HomeMy WebLinkAbout2735 WATERBURY WAY; ; 83-83-40; PermitIll z 0 .: C a:: C .J 0 ..,
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~ I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull force and effect.
Lie No ~±-5-Class -B-cl---
I hereby affirm that I am exempt lrom the Contrac-
tor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a permit to construct, alter, improve. demolish, or repair any structure, prior to its issuance also requires the ap-
plicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9 commencing with Section 7000 ot Otvision 3 o1 the Business and Professions Code) or that is ex•
empt therefrom and the basis for the alleged exe~tlon. Any violation of S.CtKHl 7031.5 by an applicant for a P<frmIt sub-
jects the applicant to a crvil penalty of not more )han five hun-
dred dollars ($500).
D I, as owner of the property, or my employees with \ages
as their sole compensation, will do the work. and the struc-
ture is not intended or ottered tor sale (Sec. 7044, Business•,
:? a~:;s~~~ ~r!~ o~~~~ac!~/b~~J~5! ~:r:V~:, thereon and who does such work himseff or through his own empfoyees. provided that such improvements are not intend·
ed or offered for sale. II. however, the building or improve· ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or im-
prove for the purpose of sale).
D I, as owner ot the property, am exclusively contracting with licensed contr2etors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon. and who contracts for each projects with a
conlractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home. and the foflow-ing conditions exist:
1. The work is being pertormed prior to sale.
2. I have lived in my home for twetve months
3. rtv~ ::1~~:~ tt~i: ::~pttOn during the last three years.
D lamexemptunders.c. ______ ,B&P.C. I« this reason ___________ _
I] 1 hereby affirm Iha! I ha·...,e a certificate o1 consen1 Fo sell-insure. or a cert1f1cate ol Workers·
Compensation Insurance. or a certified copy thereof
(Sec 3800. Labor Code)
POLICY NO 1'JE=2~d)2-4.8...--
COMPANY F-i-r-eman-! s Fund Ins
JJ Copy 1s Med w,th the c,ty
D Cert1hed copy 1s hereby lurnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed tf !he permit
,s tor one hundred dollars (S 100) or less)
!J I cert,ty that in the performance of the work fOf
which this permit 1s issued. I shall not employ any
person m any manner so as to become sub1ect to
the Wot'll;ers· Compensation Laws of California
NOTICE TO APPLICANT If. af1e, makmJ this Certt
hcate ol Exemption, you should become sub1ec1 I?
the Wol1lers· Compensation provisions ot the Labor
COde. you must forthwith comply wllh such
provisions or this permit shall be deemed revoked
Lteby aft.rm that there ,s a const<uct,on lending agency to, 1he performance of the work tor
wl'HCh this permit IS issued (Sec m1. C1v1I Code)
Len<1ersName Crocker llank
Len<lers A<l<lress Los Angeles
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMl&n CJ''? j
JOB ADDRESS
OWNER'S NAME
Standard Pacific of San Diego I OWNER'S PHONE
279-2042
OWNER'S MAILING ADDRESS
7290 Clairemont Mesa Blvd., San Diego, CA 92111 h~ I BLOC!< I SUBOIVIStON I ASSESSOR PARCEL NO. In,,.,; 1 ,H r1--1 (:.7 _ l, ~0_, ), , f"'{'\
AV. ST. ,DATE OF APPLICATIONII RD.
..., /1. ,o...,
CONTRACTOR J f I ·-
Standard Pacifir>nf C:::<>n ni oar-,
CONTRACTOR'S ADDRESS
Same
DESIGNER
OESCRIPTION OF WORI< -BU7<1.l"n-U,:,nni nc, & /1.c:,--~i o+--
1-,Jc:::.l..l i'.J"'.J.~"';.LJ lP;:__,Jf'U:l<>.m.m' ;L•.l l.:JI... ~r_i;rli:w:"e_~, 7L7.LJ;I.J"'llg..~_:•w-d'L.:+J:;·,ll.. '---a-·iz: -'-· -'-~-L,-~~'-i,(1... '-,;:'l:·&l--t?-·a-_"~-~-9--------1 DESIGNER'S AODR ESS -
4883 Ronson Ct .. San Di 0 ,..,..,
F/P F LR ELEV . NO
vO NO s~
BUSINES5P'NSE it
CONTRACTORS PHONE •
LICENSE NO.
294215
LICENSE "
DESIGNER'S PHONE
OCC GP EDU
f<-.? 1
VVALUATION
"-r
ZONE
PLAN 1.0. #
PERMIT NUMBER
BLDG USE CODE
OCC LOAO FIRE SPR
vO NJ Not Valid Unless Machine Certifi«J
QTY. PLUMBING PERMIT · ISSUE ---; ~ QTY. MECHANICAL PERMIT. ,ISSUE 3 !::!--stMMARY/ACCOUNT NUMBER.,,,.-
~ EACH FIXTURE TRAP ~ ~0 7 INSTALLFURN.OUCTSUPT0100.000BTU C/.-BUILOINGPERMIT 01·00·00-8220'> Jfv,----/lj
L_-l,_jJE~AiC~HJ_B'l.!_U~l:!LO~l~N~G~S~E!W~E.!_R~~~~:!.__ ___ 1~~~~j/~·--:j·~ic:?ll',,tr_-_-_-_Jffi~-~-~-:J}_-~-~-~-'!_-~-:[~-:J_!-ll_-i]-O/Vl-E~R}~lO~O~,O~O~O~B~T~U:_-_-_-_1c_-_-_-_-_:..._'_....:.:....._-_-_-_!f_-_~~S~(-!_G~NiP~E~R~M~l!_T'.._ ________________________ ~~0~13-o~o~-:_'!0~0~-~8~22~1~i~t.[~~-g~:::1t~--~i~;~/)I EACHWATERHEATERANO/ORVENT z._..'Qi BOILER/COMPRESSORUPT03 HP PLANCHECK 01-00-00·8806_/'rf-'s -~~ --
t EACH GAS SYSTEM 1 TO 4 OUTLETS ? -'("': BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00·8222 C:-. <"""-0
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223 ~ • -
EACH INSTA~ .. ALTER, REPAIR WATER PIPE
-----1-------..... -,le--...j....
/ VENT FAN SINGLE DUCT ;z,. -MECHANICAL 01·00-00-8224 ~ -
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS l----+--------------------1---------,lf---l---
WA TE R SOFTNER RELOCATION OF EA FURNACE/HE ATER
EACH ROOF DRAIN (INSIDE)
TOTt;L MECHANICAL
!---------------TOTAL PLUMBING I
QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR • ISSUE
NEW CONST EA AMP/SWTIBKR um COLLECTORS
l PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL/ALTER PER CIRCUIT ~N CHECK FEE
TEMP POLE 200 AMPS
TOTAL ELECTRICAL
MOBILEHOME 01 ·00·00·8225
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad
Encinitas
San Dieguito
San Marcos
01 ·00·00-R22~
80·92-33-0519
01·00-00-8227
32·00·00-8923
80·92·21·0519
80·92-22-0519
80·92-23-0519
80·92-24-0519
/
I HAVE CARE FULL y EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HEREBY Expiration Every permit ,saued by the Bu1td1ng Oll1c1al underthe provtS1ons ofthtS
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void If the buil<ltng or work
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by:~u permit IS not commenced w1thtn 180 days from the date of such permit, or 1f t bu1ldtng or work authorized by such permit ts sYJ,Pended or
* AN OSHA P£1WIT IS REQUIRED~ UCAVAn!,..{OVEA
5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCT\JAES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO ST ATE LAWS GOVERNING BUILDING CON-L.!aba!!!!n!!do~n!,ed~a~•~t!!!,m!!!•~al!lte!!rc;l!t;!h!_e_!w~o!!:rk~••~c~o~m!!!m!?en!!!l!:C,!ed2...!;I02!r:Ja!..~oer;:_!1oa-erT?.Qe:!~l!!8080!Ll! <d!!aav•--=➔~~~~~~------------~"'T-,'---,--i
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND •T-~ □ 0 APPROVED BY f
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO A~PPL.!fAN~-.Sf ,.E • .IA. . OWNER CONTRACTOR
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _ _ 0 ,.,,.....,,11,,AC:Z,.~"1-f'""\ BY PHONE ' / GRANTING OF THIS PERMIT ' / fo' v-• ./
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INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FR
FRAME
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HA VE BEEN. APPROVED.
JOB SITE FINAL
PLUMBIN.G
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
-' --
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES'CAISSONS
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INSPECTOR'S NOTES
DATE -~
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