HomeMy WebLinkAbout2761 TIBURON AVE; ; 87-295-105; PermitUI z 0 ~ a::
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C e [ XIXJ I hereby affirm 111&1 I am llcenMKI under c,; Pf1)¥1aion. of Chapter 9 (commencing with ;;! S..:tlon 7000) ol Division 3 ol the Business
i-end Profes1lon1 Code, and my license Is In ~ full force ■nd effect. u
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I hefelr( attmn Iha! I am exempt tram U1e Contra(;-
lor's License Law tor d!e lotlowing reason (Sec. 7031 5
Business and ProlesSlOfls Codi Any c,ty or county whitr. re· quires .a per.mil 10 cons1rucl, a er, trnprove. demohsh, or repair any structure. prior 10 ils issuance.also requires !heap·
pl!Cllnl lor such jN!flllll lo · e a signed slatemenl ll\a1 l!e os tlconsed pursuant 10 the ptOVistons of lhe Contractor·s License Law (Chapter 9 cornme,,cing with Section 7000 or llM"°'13 of !1le Business.nd PrDfesS1011S Code} or triat,s u-empt herolrom and !110 basis tor d!e allege<! exemption Any
Yllll,lllon ol Sect,on 7031.5 by an apphcan! lor a permu sub· 1ec1s the ~Ont to ,11 cMI penalty OI nlJI more lhan hve hun-
dred dollars ($500)
I I. as owner or !he property, or my employ,es with W39tS
as lheir sot. cornpensauon, will do the work. and the strut•
tvre Is not 1ntendod or 0lleted ID< sale (Sec 7044. Bus,ness and Professions CO<!e. The Contractor· s License Law dDes
not apply lo an owner 01 property who ou,lds or ltnpnwes
ll!ereon and who dots sucl! work hlmS8H or through his own employees, provided 1h.at such improvements are no1 intend-
ed or o!le<ed for sale. It. however, the buiklmg or impmve-
mllll os SOid WUl!ln one yaar or ""'"pleoon. the ownet-bu,tder will have the burden ol proving lhal ht did not build or im-prove lor tho pu1pose of sale}.
0 I. as owner or tl\e praperty. am eJ1cluslvely contractmg witn licensed contractors lo CD11struci Ille p<Gjecl (Sec. 7044.
Business and Profess,ons CO<!e. The Cont,acto,·s License Law does notappl)' lo an ownor ol proi,e<ty who builds or .n-pro.ts hereon. 1./\d who tonllatls for each proje(IS WJlh •
~'r°lor(s) license pursuant lo Ille Contractor's License
D As a homeowner tam improving my home. and Ille lollow ing conditions exisl 1. The work is bemg pmormed prMlr to sale
2. I have lived rn my home 1or twelve months
3. r"~ ::"'::J1 r'/:J: =~pl,on llunng Int l.asl three years
viid i hereby aftlrrn that I have a. certifiCiltt of consent 20
~t-,nsure. or a cen,ficate ot Worlc;era· Cornpensahon ln-
sur.ance. 01 • certifled copy thereof (5ec. 3800. Labor COdel
POLICY li'OQ51644
coMPA'f!enit h Ins. C o . ~ Copy-I& Ried with the cliy
0 Certi11ed copy Is hereby lum,>hed
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This section need 001 be compl'eted 1f the perrrut
ls fo, one hundred dollats (SU)OJ or less)
0 l cert,.ty tha·t in the performance or the work for wt11cf1
this permit la Issued, I Sha.II not tmcitoy any person lo any
manner so as to become subjecl to the Worki,rs· Compert--
sation Laws of Calltornle.
NOTICE TO APPLICANT: II, after m-akJn.g tn1s Certiftcale
of E,cemp11on. you shoulo become subfect to the Workers'
Compensation provisions of the Labof Code. you ffl1J$l
tonhwlth comply with such pJov1slons Of this permit Sl'laJI
be deemed revoked.
Xl(i hereb)' Mffrm Iha.I there Is a ooristructlon tendJng
agel"'Cy for the perfonnaoceo1 the.worit for which lhl.s per-
mit Is IS811ed ISec. 3097. Civil Code)
Lende(s Na,nl:ommanwea 1 tn Mart • 1
Lender's Adilresss.4-6. 0-1:--eOO~ :
SanDiego, CA
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT -2075 L a s Palmas Dr., C arlsbad, C A 92009-4859 (619) 438-1161
JOB ADDRESS 7:/(01/ N~=:·Street ID ... e ETireri
BUSINESS 1.ICE11<SE It VALUATION PERMIT NUMBER
2761 Tiburon Avenue 13038 )tv,ho~
LOT BLOClt 10suB01v1s10-. I ASSESSOR PARCEL NO CONTRACTOR I CONTRACTORS PHONE 1 ZONE ~7--1ff J:;>-/~ nc; ,._-;ic;. I c.:,, S"?., ~:J_gVD
OWNEA•s NAME ~:tfi-/J ~A I OWNER'S PtfONE "'--+--T\----1---,._ r,_ 569-1883
Foote Dev opm t C :---569-1883 CONTRACTOR'S .A.OD~ESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER·s MAILING AOOAESS 5205 Kearny Villa Way 11211 SD 352821B 2008
DESIGNER DESIGNER"S PtfONE
5205 Kearnv Villa Wav #211 San Die20. CA 92123 Buzard Henning & Assoc. OESCFIIPl 10N OF WORM; 278-6855 0031 08/13 0101 02BldPlnt 8582.
DESIGNER'S ADDRESS STA[!¼'"~ NO
SFD w/attacbed garage 4883 Ronson Ct. SanDiean ---.. -Plan 4 f /P f LR ELEV. NO OCC GP EDU STORIES
v□ NO ---2 R3 1
I l PARM;~SG8SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIAi: SPP AREA f~NST ,o MO vO .JfJ. vO ~ Nor Valid Un~s ~chine Cuttfied
QTY. PLUMBING PERMIT -ISSUE r/·S-0 QTY. MECHANICAL PERMIT · ISSUE /S"·Od SUMMARY/ACCOUNT NUMBER -·-ICb EACH FIXTURE TRAP 'I,, J q,-.G; C l INSTALL FURN DUCTS lJP TO 100.000 BTU q .--BUJLOING PERMIT 001 ·810-00-00-8220 vi~-
I EACH BUILDING SEWER fi,-<O OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
f EACH WATER HEATER ANO /OR VENT -z.c;o BOILER/COMPRESSOR UP TO 3 HP ---PLAN CHECK 001-810-00-00-8821 /JJXJ-
( EACH GAS SYSTEM I TO 4 OUTLETS '2. ~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00-00-8222 ~ I (p_ ~ ,o ------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810·00·00·8223 7~
EACH INSTAt,.. ALTER. REPAIR WATER PIPE I VENT FAN SINGH" DUCT 4,,. ~ 0 MECHANICAL 001-810-00-00-8224 4t,-
'L. EACH VACUUM BREAKER "l-SO 5 .00 l MECH EXHAUST HOOD/DUCTS '"·. ")/) MOBILEHOME 001-810-00·00-8225
WA TEA SO FTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00-00-8226
EACH ROOF DRAIN IINSIOE) I DRYER VENT tJ,.fV STRONG MOTION ___ 880-519-92·33 a.~
TOTJ;L MECHAN ICAL fb_,-FIRE SPRINKLERS 001-810-00-00·8227 I .
TOT Al PLUMBING I rrr....-PUBLIC FACILITIES FEE , ~0-00·00-8740 qq--z 1 !,.;
5;-00 BRIDGE FEE 360-810-00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP 'l'JJ&-PARK-IN-LIEU (AREA )
NEW CONST EA AMP 'SWT BK R 100~. ,it;, CAR PORT TIF 134-810-00-00-8835 /.;/JO -
I PH 3 PH . I AWNING LA COSTA TIF 133-810-00-00·8835
EXIST BLOG EA AMP/SWT1BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001 ·810-00-00·8162 .
REMOOEL ALftR PER CIRCUI I MFF 880-519-92-57 /SCfO-
TEMP POLE 200 AMPS
0 VE A 200 AMPS
TEMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT <..7..0:J 7
TOTAL ELECTRICAL I ~ ,,.-T01AL TOTAL FEES PA YABLE ?b t5 I~ t'}_.q0_~
Exp,rallon Eve,y perrn<t 19sued by the Bu,ldrng O11,c,11 under the pros<S•ons of lhts • I HAVE C"-REFULLY EXAMINED T>-!E COMPLETED ·APPLICATION "-NO PERMIT' ANO 00 HEREBY .. AN OSHA PERM:t IS AE0UtAED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION >-IEFIEON INCLUDING THE Code sh.all opu11 by llm1t.at1on and tteeome null and .-01d U lt\f! bwld10g or \111,0rk S o-DEEP AHO OEMOllTION OR CONSTJIUCTIOH 0~
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ auttioriz.ed by such perm,, 1s not commencec w,thm 180 days from lhe date of such STAUCl\JAfS OVE.A 3 STORIES IN HEIGHT permit c, 1f 11\e bu1td1n~ or work auJhotized by such permit 1s suspended Of ISSUED TO COMPI.Y WllH AU CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON• abandOned at anv bme • er Ille work •~ commenced for I oenOd ot t 80 davs ./
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APC:Wl?;RE. OWNER □ CONTRACTOR 0
APPRO~ ~ IDAM/; KEEP HARMI.ESS fHE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS ANO -EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRA TING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING :
.... ..
• I --~7.,:;). 9.S-~ I 0-!::,-
FOUNDATION ! FIELD INSPECTION RECORD
REINFORCED STEEL j
MASONRY :
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES . .
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL I
SUB FRAME D FLOOR □ CEll,.ING . '
SOILS COMPLIANCE
SHEATHING □ ROOF D SHIEAR PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI .
INSULATION : PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED
I CONCRETE
PLUMBING I ' FIE:t'o WELDIN~G -. • -
D SEWER AND BUCO □ FlUCO
UNDERGROUND D WASTE q WATER
TOP OUT D WASTE D WATER
HIGH STRENGTH .
BOLTS
SPECIAL MAS-0 . ' '. ~ ~\ .. • Fl . •
' TUB AND SHOWER PAN I
. • 1 ··-
GAS TEST r
I
0 WATER HEATER □ SOLAR WATER
I
PILES CAISSONS . v -. • -. . . -.
ELECTRICAL I
t I .
D ELECTRIC UNDERGROUND [!J UFFER
< ··,., . --. . -. •' . . .
ROUGH ELECTRIC l . , . ~.
tJ ELECTRIC SERVICE D TEMPpRARY . ' . "'. --~. .. -
D BONDING D POOL J
! 'I. .. ,;_ .-
J
MECHANICAL :
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS l I
I
CALL FOR FINAL INSPECtlON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED,
nC3I OP.\TI OTOr OSfij~_lllf 02es·c
FINAL I
I
PLUMBING I "' ELECTRICAL I Qo
MECHANICAL I • \.."'-I I
GAS I N ,,_ .
BUILDING I N "'--
. .. . -. ,A .
' -\ ., ~ :, . .
-
SPECIAL CONDITIONS ? . '-::::::, I ..... \
I ~ -
FINAL BUILDING INSPECTION
I '
PLAN CtiECK NUMBER:
ADDRESS:
PROJECT NO.:
TYPE OF UNIT:
CONTACT PERSON·
CONTACT TELEPHONE:
INSPECTED
II d
BY: _________ _
INSPECTED
BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED: -~-+-"~'--
DATE
INSPECTED:
DATE
INSPECTED:
DATE:
APPROVED /
APPROVED __ _
APPROVED
1-1 -
~.9P£Z\\v
DISAPPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
COMMENTS: ----------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineerln PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
87-95=101: 1-1 -PLAN CHECK NUMBER: DATE:
f; Icon hill
PROJECT NAME: ----------------------------------
ADDRESS:
PROJECT NO.:
TYPE OF UNIT:
2761 tfbur
84-3 ________ UNIT NUMBER:
f
________ PHASE NO.: _______ _
1 _____________ NUMBER OF UNITS:
CONTACT PERSON: ________________________________ _
INSPECTED DATE ?6,/n _L DISAPPROVED BY: INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -----------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water Dist . ANARY: Utilities PINK: Planning GOLD: Fire
I
FINAL BUILDING INSPECTION
1 PLAN CHECK NUMBER: DATE:
ADDRESS:
PROJECT NO.: ________ PHASE NO.:
TYPE OF UNIT:
INSPECTED 1/41,,/tf DATE ,tJ(' BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED pe, DATE '711«' 1,,./'
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: w~
1Iw...,J
cG dJAw; -
~
Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utllltle PINK: Planning OLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 87-295=105
DATE: 1-19-88
falcon hills
PROJECT NAME:-------------------------------
2761 tiburo11 ADDRESS:
84-35
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: sfd ____________ NUMBER OF UNITS:
we CONTACT PERSON : ______________________________ _
729-2320 CONTACT TELEPHONE: ____________________________ _
II rt I I INSPECTED ~ DATE JAN. 2 6 1988 BY: • INSPECTED: APPROVED DISAPPROVED __ _
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED __ _
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED __ _
Costa Real Municipal Water O,stnct
COMMENTS: Engineering Department
(619) 438-3367
Rev. 1186 WHITE: Susp EEN: Engineering CANARY: Utllltles PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
-1 -
PLAN CHECK NUMBER: DATE:
PROJECT NO.: ________ PHASE NO.: _______ _
1
TYPE OF UNIT:
INSPECTED etJ DATE I /2.0 1:Ll-APPROVED ~SAP PROVED BY: INSPECTED: •' ~Tl
INSPECTED DATE •' BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -----------------------------------
•~. "" WHITE, Sosp,o,o BLU~ W•W OIWlct GREEN, Eaglooo,lag CANARY, Utllltl" PINK, Pl•aaG