HomeMy WebLinkAbout2743 TIBURON AVE; ; 87-295-100; Permiten z 0 .:: C IZ: C ... u w 0
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l!1{ I hereby affirm that I am llcenaad under
pro,,l1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalone Code, and my license is In
lull force and effect.
I hereby affirm Iha.I I am exempt from the COnlrac· tor's L,cense uw lor Ille lollowong , .. son (Sec 7031 5
8usu1ess ind Proless,oros Code Any c,ty or county wll,ct, re-quires a perm11 to construct. aner. ffflpfove. demolish, or repair any structure, pnor to its issuance also requires !heap·
phcant lor such permit to tile a signed statement that he 1s licensed pursuam 10 lhe provisions of lhe tontrac10.-·s l.Jctnse uw (Cl\apter 9 commenc,ng w,th Sectoon 7000 ot
O,,,s,on 3 al the BuSlntss and ProtesSIOOS Code) or that" ex·
empt therefrom and lhe bas.is lor the anegeo exemption Any vool.Jtoon ot Sectoon 7031.5 by an apphcant lor a perm,1 wb-
jects lhe apphcant to a civil penally of nol more than hve hun• dred dollars ($500)
I I, u owner ol lho p,Gperty, or my employees w,th wages
as lhe1r sole compensation, w,n do the wOJk. and the slruc· ture Is not intended or offered tor sale ( Sec 7044. Business
and ProlesSIOOs Code The Contractor" s L,cense law does
not apply to an owner ol p,operty who bu,lds or improves
thereon and who does such work htmSelf OJ through his own
emplOyets, provided that such mprovements are 001 mtend· ed or offered for sale II. however. lhe buildmg or improve·
ment Is sotd w1th1n one year ot complet10n. the owner-bu15der
will havt the burden ol P<OY1119 thal he did no1 bu,ld or 1m-p,ove lor the purpose ot sale)
rJ I, as owner ot the property, am exclusively contracting
w,fh licensed con1ractors to construe! the pro;ec:1 (5ec. 7044, Business and Pl'ofesst0ns Code The Contractor's Lteense
Law does nol apply to an owner al p,operty who burkls or m-prOYtS lhefeon, and whO contracts for each p,o,ects with a
contrac1or1s) hcense pursuant to the Con1ractor's ucense u w)
D As a homeowner I •m omprov,ng my home, •nd the loltow ing conditions exist 1 The -k rs betng pe~ormed p,,or to sale 2 I have hved ,n my hOme for IWetve months
prior to completion DI this work. 3 I have not dam'led lhts exemptlOO dunng the
last three years
D I am IJJempt uncter Sec ______ , 8 & PC
lor this reason
[X I he,eby amrm that I have a certificate of consenl to 1
self-insure. or a certificate ol Workers· Compensation ,~ I
surance Of a certified copy thereof (Sec. 3800. Labof Code) I
POUCYNO p 0051644 ]
COMPANY ]
Xi Copy .. filedZ~rri.itl;l Ins. Co. I
0 Cerllfied copy ,s hereby tumjshed
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed If the permit
1s l0t one hundred dollars ($100) a, less)
0 I cen1ty that In the performanu of the work fo, which
this permit is issued. I shall not employ any person 1n any
manner so as to beeome subject to the W0fke11· Compen•
sation Laws or Cahlornia.
NOTICE TO APPLICANT: If, after making this Certificate
of ExempOon. you should become subfect to the Workers·
Compenwtt0n provltions of the Labor Code, you mus1
forthwith comply w11h such provisions or this permit shall
be deemed revoked.
)OX hereby aff"irm 1hat there is I construction lending
agency for the performance of the work for which 1h11 pe,r.
rmt ts issued (Sec 3097, CiYII Codel
Lender's Name Commaowa )th Mor ~.
Lender's Address_j__4,6.5_Mor.ehOUSe-Dr
San Diego, CA 92 ~2
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 AV. ST.RD. NEAREST CROSS ST. I DA~ • fJP 1;11 l3~;stess LICENSE • VALUATION PERMIT NUMJc:):1
2743 Tiburon Avenue Stanford Street /il(j,'71,-1 e; 7., 2q@_;~ LOT BLOCK I SuB01v,s10N I ASSESSOR PARCEL NO 0 CONTRACTOR CONTRACTORS PHONE • ZONE
100 84-35 ,, I 1.,-,~"'.J. 33. o Foote Development Co. 569-1883
OWNER"S NAM~,:?✓-~/JV.,,. I
569
_;;~e;·s PHONE
Foote De opment Cbmpany
CONTRACTOR0S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OW~ER'S MA1L1NG ADDRESS 5205 Kearny Villa ,.fay 11211 SD 352821 B ~ 1765
5205 Kearny Villa Way 11211 San Diego, CA 92123
DESIGNER DESIGNER'S PHONE
Buzard Henning & Assoc 278-6855 0031 08/13 0101 02BldPmt 8006-5 DESCRIPTION OF WORK
DESIGNERS ADDRESS STATE LICENSE NO.
Single Family Dwelling w/attached garage 4883 Ronson Ct. San Diei?:O C4729
I--xnaux F/P F LR ELEV NO OCC GP EDU
PLAN 2 STORIES l vO NO --2 R3
I I PAR~;; SPACE I RESUNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FtRESPR
AREA ~ co"\N
YO N □ v0 N v□ N}IJ Not V~lid Unkss Ahchint Ctrtifi«I
QTY. PLUMBING PERMIT · ISSUE 1·(0 QTY. MECHANICAL PERMIT . ISSUE /~-ocJ SUMMARY/ACCOUNT NUMBER ,~ EACH FIXTURE TRAP 7,, fJ;' . 1-r/ .,o l INSTALL FURN DUCTS iJP TO 100,000 BTU 1·.r>v BUILDING PERMIT 001·810·00·00·8220 qf1't)-
I EACH BUILDING SEWER (IF~D OVER 100,000 BTU SIGN PERMIT 001-810·00·00·8221
I EACH WATER HEATER AND OR VENT 4 .i(b BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00·00·8821 71XJ ,#
I EACH GAS SYSTEM 1 TO 4 OUTLETS I 4 .50 BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 ---t~~ --l G? .fJO ---
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001 ·810·00·00·8223
EACH INSTAl . ALTER. REPAIR WATER PIPE l VENT FAN SINGLE DUCT ~J,. C. u MECHANICAL 001 ·810·00·00·8224 "'11-
'J.. ---~ .oo I lO. ~0 EACH VACUUM BREAKER ME CH EXHAUST HOODIOUCTS 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 4'. ,C,O STRONG MOTION 880·519·92·33 'IJ u. • TOTJ;L MECHANICAL FIRE SPRINKLERS n-001-810-00-00·8227
TOTAL PLUMBING I I/if -rlU PUBLIC FACILITIES F~ •• 10}1-0W.740 .!~":!;~ 500 BRIDGE FEE 360-S-1-: :-:.;:;:-4J.,"1 h QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA /:'f:ln -I.I -/Yi(/)
NEW CONST EA AMP SWT BKR /()0 M.Jlo 'Ir,?-CAR PORT TIF -'--i14J1cfoomll¥~ ftJOO
I PH 3 PH I AWNING LA COSTi.lJ..F ...-~ _,.13~810-00-~-~
EXIST BLOG EA AMP SWT BKR GARAGE FMF .. ,f:I.Opµ,.._· Ii~, --
1 PH 3 PH LICENSE TAX -•·· --'-".nil-·uu v-..,. ti
REMOOE L 'AL HR PER CIRCUIT MFF 880•0 l""""'ilJ'r_, 111 ••• t~qo
TEMP POLE 200 AMPS .......
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT < Zo61
TOTAL ELECTRICAL I 'YJO .oo TOTAL TOTAL FEES PAYABLE I f;(}D(p ~ l
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT ANO 00 HEREBY Expiration e.,.,y permit issued by the Butldmg Ot11c111 under the p,ov1s1ons of 1r1,s * AN OSHA PEAM:T IS AEOUIAEO FOR EXCAVAT10HS OVER
CERTIFY UNDER PENALTY OF PERJURY TriAT ALL INFORMATION HEREON INCLUDING THE Code shall eJti,tte by llm11ation and become null and void If the bu,fd1ng o, work s· o·· DEEP ANO DEMOLITION QA CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I!. authorized by such permit" not commenced within 180 days from the oate of such STRUCTUfltS OVER J STOAIES 1H HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON ~~~,:, '!11
~v ~~~,~-~'th=~~r:~!~°c:~:1.:i~~~~ r~~~'~,s~a~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPLC}:Jj~RE • OWNER lJ CONTRACTOR CJ APPROVED B~~
1°AW?J/y7
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
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TYPE : DATE INSPECTOR
BUILDING I
·~ ·--.. ./ t ~ i ., -----'?,.., .;2qr -L -uo ----.... .
FOUNDATION .
I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY J
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
• -REO IF INSPECTOR S \ INSPECTION CHECKED APPROVAL DATE
SUB FRAME O FLOOR D CEl~ING -.
SOILS COMPLIANCE
SHEATHING □ ROOF □ Sf&tEAR PRIOR TO
FRAME l
EXTERIOR LA TH f
FOUNDATION INSP
STRUCTURAL CONCRETE ~\f,~ " \ ~~,-\ ~, 'l,T.. .,,,
OVER 2000 PSI _,....,,v,I.!. .
INSULATION l
INTERIOR LATH & DRYWALL .
!
J •
PLUMBING I ..
PRES TRESSED t~,\ 'o't~';_{2;t1'4" CONCRETE -fl'('., \ 1-•• ,I
POST TENSIONED ~\t'~' -'3\ ' ... -
CONCRETE r.\t.,. ,t"\C.:_
' .., .. -... .. ' FIELD WELDING , • 'I, . . .,.,. . ~ . . --D SEWER AND BUCO D I U CO
UNDERGROUND □ WASTE C: WATER
TOP OUT □ WASTE □ WATER
-~\~"f.\) ' . HIGH STRENGTH . BOLTS ... . . ,-. ci .r .. I • ~•-• \.
.
SPECIAL MASONRY . . ',..
TUB AND SHOWER PAN I
I -~ ,-.. ~ ·~ . . "
GAS TEST l
r:i WATER HEAT ER D SOLAR WATER . PILES CAISSONS,~ • : .. . . • , . . • I . . . ELECTRICAL t • '
• . . . .. . .. • □ ELECTRIC UNDERGROUND [] UF.FtR -·. ,_ ... ,
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPORARY
.
. ' . 4., ·, ;· ... • .. .. ~ " . ... .;., ,, • < .
□ BONDING □ POOL I
I ' . . -{. . . I
MECHANICAL !
□ DUCT & PLEM., □ REF. PIAING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS J
I
I
CALL FOR FINAL INSPEC ION WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED. ,M :'T n.,\ T? i\Trt·T n~i:T~llt f !)O<;•'-J
FINAL I
PLUMBING I &
ELECTRICAL I . ~ I . .
MECHANICAL I • .......
GAS . () ~ I
' . . ('. . -. ,"'\ _ I ~" " \'.:·:~·~ • .
BUILDING I ' ("-....~ I
' l I -. -. '
SPECIAL CONDITIONS I -"--~ ---. ' I
:
FINAL BUILDING INSPECTION
January ,, 1988
PLAN CHECK NUMBER: DATE:
FALCu MILLS
PROJECT NAME:--------------------------------
2743 TIBURON AVENUE
ADDRESS:
CT Sll-35
PROJECT NO.: ________ UNIT NUMBER: _______ PHASE NO.: ______ _
SFO TYPE OF UNIT: ____________ NUMBER OF UNITS:
WES -FOOTE O / .. CONTACT PERSON: ______________________________ _
729-2320
ALL DEP
INSPECTE
BY: __ ____,.......;<-->"'------
INSPECTED BY: _________ _
INSPECTED BY: _________ _
~ -7 -[{
DATE ~ INSPECTED. ~
DATE
INSPECTED:
DATE
INSPECTED:
---.......:
APPROVED ~ DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
Rev. 1186 WHITE: Suspense BLUE: Water Dlstrl t GREEN: Engineerln CANARY: Utilities PINK: Planning GOLD: Fire
✓
FINAL BUILDING INSPECTION
L 87-295-000 January 4, 1988
PLAN CHECK NUMBER: DATE:
FALCON HI LLS
PROJECT NAME:-------------------------------
2743 TIBURON AVENUE
ADDRESS: ---------------------------------
CT 84-35
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
SFD 1
TYPE OF UNIT: ____________ NUMBER OF UNITS:
WES -FOOTE D VL 0 • H CONTACT PERSON: ______________________________ _
729-2320 CONTACT TELEPHONE: _____________________________ _
INSPECTED ~
BY: ____ 0-'--AJ-~----
INSPECTED BY: _________ _
INSPECTED BY: _________ _
A T Ft T
DATE
INSPECTED:
DATE
INSPECTED:
Costa Real Municipal Water District
COMMENTS: Engineering Department
(619) 438-3367
APPROVED / DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
-----~~~
t----=~-..
MUNICIPAL WATER DISTRICT
Rev. 1186 WHITE: Suspense EN: Engineering CANARY: Utllltles PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
87-295-(,ro
PLAN CHECK NUMBER: DATE:
J nu ry 4, 1988
FALCON HILLS
PROJECT NAME:--------------------------------
2743 TIBURON AVENUE
ADDRESS: ---------------------------------:::::~-::,;;:::::::----.-...
-~.....,...---~-'--(),b
"/
CT 84-35
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.:
SFD 1
TYPE OF UNIT: ____________ NUMBER OF UNITS:
~ES -FOOTE
CONTACT PERSON:
729-2320
INSPECTED BY: _________ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
f\ T :t Tr
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED __ _
APPROVED
9[8 ~
M ll///t.:::, w
DISAPPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
COMMENTS:---------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Englneerln GOLD: Fire
FINAL BUILDING INSPECTION RECEIVED ~.·.:; 0 G 1988
7-295-99 J u y , 19 8
PLAN CHECK NUMBER: DATE:
F LCON HILLS
ADDRESS:
CT 8 -35
PROJECT NO.: ________ UNIT NUMBER: _______ PHASE NO.: _______ _
SFO
TYPE OF UNIT: ____________ NUMBER OF UNITS:
S -FOOTE CONTACT PERSON: ______________________________ _
72 -2320
INSPECTED C l::>ul.c~ DATE ,,~,\<"-6 ,;..._ BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
WHITE, S,,poaso BLUE, W•to, Di•"'" GREEN, Eoglo~riog CANARY, UUIIUo, PINK, Plaooloe
~~---~-~
Rev. 1/86
FINAL BUILDING INSPECTION
87-295--.., \ ef.:> J nu r f , 1988
PLAN CHECK NUMBER: DATE:
FALCON HILLS
ADDRESS:
CT OQ-35
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: ____________ NUMBER OF UNITS:
ES -FOOTE CONTACT PERSON: ______________________________ _
729-2320 CONTACT TELEPHONE: _____________________________ _
ALL DEPART
INSPECTED A c_ BY: _____ µ _____ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
COMMENTS: ---------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilltl