HomeMy WebLinkAbout2748 WATERBURY WAY; ; 83-83-44; Permit"' z 0 ;::: < a: < ... <.> ..,
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lifl I hereby affirm that I am licensed under
j!Jovlslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force an;h•~i5 L,c No -2-91 Clm B-1
I hereby alhrm that I am exempt from the Contrae· tor's License Law lor the lollowing reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a permit to conslruct, alter, Improve, demolish, or repair any structure, pnor 10 ils Issuance also requires the ap-pllcant tor such permit to hie a slpned stalement that he Is licensed pursuanl to the proYis,ons ol the Contractor's License Law (Chapter 9 convnencing with Sect,on 7000 ol IJMs,on 3 ol the Business •nd Professions Code) or that Is ex· empt therefrom •nd the basis tor the illleged exempt,on Any violation ol Sechon 7031.5 by an •l>Olocant tor a perlTlll sub-jects the appllcanl to I CJV11 penitty ·ot not more than five hun-
dred dollars ($500).
D I, as OW!10f al the property, or my employees with wages
as then sole cornpensa1,on, wlll do 1he -k. and the struc· lure 1s not intended or ollet"ed tor sale (Sec. 704-4, Bu>iness
and Professions Code The Contractor's License Law does
not apply 10 an owner of property who builds or Improves thereon and who does such -k himself or through his own employees. provided that such Improvements are not intend-ed or offered tor sale. If, however, the building or improve-
ment is sold within one year o1 completion, the owner-builder will have the burden of proving thal he dtd not build or Im· pro,e lor !he purpose ol sale).
D I, as owner ol the property, am exclu>ively contracting with licensed contractors to construct Ille projecr (Sec. 704◄, Buoiness and ProlesStons Code: The Contractor's License
Law does not •pply to an own..-ol property who builds or im-pro,es thereon, and who contracts tor each projects with • contractor(s) hcense pursuant to the Contractor's License Law).
D As a homeownef I am ,rnprovlng my home, and the follow· ing concliUons exist
1. The work Is being pertormed pr",or to sale.
2. I have lived In my home tor twelve months poor to cornpteuon of this work.
3. I have not claimed lhls exemption during lhe last three years.
rJ: I hereby affirm INt I N•e a cert1f1C1te of consent
to selt-msure, or a certificate of Workers·
CompensaltOO Insurance. Of a cert1f1ed c0py thereof
(Sec 38:Xl. ubo< Godel
POUCY NO WP-233-02-48 __
COMPANY _Eireman ' s Fund Ins
0 Copy IS filed w1lh the City
D Certified CoPy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This sectt0n need not be completed ,t ll"le pe<mIt
,s tor ~ hunc!feo OOllars (S tOO) or less)
t2 I certify thal m the per10fmance of the work for
ihteh 1h1s perrrut ,s issued. I snain no1 emp10y any
person m any manner so as to beeome sub1ect lo
the Workers· Compensation Laws ot Caltlorn1a
NOTICE TO APPLICANT If. after makmJ U11s Certt
he-ate of Exemption, you shoukf beeome sub1ect I'>
the Wortil.ers· Compensallon prov1s1ons ol lhe ubor
Code. you mus! forthwllh comply with such
prov1s1ons or 1n,s permll shall be deemed revoke<J
LY all1rm 1~1 inere ,s a construct,on
leod1no aigency tor the periounance ol tne w()(1il tor
which tt11s perm,1 'l. issued (Sec 3097. C1v1I Godel
Lenders Name t..:rocker Bank
lende,sAd<lress Los Angel es
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PEJMl~q 7 / 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV.ST.,OATE OF APPLICATIONII BUSINESS LICE ~ c.(/ ALU,( Tlt>N" PERMIT NUMBER
RO, i.2~S.. 2748 Water b11rv W<:nr ~/4/8, l!:?.:>·'AS.L/i OWNER'S NAME 1 OWNER•s PHONE CONTRACTOR CONTRACTORS PHONE • ZONE
Standard Pacific of San Dieao 279-2042 Standard Pacific of San Diee:o 279-2042
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
7290 Clairemont Mesa Blvd., San Diego , CA 92111 Same 294215
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO DESIGNER LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE
44 c,,,.; 1 "Ri nae 167-4~2-l 8., O C Buzard-Rennin~ & Associates N/A 320 1588 DESCRIPTION OF WORK
!=:i 1'1 a1 <> .Pami 1" ..:i •• ,., , , ; --... ,; + "h _ ...... __ ..... ,.,;i -------DESIGNER"$ ADDRESS DESIGNER'S PHONE -y --
Gi" l'i -C'Y 4883 Ronson Ct . San Diello 278-6855
----NO 7/07/i3~ 7 1.73 ,o.., F/P F LR ELEV. OCC GP EDU
STORIES (<..~ ' .
vO NO '2-
CENSUS TRACT I GP LANO USE I ;:;;:SPACE RES/NITS I GRADING f".ERMIT ISSUED I REDEVELOPMENT ~N OCC LOAD FIRE S/iPR
AREA ,¢
YO ND v0 N v□ N Nor Valid Unlffs Machine wrrifii!d
~[!!_ I a~ s6MMARY/ACCOUNT NUMBER/ _,., QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE
r, EA CH FIXTURE TRAP ":2.? <D 7 INSTALL FURN. DUCTS UP TO 100,000 BTU 4 .-BUILDING PERMIT 0Hl0·00·8220 ")/------
I EACH BUILDING SEWER /,..,CZ) I OVER 100,000 BTU ' SIGN PERMIT 01 ·00·00·8221 .n ~ .
I EACH WATER HEATER ANO/OR VENT '2 _Ci") BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·880~ N ,:;,,..-? ·., ~ ,
I EACH GAS SYSTEM 1 TO 4 OUTLETS ? .. c-n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 ~/St)
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 ~---
EACH INSTAL., ALTER, REPAIR WATER PIPE I VENT FAN SINGLE DUCT --z----MECHANICAL 01 ·00·00-8224 t:1-
EACH VACUUM BREAKER ME CH EXHAUST -HOOO/OUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME. PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.rvi.oo.•oo~
TOT.t;L MECHANICAL STRONG MOTION ~lo"/ --=. -,
CJ 80-92·33·0519 • I ---I -J:?l -~ ...--, / TOTAL PLUMBING FIRE SPRINKLERS 01·00·00-8227
QTY. ~ QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8923 ELECTRICAL PERMIT· ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR ~ z .c--COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT /BKR J ROCK STORAGE Encinitas 80·92·22·0519
I PH 3 PH PUMP San Oieguito 80·92·23·0519
REMOOEL1ALTER PER Ct R CUIT PLAN CHECK i'EE I Q t San Marcos 80-92·24·0519
TEMP POLE 200 AMPS A ft ,,y· A A/ --I I --\.
OVER 200 AMPS P UY ., /J ~,d ...</_..rR'C-JL,, ' 'L-Cr-"' c:. ~ x ~ ---u , I / l/ TEMP OCCUPANCY (30 DAYS) l
J.-/7~(')1 ,
TOTAL ELECTRICAL I ~ --TOTAL SOLAR TOTAL FEES PAYABLE I / /,,,, .79 -, ~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HEREBY Expratton E--v perm,t -t,y the Bu~clong OfflClal under the prov11I0111 ot11111 , '[rJ.s * AN OSHA PEAMIT 1$ IIEOlMIEO FOR EXCAVA OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 111att exp,re t,y hm1tat1on and become null and v01d If the bu,td,ng or won S' 0--DEEP ANO DEM0UTlON OR CONSTRUCTION Of' autl'lorlled by IUCl'I permit IS not commenced w,111,n 180 day1 from the date of such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit. or 11 t~he !Id•~ or work authorized by auch per~~•t II ded or STIIUCl\lllES OV£R 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· abandoned al me er the work II commenced for a 1 ~--• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT t ALSO AGREE TO SAVE INDEMNIFY ANO APP~tCANT" G., -~ -OWNER□ CONTRACTOR 0 APPROVED BY ; I
OAT~;??~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~----BY PHONE 0 i.----GRANTING OF THIS PERMIT y f7Vv,;...,,, I ' i 1 (
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INSPECTION TYPE DATE INSPECTOR ·~: . 1(3-~3 '4'--! ! ' j -BUILDING / FIELD INSPECTION RECORD
"1N'\ Q2... Cv57A. .
FOUNDATION '-
/ i'vv -----REQUIRED SPECIAL INSPECTIONS INSPECTO R'S NOTES REINFORCED STEEL
INSPECTION REQ IF INSPECTOR'S DATE MASONRY CHECKED A PPROVAL -... -.-
-'::' GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO '.\ FOUNDATION INSP . .. SHEATHING STRUCTURAL CONCRETE
FRAME 1l-7-·~ ~x::-OVER 2000 PSI -----.... '
EXTERIOR LA~SU LAT_¢\\·~ tFZM3 i?i I / PRESTRESSED
CONCRETE I
INTERIOR LATH & DRYWALL f I .t]/1, x;,, ~ '(\ POST TENSIONED
CONCRETE
PLUMBING IW .
' j FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND I / BOLTS
' \t~-~ ~ SPECIAL MASONRY PLUMBING TOP OUT l -' . ' TUB AND $HOWER PAN
GAS TEST ' PILES CAISSONS
' ELECTRICAL I
TEMPORARY POWER 1 -
ELECTRIC UNDERGROUND I ---
ROUGH ELECTRIC I l\·'2·~ ~
ELECTRIC SERVICE I -
--• -BONDING
G. F. I. -SMOKE DETECTOR I
MECHANICAL l /
DUCT & PLEM., REF. PIPING , •. 7~ -A YVI.\ -HEAT -AIR COND. -SOLAR SYST~MS \\. .:,:\ -~
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE \ J
ITEMS ABOVE HAVE BEEN. APPROVED. -
JOB SITE FINAL / PLUMBING L1/
ELECTRICAL ~"~~, ~ MECHANICAL -~\1/'c)Q,
GAS '\V l . /r/1-) -CY /4" I I t) -1 BUILDING • SPECIAL CONDITIONS ~,..;'J I -.
CERT OF OCCUPANCY ISSUED \,V
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