HomeMy WebLinkAbout2746 WATERBURY WAY; ; 83-83-45; PermitII) z 0 ~ C cc C .J u "' 0
cc "' 0 .J 5 ~ "' z 31 0
z 0 ~ C II) z "' A. 2 0 u
II) ic
"' "' cc
0 3
a: "' 0 z "' ..,
IX] I hereby affirm that I am licensed under
provlslona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llcenS<! Is In
lull force~Jl.ct eJ!~/.
Loe No~..1..2-Clm B-1
I hereby attirm that I am exempt from the Contrac-t0<'s License Law for the folloWmg reason (Sec, 7031.5
Business and Pro1esslons Code: Any city °' county which re-quires a ptrm11 to construct, alter, improve, demolish, or
repa1r any structure, pnor to 1ls issuance also requires the ap· phcant for such perm,t to file a signed statement that he IS
licensed pursuant to the proviSJOns of the Contractor's IJcense Law (Chapter 9 con-.nenc,ng with SecbOn 7000 of
llMs1011 3 of the Bus,ness and Profess1011s Code)°' that is ex-empt therefrom and the baSls 10< the alleged exemptJon Any
Y!Olafoon of Sect,on 7031.5 by an apolttant l0< a permit sub-jects the app'1cant to a cMI penalty ol not fflOfe than hvt hun-dred dollars (S500J
0 I, as owner of the property, °' my employees w,1h wages as theor SOie compensat,on, WIii do the wwk, and the struc-
ture is 001 intended°' offered f0< sale (Sec 7044, Business and Profess,ons Code The Contrac10<'s License Law does
:r::'l~0 :~ ::'s!t::tii::1 :i~:~~~r;r;: employees, provided Iha! such Improvements are not intend•
ed or ottered fOf sale It, however, the building or improve-menl Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build °' im-
l)«JYO l0< the purpose of sale),
0 I, as owner of the property, am exclusively contracting
with licensed COOl1'2CIOfS to conS1ruct the project (Sec, 7044, Business and Professions Code· The Con1ract0<'s License
Law does not apply to an own,, ot property who buffds °' Im-proves thereon, and who contracts lof each projects wrth a
contractor{s) ha,nse pursuant to the Con1ract0<'s License Law).
0 As a homeowner I am lml)<oving my home, and the follow-
ing conditions exist: t rt:-~.;:,I•e:~ ~= r.;"' t-!:'~leinonths
3. r:: :!'pc~i'~ot t1~i :X~pllon during the
last lhree years.
[7 I hereby affirm lhiit I na..-e a c.ert1hc..te of consent ro· sell-insure. or a cert1flcate of wonc:ers CompensatlQn Insurance. or a certified copy thereof
(Sec 3800, l.abO< Code)
POLICY NO _ WP-233-02-48 _
COMPANY Fir..ema~ ..Eu.nd.Jns
t2i: Copy 1$ filed Wllh the City
D Cert1hed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f lhe permit
,s fOf one hundred oouars (S 100} or less)
m I certify th.at 1n the per10n'Nlnce of the wcwil. !Of
whteh this permit 1s issued. I shall not employ any
pe,son in any manner so as lo become subiect 10
the WOf'kers· Compensaitton Laws of CaJttornia
NOTICE TO APPUCANT If. after ma.kin~ ttus Cer11
ftcate ot Exemp11on, you shoukj beeome sub1ect l"l
the WMers· Comperl54111on pro¥1s1ons ol lhe Labor
Code. you musl torthw1lh comply w11h such
pro"'1s1ons or lh1.s permit shall be oeemed revoked
L•ffum tnot theie ,s a construchon
lending ~ency tQf the pet10f~nce of 1ne work to,
wn,cn 1n1.s permit ,s ,ssued (Sec ~7 C1v11 Cooe)
Lenoe< s Nome Crocker B:rnk
Lenoer • Aeldress Los Angees
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT P1£)-r JC,, 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADORESS ,;), I% AV ST.,OATE OF Al'l'LICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBEf'I
RO. I\-~ -,, n, 2V(4 Waterbury Wav 3/4/83 I s,-~~-f:; ll l'INER"S NAME I OWNER'S PHONE CONTRACTOf'I CONTRACTORS PHONE • ZONE
Standard Pacific of San Diego 279-2042 Standard Pacific of San Diego 279-2042
OWNER'S MAILING AOORESS CONTf'IACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLOG USE CODE
7290 Clairemont Mesa Blvd., San Diego, CA 92111 Same 294~15
L4~ I BLOCK I SUBO•VISION I ASSESSOR PARCEL NO OESIGNER LICENSE• STANOARO PLAN# BUILDING SO. FOOTAGE
IQmd l Ri On'<> l fi7 _4 ~2-1 Q ... _ro Buzard-Henning Associates N/A 330 1583 DESCRIPTION OF WORK &
Rinul P -f'Ami lv rh.rpllina Yit.h At.t.A,-hP.d r-.o,..a rPo DESIGNER'S ADDRESS DESIGNER•s PHONE 7 l~7 IS!~_9.!7 '-,. r -
e.,_ .,.-..., ...... '-\ 4883 Ronson Ct . San Diego 278-hAt,c; ---F/P FL A ELEV, NO OCC GP EDU
vO NO ---STrlES /Z.3 I
CENSUS TRACT I GP LAND use I PA&/ ~ce I RE/ UNITS 1 GRADING ~ERMIT ISSUED I REDEVELOPMENT
~fl_
OCC LOAD Ft RE SPA
AREA ,,
vO N¢ YO ND v0 N Not Valid Unlffs Machine ~rtifi«J
I z!!-I 3~ s-C'MMARY/ACCOUNT NUMBER QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE
J,O EACH FIXTURE TRAP ~Y-I INSTALL FURN. DUCTS UP TO 100,000 BTU 4. -BUILDING PERMIT 01·00·00-8220 l~Ju,:-~
I EACH BUILDING SEWER C4 :'>o . OVER 100,000 BTU I SIGN PERMIT 01 ·00-00-8221
I EACH WATER HEATER ANO/OR VENT 2-SO BOILER/COMPRESSOR UP TO 3 HP Pl.AN CHECK 01·00·00·8806 rAC/--.~ ~
I EACH GAS SYSTEM 1 TO 4 OUTLETS ? -'SC BOILER/COMPRESSOR 3.15 HP TOTAL PLUMBING 01-00-00-8222 Q'L-....
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 ~--
EACH INSTAl., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 3_ _,..
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-00-00-8225
WA TEA SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??f;
TOTI.L MECHANICAL STRONG MOTION 80-92-33-0519 sf~cr-. 11..I' '[.-. t-l _"ti_. -I TOTAL PLUMBING FIRE SPRINKLERS 01·00·00-8227
QTY. ELECTRlCAL PERMIT -ISSUE ,~ QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32-00-00-8923
NEW CONST EA AMP/SWT/BKR Jf{;D -z,-COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMO OE L/AL TER PE R CIRCUIT PLAN CHECK rEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS i ~ ' OVER 200 AMPS ,r-x. fl ..... --~ f,...,Z:..., J _-,, ;'-) ) -. r TEMP OCCUPANCY (30 DAYS) , I -/ --4&3.~
TOTAL ELECTR ICAL I TOTAL SOLAR 1 .,,. 'i., "" ~ -TOTAL FEES PAYABLE -
Exprellon Every perm,t 1uued by Ille Bullcltng Offic,al under the pr011111on1 ofthtt *
,
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY AN OSHA P£flltll IS AE0t#IED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code thalt exp,re by hm,talton and become null and vo,d If the building or worll !I' 0 .. DEEP ANO DEIIOUTlON OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS autho,1zed by auctl permit 11 not commenced w,th,n 180 days from Ine date of auch STRUCl\JRES OVEl'I 3 STOAIES IN HEIGHT permit, or •~• bu1&d1~ or work authorazed by such Pfl(m;~• 11 ded or ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• lbendoned bme • ., the work is comrnencad for • a.n 1 dav•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~ICA ......1.. URE • 1□ CONTRACTOR 0 APPROVED BY DATE
1/J/f; KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND '"' OWNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ .A BY PHONE 0 ~~l GRANTING OF THIS PERMIT , ,., • • -; T -'\..
V J I I
2
IL
>,
~ 0 0.
E
Q) I-
I
"C 0
(.'J
.,;
f/)
Q)
0 0 ct
cu <ii
0
§:
Q) 0 C cu C u::
C: Q)
~
(.'J
0 0 Q) 0. f/) C:
... .,,_ ... . ..
INSPECTION TYPE DATE INSPECTOR . <l;3 . 'i!:3 .-1..f ~ BUILDING I ...
' nv ~ ~ FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL / ~:v-~ REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . REO IF INSPECTOR'S MASONRY INSPECTION CHECKED APPROVAL DATE
' -' .
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
t~-A~ FOUNDATION INSP ..
SHEATHING -~&\
\n-l\~ ~-/ STRUCTURAL CONCRETE
FRAME OVER 2000 PSI .,
EXTERIOR LATH lNSULATION ' ti--, <l'2.._ ~.7"' .J::.. PRESTRESSED
CONCRETE
It,"""' >--. -POST TENSIONED INTERIOR LATH & DRYWALL ,,; CONCRETE
/ PLUMBING FIELD WELDING
SEWER AND BL/CO ' f-"11aQn ~ ·-HIGH STRENGTH
PLUMBING UNDERGROUND / I I ·--r---q BOLTS --
PLUMBING TOP OUT \t') • \\ .;;; ~T::?JJd° SPECIAL MASONRY ' ' 1 .
TUB AND $HOWER PAN I .
GAS TEST l PILES CAISSONS
ELECTRICAL I
TEMPORARY POWER
ELECTRIC UNDERGROUND / -·
lO·\\~ 0\1\ ROUGH ELECTRIC I
. .
ELECTRIC SERVICE
. . . . . . -BONDING ---
' G. F. I. -SMOKE DETECTOR .
MECHANICAL I
DUCT & PLEM., REF. PIPING tn-7£•R ~ .,,
~\ ·--HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
' .. -. .: ' ,._
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE -·~ ; --
ITEMS ABOVE HAVE· BEEN APPROVED. I --JOB SITE FINAL a-""'Y
PLUMBING .,~-~
ELECTRICAL I' -4c ~IP ---
MECHANICAL ~A I )I
GAS r I\Y/"f..\:. .....
BUILDING ' ti" t,Y} -~
SPECIAL CONDITIONS -\ ' CERT OF OCCUPANCY ISSUED I
2744
WATERBURY WY
CHANGED TO
2746
WATERBURY WY
APN#
167-432-19-00
722
2
16 -3?2100
16/43 ?. )00
2~-0
1 '.w T R6 U Y I r
2740
2735
~.,..ERP. Rr r
2739
2748
2743
1 • l32l80~
21--1-::
1\~ ERBUR"r ','r'
2747
6 ;. 3 1)00
~. 13'
V\)•T ER Uf.':Y '' r
167 3 ?J 00
') •
','l• TE R6U 'r .' "r