HomeMy WebLinkAbout2667 SAUSALITO AVE; ; CB891196; Permit.,,
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II: g [~ I hereby affirm lhat I am licensed under u p,cwl1lon1 of Chapter 9 (commencing with
: Section 7000) of Division 3 of Iha Business
,-and Profesalons Code, and my license Is In
~ full force and effect.
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I hertby athrm lhat I am tllempt r,om lhe Contrac-l<K"s Lrcense Law IOf the lollowmg reason (Sec 7031 5
BusI1\ess and Protessions Code Any c,ty or county wh1tli re·
quires a perlTllt to constwcl, alter. improve. demolish. or
repau any structure. prt0r to IIs issuance also reqwres lhe ap-
phcanl fo, such pe1m11 10 hie a si9ned stalemenl !hat he 1s
hcensed pursuant 10 lhe prov1s1ons of fhe contrac10t-s License Law (Chapter 9 commencmg with Sect,on 7000 01
Dw1S1003 ot the Business and ProlesslOC\s Code) or 1ha11s ex-empt therefrom and the basis f(){ the illegea eJ1emplKm Any
vtOtallon of Secuon 7031 5 by an applicant to, a perm11 sub-
jeets the applicant to a civil penalty of not more than hve hun· dre<! dollars ($500)
I. as owner o1 the property, or my employees w1Ih wages
as lhetr sole compensatt0n w,11 do lhe wOfk and the struc-
ture ,snot intended OI' offered lor sale (Sec 7044. Business
and Profession!> Code The Contractor's License Law does not appty lo an owner of properly whO builds or improves
thereon and who does such WOl'k himself or through h,s own
employees. provided that such unprovemenIs are not intend-
ed or olfered !Of sale II, however. lhe bu1ld1ng Of 1mprove-menI ,s sold within one year of complehoo the owner-builder
win have the burden ol proving thal he dtd not b1.11ld or 1m-
P'0\18 tor lhe purpose of sale)
I I. as owner ol lhe property, am exclustvety con1rac1Ing
with l1censeo contractors to construct lhe pro1ect (Sec 7044 Busmess and Pro1ess,ons COde The Contractor s License
Law does not apply to an owner o1 property who buikts or im-proves thereon. and who con1rac1s lot' each prOjects with a
contraclor(s) hcense pursuant to the Conlractof"s License Law).
n A.s a homeowner I am .mprovmg my hOme. and the follow mg condIhons ex,sl
1. The work ,s being performed prtOf' to sale 2 I have lived in my home for lwelve months pnor to complet10n of this work
3 I have nOI clamled lh1s exemptlOR ckmng lhe
tast three years
g /~~:,::g1 under Sec ______ , B & p C
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~ I hereby alf,rm that I have a certificate of consent to
..l;"ei'r.insure. or a. cert1hcate of Workers· Compennllon In•
surance. or a cert1f1ed copy thereof (Sec. 3800. Labor Code)
POLICY NO
CO~ANY
~y IS hied With the cily
0 Cerllfled copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
1This section need not be completed ii the permit
1s for one hundred dollars (S100) Of less)
0 I certffy that in !he performance of the work lor which
ttus perm1t 1s issued. I shall not employ any person in any
manner so as to become sub1ec::t to the W<>fkers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. alter making this Certificate
of Exemption. you shOuld become sub1ect 10 the Workers
Compensation prov1s,ons of the Labo( Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there ,s a construction lending
agency tor the performance of the work for which this Pe<·
mil is issued (Sec 3097. C1v1I Code)
Lende, s Name ___________ _
Lender's Address ___________ _
USE B~l_l'OINT PE~ O~LY & PRESS lt_ARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. --
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT .. 2075 Las Palmas Dr., Carlsbad, C A 92009-1915 (619) 438-1161
JOB AOORESS AV. ST RO. THOMAS BROS NO. I OA TE OF APPLICA Tl ON BUSINESS LI~ ,t VALUATION PERMIT NUMBER
~" 7 SAu-54(.,,,1,0 A-t-4_ /f,;fO -~ it:t-/11fo i::!J BLOCK I SUJIP~~S~N .~ I I ASSESSOR PARCEL NO ~R~~ ~~ ,:~'-:' ~1';:>~'d ZONE u
, 7 ~~ /~.,,~7~-Tf
OWNE R"S NAME . I OWNE R"S PHONE p
,~-J~ sl .4! ""'-~U-L/ J Lj,.-J /J 7 71'_1~Yfft!.5!.~'~ ~ STATE LICENSE NO. BUILDING SO. FOOTAGE
1& 19..,_2.: 7 OWNER'S MA I LI NG A COR ess
2--L ~ 7 C c:;-A u S;tfL.,t-ro /J .... ~ DESIGNER .S-P. '1"1.....,1 2., DESIGNER'S PHONE
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OESCRIPTIO"' OF WORK r,49,0t_.c:,c5~4-. -
OESIGNER"S ADDRESS STATE LICENSE NO. -
9105 08/17/89 0001 01 02 F/P FLA ELEV. NO OCC GP EDU BldPmt 234-00 STORIES
vO NO --I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
y D ND ,o NO vO NO Not Valid Un~s Machine Certified
QTY. PLUMBING PERMIT · ISSUE ':J-"50 QTY. MECHANICAL PERMIT· ISSUE l.rS 00 SUMMARY/ACCOUNT NUMBER I
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100.000 BTU ~UILUINb PERMII uu 1 ·810-uu-OO·ijUU /Cf 'x
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00-00-8221
/ EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8891 .2.q
/ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING OOi ·810·00·00·8222 I I~
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223 --,~...,
EACH INSTAL . ALTER , REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00-8224
/ EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 001-810-00·00·8225 ,
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00·00·8226
EACH ROOF DRAIN (INSIDE! DRYER VENT STRONG MOTION 880-519·92·33 I
./ TOTJ;L MECHANICAL FIRE SPRINKLERS 001·810·00·00-8227
TOTAL PLUMBING I /'5 PUBLIC FACILITIES FEE 320-810·00·00·8740
5=;00 BRIDGE FEE 360-810·00·00·8740
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA >
NEW CONST EA AMP SWT !!KR CAR PORT TIF 312-810·00·00-8835
1 PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835
EXIST BLOG EA AMPISWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00·00·8162
< REMODEL ALHR PEA CIRCUIT MFF 880-519·92·57
TEMP POLE 100 AMPS
OVER ZOO AMPS
TEMP OCCUPANCY 130 OAYSI
-1 CREDIT DEPOSIT <t "29 -~ >
TOTAL ELECTRICAL I ~ ,,.,,.,.-TOTAL TOTAL FEES PAYABLE I d3~rj"O -
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO DO HEREBY E>1pirat1on Every permit issued by the Buttd1ng Offte1a1 under the proY1s1ons of 1h11 * AN 06ttA P£Nt:T IS AEOUNO FOfl EXCAVATIONS OVER CERTIFV UNDER PENALTY;-OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1ta11on and become null and v0td It the bu1ldtng o, work ~-o·· DEEP ANO DEltlOl.lTION OR CONSTRUCTlON Of authonzed by such permit is not commenced w,ttun 180 days from the date"' sucn OECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I', permit, or if the bu1td1J or work authonzed by such permit 1s suspended or STAUCT\111(5 OVER )1TORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON• abandoned It any lime • ter lhe •ork ,s comm.>cecS tor a oerood of 180 .,.v• STRUCTION WHETHER SPECIFIED HEREIN OR NOT i ALSO AGREE TO SAVE INDEMNIFY ANO
/a::A~
OWNER □ CONTRACTO~ APPROVED 8' th DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT BY PHONE fJ I ~c7·'<" .
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TYPE I DATE INSPECTOR I
BUILDING I
I
FOUNDATION I ,. ,, ~A II I/
REINFORCED STEEL I 'l'"' u . r I,.~ ~
MASONRY I
I
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEILIN(p
SHEATHING D ROOF D SHEA~
FRAME I
EXTERIOR LA TH I• , I ,.
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
l
PLUMBING I
□ SEWER AND BUCO D PUCO
UNDERGROUND D WASTE D W,4\TER
TOP OUT □ WASTE □ WAT):R
TUB AND SHOWER PAN I ,, A
GAS TEST ' IY·t1. i,' V t.'f "'-I
D WATER HEATER D SOLAR WATl;R
I
ELECTRICAL .
I
D ELECTRIC UNDERGROUND D UFfER
ROUGH ELECTRIC I
D ELECTRIC SERVtCE D TEMPORA,=IY /l
'tl.BONDING 1tl POOL I 1'1 • 21 · '1 r 'f;{\o I . . I
MECHANICAL ' I
D DUCT & PLEM., D REF. PIPING 1
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
l -CALL FOR FINAL INSPECTION WHEN ALL AePROPRIATE
___ I_TEMS_AfJfJVE HAVE BEEN APPROf/cD. _,_
FINAL I
I
PLUMBING I ........_. ~
ELECTRICAL I C
. ~ ''I MECHANICAL I \ .. ,:\ I
GAS I I ~\\. .... ,..,
BUILDING ~ ' I
SPECIAL CONDITIONS I ~ I
l
1
\ --> . .
\ CB,€:9 l \ qL-, ' . : -
FIELD INSPECTION RECORD "
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL .. • . -' ~ ,.· "' ,,_ ~
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTAESSED
CONCRETE -
-POST TENSIONED I CONCRETE -
FIELD WELDING
HIGH STRENGTH ·,
BOLTS
SPECIAL MASONRY
I ' . \
PILES CAISSONS
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CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB891196 . FOR 01/04/90 INSPECTOR AREA PD
PLANCK# CB891196
OCC GRP
DESCRIPTION: 720 SF POOL AND SPA
TYPE: POOL
JOB ADDRESS: 2667 SAUSALITO
APPLICANT: STAPLETON, DAVID
CONTRACTOR: BLUE HAVEN
OWNER: RENER, RENE
REMARKS: Tl/MH
SPECIAL INSTRUCT:
TOTAL TIME:
CD
59
LVL DESCRIPTION
SW Final Pool
AV
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CONSTR. TYPE NEW
STR: FL: STE:
PHONE: 619 483-8212
PHONE: 619 283-6567
PHONE: 619-?fltZ_~ ,/J/J
INSPECTOR ~Jb_.
ACT COMMENTS
gj_ ____ _
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
121389 Fence/Pre-Plaster AP PD PREVIOUSLY
120889 Gas/Test/Repairs AP PD
120689 Gas/Test/Repairs co PD
120489 Gas/Test/Repairs co PD NO TEST
100689 Electric/Conduit/Wiring co PD
092789 Excav/Steel/Bonding AP PD
DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
THIS PERMIT MUST BE
POSTED ON THE JOB SITE
CARLSBAD, CA 92009-4859
(619) 438-1161
RIGHT OF WAY PERMIT
Applicant Please Print and Fill In Shaded Area
11753
JOB 2L67 S/Ul..5AL1ra/J.~2-ISSUED BY / t ~~~ r/ J7f!J ADDRESS DATE
NEAREST 1 -J.)7 R~ -•
CROSS STREET CA~t11,q L. ,C,,,<. EXPIRES
PROJECT 7
NUMBER ?1'-11<1' 24 HOUR NOTICE REQUIRED FOR
ASSESSOR'S PARCEL NO. 5'/ -/ INSPECTION AND PRIOR TO START OF WORK.
APN / (? 7 -L-. ,Y-CALL 438·3101 I
CONTR,CTOR J /') ,J /_) l,. (...It . ;-/4-A ~L
YOU MUST CALL UNDERGROUND SERVICE
ALERT (1·800-422-4133) TWO
CONTRACTOR'S WORKING DAYS PRIOR TO WORK.
MAILING 5 11-(S--/Hl$/P.::, 6 ~' ~ ;1./;)
ADDRESS UNDERGROUND SERVICE ALERT NO.
tJ. ,/ZI t.,I
24 HOU,R,. -6f' bi THIS PERMIT IS INVALID WITHOUT THIS NUMBER
CITY ~ ZIP TEL. • ~ IF ANY EXCAVATION OR BORING IS DONE.
STATE BUSINESS
LICENSE /9 Z.3 J LICENSE
NUMBER } NUMBER 2~5z. <J
DESCRIPTION rO<:.Jl-OF WORK 9105 00/17,89 0001 01 05
111 C: 25.1
VALIDATION AREA
INITIALS
'->Jf;:s TRAFFIC CONTROL PLAN APPROVED
AND ATTACHED
START ?!1?-?'r DATE ~ ESTIMATED //-/f-fs')' LIABl~TY INS~A~CE VERIFIED
COMPLETION DATE I I '1 (
THE UNDERSIGNED ACKNOWLEDGES THAT ALL WORK PAID ~
SHALL BE PERFORMED PER CITY CODES, STANDARD d 5. ()Cl
SPECIFICATIONS, CITY APPROVED PLANS AND FEE: BILLED '~ STANDARDS. -/2.,.~ RESTORATION SECURITY . ($
SIGNATURE f?l)~ ~
?-/~-t>J
)
TRAFFIC CONTROL DEPOSIT ct/
DATE \. ---~ ....
INSPECTOR'S
SIGNATURE DATE
BLUE . FILE; YELLOW . INSPECTOR; GREEN · UTILITIES; PINK · FINANCE, WHITE · CONTRACTOR