HomeMy WebLinkAbout2712 WATERBURY WAY; ; 83-83-51; PermitU) z 0 .:: C CIC C ..J u "' 0
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~ .. eby affirm lhal I am licensed under
provisions of
Section 7000)
and Profeaslo
Chapter 9 (commencing with
of Division 3 of the Business
ns Code, and my license Is In
"Z("" ~~l~~y~ Clm &L
I hefeby atllrm tor's L.cense LaN Business and Protes
quires a permit to repair any slruclure pticant fOf such per
tteensed pursuant LJCense uw (Chop
IJlv,s,on 3 ot Ille Bu empt therelrom and
v!Olal,on ot Secloon IecIs lhe apphcanl
dred dollars ($500
lhol I am exempt from the Coolrat· tor the I01Iow,ng reason (Sec 7031 5
SK>nS Code Any cIIy or county wl'lteh re· construct. alter. improve, demolish, or
. prior to its issuance also reqU11es the ap-mil to lite a SIQned staremenI t~t he Is
to the pr~Is,ons ot lhe ConlriCl'CI( s
ter 9 commenc1"g with Section 7000 of
sir..ess and ProfesStOns Code) or that ,sex-
lhe baSIS fof lhe aIiegea oempt!Otl Any 7031.5 by on lpplcanl tor a perm,1 suO·
to a CIVIi penalty ot nol mOf'e than five hun
).
0 I. asownerott he property, or my employees w1Ih wages
nsatlOO. WJU do the work. and the siruc-as their sole compe
tune as not intended
and Protess,ons Code
no1 appty to an aw
thereon and who does employees, prDYlded ed Of ottered IOf sa
menl IS sold w1th1n will have the burd
prove tor lhe purpose
or olle,ed fo, sale (Sec 70.4 Business
The ConlrKtor' s license Uw does
nt1 ot property who builds or mproves
such work h1msett or through htS own
that such improvements are not intend· le. II. however. lhe building or wnprove-one year of completion, the owner-builder
en ot proving that he did not build or 1m• of sale)
the properly, am excJuSM!y controct1ng actors 10 con,uuct Ille protect (Sec 70.<,
D I, as owner of
with hcensed conlr Business and Pro! uw does no1 apply proves lhefeon, and
contractor(s) hcen Law).
esst0ns COde The Contractor's License to an owner ol property who builds 1>r ,m-
who contracts tor each protects w1Ih a se pursuant to the Contractor's ucense
r I am ,mprov1ng my home, ond lhe follow D As a horneowne ,ng c:ond1hons extSt 1 The work
2 I have IS being porlo,med Pf"' 10 sale kved In m, home to, twetve months
Pf"' 10 complehon ot this work J I hove last three not claimed this exempllon during lhe years.
D I am exempt under fof this r~.son _ Sec , B&PC
~ebyall, rm that I ha.,e a cen1t1caIe ol consent to sell insure
Compeny11on
(Sec 3800, Lat>or
. or a cert1l1cate ot Wo,kers
Insurance. o, a cen1f1ed cOQy Inereot
POLICY NOWt.
CO'jf'ANY"i:;
rf eooy l1o1'e.i
o/JJ3 ~~.:z-lft . , f'tu-tl ~
□ Cert1llec, CO() y ,s hereby tum1shed
CERTIFIC A. Tl OF EXEMPTION FROM WORKERS COMPENSA TOON INSURANCE
eed nol be compteIeo 11 11'\e pe,mII
Of one hund,ed dollars (S 1001 Of less) 2h 1oonn
fy Iha
llll'hlCh th,s perm
perSOf'I ,n any m
1ne Wor\ers Com
t m the pertOfmance of lhe work tor
11 Is issued. I shall not employ any anner so -s 10 become sub1ecI to
pensahoo Laws of C,altlom1a
PltCAN T II aft~, maM0;1 this Cen NOTICE TO AP
licate of E11emp the W~ers Com
cooe you m
pro11Is,ons or lh
tton you shOu~ bee(1me subjec I t? pensat+on PfOVISt()nS cit lhe LabOf
ust f0<11'l'IJloilh comply Wllh such
Is permit shall be deemed re~olit.e<l
!tum thal I1'\ere ,s a con~tructon
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0 I hereby a lending ~ency
which 1h15 pe,m
Lenoe, s Name
to, the pertormance o~'Yt:1 <><" t'"'
~
,ssueo~ 3097 eooe, _)I ~~ '/ .. ./ .. I .. L-.A ◄ I
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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
;QB ADDRESS PERMIT NUMBER AV ST RO. NEAREST CROSS ST
I
DATE OF APPLICATIONII BUSINESS LICENSE# VALUATION
2712 tJ,.t.,.rhnrv Wav ln/1 ?/P.?, %SU IOC/L/LIB ~?g3-)I LOT BL 1~K ~k~·uBD vis ON .I ASSESSOR PARCEL NO OU CONTRACTOR CONTRACTORS PHONE • ZONE ~1 (~ ,innqk~r Pt 1(1"1 C .. f~~ 01
OW,.ER'S NAME I Standar d Pacific of San Diego 279-2042 OWNER"$ PHONE
CONTRACTOR"$ ADDRESS LICENSE NO PLAN 1.0. # BLOG use CODE _Standard Pacific of San Di ego 279-2042 (same) 294215 OWNERS MA L NG ADDRESS
STANDARD PLAN# BUILDING SO. FOOTAGE DESIGNER LICENSE 11 7290 Clairemont Mesa Blvd ., San Diego, CA 92111 ?-,'k,.t;" Buzard-Henning & Associates NR OESCRIPT ON OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE
4883 Ronson Ct., San Diego 92 11 278-6855 ~ingle-family dwelling-attached garage
NO .-L F/P FLA ELEV. OCC GP EDU 3 :,-?J sr::::[s R~~ I u---vO NO WI ---I ~ 081)-.ll~ CENSUS TRACT I GP LANO USE
IPZ~CEI
RE?NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA ~ YO H vO ~ YO N);f Nor Valid Un~s Machint Ctrttf,«t
QTY. PLUMBING PERMIT· ISSUE 7!!!. QTY. MECHANICAL PERMIT · ISSUE ..5-SUMMARY/ACCOUNT NUMBER
l :J. EACH FIXTURE TRAP ~--1 INSTA LL FURN. DUCTS UP TO 100.000 BTU L{ . -BUILDING PERMIT 01 ·00-00-8220 t../ J L'\ -
EACH BUILDING SEWER ~.~ OVER 100,000 BTU SIGN PERMIT 01·00-00-8221
EACH WATER HEATER ANO OR VENT -::I.5ir BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 ~q-,r, ~s
EACH GAS SYSTEM l TO 4 OUTLETS ~1~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00-00-8222 Lf.._'7._-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00-8223 .tn-
L/.-LJ-EACH INSTA~. ALTER, REPAIR WATER PIPE "J.. 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 n1.no-nn-•oo~
TOTAL MECHANICAL -::;-, L. h STRONG MOTION 80·92·33-0519
I '-i'1 LI . -TOTAL PLUMBING -FIRE SPRINKLERS 01 ·00-00-8227
5=-PUBLIC FACILITIES FEE 32·00·00-8933 QTY. ELECTRICAL PERMIT • ISSUE QTY. SOLAR • ISSUE
BRIDGE FEE
NEW CONST EA AMP1SWT 1BK R tno --:2.~-COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA A MPISWT BKR ROCK STORAGE Encinitas 80·92·22-0519
1 PH 3 PH PUMP ---San Diegu110 80·92-23-0519
REMOOEl'ALTfR PER CIRCUIT PLAN CHEl,)(-'fEE ~ San Marcos 80·92·24-0519
TEMP POLE ZOO />,MPS / 17 .. ~ (/ L-/
OVER 200 AMPS / /' V,,£...,1' / , :::1. I 8Cf -LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) ..L V 1 ,r
------/ ' I _;::.-CREDIT DEPOSIT "'ALf ~ I '5 _~ J
TOTAL ELEClRICAL I \._ ~ TOTAl SOLAR I 2/200 .. 1-f 6
.
30:-TOTAL FEES PAYABLE
I HAVE CAREFULLY EXA'-IINEO THE CCMPLETEO APPLICATION ANO PERMIT ANO 00 HEREBY EJCpu1t1on Every perm,t issued by the Bu,10tng Ott,c11I under the provisions of ttt,s * AN OSHA PUWIT IS MOUIAEO FOA EXCAVATIONS OVEA
CERT,FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,cp.re by 1tm,11t1on and become null and void If the bulld,ng or work 5 o· DEEP ANO DEMOLITION 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT 15 authonzed by such permit ,snot commenced w1th1n 180 days from the date ot such STAUCT\IR£S OVER 3 STOAIES IN HEIGHT permit. or 11 the bu1ld1J or work authorized by such permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at anv time • 1er 1he work ,s commenced for a penod..Qf 180 days STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPLl~CANTi GN TURE • OWNERU CONTRACTOR 0 APPROVED BY /"/b /4 i /'f';; KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS ANO ~v EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -A.,/,.. -BY PHONE 0 GRANT NG OF THIS PERMIT 'V r -... u • --
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TYPE I DATE INSPECTOR -· ..• -· -'
BUILDING ' .... . . I J " OUNDATION I ,.,,..,D-h' ir><,Jl FIELD INSPECTION RECORD .... F
REINFORCED STEEL I I ,-v-,w I~.,."
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I REO IF INSPECTORS
GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE . -.
FLOOR & CEILING~UB F E 1 -,-.;_
~ SOILS COMPLIANCE
SHEATHING ~ SHEf\R PRIOR TO
FOUNDATION INSP FRAME ,-I ~-WL -~ , STRUCTURAL CONCRETE EXTERIOR LA TH I '\ OVER 2000 PSI
INSULATION l, 1-Z..-5'(---=--=-_,/ ' / PRES TRESSED I', CONCRETE INTERIOR LATH & DRYWALL I ... (.\~'~ ... ~ J .,,, POST TENSIONED
I CONCRETE
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PLUMBING / FIEL-0 WELDING I I
SEWER AND BUCO D IPUCO I """ ,,., .,.~ vY.M HIGH STRENGTH ' , ... -----.., BOLTS UNDERGROUND □ WASTE □ WATEll'
SPECIAL MA~iJRy \\ -TOP OUT □ WASTE □ W4TER ,,,_,-ij~ ~-.), ~-,._.
' TUB AND SHOWER PAN I
GAS TEST I PILES CAISSOl'.S
□ SOLAR WAjER □ WATER HEATER ..... " I ~ ·-
ELECTRICAL I ~ ,<. ,\ 'I. -~
D ELECTRIC UNDERGROUND D 4FFER ..._ ' I --ROUGH ELECTRIC I 1.~ ~,,... -,, ~x -, '
□ ELECTRIC SERVICE □ TEMPORARY_ . -'-~ .-\ -\. .. -.. -
~
□ BONDING □ POOL I
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MECHANICAL / • .,
I -□ DUCT & PLEM., □ REF. PIPINp l-~-xtJ "!~ \.-' --f ,-,\ rt" ~ ;.._
HEAT -AIR COND. SYSTEMS I . I
VENTILATING SYSTEMS ' I
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE \.
ITEMS ABOVE HAVB BEEN APPROVED. -
FINAL ' _J
PLUMBING I ,~ .,, ....
ELECTRICAL I -Q-\~ ·~ ' .. ,. .-
MECHANICAL ' ,:..-,.'f •,.,;~ ~ ~ ,_ I
GAS I ;:J>"'"-AC ---., \ '--.
BUILDING 'r i"'2-.. \' V
SPECIAL CONDITIONS I V'
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