HomeMy WebLinkAbout2718 WATERBURY WAY; ; 83-83-50; Permit.,, z 0 ;:: C CIC C ., u 11,1
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0 I hereby affirm that I am licensed under
pro•lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
~~I~ f:~J;~~•· and my ~-;"e is in
Lie Noo"b~~ Class _Q~,_f-__ _
I hereby alhrm thal I am exempt from the Contrac-
tor's lfcense Law 1or lhe following reason (Sec 7031 5
Business and Professions Code Any city or ccunty whict. re· quires a perm,1 to construcl, alter. improve demohsh. or
repair any structure, prior to its issuance also requires !heap-plicant tor such permit lo hie a signed statement that he ,s
hcensed pursuant to the provIsIons ol the Con1tacI0f s
L,cense Law (Chapter 9 commencmg with Sect,on 7000 ot Oiv1s10n 3 of the Business and Professions COde} or thal 1s ex-
empt therefrom and the basis tor the allegea ex.emption Any V10lat10n of Section 7031 5 by an apphcanl !or a perm1I sub-
Jects the apphcanl to a cIvII penalty o1 not mOl'e than five hun· dred dollars 1$500).
D I, as owner of lhe property, or my employees w1lh wages
as !heir sate compensa11on, will do !he work, and the struc• lure Is no! intended Of olfered for sale (Sec 7044, Bus mess
and Professions Code: The Contrac!Of's license Law does
nol apply 10 an owner of property who bmkts or improves !hereon and who does such work himself or through his own
employees, provided that such improvements are not intend-
ed or otlered IOI' sale. II. however. the bmldmg or improve-ment Is sold w1lh1n one year of complellon, lhe owner-builder
will have the burden of provmg that he did not build °' un-prove 10< the purpose ol sale)
D I. as owner of the property, am exclusrvely contracting with hcensed contractors 10 conslruct the project {Sec. 7044.
Business and Proless10ns Code: The Contractor's license Law does not apply to an owner or property who builds or im-proves thereon. and who contracts for each projects with a conlractor(s) license pursuant to the ContractOf's license Law).
D As a homeowner I am improving my home, and lhe 10,low· ing conditions exist:
1. The work is being perfOf'med pnor to sale. 2. I have lived m my home for twelve months pnor to completion ot this work.
3. I have not clamled this exemption during the last three years.
D I am exempt under Sec. ______ , B & P.C.
tor this reason ------------
~eby affirm that I ha..-e a cen1hcate ol consent
to self.insure, or a cert1lica1e ot Workers
Compensation Insurance. or a cen1t1ea copy thereof
'.:1c7:o Lab<» ~3J: tJdl--;,_ Lf~
COMPANY '/~ 7~
~y filed With the CIly
O C,ert1fted copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be compleled 1I the permit ...:,;;o, one hundred dOllars ($100) or less)
~certify that 1n the performance ol the woril tor
which this permit 1s issued. I shall no! employ any
person in any manner so as lo become sut>1ec1 to
the Workers· Compensa11on Uws of Gahtorn,a
NOTICE TO APPLICANT If. after mail.in;] lh1s Gen,
hcate ol Exemption. you should t>ecome sut>1ec1 ,,.,
the WOO(ers· Compensation pro ... Is,ons ot lhe Labor
COde. you must forth~1th comply with such p,o..,,s,ons or this permit shall be oeemees re"'ot,,eo
~by attum Iha! there 1s a con~Hucllon
1end1ng agency
which 1h15 per
Lencter s Name
USE 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 ADORESS AV ST.RO. NEAREST CROSS ST. IOATE OF APPLICATIONll BUSINESS LICENSE " VALUATION PERMIT NUMBER
2718 Waterb)-¥y Way 1n/11/R1 36Rl to?-11
LOT IBLOC~'f-.,V't!~~BOIVISION I ASSESSOR p"i1<&~~ O 0::, CONTRACTOR CONTRACTORS PHONE • ZONE F3 .J/3-50 c:n Gr nnqk_er Pt I I., ~
OWNER"S NAME -I OWNER0S PHONE s .. __ .., __ .., P<>ri f-f,. nf c:: .. n ni <>O n ?70-?0L..?
CONTRACTOA"S ADDRESS -LICENSE NO. PLAN 1.0 . # BLOG USE CODE Standard Pacific of San Diego 279-2042 (same) OWNER'S MAILING ADDRESS 294215
DESIGNER LICENSE " STANDARD PLAN# BUILDING SO. FOOTAGE 7290 Clairemont Mesa Blvd., San Diego, CA 92111 Buzard-Henning 1s-gg DESCRIPTION OF WORK & Associates NR
DESIGNER'S ADDRESS DESIGNER'S PHONE
Single-family dwelling-attached garage 4883 Ronson Ct., San Diego 921 tn 278-6855
,--.it ---F/P FLA ELEV. NO OCC GP EDU
3Yt) s:,:s 12-3 I ,, --vO NO ---
CENSUS TRACT I GP LANO USE I PARiti/ACE I AE?NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR I 0/ t:4 / , 9.;i u76 •. .,
AREA .fX cw YO ND vO N YO NJM Not Valid Unlt!Ss Machine Certified
QTY. PLUMBING PERMIT -ISSUE ~-E!_ QTY. MECHANICAL PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER
/"J EACH FIXTURE TRAP ~;L -<,() I INSTA LL FURN. DUCTS iJP TD 100.000 BTU -If--BUILDING PERMIT 01 ·00·00·B220 -~71--,-I EACH BUILDING SEWER " ,Q"J OVER 100.000 BTU SIGN PERMIT 01·00·00-8221
I EACH WATER HEATER ANO/OR VENT :J-.5:1) BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 2,!f-X_.~O
I EACH GAS SYSTEM I TO 4 OUTLETS ::J..~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 5"L ,~O
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00·00·8223 3o-
EACH INSTA~. ALTER, REPAIR WATER PIPE L VENT FAN SINGLE DUCT ,;z_.-MECHANICAL 01 ·00·00-8224 e'f-
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RE LOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??~
TOTI.L MECHANICAL 9~ STRONG MOTION 80-92-33·0519 ~£.7
TOTAL PLUMBING I FIRE SPRINKLERS 01-00·00·8227
QT\ ELECTRICAL PERMIT -ISSUE 5"-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00·00·8933
BRIDGE FEE
NEW CONST EA AMPISWT BKR /trl) ~-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 1 J ,_/ San Dieguito 80·92· 23·0519
REM00EL'ALTER PER CIRCUIT PLAN CHECK FEE /'/ _,t/, _,,,{) I San Marcos 80·92-24·0519
TEMP POLE 200 AMPS M{IUJ y
OVER 200 AMPS r r /") / LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) i..)
_L "' CREDIT DEPOSIT < ~_3_. S':S Lr
TOTAL ELECTRICAL I go-TOTAL SOLAR TOTAL FEES PAYABLE I ¥7~.?::L,
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND DO HEREBY Exp.ration Every permit issued by t"9 Butldtng Off1c1al under the pro.,,,s,ons of lh,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•ptre by hm,tatron and become null and void If the building or work ~-o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANU AGREE IF A PERMIT IS authorized by such permit ,s not commenced w1th1n 180 days from tl'le date of such STRUCTVRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~~~::On~ l~t ~V ~:l~:i~~or:~!~~~~~~ r~~~l~fS~~~~~ Of STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APP'~ICAN I I?"~ .. OWNERS----CONTRACTOR 0 APPROVED BY w ,°i~ct /!3
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 ~ . .Lo. BY PHONE 0 GRANTING OF THIS PERMIT V' --, r __ ,.
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TYPE I DATE INSPECTOR " .. r... ... ..._ .... '" -L -(50J .
BUILDING I ' gs .. oo~a C ,
FOUNDATION I ' ll'1_'1~et.c ~K FIELD INSPECTION RECORD
REINFORCED STEEL I / .----. I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
REO IF INSPECTOR'S GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE
SHEATHING □ ROOF □ SHE\6.R I PRIOR TO
FOUNDATION INSP FRAME I ,.a.~!-A' ..v'Y.J
I -I . _/ STRUCTURAL CONCRETE EXTERIOR LATH I ' OVER 2000 PSI
INSULATION 7 . L"l,.,-'it ~ ' 11~7 -~ ~A PRESTRESSED
CONCRETE ' INTERIOR LATH & DRYWALL f r .. ---v
POST TENSIONED I CONCRETE _I
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPUCO ~ 1h~'11 Q2. ,-1/ HIGH STRENGTH I "-"'_., • .,
BOLTS □~ATER' .-... ( --"I r UNDERGROUND □ WASTE
-----. -SPECIAL MASONRY TOP OUT □ WASTE □ WATER J?..;-~~ -~./ <
TUB AND SHOWER PAN .
I
GAS TEST I
I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
I . ..
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ UFFER /
ROUGH ELECTRIC I {,q .~ -. ~7
□ ELECTRIC SERVICE □ TEMPO~ARY_ .. -
□ BONDING □ POOL I
' I
MECHANICAL I ---□ DUCT & PLEM., □ REF. PIPING \,C{,y;a_ v',jl-1\ -
HEAT -AIR COND. SYSTEMS I ' I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT~N WHEN ALL APPROPRIATE
ITEMS ABOVE HA V BEEN APPROVED .
FINAL I • .......A .✓.~
PLUMBING I -< ~/
ELECTRICAL I .r~ /.'\--..AJ> I A
MECHANICAL I ~ ,v-·, -_-r,• ~ . -
GAS ' -,.....,6 -"·.
BUILDING I
I
SPECIAL CONDITIONS I
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