HomeMy WebLinkAbout2712 TIBURON AVE; ; 85-389-78; Permit., z 0 ;:: .. a: .. ~ ~ Q
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vGJ I hereby affirm that I am licensed under
.t~vlslons of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Busir.ess
and Professions Code, and my license is in
f,11 foo;e,ao,d~fl,<.I
L•c No _j~:J~L-<>~L~ l_ Closs ~-B~~~-
I hereby atf1rm that I am exempt 1rom:ll!n1rac
1or's License Law tor the follow,ng r~ 315 Business and Professions Code y n h,cr, re
qu,res a perr,,,I to construcl al\e r demolish. or
repa<r any struc1ure. pri o I ua so requires !heap
plrcant for such w file d statement tha! he rs
: USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
'.'.;J~~-OA~S$' ~' ; ~ ~, •;:;:4"."'~::.;;:;_. ¢7-" :,,v.sy.Ae.0, ~~CRd$SST."" , . OAT£ 0-f' Ae'f'l.fCA'.t~ * i!h)StllfE-$9 LtCEN$E #~ VALUATION PERMIT N11
2.712 Ti.h~on Avenue . . . ·_ n Po~tiac.D:i: •. 4J9/86 ... • ' l'.1038. . . 103 817
¼Of .:JBL,(?CK." .: _·l suao1v1s1~ f?SSESSORPA~LNO. . , CONTRACTOA , CQNTR.'CTORS PHONE t ZONE 85-389_.ll-l,-'
78 .· 84-35., ·, . IV].5:t.Qi "L'2.<i) .. · oqte Develot,ment Com;pany 569.-1883 .
OWNER'S ~A-:I 6WNER;s PH6NE .
' CONTRACTOR'S APO RESS LICENSE NO. ... PLAN I.□.# BUILDING SQ FOOTAGE r.oote De,/elopment Company . li69-1.883 . . ..
OWNER'S MA1L1NG .AOOREss . . .. 205 rtaarnv Villa Wav 1211 35?~21 1567 licensed pur t to ,smns ol the in1rac10r s L,cense . l ommencrng w~~l 7000 of
Oiv,s,on 3 th ess and Pro1es~ \:~r ha! ,sex· ,ft
en1pt ther and the basis for :iial ge exemplri/P!" cV
vmlatron of Sect1on 7031 ~t:f"an 11 ant for a per '
~.Z05 J:(~arny .Villa Way f,'211 SD 92123 DESIGNER OEStGNER'S PHONE
~C,Hf>:ltON-OF,WORK 't uzard ·Henning &., Ass't)c. .278-6855
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·ects 1he applicant to<t'\~/la.alty f not mors.lQ._ ~ -
dred dollars ($500! V er..._"'"" ~{:_
:_ as Owner Ol The property. _(J._raiy ~roy~~~~es
as The·r sole compens~at,on w,Ql'l:he ,..._, e struc
ture 1s not 1n1endl d for S¥;'\1' 44. Business
and Protess,ons ·s License Law does
no! apply to an o r who builds or improves
1hereon and who ork himself or 1hrough his ow~ empioyees. p such improvements are no1 intend-
ed or altered e If. however. the tluildinq or ,mprove
ment 1s sold w1\h,n one year of complet,on, 1he owner-builder
w1il have lhe bu,den o1 proving 1ha1 he did no1 tiu,ld or 1m-
orove 1or the ourpose of sale)
I, as owner 01 the pro~erty, am exclusively contrad1ng
Wilh licensed contractors to construct the p101ect (Sec 7044
Business and Pro1ess1ons Code. The Conlractor·s license
law does nol apply to an owner ol property who builds or ,m-
proves thereon. and who contracts for each pro1ects with a
contractor(sl license pursuant to the Con!ractor·s License law)
1 · /Is a homeowner I am improving my home. and lhe follow
1ng cond11'ons ex,st
1 TM work ,, being performed pr10, to sale
2 I have lived 1n my home for twelve monlhs
pnor •o comple\1on of tn1s work
I have not claimed this exemption during the
last three years
lamexemp1unrlerSec ______ ,B&PC
for this reason-~---~-------
X:Z I ttereby all1rm that I ha,e a cert,f,cale of consent to
self insure. or a cer\Lf1ca1e ol wo,ke,s· Compensation In-
surance or a certified cop\' the<eol (Sec 3800. Labor Godel
eooc, so TC 6 2 18 0 7 5 9 9
coMeA'Marvland Casualt XX Copy ,s filed ,,:(th the city
Cert1lied COP\' ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
!This section need not be completed If the permit
1s lor one hundred dollars ($1001 or less)
_ I certify that 1n the performance of the work tor which
th,s permit is ,ssued. I shall not employ any person 1n any
manner so as to become sub1ect to the Workers· Com pen
sat1on Laws of Caldorn1a
NOTICE TO APPLICANT. If. after makmg this Certificate
of Exemption. you should become subject to the Workers·
Compensat•on prov1s1ons of the Labor Code. you must
forthwith comply with such provisions or 1h,s perm,t shall
be deemed revoked
~ mil is ,ssued (Sec. 3097 C,v1I Code)
a: l x=x I hereby affirm tl1at there IS a construct,on lending w agency. for the performance o_l the work for which th•s per
~ Lende,sNarne.G..o.mmonwealth
Lender S Addres8--7 7 ➔ --Ae-r 0-D-r----.------
1 , '. • . ---~ an _ QESIGNER'S APO.RESS LICENSE NO.
W/attached
• ..
Ronson Ct, SD · :92111 C4229
. I SFD 883 I garage
I --•--------· , e F LR ELEV NO OCC GP EDU
I STOilES R-3 1 I . .. . . ... . . .. -. y~ ~o ~/IG/669054 ,'; f j :·:1 ' .. ;
I CEt.SuS TRAC1 ! GP LAND usE I PA~~~G SPACE: RES {NOTS ! GRADING PERMIT ISSUED ! REDEVELOPMENT TYPE ace LOAD FIRE SPP
I AREA CONST
I 1 0 N 0 ,□ '~ '7N ,□ ""' Not Valid Unless Machine Certified
I !
1 QTY. PLUMBING PERMIT -ISSUE ! 7 • 5 0 QTY. MECHANICAL PERMIT· ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
I -
I 11 EACH FIXTURE TRAP 21.)0 1 INSTALL FURN DUCTS iJP TO 100.00..-ftifiL.", \ l, '"' BUILDING PERMIT 001-81 0-00·00-8220 443.00 ------
I 1-----1 -EACH BUI LUING SEWER 6 • 5 0 _ ;~£F,o"'" SIGN PERMIT 001-810-00-00-8221
r------------------1---B □-1-l"iR;-co-MPRES ---,... -->-----·· --------------------I 1 EACH WATER HEATER ANO UR VENT 2.50 PLAN CHECK 001-81 0-00-00-8806 288.00 __ I --
1-EACH GAssv-sTTM 1 rn~-~1.us t-_2. ~Q_
---
' 1 B_~ILER ·CQM~~~~?R ~~5-~ f' ~ _1 \-:-~::~~ !------. TOTAL PLUMBING 001-810-00-00·8222 51.50 _ ----------I EACHG_ASSYSTEM50RMOH_E ___ --+----. _ MF1AL FIRtPLACE _D \:_. V , ~~00 ELECTRICAL 001-81 0·00-00-8223 30.00 I -l-r -~---------'C!, -------
I ~C!:!__INS_!~~--~L~~R._R_EP~_'._R_IJ'_01ER _P~P~ + __ V~NT_!AN Sl~Gl~ O~~-T _ ___ .c .. f'.:St_,.,.. -,<-~'IS:-MECHANICAL 001·810·00-00-8224 10.on I f----MECH EXHAUST H"""--C~"\ , <i°:,~ --·
I ? EACH VACUUM BREAKER ,,-MOBILEHOME 001-810-00-00·8225
I WATER SOFTNER 1
1
RELOCATl~~'ti'tAT£~-, MOBILEHOME PARK INSP --· I fAC'1 RUCJF i1RA1N i 'JS1DL1 0 ,-~OLAR 001-810-00-00-8226 --------------I _l fOlt.L MECHANICAL STRONG MOTION 880·519·92·33 L27 _ I --~------------10.00 -
I lUlAl PtUMBING i 5 l...2J) FIRE SPRINr\LERS 001-810-00·00·8227
I PUBLIC FACILITIES FEE __ 332·810·00·00-8930 ~--2-,-Qli,_...QQ_ I QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR · ISSUE
I ~ fl !' -----------I NEW CONST EA AMP SW! BKH inn ?~ • .o.o COi LEC1ClRS SCHOOL FEE · OISTRICT I ----t------------
I 1 PH '\ PH STORAGE TANKS Carlsbad ____ xx__
I EXIST BLOG EA AMP·SWT BKR I ROCK STORAGE Encm1tas I J PH -------
I I PH P\IMP San D1egu_,10 ________
I REMODEL ·Al HR PER CIRCUIT PLAN CHl_[K FEE' San Marcos
I -~~-----~-~---------. TEMP POU. 700 AMPS I ----LICENSE TAX -
I □VER 200 AMPS 001·810·00·00-8162
I TEMP OCCUPANCY 130 DAYSI MFF 1 lil 1 120 880-519-92-5 7 l_,.11_0_._0_Q _ I
I : CREDIT DEPOSIT --I I lilTAl [LELlRIL'Al TOlAL SOLAR I 30.00 I TOTAL FEES PAYABLE o,. no, 11 I
1 iirijA\l"(i~it\JiL'fi~tii'trHE ,COtiPii,t; ~PPuc¥r~ 'iNo P~RM!T" Af,fo·tk}+HE~~Y · , "&xelrtttOn;~-~-~bftti.·~~<?ffit;:1~n~tk"p}'ew1~soiihls ~ *?"~ ·. · ii~ ~~\tl~~~-,"
I , !FY NDEFI P~f'IAtlYi OF PERJURY, THAT A~L INFOftMAT!ON HEREON lNCL,UDING THE Code ~hall expire byJhni,t.~ .,-,d beCOme:~ ~ void tf the Qµi1d,tng or work s·-p; ' (IEMOL(rt()N C>fl'CONSfflUC~df' ,
I ➔ ~l.AR ioNS ARE 'tftUEANO CORR~ AJ\10 I FUAH:IER CERTIFY AND AGREE IF;,, PERMtr IS auth~nzedby suet, . It IS~ commenced w,lm 180 days fr?m tile date of such STflJt,~~3 STQfJles, IN HEIGHT < ' , . }'• , , , .. , , · . , , ,p&nn1l or 1f the :t or vwork authorized by such permit 1s suspeo~ or , , >, . , , , , fa;. , -< , , 1 ·_;,)S$,UEJ;t· ".fCt OOMPI;-¥ WfTI-1 Al.L 9'TY. COlJ_t~r:'f ANO STATE LAWS GOVERNING BUILOTNG CON• ,.._.dOned at-aow • er ttie '"""'k !$commenced for a ""'-riod of 1An d , , K. + • > , 1 " ,
, ,tnwcttoo. WHet~El\~~1EirFiEFlEIN difl<o<. tAI.SO AGRE£ TO SAVE tNDEM!HFY AND •~·s t~ ~ 0 ,~· APPRovrv \
~T/ '/4 ,. KEEP.~ARMLESS THE CITY OF cAtiLSBAb AGAINSTALkUABILITIES, JUDGMENTS, COSTS A1'0 T NA , . ~ •~.1: R CONTT,ACTO 1 '"8tPEN$ES Wt]\C:ti t:4).1/ ttl~NY WA'f AC:CF(\I_E A<fAINST $AID CITY IN CONSEQUENCE OF p-t"f: . ' 'lW ?HON£ 0 I / 1 'Jfo I "3RANJlNG£>i:Jl&~. ' · ~C . • ' .. .;;, > k,;/,;."_,, ~,•>&,, -,-,>,;-%He,··%-•· ",,' 1 a, • ii, '' .~,." i •, -, ,, '·C \ J
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TYPE I DATE INSPECTOR
BUILDING I
·. .-1?6'-$89,~7 g ,,
FOUNDATION ' I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT ' I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEllllNG
.
SOILS COMPl IANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME I
'
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL ' I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELcilNG
0 SEWER AND BUCO [7 P~/CO
UNDERGROUND □ WASTE □1WATER
.
HICH STRENGTH
BOL Ts
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
' ~--GAS TEST I PILES CA1ssor,.;~-
□ WATER HEATER D SOLAR WATER ·---·---r-----~--
I --
ELECTRICAL I
□ ELECTRIC UNDERGROUND 0 1 UFFER f---·
ROUGH ELECTRIC I
'
. '
□ ELECTRIC SERVICE □ TEMPCDRARY ·-~ j.___ _____
□ BONDING □ POOL I
I
MECHANICAL I -------
□ DUCT &.PLEM., □ REF. PIPll'IG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
' ' CALL FOR FINAL INSPECTtON WHEN ALL APPROPRIATE
ITEMS ABOJ{E~HA i,E BEEN APPROVED
FINAL .
I
PLUMBING· I
' ELECTRICAL I -~
MECHANICAL . -.. ~ I .
GAS I .--\. ~ ' BUILDING I --~ -
SPECIAL CONDITIONS I -, ' " I ~ '
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-389-78 DATE: 10-21-86
PROJECT NAME: ____ JC¥_l_i6 __ F_a_l c_o_n_H_i _ll_s __________________ _
ADDRESS: 2712 Tiburon Ave
84-35 PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: _______ _
TYPE OF UNIT: ____ S_FD ________ NUMBER OF UNITS: .L
CONTACT PERSON: ___ D_a_ry_l _________________________ _
CONTACT TELEPHONE: __ 7_2_9_-_2_3_20 _______________________ _
11 d µts
INSPECTED~ DATE
~APPAOVED,k' B~ 14 INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
CL ol(.. /?_-5
Rev. 1/86 WHITE: Suspens GREEN: Engineering ANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85 .. -389-78 DATE: 10-21-86
PROJECT NAME: ___ R_l_l_M_F_a_l_c_on_H_1_1_1 s _________________ _
ADDRESS: _____ 2_71_2_T_1b_u_ro_n_A_v_e __________________ _
PROJECT NO.: 84-35 _______ UNIT NUMBER: _______ PHASE NO.: _______ _
TYPE OF UNIT: ____ S_F_D ________ NUMBER OF UNITS:
CONTACT PERSON: ___ o_ar_y_l ___________ ----', _____________ _
CONTACTTELEPHONE: __ 7_2_9_-_2_32_0 _______________________ _
all ~ ,..i
INSPECTED de DATE ~ APPROVED L BY: INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS:---------------------------------
Rev. 1/86
l
WHITE: Suspense GREEN: Engineering CANARY: Utlll~la..:,'.ng d OLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-389-78 , DATE: 10-21-86
PROJECT NAME: ___ K_M_l_i_F_a_l_c_on_H_1_1_1 s _________________ _
ADDRESS: ----~2~7~1::2_T.'.._:1~b~u~ro~n~A~ve=----------=--------~~~~:a.s-
84-35 PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: /-R-Jl<-'----r----',.,._----'.-A
TYPE OF UNIT: ____ S_f_D _______ NUMBER OF UNITS: 1
CONTACT PERSON: ___ Da_r_y_l ___________ '--'--------'\....,...----'~IW,t,c,"""Cll'-=--:-!06
CONTACT TELEPHONE: __ 7_2_9_-_2_J2_0 _________ __,=--------~~..,.--~~,,,,_
all depts
INSPECTED BY: _________ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
~ST~ECTED: / c?/27£ b APPROVED
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED
APPROVED
c..,../
DISAPPROVED __
DISAPPROVED __
DISAPPROVED __
COMMENTS: --------------------------------
Rev. 1186 WHITE: Suspense GREEN: Englnee ng CANARY: Utllltles PINK: Planning GOLD: Fire