HomeMy WebLinkAbout2715 WATERBURY WAY; ; 83-83-35; Permit"' z 0 ;:: C cc C ..J () w 0
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~llby 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
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I hereby affirm that I am exemp1 lrom the Contrac• 10<'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 ,ts issuance also requires the ap-
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License Law (Chaple, 9 commencing wilh Sec11on 7000 of Div1s1on 3 of the Business and ProteSSK)OS Code) or that is ex· empt therefrom and 1he basis ID< 1he alleged exemplion. Any
viotalion of Section 7031.5 by an appllcan1 ID< a permit sub• jects the applicant to a civil penalty of not m0<e than live hun· drec dollars ($500).
D I, as owner ot the property, 0< my employees with wages
as their sole compensation. will do the work. and the strut· lure is not intended °' offered for sale {Sec. 7044, Business
and Professions COde: The Contrac10<'s License Law does not apply to an owner of property who btJilds or improves
thereon and who does such work himself or through his own employees. provided that such improvements are not intend-ed or offered tor sale. If, however. the building or improve-
ment is sold within one year of completion. the owner-builder will have 1he burden of proving tha1 he did no1 build 0< im·
prove 10< 1he purpose of sale).
D I, as owner of the property, am exclusively oon1rac1ing with licensed contractors to construct the project (Sec. 7044, Business and Professk>ns 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 w~h a contractor(s) license pursuant to the Contractor's License LaW).
D As a homeowner I am Improving my h0<ne, and the 1ollow· ing conditions extSI:
1. The work is being pe~D<mOC prior 10 sale. 2. I have lived in my home for 1Welve monlhs prior to completion of this work. 3. I have not claimed this exemption during the Last three years.
D lamexemplunderSec. ______ , 8& P.C. for this reason ___________ _
~reby arttrm tha1 I ha11e a certificate of consen1
lO self•1nsure, or a cert1f1cate of Wortc.ers'
Compensation Insurance. or a cert1f1ed copy thereof
!Sec 3800. Labor Code)
POLICY NO w.t.,2.~;i..::._f!l_ •
COMP/1,,NY:&.~ ~
~y IS filed With the city
□ een,fled copy ,s hereby furnished
CEATIFIC/1,,Tl OF EXEMPTION FROM WORKERS' COM PENS/I,, TION INSUA/1,,NCE
(Th,s section need not be completed 11 the perm,1 ,/4 l0t one hundred OOllars (S100) or ~ss)
t;l't certify !hat 1n the performance of the wo"'-tor
which this permit 1s issued. I shall not employ any person 1n any manner so as to become sub1ect to
!he Wor1<ers· Compensation L1ws of Cahtom1a
NOTICE TO APPLICANT If. after malun1 this Cert1
hcate of Exemption, you should become sub1ec1 t? lhe Wonters· Compensation provisions ot the Labo<
Code. you must fonhw1lh comply with such pro'-'1s1ons or !his permit shall be deemed revOked
O I hereby attum lhat there 1s a construct10n
lending agency tor lhe performance ot the wont lo,
which lh•s perm1~:s~: ~~ n :~~,
Lenders Name_..{;,~~~OL.=-=--~===-=-
Lenoer·s Address ---'L=•c...fl<....:..._. ____ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS:--...t"'.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
J08 A DDRESS AV. ST.IOATE OF APPLICATIONII 8USINESS LICENSE # VALUA TION PERMIT NUMBER
RD. x-OC/71 2715 Waterburv Wav 10/12/83 3681
OWNER'S NAME I OWNER'S PHONE CONTRACTOR CONTA/1,,CTORS PHONE t ZONE f3--f 3 --3S'
Standard Pacific of San Diego 279-2042 Standard Pacific of San Diego 279-2042
OWNER'S MAIL I NG ADOR ESS CONTR/1,,CTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
7290 Clairemont Mesa Blvd., San Diego, CA 92111 (same) 294215
Lo35 I sLoc-:
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SUBOIVISION I ASSESSOR PA~3NO. 'f DESIGNER LICENSE # STANDARD PLAN # BUILDING SQ. FOOTAGE
innaker Pt. l w7 ::t O CX) Buzard-Henning & Associates NR /Sii DESCRIPTION OF WOR K C.,'('74-01 DESIGNER'S ADDRESS DESIGNER'S PHONE
Sin2le-jamily dwelling-attached 4883 Ronson Ct., San Diego 921 1 278-6855 garage -F/P FLA ELEV. NO EDU .,, ~~ ace GP
!Ya ST~S ,e-J I I Ol lt41 34 I vO NO ---:-393.2=
CENSUS TRACT
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GP LANO USE I PAAi7 J;ACE I RES,NITS I GR/1,,DING ~EAMIT ISSUED I REDEVELOPMENT T YPE OCC LOAD FIRE SPR I 0/ tA I 1;;•1• It!':.; '393.!l~ AREA cov1N vO ~ YO ND v0 N.?I( No,r Valid Un_~s lf!chine Certifi«J
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QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT· ISSUE 3 ~ SUMMARY/ACCOUNT NUMBER
/:? EACH FIXTURE TRAP ~:;.,so I INSTALL FURN. DUCTS iJP TO 100,000 BTU ~ -BUILDING PERMIT 01·00·00·8220 ~7/--
I EACH BUILDING SEWER I, .CtJ OVER 100,000 BTU SIGN PERMIT 01·00·00·8221
I EACH WATER HEATER ANO/OR V ENT ~-\/J BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 :;4-9' ~o
I EACH GAS SYSTEM I TO 4 0 UTLETS ~ :c-/J BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 C/ .. C::-o
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00·00·8223 _:?t) -
EACH INSTA~ . ALTER, REPAIR WATER PIPE I VENT FAN SINGLE DUCT ol -MECHANICAL 01 ·00·00·8224 'I-
EACH V A CUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225 ------
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF ORAIN (INSIDE) SOLAR n1-no-nn-A?2Fi
TOTJ:.L MECHANICAL 9 STRONG MOTION 80·92·33·0519 ~7.. 7
I -~/ 5'0 -TOTAL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8923 QTY. ELECTRICAL PERMIT · ISSUE .:r-BRIDGE FEE
NEW CONST EA AMP/SWT/BKR /1J7J ., c .--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 Oieguito 80·92·23·0519
REMODE L/ALTER PER CIRCUIT PLAN CHECK FEE --"' ,' San Marcos 80·92·24·0519
TEMP POLE 200 AMPS / ✓ .... ~ /
OVE A 200 AMPS I Any<r_.-,,,-.,/ . -
TEMP OCCUPANCY 130 DAYS) I ...... ,. / rJ-i,, _,I,+, J( I•• -• ;-I / ~<J '1,. ~< /> -\. _,/ . I ~
TOTAL ELECTRICAL I -TOTAL SOLAR I 2tJ -TOTAL FEES PAYABLE //7t.£l;JJ
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY Expir11ton. Every permI1 1asued by the Bu~ding Offlel&I under the provisions of 1t,i1 * AN OSHA PERMIT IS AE0UIAE0 FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tahon and become null and void If the building or wort. 5' o-DEEP ~ 0£MOllTION 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS 1u1honzed by such permit IS not commenced wI1t,in 1110 days from the date of such S~~ OVEA 3 STOAIES IN HEIGHT permit. or 1f the budd1~ or work authorized by auch permtt 11 suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• abandoned at anv bme a er the wort< IS commenced for a ~oc1 nf 1ail "•u•.
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND /l,,PPLl~C/1,,NT'S NAT~URE lf. OWNERg./ CONTRACTOR □ /1,,PPR~
1D?f;}/ cJl/tf3 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND hi-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT
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INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LA
INTERIOR L
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
'1,;
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN. APPROVED.
JOB SITE FINAL
PLUMBING
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
FOUNOA TION 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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