HomeMy WebLinkAbout2732 WATERBURY WAY; ; 84-286; PermitCl) z 0 .:: C CIC C ..J () ..,
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O I Mreby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of lhe Business
and Professions Code, and my license Is In
full force and effecl.
l it No ______ Clm
I hereby affirm lhal I am exempt lrom the Contra<-tor's license law ID< the lollowmg reason (Sec 7031 5
Business and Pl'otessions Code Any city or county wh1ct1 re· quires a permII to construct, alter. improve. demohsh, or repair any structure, pnor 10 ,ts issuance also requires !heap--phcanl tOJ such permit to flle a sIQned sta1emen1 lhat he Is
hcensed pursuant to the provisions of !he eonuactor s license Law (Chapter 9 convnencmg with Section 7000 ol
OMsion 3 ol the Busmess and Pro!essrons CO<le) 0< that IS ex· empt therefrom and the baSts ltw the • teQea exemption Any vlOiation ol Sect10n 7031 .5 by an applicant ID< a perm,t sub-,ects the apphcant to a cMI penally of not more tNn 11~ hun-
dred dollars ($500)
rJ I, as CMner ol the property, tw my employees ,.,th wages
as their sole compensahon. will do the work. and the slruc• ture Is not intended or ollered fDf sale (Sec 7°'4 Business
and ProfessK>l'ls Code. The Contractor's L1tense Law dOes oot apply to an owner of property who builds or improves
!hereon and who does such wOl"k himself or through h,s own
employees, prcw1ded lhal such Impr0Yemen1s are no1 In1end-ed or ollered tor sale. II, however. !he burldmg or Improve-
men1 is ~d wIlh1n one year of complet10n. !he owner-builder w,n have !he burden ol proving that he d.O no1 build or ,m-
prove ID< the purpose ol sate)
□ I. as owner of the property, am excluswtfy contr,ctIng with locensed contracttws to conslluct the pro,ec1 (Sec 7044. Busmess and Profes.s,ons Code· The Contractor's Lcense law don ,... apply to an owner ol property who builds or im-
proves thereon. and who contracts tor e.ach pr0f8CIS with a contracto,(s) ttcense pursuant to lhe Contracto,'s Lanse law)
D As• homeowner I am mprOY1ng my home. and the lollow· Ing cond1hons exist:
1 The wtwk IS being perlormed pr10< to sate
2 I have lived in my home lor twelve months pr10< to completion ot this -k 3. I have not c~irned this exemphon durmg the lasl lhree years.
0 I hereby arr.rm lhait I N..-e a eer11lteate ol consenl
to self-insure. or a cet11f1ca1e ot Wo,t,,ers
Compensation Insurance. Of a cert1f1ed cooy thereol
(Sec 3800. LabOr Code)
POLICY NO
COMPANY
0 Copy ,s hied with the city
0 Cer11hed CoPY 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This seetton need not be completed ,t lhe pe1mI1
1s to, one hundred OOflars fl 100) o, ~ss)
0 I certify that 1n 1ne per1onnance ot ltte wo~ lo,
wh1cn this permit Is issued I shall not employ any
person ,n any manner so as to t>ecome sub,ect 10
the WMers· Compens.atton Laws ol Caihtom,a
NOTtCE TO APPLICANT If. after makinJ 1h15 Gen,
t,ute of E-empt1on. you should t>ecome suoIect I?
lhe WOf'lilers Compen~tton p,ovIs1ons ol tne U,t)(),
Code, you must lorth~1th comply w11h suet!
prov1s1ons or lh•S permit shall be deemed revoked
0 I hereby atlum lhal there Is a consI,uc110n
1end1ng ~ency tor lhe performance ot lhe wo" IQf
which 1n,s permI1 ,s ,ssveo 1Sec 3097 c,,,,1 cooe,
len<>er s Name __________ _
Lenoer s Aodress _________ _
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
JO,r11t U/a_ /4.t./)(A~ y W""j
AV ST.AO. NEAREST CROSS ST P:rE OF Al'PLICATION:1 BUSINESS LICENSE • VALUATl01/ PERMIT NUMBER
ConCo~d ~us; /,,Y 144.J
~It/ ,,/6lo LOT BLOCIC I S:1,DIVISION ,..A ASSESSOR PARCEL NO
rrY,T~A:T;A Cf' L_
CONTRACTORS PHONE • ZONE '11 > 1/ln,.,f,~ /',,.
O~N R"SNAME ,
17/y_;::A•~~;<( --✓,, ,,,(('.., .1-.,,::-,..,,, Ou111~ CON._.-ACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # IKOG USE COOE
OWNER'S MA,LING AOOAESS I-//u?t/. ~c-, _Ca-9',Z~ VY / Qlr F~I( id« .s . DESIGNER LICENSE • STANDARD PLAN# BUILDl7.::;;T AGE
DESCA1PT1QN OF Whl(
d-v~ll!.S -~.J"\l<IA .. ""'---,.. 7 (.,(,,.:, ,LJ,,., le, DESIGNER'S ADDRESS OESIGNER"S PHONE ,, V 1
-· F/P FLA ELEV. NO OCC GP EDU STORIES
vO NO ---
CENSUS TRACT I G P LANO USE I PAAICrNG SPACE AES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO N D vO NO vO NO Nor Valid Unlffs ~chin~ C~rrili«J
QTY. PLUMBING PERMIT • ISSUE -1~ QTY. MECHANICAL PERMIT · ISSUE 5--SUMMARY/ACCOUNT NUMBER -EACH FIXTURE TRAP , INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00·8220 ~?r. ,J/J
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01·00·00·8221 -EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 7-/,I..J
EACH GAS SYSTEM I TO 4 OUTLETS BOI LER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
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
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR QJ .(1().(1().A??~
TOT/.L MECHANICAL STRONG MOTION 80-92·33·0519
TOT AL PLUMBING I Fl RE SPRINi<LERS 01·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE 5-" QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
NEW CONST EA AMP/SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
I 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
REMODEL ALTER PEA CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX Dl-00-00-8162
TEMP OCCUPANCY 130 DAYSI ,-;, PIP'T.,,,
CREDIT DEPOSIT
TOTAL ELEClRICAL I TOTAL SOLAR ' I I '"-~ ~h.._<~ TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expo,__, E~pe,__.,.,.BuildlngOIIIGialundlrtlleprov,10onSoftt,oa * AN 06HA P£MIIT IS IIE0UIIIEO FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -I expire by ••--llecooae IIUI _. -H Ille budding or won s· O'" DEEP ANO DEIIOUTlOH OR CONSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by auch permit• l'OI cono ---,.,_,..,om ..,.claleof such STRUCl'UIIJES OYER 3 STORIES IN HEIGHT _m,t or of lhe lluoldo~OI -_.... bw, IUCII -' • auapended or ISSUEO TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON ...,. ----_ rm••tNCIIIDra w,,,,,i of 11111 ..._..
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND~Tz_.SI T'r• ~ QMl!Rllt" CONTRACTOR 0
AP~I Do/~4-
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AN ~
EXPEf'lSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT BYPHONE 0 GRANTING OF THIS PERMIT ; ~ I ,
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I ca •1---'l,E¥r ett--%'.A I
REINFORCED STEEL I ..,
MASONRY I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHl:AR
FRAME I
I
EXTERIOR LATH . I
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
I
SEWER AND BUCO D IPUCO I
I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR W.t,.TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □1 UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I :
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
r ,
~4-;}-~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REO IF INSPECTORS DATE t<IVJl f11?tw, we, ~A"~?At" ?9 ~V-~ 11r. --~· CHECKED APPROVAL \l"-L..I'-
SOILS COMPL ANCE f 1-i:v.u,\ PRIOR TO -J FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
·-HIGH STRENGTH
BOLTS
SPECIAL MASONRY
.
PILES CAISSONS
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