HomeMy WebLinkAbout2657 SAUSALITO AVE; ; CB880807-221; Permit.,, z 0 ;::
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CJ( I ...,eby affirm that I am llcensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHalons Code, and my llcense is in
lull fo,ca and effect.
I hereby a1hrm !hat I am exempt lrom lhe Contrac· tor s L.cense Law for U'le lollowmg reason (Sec 7031 5
Business and Professt00s COde Any city Of county wtH<.li re-quires a permII to construct. alter ,mprove, demohsrt, or Jepa1r any siructure. pnOJ to I1s issuance also requires !heap-
phcan1 '°' such oerm11 10 hie a stQned statemenl Iha! he 1s
hcenseo pursuanl lo the PfOV!SIOl"IS ol the t:onuactor · s Lteense Law {Chapter 9 commencing w11h Sechon 7000 of
Chv1s10n 3 ol lhe Busmess and Professions COde) « Iha! ,sex empt tl'lefetrom and the basis tor the allegeo e,emptton An1
v1ola!KH1 ot Section 7031 .5 by an applteant IOJ a perm,, sUb· Jetls !he applicant 10 a CMI penalty ot not more than hve hun·
dred dOl\ars ($5001
I, as owner of the property oi my employees with wages
as their sol'e compensa1ton. w1U do the work and lhe slruc+
lure Is not mtende<i or oflered lor sale (Sec 7~4. Business
and Proless,on!. Code The Con1rac1or·s License Law dOes
nol apply to an owner of property who bu1!ds Of improves
!hereon and who dOeS such work h,msell or lhrough his own emoloyees. provided thal such 1mpr0Yemen1s are nol mteod-
ed Of offered fOf sale 11. however 1he bu1k1mg or improve· menl rs sotd w1lhm one year ol complet10n, the owner-bu1ider
will have lhe burden of proving lhal he did nol build or Im-priwe tor lhe purpose ot saleJ
I I, as owner ol the proper1y, am exclusively conrraclmg
with hcensed contraclors to construct lhe protect (Sec 7044,
Business and Protess,ons Code The Contractor's License Law does not apply lo an owner ol property who builds or im-
proves thereon, and who contracts tor each prOjec-ts wuh a
contractot{S) license pursuant lo the Contrac1or·s License Law)
11 As a homeowner I am 1mprovIng my home. and lhe folk>w mg condI11ons exist 1 The work ,s bemg per1orrnea prior 10 sale
2 I have hved m my home for 1welve months
pnor to complet100 of this work
3 I have not claimed u1Is exemption during the last three years
D I am exempl under Sec ______ , B & P C
tor lh1s reason ____________ _
¥.:Jf 1 hereby af11rm Iha! I have a cert1f1ca1e ot consent to
~\ff)msure. or a cert1t1cate ot Workers Compensation In-
surance. or a cert,lled copy thereof !Sec. 3800. Labor Code)
POLICY NO PO O 5 16 4 4
coMPANY Zenieth Ins. Co.
XX.copy IS hied With the city
0 Cenif1ed copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed 1f the permit
,s for one hundred dollars ($100) or less)
D I ceruty that m the performance of the work lor which
this permit is issued. I shall not employ any person many
manner so as lo become sub1ect to the Wo,kers· Compen-
sa1Ion Laws of Calilorn,a.
NOTICE TO APPLICANT: If. alter making this Cert1l1cate
of Exemphon. you snould become subject 10 the workers
Compensation provisions of the LabOt Code. you must
!Oflhw,th comply with such provisions or this permit shall
be deemed revoked.
l X-X.1 hereby affirm that there is a construction ie.ndmg ffi agency fOJ the performance ol the work fOf which lhts pee•
O m1t is issued (Sec. 3097. C1v1I Code) ~ Lender's Nai£.OJnmonwe.al--t h----M-0 r ..,
Lender's Addres~F-eh-0--l::fS-e
SD, CA
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -·--. -·-····-.
. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad , CA 92009-1915 (619) 438-1161
JOB AODRESS AV ST.RD. THOMAS BROS NO. I DATE OF APPLICATION I BUSINESS LICENSE It VALUATION PERMIT NUMBER
2657 Sausalito Avenue 13038 140,957 880807-221
7o;, I BLOCK I SUBDIVISION I AssrsoR P~EL NO ;;;'fl) CONTRACTOR CONTRACTORS PHONE • ZONE
R4-~i; I/J7 ~ lJ75 569-1883 1 OWN£R"S NAME I 5 6 9 i°ssrs PHONE
Foote Develonment Co.
Foote Development Co. CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOT AGE
OWNER"S MAIL•NG ADDRESS 5205 Kearny Villa Way #21 1 352821B 2008
5205 Kearny Villa Way #211 SD 92123 DESIGNER DESIGNER'S PHONE
OESCR1PT1QN OF WORK Buzard Henning & Assoc. 278-6855
SFD w/attached qarai:re DESIGNER'S ADDRESS STATE LICENSE NO 1198 08/10/88 0001 01 02
Plan 4A 4883 Ronson Ct. #B C4729 BldPmt 8552-{
F/P FLRELEV. NO OCC GP EDU
vO NO
STtRIES R3 1 --I CENSUS TRACT I PARt/"lf ACE I RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
y D ND ,o m VN v0 N(X Not Valid Un/ns Machine Certtfied
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE ~ SUMMARY/ACCOUNT NUMBER
1 f EACH FIXTURE TRAP 4n .. nn 1 INSTALL FURN DUCTS uP TO 100.000 BTU ::, • vv HUILUINu etKMIT 001-810-00-uu-o«u 7 Q ':!
EACH BUI LUING SEWER f; -i:;n OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221
EACH WATER HEATER ANO OR VENT ? i:;n BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 c:n a
1 EACH GAS SYSTEM I TO 4 OUTLETS '> . i::. n BOILER/COMPRESSOR 3 1~ HP TOTAL PLUMBING 00 i -810-00-00-8222 C A
EACH GAS SYSTEM~ OR MORE 6. _50 ELECTRICAL -.
1 MET AL FIREPLACE 001-810-00-00-8223 ..,/'\
EACH INSTAL. ALTER. REPAIR WATER PIPE 1 VENT FAN SINGLE DUCT 4.50 MECHANICAL 001 -810-00-00-8224 AC
6 •. 50 . -,., EACH VACUUM BREAKER C: ·"" 1 MECH EXHAUST HOOD 'DUCTS MOBILEHOME 001 -810-00-00-8225 -WATER SOFTNER
~ RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE! 1 DRYER VENT 4.50 STRONG MOTION 880-519-92-33 , n
JC TOT J.L MECHANICAL FIRE SPRINi<LERS 001-810-00-00-8227
TOIAl PLUMBINL I 64.00 46 .. 00 PUBLIC FACILITIES FEE • U 9i>e>810-00-00-8740 4 ~:U4
s ~ BRIDGE FEE 360-810-00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA L1 / ts t>
NEW CONST EA AMP SWl HKR 100 25.00 CAR PORT TIF 312-810·00-00-8835
I PH 3 PH AWNING LA COSTA TlF 311-810-00-00·8835
EXIST BLOG EA AMPISWT BKR GAR~T -._ _ FMF
I PH 3 PH -0 .LI -CJ rt K ti I l LICENSE TAX 00 l-810-00-00-8162
REMODEL ALHR PER CIRCUIT MFF 880-519-92-57 1.S~O
TEMP POLE 700 AMPS ,n, 9,, 1,....,'"' ....
OVER 200 AMPS I V • .J
TEMP OCCUPANCY 130 DAYSI Cffv .... r•----. \f" ••t:U• ---CREDIT DEPOSIT -200
TOTAL ELEORICAL I 30.00 -fOTITT ..... ~fRVS. TOTAL FEES PAYABLE l Ai:;c;.?
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND 00 HEREBY Exp1r1t1on EYery permit ,ssued by the 8u1ld1ng Otf1c1al under the provIs1ons of1hts * AN OSHA PEIW:T IS REOUIAED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1m1tat1on and become null and void If the bu1ld1ng or work 5· o·· DEEP ANO DEIIIIOllT10N OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ authorized by su[~m1t ,s nol commenced w,1nin 180 days lrom the dale .:,t such STAUCTUAf:S OVER 3 STORIES IN HEIGHT .;;:11. or ,t the 'J or work authonzed by such permit ,s suspended or
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON donad at an r a er the ... ,k 1s commenced tor a oenod ol t80 "•0 •
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
AP~TU~~OWNER CONTRACTOR 0 APPROVED BY <Pf
,
03/'2/3~ ] 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 PHONE rJ
GRANTING OF THIS PERMIT , ,, \
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY I I
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH .
1
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 HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL \,J -.
MECHANICAL . '\)() :
GAS '. .
l -BUILDING ' .......
C'\. "
I
SPECIAL CONDITIONS ' "
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'
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. ' •' r,. {!,,f5 8'8 oSO 7-c:}.c).,j . _;' ' .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RE0. IF I_NSPECTOR'S DATE CHECKEC APPROVAL
~
SOILS COMPLIANCE .. .
PRIOR TO
. FOUNDATION INSP --.. ,-_ :--':'-
STRUCTURAL CONCRETE
OVER 2000 PSI -. . ' ...
PRESTRESSED l , '#· L CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
.
HIGH STRENGTH
BOLTS . .
SPECIAL MASONRY
PILES CAISSONS .
. . . .
.
'
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' . -
.
"
.
FINAL BUILDING INSPECTION RECEIVED JAN 1 1 ,S88
PLAN CHECK NUMBER: 880807-221 DATE: 1-9-89
PROJECT NAME: ____ F_l_c_o_n_H_l_ll_s _____________________ _
ADDRESS: ______ 2_6_7_$a_u_so_lf_to_A_v ___________________ _
811-3 PROJECT NO.: ________ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: _____ S_F_O _______ NUMBER OF UNITS:
CONTACT PERSON: ____ C_h_u_c_k ________________________ _
CONTACTTELEPHONE: ___ 7_l9_-_2_3_l_O _______________________ ...,..._
ff rf
INSPECTEDG_ 6a..Q_4 «<
DATE VLS-l?:1 I'><_ BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Plan~
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 80807-221 DATE: 1-9-89
PROJECT NAME: Fotcon HUis
ADDRESS: 2657 S uc llto Ave
PROJECT NO.: 84-3 UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: SFD NUMBER OF UNITS:
CONTACT PERSON: Chuck
CONTACT TELEPHONE: 729-2320
ntl dpt
INSPECTED d DATE -APPROVED / BY: INSPECTED: 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: Plannl
FINAL BUILDING INSPECTION
I
PLAN CHECK NUMBER: 880807-221 DATE: __ 1_-_9_-_89 ____ _
PROJECT NAME: _____ F_a_lc_o_n __ H_l_ll_s ______________________ _
TYPE OF UNIT: _____ S_F_O _______ NUMBER OF UNITS: 1
II dept
INSPECTED BY: _________ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
(/9 Yf APPROVED L DISAPPROVED --
APPROVED __ _ DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
COMMENTS: ________________________________ ..:...__
'
..-/.
\
Rev. 1/86
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-221 DATE: 1-9-89
PROJECT NAME: ____ F_a_l_c_o_n_H_l_ll_s _____________________ _
ADDRESS: ______ 2_6_5_7_S_a_u_s_a_ll_to_A_v_e __________________ _
PROJECT NO.: _____ S_4_-_3_S_ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: _____ S_f_O _______ NUMBER OF UNITS: 1
CONTACT PERSON: ____ C_h_u_c_k _________________ l~------=~camir
fls.lCIMt. CONTACT TELEPHONE: ___ 7_2_9-_2_3_2_0 _________________ -+'>!~-----
C II ,,,..,t
INSPECTEV,a 'PL=LL-DATE Jo,!B2: BY: ~ INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS:---------------------------------
._
Rev. 1186 WHITE: Suspense BLUE: Water Dlstrl CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-221 DATE: 1-9-89
PROJECT NAME: ____ F_a_l_c_o_n_H_l_ll_s _____________________ _
ADDRESS: ______ 2_6_5_7_S_a_u_s_a_li_to_A_v_e _____________ ---'------
PROJECT NO.: _____ 8_4_-_3_5_ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: _____ S_F_D _______ NUMBER OF UNITS:
CONTACT PERSON: ____ C_h_u_c_k ________________________ _
CONTACT TELEPHONE: ___ 7_2_9-_2_3_2_0 _______________________ _
all deot
INSPECTED ~
BY: ___ ....,,,ZX__)X_-=--'--'<=-...... -"<4---=------~-APPROVED _/ __
, , --lo
\. DISAPPROVE "'
( , '
INSPECTED .,,
BY: _________ _ DATE
INSPECTED: APPROVED ___ ., DISAPPROVED __ _
'
INSPECTED BY: _________ _ DATE
INSPECTED:
fit,/ i}'f
_____ A APfROVED __ _
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Costa Real Municipal Water'District
COMMENTS: Engineering Department
COSTA REAL
MUNICIPAL WATER DIS1
(619) 438-3367
DISAPPROVED __ _
Rev. 1/86 WHITE: Sys~EEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
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