 0807-222 DATE: 1-89
PROJECT NAME: _____ F_·_l_co_n_H_l_ll_s ____________________ _
PROJECT NO.: fl-35 _______ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: ____ S_F_O _______ NUMBER OF UNITS:
CONTACT PERSON: ___ c_1_1_u_c_k ________________________ _
CONTACT TELEPHONE: __ 7_2_-_2_]_:Z_O ________________________ _
INSPECTED C, . (6 oJ2 J..., DATE 1/1 q I ~1 K BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Plan ng GOLD: Fire