HomeMy WebLinkAbout2748 WATERBURY WAY; ; 84-82; PermitCl) z . 0 ;:: C at C _.,
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0 I hereby affirm that I am licensed under
p,ovlalona ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profe11lon1 Code, and my license Is In
lull force and effect.
lic No Clm
I he<eoy •ttirm tllal I am exempl lrom the Conlrac-tor s License Law lor the tonow,ng reason (Sec 7031 5
Business and ProtesslOl'ls COde Any c,ty Of county wh.ch re· quires a perm,t to construct, alter, improve. demolish. Of repair any structure, pr IOI' to its issuance also requues !heap• pheant tDf such permit to Me a SJQned statement thal he 1$
hcensed pursuant to !he prCMSions of the Contracto(s License Law (Chapter 9 commencing with Section 7000 ot
()vision J of the Busmess and Prof6SH)fl.S Cade)°' thal 1s ex· ~t theretrcwn and lhe bis.is fOf the allegeQ exemptK>n Any
YIOlatoon ot Section 7031. 5 bpn apphcant tor a perm,t sub· iects the apphcant to a tMI penalty OC not rTlOfe than fr-,e hun·
dted dollars (S500)
0 I. as owner ot the property. °' my employees with wages
as their sole compensation, w,11 do the work. and the s1ruc-
1ure 1s not intended or ottered !or sale (Sec. 7044. Busmess
and Protess,ons Code The COntract0<'s License Law does no1 appty to an owner ot property who builds o, improves
thereon and who does such work rumsel1 or lhrough his own employees, provided !hat such improvements are not mter'Kt· ed or ollered lo, sale. II, however, lhe bu1khng or ,mprove-
menl is sokS w1thm one year of comptet1on, the owner-builder 'MIi have the burden ot proving that he did not build or im-prove l0< the purpose ot sale)
D I, as owner or lhe propeny, am exclusively controchng with licensed contractors to construct the prll!Kt (Sec 7044,
Business and ProfesStOns Code The Contractor·s Lteense Law does not oppty to on owner ol property who builds °' ..,. proves thereon, ond who conoac1s tor each prll!Kts with a contractor(s) lteense pur~nt to the Contractor's Lanse Law).
D As a homeowner I am improving my home, and the follow· mg condihons exisl I. Tile WO<k Is being pe<IO<med pr,or to sale.
2. I have hved in my home tor twelve months pr,or to ComplellOfl ol th,s W<Kk.
3. I have not claimed this exemption during the last three years.
D I am exempt under Sec. ______ , B & P.C for this reason ------------
0 I hereby affirm that Iha-tea cert1hca1e of consent
to sell insure. o, a cert,hcate ot Workers
Cornpen.satlOfl Insurance. Of a cen,hed cooy thereof
(Sec 3800 L.obO< Code)
POLICY NO
COMPANY
O CoQy 1s hied with the city
D Cen,fled CoPy ,s hereby fum1shed
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This sectlOfl nee<J not be completed 11 lhe pe:,m,1 ,s to, one hundred dotlars {$100, Of less>
0 I cen,ty that ,n the pertOffl\ance ot the won,. IOf
whteh this perm,t 1s ,ssueo I shall not employ any
person ,n any manner so as 10 beeome sub1ec1 10
lhe Wonters CompensaltOn UWs ot Calllorn,a
NOTICE TO APPLICANT If, after makIn~ this Get11
hcate of Exemplton. you should become sub1Kt I'>
the WOf'kers· CompenS-it•on provIs1ons of lhe UbOr
Code. you musl 10t1h'41th comply with such
provisions or this permit shall be deemed ,e"oke<J
D I nereby affirm thal lhere 1s a construction
1e0d11'\Q aoencv to, the perio,mance ot the 11111001 to,
•h•Ch thIS permit 15 issued lSec m7 C1v1I Codel
Lenders Na.me __________ _
lenders AOOress _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
;OB AODRESS AV ST.RO NEAREST CROSS ST
'gE. 7~P~Cn
BUSINESS LICENSE • V ALUATION PERMIT NUMBER
Z.:1A-~ WA.-.---,y:i, ~ t::?J 1,1,,f ll---zoo ~y-?-z--LOT BLOCK I sueo, v c::.,oN I ASSESS\)R PARCEL NO -CONTRACTOR CONTRACTORS PHONE• ZONE
0 \,J t.i (. (l. OWNE A'S NAME I OWNER'S PHONE
'f".,tJ '( HovARJ)-JotJ~ 7 lC,-l~·rq CONTRACTOR'S A00RESS LICENSE NO PLAN 1.0. It BLOG USE CODE
l?i+r UAr(llwlly 1.JA-f OWNER'S MA,L•NG AO0RESS
A~ A ·i70VC 0ESIGl\jER LICENSE• STANDARD PLAN It BUILDING SO FOOTAGE
OESCRIPT ION OF WORK Ttt(AA?1 rbcl /
lttSTl'&.&.f\i•Ot-1 DESIGNER'S AO0RESS DESIGNER'S PHONE . . .,__ F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO ---
CENSUS TRACT I GP LAND USE I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIAESPR
AREA CONST
YO ND vO NO vO NO or Valid Unkss Machine Cntdi«I
QTY. PLUMBING PERMIT · ISSUE /~ QTY. MECHANICAL PERMIT· ISSUE 3 -SUMMrCCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100,000 BTU BUILDING PERMIT / 01·00·00·8220 "'50. <r.
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT~_ "//'1'1 ~l.01·00·00·8221 -o-
I EACH WATER HEATER ANO/OR VENT '7~~ BOILER/COMPRESSOR UP TO 3 HP PLAN CH~ 01 ·00·00·8806
j EACH GAS SYSTEM I TO 4 OUTLETS ? .L,, 80ILER/C0MPRESS0R 3-15 HP TOTAjM.UMBING 01·00·00·8222 J,:::;:, -
EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE .· I fiLECTRICAL 0 l ·00·00·8223 ,<-
EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT t ., ,r / MECHANICAL 01 ·00·00·8224
I EACH VACUUM BREAKER /} ~ MECH EXHAUST • H000/OUCTS I : IA}// MOBILEHOME 01 ·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER .'/. LJI ./. MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSIOE) qt 'J ./ SOLAR 01-00-00-•??~
TOT,/;L MECHANICAL lJ ~ STRONG MOTION 80·92·33-0519 r::::.,,
► '
v,
TOTAL PLUMBING I I~--/ FIRE SPRINi<LERS 01 ·00·00·8227
f"-/ V PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR -IS~E l . I \ BRlDGE FEE
NEW CONST EA AMP/SWT1BKR COLLECTORS ' ,J'f/ , 1\ SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TAN KS I nnv-,.. A I I \ Carlsbad 80·92·21 ·0519
EXIST BLOG EA AMP/SWTIBKR ROCK STORAGE ' w ,'V ')\I \ Encinitas 80·92·22·0519
1 PH 3 PH PUMP v \ . \. San D1egut10 B0-92· 23·0519
~./ REMODEL ALTER PER CIRCUIT //). -PLAN CHECK FEE /<) \ ' San Marcos 80·92·24·0519
TEMP POLE 200 AMPS /
OVER ZOO AMPS / LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI / a ./ CREDIT DEPOSIT
TOTAL ELECTRICAL I
r / TOTAL SOLAR I x1 f7;12 IS -TOTAL FEES PAYABLE -
f HAVE CAREFULLY EXAMINED THE COMPLETED APPLICA TtON AND PERMIT AND DO HEREBY Exp,rat,on Every perm,1 ,uuecl by the Buoldong Ofloc,•t under the provos,ons ol th,1 * AN OSHA Pl ... lT IS REOUtflEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tatoon and becom• null and vo,d ti the boota,ng or worll s· 0 DEEP ANO DEMOLITION OR CONSlllUCTION Of'
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT tS 1uu,orIzed by such permit•• not commenced w1th,n 190days from the date of such STRUCTIJA(S OVER 3 STONES IN HEIGHT
ISSUED TO COMPLY WITH ALL C TY COUNlY ANO STATE LAWS GOVERNING BUILDING CON =~ ~t •~v ~,;!!1J.i U:':~r:~!hc~~~ ::_r;:~•~•~~~ or -~ -STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLIA-f :;J;:J :;;~ OWNER(¥' CONTRACTOR 0 APPROVED BY DATE 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 BYPH . D ~ ~1 -7 GRANTING OF THIS PERMIT -I
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TYPE I DATE INSPECTOR
BUILDING I ~ll,~;>-.. ..
FOUNDATION I
I ·-
-FIELD INSPECTION RECORD
REINFORCED STEEL I 4-/¼)]rf' -,=,:_~
MASONRY I I I
GUNITE OR GROUT I
I
REQUIRED SPECIAL INSPECl IONS INSPECTOR'S NOTES -
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHf,AR
FRAME I
I
EXTERIOR LATH I
SOILS COMPLIANCE -PRIOR TO
fOUNDATION INSP
STRUCl URAL CONCRETE
OVER 2000 PSI .....
INSULATION I
INTERIOR LATH & DRYWALL I
I
PRESTRESSED
CONCRETE -POST TENSIONED '· I CONCRETE
PLUMBING I FIELD WELDING ·,
SEWER AND BUCO D IPUCO I
I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS .. .... ..
TOP OUT D WASTE D WATER SPECIAL MASONRY ' '
TUB AND SHOWER PAN I ..
GAS TEST I -
PILES CAISSONS
D WATER HEATER D SOLAR W,t.TER '
I . ELECTRICAL I
D ELECTRIC UNDERGROUND o ;uFFER
• ROUGH ELECTRIC I
Q ELECTRIC SEF VJCE D TEMPORARY -" ' rtJ BONDING\. ~ Zl POOL I
I -..
I "'-~'/ I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I r
CALL FOR FINAL INSPECTION WHEN AL pp
ITEMS ABOVE HA ~E BEEN AP~~b.
ROPRIATE
FINAL ; ) ;i.._/Y
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING ' I
SPECIAL CONDITIONS
,_.--
~~.,_.. ,;;u 1/J W, --r~ ?. 7 1984 ADDRESS --lONf :
PLAN CHECK NUM ~ -OF CARLS-. U
RE -✓✓ C..T'/_.I a De? TYPE OF STRUCT ENC [NITAt..ull.n n .
V"E
PLANNING:
SCHOOL FEES: SAN DIEGUITO
~
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3: u.J
--------
CARLSBAD ____ ~---
% COVERAG E. ____ --++~----1---+----
BUILDING HEIGHT ---+--+-+I-----
FENCES/WALLS t-=-,/ ,
\_/ \
TWO CAR GARAGE ----------
SAN MARCOS --------
FRONT IC' '(__ ___ ;_;;/
S[OE ~ (
REAR --------
;:I ~ COMMENTS:
u.J ~ -----------------------------------~ 0
~ □ REDEVELOP~1ENT APPROVAL REQUIRED: ___ -4A ... J...._.__~---------~--
§~ □ I
~ ~ □ LANDSCAPE PLAN COMMENTS: 0 l fr -----➔~~v---'--~-------------
ENV [ RONMENTAL REQUIRED: ¥ 0,i\M"r
ADDITIONAL COMMENTS: '-----------------------
0 K TO [SSUE: ~ OATE:$~K TO FINAL: ____ DATE: _____ _
********************************************************************************** - -. ------ - -
ENGINEERING
P.F.F. ¥
R.0.1~: f-,X\S-C-
LEGAL DESCRIPTION VERIFIED? NQ A.P.N. CHECKED?.A}Q.
PARK IN LIEU -"-'r.J....,t-f(+_,___ __________ _
IMPROVEMENTS: fSx: 1::rr=
___________ E.D.U: E:;.X) ~,
\
SHIER: .DON:C t-\DOK vt> TO :5b.0ER S'ISTE}/\
LATERAL: c.Xl~~ DRIVEWAY= ex, s, .
; GRADING PERMIT: N{ k
~u.J ~~~----$-~-~-------------
~ ~ DRAINAGE= M~t<-E:-: 5 Qf2.E Pa:(G;.RutJoFf:-DRNtJS ::fb..u~S
~ □ -o □ I-u.J u ~ ~~□ ~er 0 u.J u ~
EASEMENTS: 0 • {L.... ADDITIONAL COMMENTS: Tt\c :::srf? fP:-;\--
OK TO ISSUE: /. /( ---'--rfF'r--------DATE: 3~/i:Z.-, I
* ENGINEERING INSPECTION REQUIRED: ___________________ _
PUBLIC ~!ORKS INSPECTOR: ______________________ _
FINAL OK : __________ _ DATE: ____ ~=-t---------
* IF THI S ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL M.
(DRIVEWAY S, CURB CU T, DRAI NAGE, ETC.)
AL~ INS~~