HomeMy WebLinkAbout2728 WATERBURY WAY; ; 83-83-48; PermitCl) z 0 .:: < er: < _, u
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Q: I hereby affirm that I am licensed under
p<O'llalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license la In
lull force and effect.
Lie No -2¢2~ Clm B-1
I hereby •llirm that I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031 5 Business and Professtons Code: Any cify or counfy whk:h re-quires a permit to construct. alter, improve, d~ish, or repair any structure. pno, to its issuance also requires the ap-f)f,cant for such permit to tile • s,pned statement that he Is
licensed pursuant to Ille provIs,ons of the Contractor's ucense Law (Chapter 9 commencing with SectlOfl 7000 of
0MSK>f1 3 of the Business and Profess,ons Code) or that IS ex-empt therefrom •nd the basis for tho ifleged exempt,on Any
VIOlatK>f1 of Secbon 7031,5 by •n •pplicant for • perma sul>-JeCIS the •pplocant to a CM! penatty of not more than ,,.. hun-
dred dollars ($500)
0 I. as owner of the property, or my employees -..,th wages u lhe1r D compensat,on, wiU do the work, and the struc-
ture Is not intended or offered for sale (Sec 7044, Business
and Professions Code: The Contractor's License Law does :,:t~n~0
:~ c;oen:rs!r:tiu:~1 ~i~~~~f::~ employetS, provided that such improvements are not Intend·
ed or olfered l0< sale. If. however. the building 0< Improve-ment is sold within one year of complehon, the owner-builder will have the burden of proving that ho did not build or im-
prove for the purpose of sale).
0 I, •s owner of the property, am exctusiYofy contracting with licensed conir.ctors to construct tho project (Sec 7044, Business and Professions Code: The Contractor's License
Law does not •PP'Y to an owner of property who builds or im-proves meroon, and who ax,tracts tor each projects w,th a ax,tractor(s) license pursuant to tho Contractor's license Law).
o As• -ner I am Improving my home, •nd the follow· Ing conditions exist: t. Tho work is being pertO<med prtor to sate.
2. I have lived In my home for twelve months
3. rrtv~o C::P~r;i~o1 t1~: :ption during the last three years.
0 I am exempt under Sec. ______ . B & P.C. l0< !his reason __________ _
~ 1 hereby affirm that I na:,e a cen,hcate ol consent
to sell-insure. or a cer11ftca1e of Workers' Compensahon Insurance. Of a cen1t1ed cooy thereof (Sec 3800. Lat>or Code)
POLICY NO _i;,ie_2JJ-02....48 -
COMPANY }Lir,eman-J s-Fund Ins
XJ Copy IS hied with the c,ty
0 Cen,hed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec1Ion need not be completed 11 the perm,I
1s tor one hundred oouars cs 11'.X)) Of less)
)OC1 eert,ty that 1n the per1onnance ot tne work '°'
whteh this permit as issued. I s~I not empk)y any
person in any ~ner so a.s to beCome sub1ect to
the Wo,1c.ers· Compensatton U ws of Catitorn1a
NOTICE TO APPLICANT If. after makin~ 1n1s Cert•
flute ol Exemption, you should become sub1ec1 I?
the Worfil.ers· Compensation prov1s1ons ol the U bOt'
Code. you must forthwith comply with such
provIs,ons or !his perm11 shall De deemed re\lOked
L. ..... ·~ ·~-.. ,~ .. ,~,-lending a,gency to, the per1or"1¥lee ot the wOOL '°' wn,ch 1t11s perm,I ,s issued (Sec 3097 C1v1I Code)
LenoersName Cr ocker Bank
LendersAddress Los Angeles
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT .£/~S'"G,'Z-1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV.ST.IOATE OF APPLICATIONII BUSINESS 'P5E # VALUATION PERMIT NUMBER AO. ~ 2728 Waterbury Wav ~/4/8~ &>·2>~-l.f~ OWNER'S NAME I OWNER'S PHONE CONTAACTOA CONTRACTORS PHONE • ZONE
Standard Pacific of San Diego 279-2042 Standard Pacific of San Diego 27Q-204~
OWNER"S MA LING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG USE CODE
7290 Clairemont Meaa Blvd., San Di ego, CA 92111 Same 294215 ~; I BLOCK h~UBOIVIS ON I ASSESSOR PARCEL NO DESIGN EA LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE
, .. ~, '[')~,'l--167-432~4-,.-,f\ Buzard-HenninR: NIA 340 7/0~iei'C ~,. 1725 ti97,GI OESCA1PTION OF W0AI(' -& Associates Sina:le f'a.milv aw,::,llin"' wit.h At.fa1r>h,::,il .......... ., ,....,,, DESIGNER'S ADDRESS DESIGNER"S PHONE -
4883 Ronson Ct . ~-;-'"1'-1 ~\ San Diear, ~27fLf;Rc;c;
NO F/P FLA ELEV. OCC GP EDU
vO NO ---ST IES /?..~ I
CENSUS TRACT I GP LANO USE
I P;;l~;;CE AE?NITS I GRADING ~ERMIT ISSUED
I
REDEVELOPMENT ~~JI OCC LOAD Fl RE SPA
AREA .,.tJ
Y0 Ni YO N 0 v □ Not Valid Unkn ~chine Ctrtifi«J
-; J:!!_ I 3~ I
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT - ISSUE SUMM ARY/ACCOUNT NUMBER
#
.'d EACH FIXTURE TRAP /7,::;;-.-I INSTALL FURN. DUCTS UP TD 100,000 BTU '-I .-BUILDING PERMIT 01 ·00·00-8220 Jf I -
EACH BUILDING SEWER t,., .C"Z'J OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
•~I -Z~IFiJ EACH WATER HEATER ANO/OR VENT 'l.. .-.;-o BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00-8806
I &ACH G'AS SYS°TEM 1 TO 4 OUTLETS '? .en BOI LER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00-8222 ~e../-
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00-8223 ~--
EACH INSTAl., ALTER, REPAIR WATER PIPE ,z_ VENT FAN SINGLE DUCT 4 .-MECHANICAL 01 ·00·00-8224 Lfl __ ,.
EACH VACUUM BREAKER MECH EXHAUST -HODO/DUCTS
,
MOBILEHOME 01-00-00-8225 ---
WATER SOFTNER RELOCATION OF EA FURNACE/HEATE R MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) II N.V' SOLAR 0Hl0-ll0-R?2fi
f TOTAL MECHANICAL J/'7fi-_~~ STRONG MOTION 80-92-33-0519 /,,-.08
TOTAL PLUMBING I /~--FIRE SPRINKLERS 01 ·00·00-8227
QTY. ELECTRICAL PERMIT -ISSUE '~ QTY.
.
SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32-00-00·8923
NEW CONST EA AMP/SWT /BK R hm '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
REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE ~ J J \ San Marcos 80·92-24-0519
TEMP PO LE 200 AMPS / -J i I ~ \
OVER 200 AMPS I (J 0/J' ~ / r-f< I J \'l_<;'~.~) l_ ~ ~ TEMP OCCUPANCY (30 DAYS) fY I' / I /
--1 ·-
/ <.J..,Lf I lo I
TOTAL ELECTRICA L
~--
TOTAL~R TOTAL FEES PAYABLE I 3i:!!1 ( r
I HA~ CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT' AND DO HEREBY Exptrat1on Every permit•-t,y Ille Building Offic1al un-Ille provI11on1 of tn,s * AN OSHA P£MIIT IS AEOU1AED F0fl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by ltm1tahon and become null and vo,d If Ille building or work 5' o-DEEP ANO DEM0UTlOtl OR CONSTIIUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such pefm1t 11 not commenced w1th1n 180 days from the date of such STIIUCT\JAES OYER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON =~.:i 1~11~i;:,~1J.~;~C:or:':t~=.,%,~~~ ~~:.:_.1~~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A.~ICANT I ~ • OWNERi!r CONTRACTOR 0 APPROVED BY ~ ,D,h/n 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
oC'&"l_A ....... BY PHONE 0 GRANTING OF THIS PERMIT /Iv~ -
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INSPECTOR ~ ,, -8'3 -008"3 l,Cfg') INSPECTION TYPE DATE
/ ~ BUILDING -
~AO~' -A FIELD INSPECTION RECORD
FOUNDATION ....... ~\ -
REINFORCED STEEL ,I pr· -\J REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REO IF INSPECTORS DATE MASONRY CHECKED APPROVAL ~
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING~ ":-:_.~ QH,-I STRUCTURAL CONCRETE ,q . OVER 2000 PSI FRAME .
~?of.....
PRES TRESSED EXTERIOR LATH lNSULATION "--J ... !''\/'\,\l: CONCRETE
/ -----~ POST TENSIONED INTERIOR LATH & DRYWALL CONCRETE
PLUMBING FIELD WELDING --
SEWER AND BL/CO / HIGH STRENGTH
PLUMBING UNDERGROUND rJ. ilJ. Tl-~ BOLTS . ,, -
PLUMBING TOP OUT l SPECIAL MASONRY • r-,,r-_ ... I ' ' ..,.
TUB AND ~HOWER PAN .
GAS TEST PILES CAISSONS
ELECTRICAL \ TEMPORARY POWER
ELECTRIC UNDERGROUND ..
ROUGH ELECTRIC r~ \ r_
,
ELECTRIC SERVICE -' --j ---~
BONDING
I
G. F. I. -SMOKE DETECTOR
MECHANICAL '
DUCT & PLEM., REF. PIPING -, .
HEAT -AIR COND. -SOLAR SYSTEMS -
VENTILATING SYSTEMS . •
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE \ ..... ,.., '-=.:. __ :_. . .. ITEMS ABOVE HAVE BEEN. APPROVED. --~,---
JOB SITE FINAL
PLUMBING \-litl ./ ~
ELECTRICAL r,~ 1'-1' ,,,-/'
MECHANICAL ,. -ru _;.. r7J... ,{...././--
GAS tl ~,.,, D ✓ -'--V' ' BUILDING ~ .
SPECIAL CONDITIONS V
CERT OF OCCUPANCY ISSUED .
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