HomeMy WebLinkAbout2631 SAUSALITO AVE; ; CB880807-226; Permit.,, z 0 ;:
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(XJ I hereby alllrm that I am licensed under
p,ovlalona ot Cllapte, 9 (commencing with
Section 7000) ot Division 3 ot the Business
and Profff■lons Code, and my license Is In
full force and ettect.
I hereby athrm 1nat I am uemp1 from the Conlrac·
I0t's Ltcense Law tor the loltowIng reason (Sec 7031 5 Business and Prolesst0ns Code Any city or county wnicr. re-quires a permit lo construe!. aller. improve. demohsh, or repair any slfucture. prK>f to its issuance also requlfes !heap·
p11can1 tor such permit 10 Ide a signed sta1ement lhal he ,s
licensed pursuanl lo the provIsI00s ol the <.:ontrac!Of s Ltcense Law (Chapter 9 commencing with Ste.Hon 7000 ot
Ckv1s1on 3 011ne Business and Proless,ons COOe) or !hat 1s ex·
empt lherelrom anCI lhe basis for the allegeo exemp1ton Any
v101a1t0n ol Section 7031.5 by an appltcant for a permit suo·
1ects the apphcant lo a crv1I penalty o1 no! more than five hon· dre<I dollars ($500)
I, as owner ol the property, or my employees wnh wages
as 1he1r S<Me compensahon w111 do the work ana lhe slfuc-
ture Is nol ,n1enc1ec1 or offetecl tor sale (Sec 7044, Busmess
and ProfesslOfl!> Code The Conuactor's License Law does
not apply to an owner ol property wllO builds or improves lhe,eon and who dOeS such WOtk himself or lhrough his own emoloyees, provided Iha! such ,mprovemen1s are no1 intend·
ed or offered tor sale If, l'w7#ever. lhe bu11<hn9 or improve·
menl is sotd w1tnm one year ol complehon. the owner-builder will ha"e lhe burden of proV1ng lhal he did nol bu1IC1 or 1m•
prove 1or tne purpose ot sale1
I 1. as owner of the proµerly, am e,cclus1vely con1rac1m9
with hcensed contractors to construct the prOjeCI (Sec 7044,
Business and ProtessK>Os Code The Contractor's L1eense law dOes no1 appty lo an owner of property wno builds or im-proves thereon. and who contracts tor each protec1s with a
contraclor(s) hcense pursuant lo lhe Contractor·s Ucense Law)
, , As a homeowner I am ,mprov,ng my home. and !he lollow
1og cood1hons ex,st
l The work ,s being performed pnor 10 sale
2 I have lived 1n my home lor twelve months pnor to complehon of th,s WOl'k
I ha'r'e no1 claimed lh,s exemptlOn durmg the
last lhree years
□ I am e,cempt under Sec ______ . B & P C
tor this reason ____________ _
~ I hereby affirm lhal I have a cert1f1cate ol consent to
s~-1nsure, or a cert1f1cate of Workers Compensa1ion In•
surance. or a cert,hed copy thereof (5ec 3800. Labor Code)
z POLICY NO l O O 5 1 6 4 4 oj (i.l)MPAN • 1--. C ~ x~ Copy •• Z~n;i.,it¼;Ay O •
D Cerhl1ed copy ,s hereby furnished .,, z w
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CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This section need not be compleled if the permit
Is tor one hundred dOllars {S 100) or less)
D I cerhty lhat 1n the performance of the work for wh+Ch
1h15 permit ,s issued. I shall not employ any person in any
manner so as to become subJect to the Workers· Compen-
sation Laws of Cahfornra.
NOTICE TO APPLICANT. If. after making th,s Certificate
of Exemption. you should become subIect to the Workers
COmpensa11on Pf0v1s1ons of the LabOf Code. you mus!
forthwith comply with such prO'r'isions or lhrs permil shall
be oeemed revoked
'\t1 1 hereby auum that there is a construction lendtng
~ency for the perlormance of the work for wtuch 1h1s pe,•
mI1 is ,ssued (Sec. 3097. Ci'r'll Code)
Leoder·s Name '-€-ennm-o nwe a -1-t h -
Lender·s Addres•s-4-5--5-M-OT-e "lrcn:rs-e
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANO DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT -2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AOORESS AV. ST. AO. THOMAS BROS NO. IOATE OF APPLICATION! BUSINESS LICENSE # VALUATION PERMIT NUMBER
2631 Sausalito 13038 124,7 36
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO ou CONTRACTOR CONTRACTORS Pt<ONE • ZONE Ci> 880807 -226 ?? QA_-:i::r: I L..'1 S-l I -,D 1
OWNf R·S NAME I OWNER'S PHONE Foote Development Co. 569-1883
CONTRACToR·s AOORESS STATE LICENSE NO. BUILDING SO. FOOTAGE
Pnnf-P nPvPl nnm<>ni-rn t;f;Q-1RR~ 5205 Kearny Villa #211 352821B 1 765 OWNE A·s MA>L>NG AOORE~S
5205 Kearny Villa Way #211 SD 92123 OEStGNER OESIGNER'S PHONE
Buzard Hennin1r & Assoc. 278-68SS ll98 08/10/88 0001 01 02
DESCRIPTION OF WORK BldPmt. 7889.r SFD w/;:ii-i-,:,rhpn (T<l .... <IIYO OEStGNER•s AOOAESS STATE LICENSE NO. -~
Plan 2B 4883 Ronson Ct. sn r47?l
F/P FLA ELEV. NO OCCGP EDU
STCllES R 3 1 vO NO --. I CENSUS TRACT I p';t6't SPACE l RESUNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE CCCL~ ~ESPA AREA CONST
y D ND vO N¥) ,.(1 v□ NG Not Valid Un~s /tl~chine CutdiM
QTY. PLUMBING PERMIT · ISSUE -;fJ!. QTY. MECHANICAL PERMIT · ISSUE /~-~ l~,-. J .o...<o~UM:11fYl_!CCOUNT NUMBER
Ii:; EACH FIXTURE TRAP 37.50 1 INSTA LL FURN DUCTS uP TO 100.000 BTU rtvr < -u ..... IJ..9,T"'-.<.~1"81U·UU·UU·ouu 7?7
1 EACH 8 U I LU ING SEWER 6 • .50 OVER 100.000 BTU -• ~l(l1i PERM~\,.""' .t.\.~' 001-810·00·00·8221
1 EACH WATER HEATER ANO OR VENT '.L CiO BOILER/COMPRESSOR UP TO 3 HP ) t PLAN PP" ,,1.,',")' 001-810-00·00·8891 A-, ".l
1 EACH GAS SYSTEM 1 TO 4 OUTLETS ., r:;, n BOILER/COMPRESSOR 3 15 HP TP, Pi.a1151NG 001 ·810·00·00·8222 C: ')
~ EACH GAS SYSlEM 5 OR MORE 1 METAL rlREPLACE c: .c: n ~ ~ &n)RICAL 001 ·810·00·00·8223 .., "
EACH INSTAL. ALTER. REPAIR \\'AlER PIPE 1 VENT FAN SINGLE DUCT ,, ·C: n "" ()'e'MECHANICAL 001·810·00·00·8224 ,1 C:
,.., EACH VACUUM BREAKER c:. nn 1 MECH EXHAUST HOOD DUCTS C .C:~~ ~ MOBILEHOME 001·810·00·00·8225 -WATER SOFTNER ~ RELOCATION OF EA FURNACE1HEATER -. -SOLAR 001 ·810·00·00·8226
EACH ROOF DRAIN fiNSIDE l ~ DRYER VENT A ·i:-n STRONG MOTION 880·519·92·33 " ..L TQT(;L MECHANICAL -• _, V FIRE SPRINKLERS 001-810·00·00·8227 .,
TOIAL PLUMBING I 6l.50 46.00 PUBLIC FACILITIES FEE n:i:iCA! 10-00-00-8740 4~hh
5 <!P BRIDGE FEE 360·810·00·00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA ') 7Rh
NEW CONST EA AMP SWl BK R 1 nn 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 AMP1SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001-810·00·00·8162
REMODEL ALltR PER CIRCUIT MFF 880·519·92-57 , c: an
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT -200
TOTAL ELEtrRICAl I 30.00 TOTAi TOTAL FEES PAYABLE 1 7889
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO DO HEREBY Expiration EYery permit issued by the Bw101ng Off1c11I unde, the prov1s,ons of this * AN OSHA PERlll:T IS REQUIRED FOR EJICAVATIOMS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall eKp1re by 1tm,tat1on end become null and vo,d It the bu1ld1ng or worlit 5' O' DEEP AND OEMOl.lTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!, aulhonzed by su~m,1 •• nol commenced w1th1n 180 days from lhe dale .:,I such STRUCl\JRES OVEA 3 STOAIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· ::~n~ 1!1 t~ I 1~-~~h:.~~r:~!hc~~:'.:ie:~~~ rn:~~•~,sr~-~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APP~~r;;;~NERJr{
CONTRACTOR 0 APPROVEO BY
ID9/2frr
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
~XPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE rJ ~7 RANTING OF THIS PERMIT -
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR -
FRAME
EXTERIOR LATH I
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO □ 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 'l""----. -
MECHANICAL 'VJ
-\
GAS I ... ~
BUILDING I "-~~
SPECIAL CONDITIONS ~ -
' . -
' -} ~.
~8'"<isO fSO 7 -;)..,cHo
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
PRESTAESSED
CONCRETE
POST TENSIONED
CONCRETE .
FIELD WELDING
HIGH STRENGTH
BOLTS .
SPECIAL MASONRY .
PILES CAISSONS . (c ~·-~.,·. ~-. . ..., ' "'. . . ' /.")I , ·;' •
1(\, --., . ' ·r ,, ;:;•-~
', ~ •'" . ..._I -•~ • ~ ---. " ,t .• ,, -; -
'-..,It ~ -<.,. .
' \ . "(_ f!."I -.,,u !,..-_,
~-... -r .'" v--).4 ·-• t!J't -
-
-
✓
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-226 DATE: 1-9-89
PROJECT NAME: Falcon Hills
ADDRESS: 2631 Sausalito
PROJECT NO.: 84-35 DIX UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: SFD
CONTACT PERSON: Chuck
CONTACT TELEPHONE: 18( 729-2320
all dept
INSPECTED BY: _________ _ DATE
INSPECTED:
INSPECTED BY: _________ _ DATE
INSPECTED:
NUMBER OF UNITS: 1
\
APPROVED /
APPROVED __ _
APPROVED
Cos-ta Aeal Municipal Water District
COMMENTS: Engioeeriog Department
(619) 438-3367
'I ' , I
JAN I O 1989
COST A REAL--· I
DISAPPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
Rev. 1/86 WHITE: Su pense BLUE: Water Dlstrlc GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-226 DATE: 1-9-89
PROJECT NAME: ____ F_a_l_c_o_n_l-l_l_ll_s _____________________ _
PROJECT NO.:
TYPE OF UNIT:
INSPECTED
BY:
INSPECTED
BY:
INSPECTED
811-35 SRX ________ UNIT NUMBER: ________ PHASE NO.:
_____ S_F_D _______ NUMBER OF UNITS:
all ept
DATE
INSPECTED:
DATE
INSPECTED:
DATE
r / fl -77 APPROVED V
APPROVED __ _
BY: _________ _ INSPECTED: ____ _ APPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
COMMENTS: -----------------------------------.-
Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineer INK: Planning GOLD: Fire
'-''
l.
FINAL BUILDING INSPECTION RECEIVED ' 1 1 1988
PLAN CHECK NUMBER: 880807-226 DATE: 1-9-89
PROJECT NAME: Falcon HIiis
ADDRESS: 2631 Sou&ollto
PROJECT NO.: 811-15 UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: SFD NUMBER OF UNITS: 1
CONTACT PERSON: Chuck
CONTACT TELEPHONE: 729-2320
It t
~NY~PECTED (', 0J~ cL DATE ¾9/<jq tx.__ INSPECTED: APPROVED DISAPPROVED ,,
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
" '
INSPECTED DATE ;
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS:----------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning cg)
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-226 DATE: 1-9-89
PROJECT NAME: ____ F_l_co_n_H_l_fl_s _____________________ _
ADDRESS: 2631 S usnllto
________ PHASE NO.: _______ _
TYPE OF UNIT: _____ S_F_O _______ NUMBER OF UNITS:
CONTACT PERSON: ____ C_h_u_c_k ________________________ _
CONTACT TELEPHONE: ______ 7_2_9_-_2_3_20 ____________________ _
INSPECTED alv DATE ~ / 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: Utllitle PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-226 DATE: 1-9-89
ADDRESS: 2631 Sausalito
PROJECT NO.: _8_4_-_3_5 __ DJX ___ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____ S_F_D _______ NUMBER OF UNITS: 1
all t
IBNY~. PECTEDI . \, ~-DATE / // 7/c9 ~ "V _ _ INSPECTED: '--+-I_ '~~6 _ _,__ APPROVED ---DISAPPROVED ---(
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED __ _ DISAPPROVED __ _
APPROVED __ _ DISAPPROVED --•-
COMMENTS: ----------------------------------
.,.
----Rev. 1/86 WHITE: Suspense BLUE: Water Olstrlc GREEN: Engineering C ARY: Utilities PINK: Planning GOLD: Fire