HomeMy WebLinkAbout2624 SAUSALITO AVE; ; CB880807-228; Permitell z 0 ;::: ,c a: ,c _, u "' a
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LJ. I hereby affirm that I am licensed under
~talona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHalona Code, and my license Is In
lull force and effect.
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I hereby alhrm th.11 I am e11:empt from lhe Cont,ac·
10<·s License Law tor lhe lollowmg reason {Sec 7031 S Business and Protess+ons Code Any city or county wrutr. re·
quires a perm1I lo construct. alter, improve, demohsh. Of
repair any structure. pnOf to tis issuance also requires !neap· phcant !Of such per""t 10 hie a s~ned statement lhat he 1s l,censed pursuant to the prov1s10ns ot the L:onuactor s
license Law (Chapter 9 commencing with Section 7000 of 0tv,s1on 3 of tne Business and Protess1ons Code) or I hat ,s e.x-empt therefrom and the basfS tor lhe atlegea ex-emp11on Any
v101at10n of Section 7031 5 by an apphcanl tor a permit sub-rects the appbcant to a c1v11 penally of not more lhan trve hun·
dred doU.a,s (S500)
1 1. as awner o1 lhe prOS)er1y, or my employees with wages
as 1hen soie compensat10n, w1II do !he work:. and lhe suuc•
lure 1s no1 mlended or oltered tor sale (Sec 7044, Business
and PTotess10ns Code The Conlractof's License law does
not apply to an owner of property who builds or improves thereon and who does such WOtk htmsell or throu_gh his own
employees, provided that such 1mpro,,emen1s are n01 ,ntend·
ed or ofle,ecf tor sale II, however tile building Of 1mprove·
ment 1s SOkS w1thm one year ol completion, lhe owner·butlder
will have the burden ol proving lhal he did nol bwld or 1m·
prove tor lhe purpose of sale)
I I. as owner of the property, am exclusively contrac.hng with t.censed contractors to construct the proiec1 (Sec 7044,
Busmess and Professions Code The Contractor's Ucense Law does n01 apply to an owner ol property who builds or im-proves thereon, aoo who contrac1s tor each proiects with a
coolrattCH'(S) lteense pursuant 10 the Contractor's Ucense law)
l As a hOmeOwner I am 1mprOV1ng my home. aod 1he IOllow ,ng cond1IICH'IS ex,s1
1 The work 1s being per1ormed prior to sate
2 I have hved m my home lor 1welve months prlOf 10 completion of lh1s WOik
I have 001 cla.n'ed lh1s exempllOO duung the last lhree years
D I am exempt under Sec ______ . B & P C
!or lh1s reason ____________ _
X"V-J I hereby affirm that I have a cert1l1cate of consen1 to
i~t-1nsure or a certificate ol Workers' Compensa11on 1n•
surance. or a certil1ed copy thereof (Sec 3800. Labor Code)
POLICY NO P O O 5 16 4 4
coMPANY zenieh
~ Copy IS hied with the city
1J Cert,lied copy Is hereby lurnrshed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Ttus section need not be completed ii the permit
,s for one hundred dollars ($100} or less)
0 I certify that in lhe performance of the work lor which
1hIs permil Is ,ssued. I sl'lall not employ any person in any
manner so as to become sub1ect to the Workers· Compen-
sation Laws of California
NOTiCE TO APPLICANT: If. after making this Certil1ca1e
of Exemp1Ion. you should become sub1ec1 to the Workers·
Compensation provisions ol the labor Code. you mus!
loflhw1lh comply with such provIsIons or !hrs perm1I shall
be deemed revoked
il [X., hereby affirm that !here ,s a conslruct,on lending
agency for lhe performance of the wo~ !or which this per•
mI1 1s issued (Sec 3097, Civil Code)
Lender's Name _Cnmm.o.n.weal-th-
Lender's Address 5 4 6 5 Mo r e.h.o.u s e
USE BALL POINT PEN ONLY & PRESS HARD 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 ADDRESS AV. ST.RO. THOMAS BROS NO. I DATE OF APPLICATION' BUSINESS LICENSE • VALUATION PERMIT NUMBER
2624 Sausalito Avenue 'Zf\'ZO ~16,786
LOT BLOCK /I Jr<JBOI VISION I ASSE~SOR PAR_9,L NO. ~ c9u CONTRACTOR CONTRACTORS PHONE • ZONE C ~ 88 0807-228 ?? RA-':tc 1(,,,::,,.1\~
OWNER'S NAME I OWNER'S PHONE Foote Development Co. 569-1883 1
CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
f:nntP DPVPlnnmPnt rn ci::.a_11212":t 5205 Kearny Villa Way 352821B OWNER'S MAILING AOORf!;;S 31 27
DESIGNER DESIGNER'S PHONE
5205 Kearnv Villa Wav # 211 sn q7.17.,
OE.SCAtPTtON OF WOR K
Buzard Henning & Assoc. 278-6855
DESIGNE'l'S ADDRESS STATE LICENSE NO. ---.:,ru w1 avLa<.:neu garage 48R, Rnnc::nn r t #Ren I"' II '7 '> r Plan 6C 'IP FLA ELEV. NO OCC GP EDU
STORIES 1198 08/10/88 0001 01 vO NO 2 R3 1 02
I CENSUS TRACT I PA::N: SPACE RES uNrTS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR f!ldr"'lt 11669-',.
AREA CONST
y D ND v□ NG, VN v□ r,iO Not Valid Un~s M11chine Certified
7~ .. ~ .~
QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER
1 Q EACH FIXTURE TRAP 45.00 1 INSTALL FURN DUCTS uP TO 100.000 BTU IL()() BUILDING PEKMI I uul ·H l U·UU·UU·HUU 1 n ,1 a
1 EACH BUI LUING SEWER 6.50 OVER 100.000 BTU SIGN PERMIT 001 ·810·00-00-8221
1 EACH WATER HEATER ANO OR VENl 2 . f; n BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8891 t:) ts..::
1 EACH GAS SYSTEM 1 TO 4 OUT LETS ') i:; {\ BOILER/COMPRESSOR 3 15 HP ...... TOTAL PLUMBING 00 i ·810·00·00·8222 / ..:: ... 2 13 .-t "'l(., 7 ELECTRICAL 001 ·810-00-00-8223 30 EACH GAS SYSTEM~ OR MORE METAL FIREPLACE
EACH INSTAL . ALTER, REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT .... ~{.; MECHANICAL 001·810·00·00·8224 57
,., EACH VACUUM BREAKER .., i:;n 1 MECH EXHAUST HOOD 'DUCTS ,."' t l5.~U_o ') MQl!lt EHnME 001-810·00·00·8225 .,. RELOCATION Of EA FURNACE/HEATER .... ~ 1 V' ,._ '\'"? ~~-001·810·00·00·8226 WATER SO FTNER
EACH ROOF DRAIN !INSIDE 1 1 DRYER VENT ' ._,. A • S'O MOTION 880·519·92·33 15
TOTAL MECHANICAL <_"vv ft."° INKLERS 001·810·00·00·8227
TOI Al PlUMBINl, I 71.50 57 ... ~ _1: D"' PUBLIC FACILITIES FEE. 0 3l5J-810·00·00·8740 7588
s ~ .~ ~' BRIDGE FEE 360-810-00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP "-~~-PARK·IN·LIEU (AREA 2 ) 786
NEW CONST EA AMP SWl BKR 1 nn 25.00 CAR PORT ..... ~7 TIF 312·810·00·00·8835
I 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 ALHR PER CI RCUIT MFF 880·519·92·57 1590
TEMP POLE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY (30 DAYSI
CREDIT DEPOSIT -200
TOI Al ElEClRICAl I 30.00 TOTAi TOTAL FEES PAYABLE 1 11,669
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY Exp,rat,on Every permit issued by the Bulld♦ng Oltlc1al under the prov1s,ons of this * AN OSHA PERM:T tS AEQutAEO FOR EXCAVATIONS OIIEII
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by llm1tat1ori af'\d become null and vo,d II the building or work s· O" DEEP AND OEMOUTION OR ~STRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1& autnonzed by su::~mlt ,snot commenced w1tt11n 180 days from lhe date of such STRUCl\lAf.S OYER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON ~~~ '!t 1~~ d•:ft.~;h:.~~r:~:hco~~~.:{e~~~~ ."9~~~•~,S~:g8cf-~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPl~TizcbA :;NE,tJ
CONTRACTOR 0 APPROVED BY Pr 1°f/~/tr ~'EP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
PENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE [J
GRANTING OF THIS PERMIT -.,.
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TYPE DATE INSPECTOR t\..
'
BUILDING / : '· J C-t&'t0801-d-~
FOUNDATION FIELD INSPECTION RECORD
t
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
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SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
FRAME
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION PRES TRESSED
INTERIOR LATH & DRYWALL CONCRETE
POST TENSIONED
CONCRETE ...
PLUMBING
D SEWER AND BUCO D PL/CO
..
FIELD WELDING ,,,~ I,,
... ,r .
HIGH STRENGTH ..
UNDERGROUND D WASTE D WATER BOLTS . .
TOP OUT D WASTE D WATER SPECIAL MASONRY -
•. TUB AND SHOWER PAN
GAS TEST .. ;
C . PILES CAISSONS
D WATER HEATER D SOLAR WATER
-;, .. ~ ..
ELECTRICAL ' C
D ELECTRIC UNDERGROUND D UFFER .
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY '
D BONDING D POOL -...,
~ "-I
MECHANICAL
D DUCT & PLEM., D REF. PIPING ~
0 • 0
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . -
ITEMS ABOVE HA VE BEEN APPROVED. --
FINAL
PLUMBING ~ .
ELECTRICAL ~ .,
MECHANICAL ..... ~ ~
GAS "-~~
BUILDING ....
SPECIAL CONDITIONS -
11
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-228 DATE:
ADDRESS: 2624 Sausalito Ave
PROJECT NO.: _____ 8_4_-_3_5_ UNIT NUMBER:
TYPE OF UNIT: _____ S_F.::._D ______ NUMBER OF UNITS: 1
all dapt
INSPECTED BY: _________ _
INSPECTED /.
BY:----'-'-;;..._:___:_' __:_I __ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
DATE
/-/f-?"9
INSPECTED: ____ _
APPROVED __ _
APPROVED __ _
APPROVED __ _
1-9-89
DISAPPROVED L ~
..
DISAPPROVED __ _
DISAPPROVED __ _
COMMENTS: ---------------------------------
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~d)~
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Englnee g CANARY: Utilities INK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-22 DATE: 1-9-89
PROJECT NAME: Falcon HIiis
ADDRESS: 2624 S us llto Ave
r PROJECT NO.: 84-3 UNIT NUMBER: PHASE NO.: < '
SFD ;-I"
~ TYPE OF UNIT: NUMBER OF UNITS:
Chuck J
CONTACT PERSON:
CONTACT TELEPHONE: 720-2320
INSPECTED ·d-' DATE dL/4 ~ ., BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED' DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
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COMMENTS:
\
Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utlll~D: Fire
,J
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-228 DATE: 1-9-89
PROJECT NAME: _____ F_a_lc_o_n_H_ll_ls _____________________ _
ADDRESS: ______ 2_6_2_4_S_a_u_s_a_ll_t_o_A_v_e __________________ _
PROJECT NO.: _____ 8_4_-_3_5_ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: ------=S:....:F--'0=---------NUMBER OF UNITS: 1
CONTACT PERSON: ____ C=-h:...:...=u-=.c.:..ck'--------------------------
CONTACT TELEPHONE: __ 7.:....2=8~---=2:..=3...;;:2=0----~----;---------------=-::;;;;;;;;..:;;;:;;---
all dept
INSPECTED ~.
BY: ------'-~'-=....:::....:..------"::...._--
DATE
INSPECTED: JAN. 2 Q 1989 APPROVED / DISAPPROVED __ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
'Costa Real Municipal Water District
COMMENTS: Engineering Department
(619) 438-3367
COSTA REAL
MUNICIPAL WATER DISTRICT
I) •
APPROVED __ _ DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
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Rev. 1/86 WHITE: Suspe~N: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880807-228 DATE:
PROJECT NO.: _____ 8_4_-_3_5_ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: _____ S--F_Dc,__ ______ NUMBER OF UNITS: 1
CONTACT TELEPHONE: ___ 7_2..;..8-_2-'-3;;_2 __ 0'-------------------,---------
-11 de t
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE 1 /aicO
INSPECTED: ~
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED ---~-DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
COMMENTS: ---------------------------------
r
1
.,
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ARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
RECEI rr:-o ' 1 1 1988
PLAN CHECK NUMBER: 80807-228 DATE: 1-9-89
PROJECT NAME: _____ F_lc_o_,_l _H_l_l_ts _____________________ _
ADDRESS: 2624 S usallto Av
PROJECT NO.: _____ O_ll_-_3r:_,_ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: _____ S_F_U _______ NUMBER OF UNITS: 1
CONTACT PERSON: ____ C_h_u_c_k ________________________ _
CONTACTTELEPHONE: ___ 7_2_f _-_23_2_0 _______________________ _
all dept
~y~PECTED C . (oc02 c:J____, DATE Y,q/1(£{ K__ 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: Pia nlng GOLD: Fire
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