HomeMy WebLinkAbout2719 WATERBURY WAY; ; 83-83-36; Permit.,, z 0 .:: < a: < ..J 0 ... 0
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~ 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
full for~ A"<l .!f!esJ. !1 [ I.JC N'-<.-'f-.~~ Class ,0__._ ___ _
I hereby alhrm that I am exempl lrom the Contrac·
lor's License Law lor the following reason (Sec. 7031.5 Busmess and Professions Code· Any city Of county which re• quires a perrml to construct, alter. improve, demolish, or repair any structure. prlOf to ,ts Issuance also requires the ap-
plant lor such per""t 10 file • signed statement tllal he ,s locensed pursuanl IO tile P,DYISl00S of Ille Contractor s
Locense Law (Chapter 9 commenang wilh Sectm 7000 of OIV1s1on 3 of lhe Busmess and Profess,ons Code) or thal os ex-
empt therefrom and Ille basis for tile alleged exemption. Ally voolat10n of Sect10n 7031.5 by an apploc,nt tor a permit sub-
1ects the apphcant to a CIVIi penalty of not ITIOfe than live hun• dred dollars ($500).
0 I. as owner of tile p,operty, or my employees with wages
as their sole c:ompensat,on, will do the -k. and the struc-ture lS not intended or ottered tor we (Sec. 70.«, Busaness
and ProfesS1Dns Code Tile Contractor's License Law does
not apply 10 an owner of p,oper1y who builds or mpnMts thereon and who does such work h1msetf or through his own employees, provtded th.al such improvements are not intend-
ed or ottered for sale. If. however. Iha building or ifflj)!O'l9-ment Is sold within one year of completion. the owner·budder
will haw lhe burden of proving lhal "" did not build or un-p,ove for the purpose of safe).
0 I, as owner of the p,operty. am exciuSM!ly c:cntract1ng
with licensed contractors to construct Ille protett (Sec. 7044,
Business and ProlessN>ns Gode: The Contractor's License Law does not apply lo •n owner of p,operty who builds or Im·
proves thereon, and who contracts t« each projects w~h a
contractor(s) license pursuant to the Conlractor's License Law).
0 As a -nor I am !01pRMng my home, and the toilow-
ing conditions exist t r~:rk~!l"/::0 ,:r: r.,!Of :~lemonlhs
3. r':!v~ ::1Pc5:::' t
1
~~ -=~ption during the last three years.
~reby affirm that I ha'le a cert1hca1e of consent
to self-insure. or a cert1ftcate of Workers· Compensahon Insurance. or a cer11hed cooy thereof
fSec 3800. LalX>< Sf<'el
POLICY NO JVt'aU.3 • l)J, :!/:E __
COMPANY nCU1JllA..s r'ttncl
~y 1$ flied With lhe city
D Cert,hed copy Is hereby furnished
CERTIFICAT~ Of EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This sectton need not be completed ,t 1ne perm,1 1s !Of one hundred dollars ($100) or less)
~r11ty ttlat ,n the per1ormance ol the wotk to, which uus permit ,s issued, I shall no1 employ any
person in any rT\Mlner SQ as to beeome sub1ec1 10 the Workers Compensahon Laws ot Cahtorma
NOTICE TO APPLICANT It. at1e, makin~ this Cer11 t1cate ol Exemp11on_ you shook! become sut>iecl t?
lhe Workers· Compensation prov,s,ons of the Labar Code, you must torthw,th comply with such provisions or this permit shall be oeemeci revoke<J
0 I hereby ath,m that there 1s a construction
lending agency tor the performance ol the wotk for
which lhtS perm,, ,s Is~ JOO" C=1~)
Lendef s Name~C~~~~~:::--.£:J4!J.==~L--
Lenoe,,Aooress __ c;cL_.L,4~•-----
, tlSE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV.ST.,OATE Of APPLICATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER RO. 1oq4L/,8 2719 Waterbury Way 10/12/83 3681
OWNER'S NAME I OWNER"S PHONE CONTRACTOR CONTRACTORS PHONE • ZONE ~3,g3-36 Standard Pacific of San Diego 279-2042 Standard Pacific of San Diego same
OWNER'S MAILING AOORESS CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # BLOG use CODE
7290 Clairemont Mesa Blvd., San Diego, CA 92111 (same) 294215
L~: I BLOCK J SUBOI VIS ON I ASSESSOR PAij~NO 10 6J DESIGNER LICENSE • STANDARD PLAN# BUILDING SQ. FOOTAGE ,n; ... ,..,.,1,.,.,. Pt , ,.,-, ':l. Buzard-Henning & Associates NR 2 ,-io~ DESCRIPTION Of WORK l.,T 74--~ DESIGNER"S ADDRESS DESIGNER'S PHONE
4883 Ronson Ct., San Diego 92 111.l 278-6855 Sin2le-family dwelling -atta~4.~rage F/P f LR ELEV. NO EDU OCC GP 5 ,s1J STORIES R-3 I 101.~t 34~ vO NO ---'2-2608,IJ"
CENSUS TRACT I GP LANO USE I Pg K;/#ACE I RES/NITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO NO v□ NJ!( VN YO NJ( Nor Valid Unlffs Ahchine Certifild
QTY. PLUMBING PERMIT -ISSUE ft!> 7--Q TY. MECHANICAL PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP '~ ........ I INSTALL FURN. DUCTS UP TO 100,000 BTU Ll -BUILDING PERMIT 01-00-00-8220 -,,-, N-
I EACH BUILDING SEWER '15D OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I -
EACH WATER HEATER ANO/OR VENT /J... ~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 2;3'-1 ~~
I EACH GAS SYSTEM 1 TO 4 0 UTLETS 'l-.1~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 ~9'-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ·~s-
EACH INSTAl,. ALTER. REPAIR WATER PIPE 'l VENT FAN SINGLE DUCT /.-{. -MECHANICAL 01-00-00-8224 11-
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 01 ·00-00-R??h Ll TOH,L MECHANICAL STRONG MOTION 80-92-33-0519 -=r_~h --ft -. TOTAL PLUMBING I '-fC1 · -FIRE SPRINKLERS 01 -00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE s=-QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32-00-00-8923
BRIDGE FEE
NEW CONST EA AMP/SWT /BK R I trV') ~5 COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinilas 80-92-22-0519
1 PH 3 PH PUMP ., \ San Dieguito 80-92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE ,/ \ A '-' San Marcos 80-92-24-0519
TEMP POLE 200 AMPS / J/ .,~ I
OVER 200 AMPS / f\n .Y ~1/ I .I r ,,.·N~t-f AX ot-~-; ~ r-;; ,·:._ ~ "1.I~--
TEMP OCCUPANCY (30 DAYS) / (ll/f, ,v / ------; -/ r -~FU/iT LJc.~a::,t I :<. -;;. LI -:, . ~ '"1 /
TOTA L ELECTRICAL 7-30 -TOTALSOL1/ TOTAL FEES PAYABLE 1 ?-8(X!),L/b
I HAVE CAREFULLY EXAMINED THE COMPLETED • APPLICATION AND PERMIT AND 00 HEREBY •~ Every perm11 1uued by tne Bu~dtng Ofl1c1al un-1"8 prov,s,ons of th11 * AN OSHA PU .. IT IS AEQUIAEO FOR EXCAVATIONS OVEfl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ahall exp,re by llm1tahon and become null and void If the bu1ld1ng or worll 5· 0" DEEP ANO 0EMOUTl0tl CIA CONSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorizkt by such permit•• not commenced w1th1n 180 days from the date of suet\ STAUCl\JRES OVER 3 STOAIES IN HEIGHT perm,t. or 11 the bu1ld1l or work Iuthonzed by auch pepe.,:~m1t
1
suspended or ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at an....,,,,.;; a er the worll II commenced tor a of 180 -'••• STRUCTlON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APP~A~WNER□ CONTRACTOR 0 APPROVED BY
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"/i) ft Y }trJ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND fl-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT
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INSPECTION TYPE DATE INSPECTOR S?~--003'3 Cg"') .
BUILDING i .
FIELD INSPECTION RECORD
FOUNDATION ' ,,..,..,. _02 ~LI\
/ ... ~ ~ --.,. _ REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES --REINFORCED STEEL . ,_
INSPECTION REO IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEIL~G~B.LRAME PRIOR TO -I, . . .... \ . \ -FOUNDATION INSP -,
SHEATHIN~ STRUCTURAL CONCRETE ...... -/ OVER 2000 PSI -FRAME
)!;~, "f,JJI / PRESTRESSED EXTERIOR LATH lNSULATION ...... 1-CONCRETE
INTERIOR LATH & DR YWALL ) i1.:~~~ ✓-YJ.J POST TENSIONED CONCRETE
PLUMBING FIELD WELDING --
/11 .?J-l<t J>JIX . SEWER AND BUCO ' HIGH STRENGTH
/ -. . -BOLTS PLUMBING UNDERGROUND -
PLUMBING TOP OUT SPECIAL MASONRY . J I
TUB AND ~HOWER PAN
GAS TEST PILES CAISSONS
ELECTRICAL \ ,,
TEMPORARY POWER
ELECTRIC UNDERGROUND ~ .:
ROUGH ELECTRIC I
ELECTRIC SERVICE ' -'C'\ --~
BONDING ' .
G. F. I. -SMOKE DETECTOR -\ ..
MECHANICAL I
DUCT & PLEM., REF. PIPING ~-.... '. -' \ '--, r-,,.~,~
~,--,._ . ,. • -
HEAT -AIR COND. -SOLAR SYSTEMS ..,, -
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE " ,~ .. . -, .
ITEMS ABOVE HA VE BEEN-APPROVED. -
JOB SITE FINAL / .\~ ,...
PLUMBING l" i.w---,,,,.,--
ELECTRICAL '<U-/ 1--.tl ~,
' MECHANICAL ff. l,'Jp-" -41 ~ p -::--\~
GAS _/ ,A ~ v~, V _/ l . \· \ ' -BUILDING , .,, ~ '
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED I