HomeMy WebLinkAbout2751 TIBURON AVE; ; 87-295-102; Permit"' z 0 ~ C II: j u "' 0
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:U I h«eby affirm that I am licensed under
pr0¥1slon• of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Prol ... lons Code, and my license Is in
lull force and effect.
I hereby afhrm thal I am exempt from 1he Contrac· 1or's Locense Law for the lot1ow1ng reason (Sec 7031 5
Business and Professions Code: Any city or county wh.cr. re~ quires a permit to conslrutl. alter, improve, demohsh, or
repair any structure, puor to its issuance also requires !heap·
plicant fCM' such permit to file a ~gned statement t!\at he 1s
hcansed pursuanl lo lhe provisions of the ton1ractor's
license Law (Chaplet 9 commencing with SecllOn 7000 of Oiv1s1on 3 a1 the Business and Professions Code} or that 1s ex· empt therefrom and the basis tor the allegeo exempt10n Any
v;o1a1,on o1 Section 7031.5 by an applicant tor a permll sub·
J<CIS the applicant to a civil penalty o1 not more than live hun-
dred dollars ($500).
I I I. as owner of the property. or my employees w1Ih wages
as lhe1r so$e compensalioo. will do the work. and lhe struc-
ture Is no1 in1ended or olfered for saJe (Sec 7044, Business
and Professions Code The Contraclor's License Law does not apply to an owner ot property who builds or improves
thereon and who does such work h1msefl or through his own employees, provided that such improvements are nol mlend·
ed or ottered !or saJe. II, ho-Never. the buI1dIng or improve-ment is sold within one year of completion, lhe owner-buikler
will have the burden of proving thal he did nol bu11d or im-
prove tor the purpose of sale).
0 I, as owner of lhe property, am excluSfVety conlracting with IUnsed contractors to conslrucl the project (Sec. 7044,
Business and Professions Code: The Contractor's License
Law d08S not apply to an owner of property whO builds or im-proves thereon. and who contracts for each pco,ects with a contractor{s) license pursuant 10 !he Coniractof's Ucense Law).
O As a homeowner I am Improving my home. and lhe follow
ing cond1lions exist; 1. The work is being per1ormed pnor to sale.
2. I have !Wed in my home tor twelve. months
3. r~: :ri:::t t1~i:-::~pltOn during !he Last three years.
□ I am exempt under Sec ______ • B & P.C.
IOJ this reason -------------
~ I hereby attirm that I have a certificate of consent to
self-insure. or a cer1iticate of Workers· Compensation In-
surance. or a cert1tIed copy thereol (Sec. 3800. Labor Code)
POLICY NOP0051644
COMPAN,r
XXcopy ;,Z~b ci~ns. Co.
D Certified copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be compteted if the permit
is fOf one hundred dollars ($100) OI" less)
0 I certify that In the performance of the work for which
this permit is Issued. I shall not employ any person in any
manner so as to become subject to the Workers· Compen•
sattOn Laws of California.
NOTICE TO APPLICANT: II. afief making this Certificate
of Exemption. you should become subject to the Workers·
compensation provisions of the Labor Code. you must
forthwith comply with such p,ovisions or this permit shall
be deemed revoked.
XX I hereby affirm that there is a construction lending
agency tor the performance of the work for which this per-
mit ls Issued (5ec. 3097. Civil Code) 1
Lenoer·s Name..COrnnwea J tb Mart+
Lender's Addtess-5 4 6 5 Mor.ehou.s.e--D t
San Diego, CA 1
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INI-ORMATION WITHIN SHADED AREA AND DECLARATIONS. .... ----·--· . -----··-----···-····· --.... ·-. -
r CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT . 2075 Las Palmas Or., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS I AV. ST.RO. NEAREST CROSS ST. I 08 J;;?e;1•0NI BUSINESS LICENSE # VALUATION PERMIT NUMBER
2751 Tiburon Avenue J~C!,,tf St-,.nf'n-r-,-1 St-r •<=>t" 1".\n"H! /wo /JLJ ,< 8 7 ... Z1'!7-/oz. LOT BLOCK . I suB01v 1s10N I ASSESSOR PAACEL NO ~ CONTRACTOR ' CONTRACTORS Pt-tONE • ZONE
ln? Ru-1" 107 '>7.o~ 100
OWNER"S N:~tJ,,,._ l~~d~ I OWNER'S PHONE Foote Develonmen t: Co. V,0-HHt"'.l.
CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
Foote De elonment co: 569-1883 5205 Kearny Villa Way #211 352821 B
OWNER'S MAILING ADDRESS 2305
DESIGNER DESIGNER'S PHONE
5205 Kearny Villa Way #211 San Diego CA 92123 Buzard Hennigg ~ Assoc. 278-6855 DESCRIPTION OF WORK
DESIGNER'S ADDRESS STATE LICENSE NO. 0031 08/13 0101 02BldPmt 9325-~~
SFD w/attached garage 4883 Ronson Ct SanDiego C4729 --Plan 5 ---F/P FLA ELEV. NO DCC GP EDU
STORIES
vO NO --2 R".l 1
I rA:~lt SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
r □ ND y O N(lll VN vO ,ID[ Not V~lid Un~< M~chine Certified
1·So ;r;. I} C.
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP .,J :,;:., M.Cc. 1 INSTALL FURN. DUCTS UP TO 100,000 BTU 7,f. OCI BUILDING PERMIT 001 ·810-00-00-8220 VJ~-
I EACH BUILDING SEWER (;. I ..t OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
I EACH WA TEA HEA TEA ANO/OR VENT Z,. ~ ,t) BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 /J.J')/1 -
l EACH GAS SYSTEM 1 TO 4 OUTLETS ~ . C.l. BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810-00-00-8222 rA-
EACH GAS SYSTEM 5 OR MORE l METAL FIREPLACE u. ~b ELECTRICAL 001 ·810-00-00-8223 ;,;i,n-
EACH INSTAl. ALTER. REPAIR WATER PIPE l VENT FAN SINGLE DUCT 4-.C,l MECHANICAL 001-810-00-00-8224 ,11,..-
1, ---7 _r,o I l, .. SO EACH VACUUM BREAKER MECH EXHAUST · HOOOIOUCTS MOBILEHOME 001-810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001 ·810-00-00-8226
EACH ROOF DRAIN (INSIDE) I DRYER VENT ,1/. ~i) ST RONG MOTION 880-519-92·33 ,1. Zl.
TOT /;L MECHANICAL ~-~ FIRE SPRINi<LERS 001-810-00-00-8227 ,A
TOTAL PLUMBING I fn,1. ,_,# PUBLIC FACILITIES FEE • t')~0>-oo-oo-8740 ~ v,()7 !It ..
,.e:;. 00
BRIDGE FEE 360-810-00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA -?Px/J-I )
NEW CONST EA AMP'SWT BKR IOU,WM/. ¾.,.,. CAR PORT TIF 134-810-00-00-8835 1JN'YJ-..
I PH 3 PH ' AWNING LA COSTA TIF 133-810-00-00-8835
EXIST BLDG EA AMP/SWT 'BKR GARAGE FMF
1 PH 3 PH LICENSE TA)lr,y-"r.'"OOJl~-■ • ~·•·
AEMOOEL 'ALTl:R PER CIRCUIT MFF ~ .u .£1 r:....:.-,_.'.~ t tnO-
TEMP POLE 200 AMPS
□VER 200 AMPS J:"J:"A Li. 10AJi
TE MP OCCUPANCY (30 OA YS)
CREDIT DEFalh, Al -• -• .... .. <7 rYJ 7
TOTAL ELECTRICAL I /J-r)_..,,., TOTAL To1'!Vlllt»Ma«EflOCESI ING SERVSq" '32 ij. ~
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT . AND DO HEREBY E,:pirat,on Every permit issued by tt'te Bu,tdtng Off1c,a1 under the prov1s1ons of this * AN OSHA PERMIT 1$ AEOUIAED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expue by hm1tat1on and become null and void If the building o, work s· o·· DEEP ANO DEMOLITION QA CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15
authorized by such permit ,s riot commenced within 180days from the date of such STRUCTUAlS OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON ~~::On~ l~t •=~Y ~~:•J.~~h=~~r:~!h:~~:.:J~~~~ f:,';!~'~,5~~~~-:' or /
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
Anm:~TURE •.
OWNER□ CONTRACTOR 0 APP~.•~ i°ff/4 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 0
GRANTING OF THIS PERMIT ,{JJ
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT 1
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SlffEAR
FRAME
EXTERIOR LA TH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING 1
D SEWER AND BUCO D RUCO
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 [Il UFFER
ROUGH ELECTRIC t
D ELECTRIC SERVICE D TEMPbRARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIRING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL /NSPECtlON WHEN ALL APPROPRIATE
ITEMS ABOVE HA¥E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
i
l I J ·,-:+-
• -I •
I I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INS0PECTION. REO IF INSPECTOR S
CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDH\JG •
HIGH STRENGTH
BOLTS -
SPECIAL MASONR, .
PILES CAISSONS . .. .
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INSPECTOR'S NOTES . .
OUff'ObWE~1 bt!'OCE??I~<? ?E~i\<:' . -
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FINAL BUILDING INSPECTION
,,
PLAN CHECK NUMBER: 87-295-102 DATE: 1-7-88
PROJECT NAME: ____ t_lc_o_n_r._i_ll_s ______________________ _
ADDRESS: 2751 tlburon ve
PROJECT NO.: -35 ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____ f d ________ NUMBER OF UNITS:
CONTACT PERSON: ___ _;__:...::.._ __________________________ _
CONTACT TELEPHONE: __ 7_2_9_-_2_3_20 ________________________ _
INSPE~~
BY: -~--,.-.......c=---,...__~~---
INSPECTED
BY:
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED v' DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
COMMENTS: --------------------------------'-•---
L
FINAL BUILDING INSPECTION
~LAN CHECK NUMBER: 87-295-102 DATE: 1-7-8
PROJECT NAME: ____ fa_l_con __ fl_l_tl _______________________ _
PROJECT NO.: 11-35 ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____ f d ________ NUMBER OF UNITS:
Ul1Llllt.~ ro
(-0
CONTACT TELEPHONE: __ 7_2_S_-_2_32_0_________________________ /& i~
CONTACT PERSON:
II
INSPECTED DATE j---~ -f~ APPROVED ~ DISAPPROVED BY: INSPECTED:
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS:----------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District CANARY: Utilities P K: Planning GOLD: Fire
FINAL BUILDING INSPECTION
.. I
PLAN CHECK NUMBER: 87-295-102 DATE: 1-7-88
PROJECT NAME: ____ fa_l_co_n_fl_i_ll_v ______________________ _
ADDRESS: 2751 tlburon ave
PROJECT NO.: _____ 84_-_3_5_ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: ____ s_f_d _______ NUMBER OF UNITS:
CONTACT PERSON: ___ w_e_s _________________________ _
CONTACT TELEPHONE: __ 7_2_9_-_2_32_0 ________________________ _
,>
INSPECTED ~ DATE JAN. 2 6 1988
BY: . INSPECTED:
INSPECTED DATE
BY: INSPECTED:
INSPECTED DATE
BY: INSPECTED:
Costa Real Municipal Water Distnct
COMMENTS: Engineering Department
(619) 438·3367
APPROVED
APPROVED
APPROVED
;;:ISAPPROVEO
DISAPPROVED
DISAPPROVED
t
• I
COSTA REAL
MUNICIPAL WATER DISTRICT
FINAL BUILDING INSPECTION
H\ "' 1 , 1988
PLAN CHECK NUMBER: 1-l9S-102 DATE: 1-1-
ADDRESS: 2751 ti
PROJECT NO.: _____ fl_-_J_S_ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: _____ i ________ NUMBER OF UNITS:
CONTACT PERSON: ____ w ____________________________ _
CONTACTTELEPHONE: __ 7_2_9_-_2_3_20 ________________________ _
INSPECTEDc_ t)c,J.: e,l-DATE 1/~oh~ >--BY: · INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ----------------------------------
.,
Ii
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Plann ng
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 7-95-10 DATE: 1-7-
ADDRESS: .,751 tlJuro
PROJECT NO.: -3S ________ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: _____ t_f'. ________ NUMBER OF UNITS:
CONTACT PERSON: ____ W ____________________________ _
CONTACTTELEPHONE: __ 7_2_S_-_3 _________________________ _
INSPECTED pc. DATE l/4fr8 -BY: 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: Utllit ~ Pla~nlng GO D: Fire