HomeMy WebLinkAbout2721 TIBURON AVE; ; 85-389-72; PermitU) z 0 ;::.
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IC ~ I hereby affirm that I am licensed under
~~~z [ provisions of Chapter 9 (commencing with ~ Section 7000) of Olvlslon 3 of the Business
and Professions Code, and my license Is In
full lo~'l-"Jl.d,ff.111<;1. B
lit No..J~:)~L.~O~L.~ 1 _ Cla,s
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
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CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV.ST.AD. NEAREST CROSS ST I D:T; :~ ;~u CATtONI l 3~;;ess LICENSE# PERMIT NUMBER VALUATION
2721 Tiburon Avenue Pontiac Dr. 103,817 ~
85-389~ L01 BLOCK I SU80lVISIOIII I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE 72 84-35 l!o7 S"\:).41..arff) Foote Development Company 569-1883 0WNER•s IIIA'-'£
Is 6 9 _ ;w;~A~s PHONE Foot~Development CONTAACTOR·s ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE Company
OW ~WA1 IIIG ADDRESS t,-,205 Kearnv Villa Wav 41211 352821 n/ lf:ii'B '1l · . 156 7 tiOPn.7
DESIGNER DESIGNE R•s PHOIIIE .
', ~' 1{ e..a T n V /!y 1 •f} a W a V • #211 SD 92123 Buzard & Assoc.
I ftereby alfirm lhal I am e,empl Jrom the Conlrac· tor s License Law Jo, the follow1119 reason (Sec 7031 5
Business and Prolesst0ns Cooe Any aly Of c.ounty whJCJi re-quires a permrt to construct. aller unprove. demolish. or
repau any structure. prior to 11s issuance also requnes the ap pllcanl tor such perm,, lo me a s1qne<1 statement 1h31 he ,s
hcensed pwsuan1 lo the prov1sKHls ol the t;on1rac1or s l.Jctnse Law (Chapter 9 commellClng .. ,th Sect,on 7000 DI
Ont1S10n 3 ot the eus,ness alld Protess,ons Codei or 111a1 ,s ~-empl lntfehom and !he basis for the allegeo e•empt,on Any
vIola1,on of Sec11on 7031.5 by an applicant for a perm,1 sub• 1ects me applicanJ 10 a CIVTI penalty ot not more than five hUn·
dre<I dollars {S500)
I l~ll'IP,~~wo0~-: 1 • M : ,., P 1 an 1 Henning 278-6855
O£SIG111ER·5 4DDA(SS LICENSE NO.
IC w a ...
I as owner ot llll property. or my employees with wages
as theu sole compensatt00. w,n do the work. and the strut·
lure Is not Intended or ollere<I lor sale (Sec. 7044 Busmess
, ...
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and Professions Code Tne Conlrac:ror·s Liunse La~· doe
f10I apply 10 an owner of prlljleny who b1utc1s or ,
llletllOII and wno does such -k h,msen or thrOUVh rus employees. prov1ded thal such improvements a,e nor mtend-
ed or ottered tor sale If. however, lhe building or improve· menl ,s sotd w1thtn one yea1 ol completion, the owner•bu,ldet
w,11 haw Jhe burden ot prov,ng 111a1 he did 001 build or im-
prove Jor !he purpose ot sale)
I, as owner of lhe propeny, am exclustvely contracting
"'rth licensed contractors lo conslrucl lhe prOfecl (Sec 7044. Business and Pro ess,ons Corle The Con1rac1or's 1.JCense Law <1oes not apply llt an°"'""' ot orooerty wllO Ou,tcls or..,. proves thereon. and wno contracls tor eacit prOjOCIS with •
~Flor(sJ license pursuant lo n,e Contrac1or·s l.Joense
D As a tiomeo,,,ne, I am 1rnprovIng my home and t11e lollow 1ng ton<lihons ex;st.
I The work IS being performed poor lo sale 2 I have IIVed ,n my home Jo, 1welve months
pnor to comp1e11on ol lh1s work 3 I have nol claimed lhlS exemplion during the laSI three years
D I am exemp1 under Sec _____ _ 8&PC for lh1s reason ___________ _
XZ I hereby aflirm thal I have a cer11hcate of con5ent 1
selHnsu,e. or a certthcate ol Workers Comoensat100 ln--
su,ance. or a cen1hed cooy thereol (Sec 3800. Labor Code
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POLICY NO T C 6 2 1 8 0 7 5 9 9
coMPA1-f 1 d Casual n Cop, ,. l~e,F.¥n ,Jlc~ ty1
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'::J Certified copy •S ne,eby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
rTh1s ,eci.on need no1 t>e completed if ttie permit
1s for one hundred dollars (S100) °' less)
0 I certify tnat in ltle. performance of the worlil, for wh1c
ltns permit Is issued, I shall not employ any person In an
manner so as to become subJect to the WOf'kers Compen--
n
y
sation Laws of Ca1iforn1a.
NOTICE TO APPLICANT: If, aJter making this Ce-rtlhcat
of tlempbon, you should beeome subject to the Worke1s
Compensation prov1S1ons ot the Labor Code. you mus forthwlth comply with such provisions or this permit sha
•
1 II
be deemed revoked
IC [ 2@'..1 hereby affirm that ther.e ls a construction lendin
111 agency for the performance ol lhe work for which this pe
0 mll ,s IS•ued (Se<:. 3097. C,v,I Code) ~ Lender's Name C O mm On we a 1 th
--' Lender•• Addros8 7 e._ D
San Dieg o, CA
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~ ~~ ~r~-SFD w/attached garage J883 Ronson Ct SD g?} 11 C472g
~ 0 "~~ F p FUl ELEV. NO OCC GP EDU STORIES
(.', ti... <"-~ vO NO ---1 R-3 1
CEIIISUST.""'-~ GP LANO USE I PA;:;G SPACE A~ UIIIITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR ~~a~ AAEA "YNST YO ND ,o ,..,~X v□io Not Val,d Unlen Machine Cutified
,... . ..;::;,
QTY. . J PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER 3.00
11 EACH FIXTURE rRAP 27.50 1 INSTALL FURN DUCTS UP TD 100 000 BTU 4 .00 BUILDING PERMJT 001·810·00·00·8220 443 00
1 EACH BUILDING SEWER 6.50 OVER 100,000 BTU SIGN PERMIT 001-810·00·00·8221 --------
1 EACH WATER HEATER ANO OR VENT 2.50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 810·00·00·8806 ?88 00
1 EACH GAS SYSTEM 1 TO 4 OUTLETS ......-2 50 BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 51,50
EACH GAS SYSTEM 5 OR MORE 1 METAL FIREPLACf 3 •. oo ELECTRICAL 001·810·00·00·8223 30.00
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 10.00 -,___
2 EACH VACUUM BREAKER 5.00 MECH EXHAUST HOOOIOUCTS MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK 1NSP
EACH ROOF DRAIN PNSIOfJ SOl,M__ ______ OOJ:810-00·00-8226
T01 /:.L MECHANICAL STRONG MOTION 880·519·92·33 7. 2]_ ---sr.-.50 10.00 ......
rDT At Pl UMBtNG I FIRE SPRINi<lERS 001·810·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR • ISSUE
PUBLIC FACILITIES F_EE __ 332·810·00·00·8930 2-, O Z 6 .Jl.D..
') ()()
NEW CONST EA AMP SWI BKR 100 2 5 _ 0 0 COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TA KS Carlsbad xx
E 1sr BLDG EA AMP·SWl BKR ROCK STORAGE Encinilas
I PH 3 PH PUMP San Diegu1to
REMODEL ALTtR PER Cl R CU IT PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 001 ·810·00·00·8162
TEMP OCCUPANCY !JO DAYSI MFF l @ 1 120 880·519·92·5 7 1 120,00
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR I 30.00 TOTAL FEES PAYABLE $4,025.77
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMI r ANO 00 HERESY Exp1r1r1on Every permit jssued by the Bulld,ng Qff1cJal undet 1t'I~ pro._-u,,ons of this * AN ~ AEOUIMO FOA EXCAVATIONS OVER
CEJ1TIF'Y UNOF.!l PENALTY OF' Pl:RJURV THAr ALL INFORM .. TIOJ HEREON INCLUDING THE Code 1half expire by l1m1tahon and be<:ome null and void H the bu1ld1og or worll 5' 0" DEEP ANO MOlJTION OR CONSTRUCTION OF
DECLARATIO SARE TRUE A ◄D CORRECT A O I FURTHER CERTIFY AND AGREE IF A PERMIT 15 author,zed by •u~i"'' •s not commenced w1thIn 80 oays from 1he Qate ,:,, such STAUCT\IRE ER J STOfflES IN HEIGHT / I permit or ,f the d•~ or wor~ autnonze.d by such permit :s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STA E LAWS GOVERNING BUILDING CON-...._odoned at an e • er nie worlic ,s commenced for a oer,od of 180 davs -
STAUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
AP7$,AT~ OWNER □ APPROVED[~ 111/t~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS ANO CON TRAC~~ --EXPENSES WHICH MAY IN MY '/AY ACCRUE AGAI ST SAID CITY I CONSEOUE CE OF THE BY PHO :°: GRANT NG OF' THIS PERt-.1 I .,..,.,.
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEll.dNG
SHEATHING □ ROOF D SH:EAR
FRAME I
I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
I
□ SEWER AND BUCO □ Pl/CO
UNDERGROUND D WASTE □,WATER
TOP OUT D WASTE D VVATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR W('.TER
I
ELECTRICAL I
0 ELECTRIC UNDERGROUND o:uFFER
ROUGH ELECTRIC '
D ELECTRIC SERVICE D TEMPd>RARY
D BONDING D POOL I
I
I ,· ~-
' MECHANICAL I :·: ·.
D DUCT & PLEM., D REF. PIPl~G ..
HEAT -AIR COND. SYSTEMS ' .,. ~
VENTILATING SYSTEMS I .;:' -r· '
CALL FOR FINAL INSPECTION WHEN ALL APPROPR/A TE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
I
PLUMBING I ..
ELECTRICAL I '-7 .... .
MECHANICAL I "'-,N _j I .
GAS I \. --..J -
BUILDING -. ' I -.~
SPECIAL CONDITIONS I
I "\ ~
I ---
. i • ...... '·' ., . ·-~,
,-•• i .• -.· 8'S-'3~'?-7").. , ,·
t ,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOU DATIO I SP
STRUCTURAL CONCRETE
OVER 2000 PSI
PAESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENG H
BOLTS
SPECIAL MASONRY
PILES CAISSONS
-
'
. -. ... . -. '
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: -72 DATE:
F lcon li1 ll s
PROJECT NAME: ---------------------------------
ADDRESS: _____ 2_72_1_T_1_bu_ro_n_Av_e _____ ~-------------
PROJECT NO.: ____ S4_-_3 __ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: ____ S_F_D _______ NUMBER OF UNITS:
CONTACT PERSON: ___ D_a_r_y_l _________________________ _
CONTACT TELEPHONE: __ 7_9_-_2_3_20 _______________________ _
pts
INSPECTED /) L DATE l~t:fr ~
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE -BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ----------------------------------
Rev. 1186
., ., FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-3 9-72 DATE: 10-21-86
PROJECT NAME: ____ F_a_l_c_o_n_H_i _ll_s ______________________ _
ADDRESS: _____ 2_7_2_1_T_i_b_u_r_o_n_A_v_e __________________ _
PROJECT NO.: ____ S_4_-_JS __ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: ____ S_F_D ________ NUMBER OF UNITS:
CONTACT PERSON: ___ D_a_ry_l _________________________ _
CONTACT TELEPHONE: __ 7_2_9_-_2_32_0 ______________________ _
all d p s
~Ny~PECTE~~~ DATE ~~ INSPECTED:/ ~f APPROVED ~ DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ----------------------------------
Rev. 1/86 WHITE: Suspen CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-389-72 DATE: 10-21-86
PROJECT NAME: ____ F_a_l_c_o_n_H_1_l_l_s _______ ---==-------------~W:\,µ,,,.,.., ....... ~~
ADDRESS: _____ 2_7_2_1_T_i b_u_r_o_n_Av_e ____________ ~ic,,..::--ftf"T-Tr?..,.,-----
PROJECT NO.: _____ 4_-_J_S_ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: ____ S_F_D _______ NUMBER OF UNITS: 1
CONTACT PERSON: ___ D_a_ry_l ___________________ ___,,~#-ir--t-1-~~
CONTACT TELEPHONE: __ 72_9_-_Z_J_2_0 _______________________ _
all depts
INSPECTED ATE / dl--/2 -J J 4..PPROVED .---BY: INSPECTED: DISAPPROVED , l
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
u/aWz 2
Rev. 1/86 WHITE: Suspense
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE:
ADDRESS: _72 1 Ti
PROJECT NO.: _____ 4_-_J_S __ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: ____ S_F_D ________ NUMBER OF UNITS: 1
CONTACT PERSON: ___ u_a_r_y_l __________________________ _
CONTACT TELEPHONE: __ ? 2._~_n-___ ; J_ ... _J ________________________ _
INSPECTED
BY:
INSPECTED
BY:
INSPECTED
BY:
COMMENTS:
Rev. 1/86
all • e.its
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
Costa RP.::J I Muri•r.rl'.'?1 ,J\,~+t:>,. Drstrict
Eng,neermg Deoann-,cnt
(619) 438·3367
APPROVED
APPROVED
APPROVED
DEC. 5
DISAPPROVED
DISAPPROVED
DISAPPROVED
1988 ~-~
COSTA REAL MUNICIPAL WATER DISTRICT
WHITE: Suspense GREEN : Engineering CANARY: Utllltles PINK: Planning GOLD: Fire