HomeMy WebLinkAbout2755 TIBURON AVE; ; 87-295-103; PermitIll z 0 ;:::
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~ I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prof ... lona Code, and my license Is In
full force and affect.
I hereby att,m that I am exempt trorn the Contra,:-
10,·s locense uw 10< the loilow,ng reason (Sec 7031 5 Business and ProtesSK>ns Cade Any cily °' county whic.t. re-
qutres a permit to construct, aher, nnprove, demohsh, or
re~1r any structure, pnOf toils ,s~nce also requires the ap·
plttanl tor such perlTMt to Ide a stgned statement !hat he 1s lteensed pursuant to the prOY1SIOf1S ot the COOtractor s
locense Law (Chapter 9 tcrm11nc,ng w,th Sect,on 7000 ol Olv1S10n 3 ol the Busmess and ProtesSJOl'ls Code) or thal ,s ex·
emp1 thefetrom and the basis for the allege(t exempt,on Any
Y101a1,on of Sect,on 7031 5 by an al)lllant to, a pe,m,1 sub-1ects lhe applicant to a crvtl penalty ot not more Ill.an live hun·
dred dollars ($500).
I I I, as owner of the property, Of my employ.., w,th wages
as theu sole compensation. will do the work, and the strut·
lure is not intended o, ottered to, sale (Sec 70.4. Bus,ness
and Profess.ons Code The Contraclof's L1tense Law does not appty to an owner of p,operty who ou11ds Of improves thereoo anct who does sutll -k h,msett ., through his own
employees, prOYtded that such improvements are not intend· ed or ottered for sale 11, however. the building or improve-ment ,s sokl w1th1n one year OC complehon. lhe owner-buKder
will have the burden of p,011,ng that he did not build 0< irn· p<CMI !Of the purpose of sale)
n I. as owner of the property. am oclus1Vely c-on1rac11ng with hcensed conttact0<s to construct the protect (S.C 70.4, BuStness and Profess,ons Code The Contractor's license
Law does not apply to an owner of propeny who bt.u!ds or am-
proves thereon. and who conlracls for each proteets w11n ~ -cont1act0<(s) license pur=t to the Cootrac1or·s License Law).
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0 As a homeowner I am lfflp<oving my ho,ne, and the tOIIOW ing cond1hons exist
t' The -k IS being perto,med pr,or to sale 2 I have lived in my home 10< twelve months prior lo complehon ot th,s work
3 I have not claimed ttus exernptlOfl during the lasl lhree years
g /~r:.";;::' under sec _____ _ B&PC
XX I hereby aUirm that I have a certificate of consent to
sell-insure, or a certificate of Workers' CompensatlOn In-
surance. or a certified copy thereof (Sec 3800. UbOf Codel
POLICY NO. P0051644
COMPANY :lf) copy . .Z.~t;4c,Jns, Co,
0 Certifled copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
«This section need not be completed: It th• permit
Is for one hundred dollars ($1001 Of less)
0 I cer1ify that in the performance of the work for which
this permit is issued. I shall not employ any person in any
mannet so as to become subJect to the Workers· COmpen-
salion Laws of California.
NOTICE TO APPLICANT: II. after making this Certificate
of Exemption. you should become subject to the Workers·
Compensahon provisions of the Labor Code. you mus1
forthwith com~y with such provisions or this permit shall
be deemed revoked I
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I '° I hereby affirm that there is a construchon lending t
~ency for the performance of the work for whk:h this per-I
mlllslssued~dlffldn~lth Mort I
Len<ler's Nam•-,5ie-4.,,..,._5 .... 5c-:r-n1r=occr~e-,-.h_o_u_s_e--.D"""r 1,
Le-ncter·s Addres.,.~~ ........ ~---~~---S anD ieg o, CA 1
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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 92009-4859 (619) 438-1161
JOB ADDRESS AVi# NEAREST CROSS ST. l0l1~leYI BUSINESS LICENSE • 11ru~1~ PERMIT NUMBER
2755 Tiburon Avenue Stanford Striet 1 ".\n".\R f;1~-Z15 -Jo~ LOT BLOCK b SUBOIVISION
i I ASSESSOR PA~ )7) CONTRACTOR I I CONTRACTORS PHONE • ZONE 103 Q-35 lb, a .300t
OWNER'S NAME ~O_,i--~~ I OWNER'S PHONE Foote Develooment Co. 569-1883
CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE Foote Deve opment 'company -569-1883 5205 Kearny Villa Way #211 SD 352821 B
OWNER'S MAILING ADDRESS 1567
5205 Kearny Villa Way #211 San Diego, DESIGNER DESIGNER'S PHONE
CA 92123 Buzard Henning & Assoc. 278-6855 0031 08/13 0101 02BldPllt 7480-6 DESCRIPTION OF WORK
DESIGNER'S .. DDRESS STATE LICENSE NO.
SFD w/attached garage 4883 Ronson Ct. San Diego C 4729
---·--Plan 1 ------F/P FLRELEV. NO OCC GP EDU
STORIES
vO NO --1 R3 1
I I PAR:;; SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
y D ND vQ N(X VN vO '1CX Not Valid Unlffs Machine Certdi«i
QTY. PLUMBING PERMIT · ISSUE r/ .q; -QTY. MECHANICAL PERMIT · ISSUE /yoo SUMMARY/ACCOUNT NUMBER
l?J EACH FIXTURE TRAP ,z _"e ~Z.5C I INSTALL FURN DUCTS iJP TO 100,000 BTU ,.-BUILDING PERMIT 001-810-00-00-8220 41~~~ , I EACH BUILDING SEWER ~-1!;6 • OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221
I EACH WATER HEATER ANO/OR VENT '2-.<o BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00-00-8821 'l,00 _..... ·-l EACH GAS SYSTEM I TO 4 OUTLETS ~-.;D BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00-00-8222 '::J'(--
EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE In .,.,-o ELECTRICAL 001·810-00-00-8223 ~-
EACH INSTA~. ALTER, REPAIR WATER PIPE I VENT FAN SINGLE DUCT A---~b MECHANICAL 001-810-00-00-8224 4-fe,-
~ EACH VACUUM BREAKER ,,z. <;o 1-~ I MECH EXHAUST -HOOD DUCTS id-~..,.., MOBILE HOME 001-810·00-00-8225
WATER SOFTNEA RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) I DRYER VENT t.r -SD STRONG MOTION 880·519-92-33 .,,, IE... . TOTJ;L MECHANICAL FIRE SPRINi<LERS 001·810-00-00-8227
TOTAL PLUMBING I nvi. nv th,.-PUBLIC FACILITIES FEE , Oti10-oo-oo-a740 ~~~~ ~ ~c;.oo BRIDGE FEE 360-810-00·00-87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP 7~.,,--. ... ,A PARK-IN·LIEU (AREA )
NEW CONST EA AMP SWT BKR /fXJ HJJ' ~/;i -CAR PORT TIF 134-810-00-00-8835 /4/Jn-
I PH 3 PH AWNING r--. LA COSTA TIF 133·810·00-00-8835 .
EXIST BLOG EA AMP/SWT BK R GARAGE • .,..,AA/~ I/ FMF
1 PH 3 PH /J f' r ,· LICENSE TAX 001-810-00-00-8162
REMODEL ALHR PER CIRCUIT --J MFF 880-519-92-57 /17f1f} -
TEMP POLE 200 AMPS I I I .
OVER 200 AMPS •1,_<7/fA
IEMP OCCUPANCY 130 DAYS) I I --
CREDIT DEPOSIT ,-a;o7
TOTAL ELEI.TRICAL I ~-/
TOTAL TOTAL FEES PAYABLE I 7480~
I HAIIE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY Exp,rahon E~ parm,t uuad t,y l"9 Buildtng Otf1c,a1 un-1"9 provos,ons of lh•• * AN OSHA PEfllllT IS IIEQUIAEO FOfl EXCAVATIONS OYER
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1P'tall ••pre by hffutar,on end become null and w0td II the building or wo,~ 5· O" DEEP ANO OEIIIOUTION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ authortZed by such permit 11 not commenced w1thIn 180 days from the date of sucn STRUCTURES OVEl'I 3 STOl'IIES IN HfUGHT pe,mIt. or •f the build,~, work autttoru:ed by such perm•I 11 suspended o, ISSUED. TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON• --Ill an• bma a Iha worll IS com,-ic.cl tor a oariod of 190 ""•• J
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
A11!~
OWNER[] CONTRACTOR 0 AP~BY ~ .°PL/-~ 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 BYPHONE 0 .,/ ,,_,~ -
GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR I
BUILDING I
FOUNDATION .
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT • I
SUB FRAME □ FLOOR □ CEl].JNG
SHEATHING D ROOF □ St!IEAR
FRAME i
EXTERIOR LATH l
INSULATION I
INTERIOR LATH & DRYWALL I
l .
PLUMBING I ·.
□ SEWER AND BUCO □ F UCO
UNDERGROUND D WASTE C: WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I I .
D WATER HEATER D SOLAR WATER
• l
ELECTRICAL I
I .
tJ ELECTRIC UNDERGROUND Ol UFFER
ROUGH ELECTRIC I
I
0 ELECTRIC SERVICE D TEMPPRARY ..
D BONDING D POOL I
I
I
MECHANICAL I I
D DUCT & PLEM., D REF. PIAING
HEAT -AIR COND. SYSTEMS : ,
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC ION WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I '\
ELECTRICAL . ~ I
MECHANICAL I -0 .
GAS I ~ ......... ~
BUILDING I ""-., ~--..) I
SPECIAL CONDITIONS I , ~ .
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,I l ,I
FIELD INSPECTION RECORD
"' , ,;; . . .
REQUIRED SPECIAL INSPECTIONS
INSPECTIO~ REO IF INSPECTOR S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
~IELD WELDING, .
HIGH STRENGTH ~
BOLTS .
SPECIAL MASONAt
•
.PILES CAISSONS . . .
•
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DATE
g-i-J1S _, ID 3
INSPECTOR'S NOTES .
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con OB\T3 oror 0S£1cvrr .l~ao•£~
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FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 87-295-103 DATE: 1-7-88
PROJECT NAME: ____ fa_l_c_o_n_h_u_l_ls ______________________ _
ADDRESS: -------=-2.:::...7.:::...55=--t=-=-i-=b-=u:..:...r-=o.:::...n=----=o....:.v-=e:.___ __________________ _
PROJECT NO.: 84-35 ... UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: ____ ..::;s.:::...fd=---------NUMBER OF UNITS: -
CONTACT PERSON: ___ .c::w:...:e=-=s=-----------------------------
CONTACT TELEPHONE: _ ___::7-=2:..::9_-=2=3=20=---------------------------
dl ,
INSPECTED~
BY:--~~----=-"'----
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE l "'1 V /7~
INSPECTE~ APPROVED
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED
APPROVED
~ DISAPPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
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Rev. 1/86 WHITE: Suspense BLUE: Water District CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
~LAN CHECK NUMBER: 87-295-103 DATE: 1-7-88
PROJECT NAME: ____ fa_l_co_n_h_u_l_ls ______________________ _
ADDRESS: ______ 2_7_5_5_t_lb_u_ro_n __ v_e ______________ __:'--------
PROJECT NO.: _8_4_-_3_5 __ 1_~_-__ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____ s_fd ________ NUMBER OF UNITS:
CONTACT TELEPHONE: 729-2320
II ept
INSPECTED DATE /~~ APPROVED ~ BY: INSPECTED: DISAPPROVED
ii
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE • BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ----------------------------------
,.
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Englneerln NK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 87-295-103 DATE: 1-7-88
PROJECT NAME: ____ fa_l_c_o_n-----'-h--"u_l--=ls-----'-----------------------
ADDRESS: 2755 tlburon ave
PROJECT NO.: 84-35 I.. UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: ____ .:....s .:....fd;;.;:__ _______ NUMBER OF UNITS:
CONTACTPERSON:. ___ ~w~e~s ___________________________ _
CONTACT TELEPHONE: _ ___c..7_2--'-9_-=2=3=2-=-0 ________________________ _
' all re t •
INSPECTED ~
BY: ___ --2.~_,_,,'--=:.._-=--
INSPECTED BY: _________ _
INSPECTED
DATE
INSPECTED:
DATE
INSPECTED:
DATE
JAN. 2 6 1988
BY: _________ _ INSPECTED: ____ _
Costa Real Municipal Water o,stnct
COMMENTS: Engineering Department
(619) 438·3367
APPROVED I DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
'
Rev. 1/86 GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
RECEIVED 'fl~: 1 1 1988
PLAN CHECK NUMBER: 87-295-103 DATE: 1-7-88
PROJECT NAME: ____ f_a_lco_n __ ,_u_tl _______________________ _
ADDRESS: 27 5 tlburon v
PROJECT NO.:
TYPE OF UNIT: _____ fd ________ NUMBER OF UNITS:
CONTACT PERSON: ____ 'I_S ___________________________ _
CONTACT TELEPHONE: __ 7_2_9_-_2_3_2_0 _______________________ _
INSPECTED C <? c....(_ (_ DATE \)~o[~"i '>---BY: . 0 C 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
)
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 87-29S-103 DATE: 1-7-8
PROJECT NAME: ____ f_l_c_o_n_h_u_l_l ______________________ _
ADDRESS: 2755 tlburon av
PROJECT NO.:
TYPE OF UNIT: _____ l _fd ________ NUMBER OF UNITS:
CONTACT PERSON: ____ I_S ___________________________ _
CONTACT TELEPHONE: __ 7_2_9-_2_3_20 ________________________ _
II d
INSPECTED fJ e_ BY: _________ _ DATE 1 /('3/f~ -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: Utllltle