HomeMy WebLinkAbout2712 WATERBURY WAY; ; 84-188; PermitO "?tr. O I hereby affirm that I am licensed under \ _ provisions of Chapter 9 (commencing with
,c and Professions Code, and my license Is In
t; [ Section 7000) of Division 3 of the Business
~ full force and effect. z L,c No ______ Clm
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I hereby athrm that I am exempt from the Contrac-lOr's License Law lo, the lollow1ng reason (S.C 7031 5
Business and Protess,ons Code Any c,ry o, county whoch re-quires a perm,t to construct. atter imprOYe demot1sh. or repa,r any structure. poor to ,ts rssuance also req,,mes !heap-plicant tor such perm.I 10 file a StQned statement lhal he tS
hcense<I pursuant to the p.-ovis10ns ot the COntractor s lcense Law (Chapter 9 cammenang with Secl,on 7000 ot
OMs,on 3 al the Bus,ness and Proless,ons Code) Of that IS,.. empt therefrcrn and the basts tor the anegeo exeniphon "-ny Y10la11M of S.Cloon 7031.5 by an applocanI for a ptrm,I sul>-
iects Ille appltcanl 10 a CMI penally of not more 11\an '"" hun-
dred dol1ors ($500)
0 I. as owner of the property, o, my employtes with wages
JS their sofe compensation, win do lhe work. and the struc· ture Is not intended or ollered tor sale (Sec 7044. Business and ProfesslOns Code The COntractor's License Law c:k>ts not apply to an owner of property who bu1k1s Of 1mprMs l~reon and who does such work himself or through his own
empk>yees, provtded that such improvemenls are not intend· ed or ollered for sale. If, however, the buIldIng or improve-ment 1s sold within one year of comptehon, lhe owner•bu11der
wIU have the burden ot provmg lhal he did not bu1kt or im• prove lor the purpose o1 sale).
0 I. as owner of the properly, am exclus,vety contrachng wrth licensed contractcN'S to c.onstrucl the pr0f8CI {Sec 70o14.
Busmess and Professaons Code: The Contractor's license l.Jw does no1 appty to an owner o1 property who bu1kls Of im-
proves thefeon. and who contracts for e,ch prOflCIS with a ~jactor(s) lrcense pursuant to Ille Contrat1or's LarlSe
D As• homeowner I •m mprovrng "'I home. and the -ing conchhons exist.
1 The -k ,s bemg penormed pno, 10 sale 2. I have ilvecl ,n my home lor twelw months pnor 10 tompjellM o4 lhlS wo,k
3 I have not claffned 1h15 exemptoon dunng the last three years.
D I •m exempt under S.C. ______ . B & P. C for this reason ------------
D I hereby affirm that I ha;,e a cen1t,cate ot consent
10 self.insure. or a cert1t1ca1e of Workers
Compensa11on Insurance. Of a cen+hed copy thereat
(Sec 3800. Labo< Code)
POllCYNO
COMPANY
0 Copy ,s hied w11h the c,ty
0 Cen11~ copy 1s hereby tum,shed
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be compleled 1t 11\e pe1m11
,s to, one hundred oou~rs (S 100) o, tess1 ~ certify lhat ,n the perto,maince ot lhe won, lor ~~h this pemul Is issued, I shall not empl0y any
person in any manner so ~ to beeome sub1ect to
the W~e,s· Compens.il1on L..ilws of Gahfom1a
NOTICE TO APPLICANT II, alter mak1n1 lh,s Cen1
hcate ol Exemption. you should beeome sub1ec1 I?
the WOf'kers· Compensation pro..,,s,ons ol lhe UbOr
Code. you musl fonh~11h comply w,th such
pro"Is1ons or th,s perm,1 shall t>e oeemed revokeo
O I hereby a,lhrm lhal !here •s a conslfucllon IendIng aoency 10, 11'\e perlo,mance ol the w Q(). tor
which lh•s permII 1s issued !Sec 3097 C1v1I Coc>e1
Lenc:)ef s Name __________ _
lenders AOCress _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB ADDRESS
WJ;t"l!:f( &.l,e.y AV ST.RO. NEAREST CROSS ST I D::.:;<-77etN ~9l'Ne IL~r~E •
VAlUATION PERMIT NUMBER
't11'2.. WA>r 1444-
M-1s2> LOT BlOCK I SUBD1 VISION I ASr~ p:~32--07 ..jt)~T~~ot:etJtJet:t( I µ(~c;iT,ri;•
ZONE
OWNER·s NAME OWNER"S PHONE
f,WL., ~. CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. /t BlOG USE CODE
zo11 Fl ICt!,~Ol}IJJitr( IJ Q I
OWNER"S MA1L •NG A DDRESS '" ~le. DESIGNER llCENSE • STANDARO PLAN*
BUlrc:~F1!iGE 1-JOtJ_. DESCRIPTION OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE bl 1-t.X 14 ~4::eD ~ t)S> Stt'14f 41
0 I 4 I I ~ ----F/P FLA El EV. NO ace GP EDU • .JL. ""n --,. vJJ.,. ?GOif..-_ STORIES
vO NO . I -• I , -.-• I
CENSUS TRACT I GP LAND USE I PARKING SPACE
1 RES UNITS I GRADING PERMIT ISSUED I REOEVElOPMENT TYPE OCC lOAO FIRESPR AREA CONST
YO N D vO NO vO NO Not Valid Un~s Machine CtrtiliM
QTY. PLUMBING PERMIT -ISSUE :z__t:!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP . INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 ..c..~ .~
EACH BUILDING SEWER OVER 100,000 BTU SJGN PERMIT 01-00-00-8221
EA CH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00-8806 lfo.2.5
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00-8223
EACH lNSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOO/OUCTS MOBILEHOME 01-00·0Q-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-QQ.A??~
a r /• TOTI.L MECHANICAL ~,~. STRONG MOTION 80·92-33-0519 :ao
TOT A L PLUMBING I _ ..... /P. FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE s--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DlSTRlCT
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 Dieguilo 80-92-23-0519
REMO OE L 'AL H R PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00--8162
TEMP OCCUPANCY (JO DAYSI /??Pr / .J I
c'REDIT DEPOSIT ,~.,,. .en;,,,.
TOTAL ELECTRICAL
I tJ/1¥. TOTAL SOLAR µjk-TOTAL FEES PAYABLE I 11 . 7.5
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT ANO 00 HEREBY Exp,ratt0n E-,y ---by Ille Butlcling Olflc,el under the prov,s,ons ol th11 * AN OSHA PE ... IT 1$ AEOUIREO FOR EXCAVATIONS OYEII
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lhell exp,re by I"'"1allon ■ncl becom■ null -¥Old II the bu1ld1ng or work 5' o·· DEEP ANO DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS au1honzed by such oe,m,t II not commenced w1thlf't 180 d•ys from the date ot such STIIUCTUflES OYEII 3 STONES 1H HEIGHT perm,~ or rt Ille buoldo~o, work author....:! t,y ouch perm,1 ,a suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON -cloned•• -.,_ -WOflt os ~ lor a oerood ol IIO dava STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A•r1r~·.._ ,~ OWNER□ CONTRACTOR li!"'J""" f!R0~ J
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KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO ~ ,I ,L
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -,. ---,. BY PHONE 0"' GRANTING OF THIS PERMIT I',/""" • T • · , V . I
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I DATE INSPECTOR ',.• • '''" "--,. ., ' •· --TYPE ' .
a,<f-O I f1'8'
-.
BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
j REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I ' '· . '.
lt'-LSPEc:TION REO IF INSPECTOR'S DATE , ~
~ GUNITE OR GROUT I CHECKED APPROVAL .
I ~ .. FLOOR & CEILING SUB FRAME -SOILS COMPLIANCE .
SHEATHING D ROOF D SHEAR PRIOR TO
FOUNDATION INSP FRAME I
I STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO . HIGH STRENGTH ,
I BOLTS D YJATER UNDERGROUND D WASTE
SPECIAL Mii.SONflY
.
TOP OUT D WASTE D WATER .. , . ' . . . . TUB AND SHOWER PAN ' I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER .
l
ELECTRICAL !
D ELECTRIC UNDERGROUND □1UFFER . "" ..
I ~-ROUGH ELECTRIC l
D ELECTRIC SERVICE D TEMPORARY . ·'-. -D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING ~ • .. --:-. ,-.. , ._,. .
I ----V . ..,J J ,,,_ HEAT -AIR COND. SYSTEMS _I I I
VENTILATING SYSTEMS I • ·, i 1 (. ,.: ,...._ ... • i -_, -. ---.. ..::: v ' ,,_ ~ .
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ·-. -. 4 ITEMS ABOVE HA Vf, BEEN APPROVED .. • --·· _ .. . -..
FINAL I A ... \ q O (.._.,,,' .,/ --. _';"; •, r ··1 ,.,.,., '-·IP .. •: _ ...... V -~-= ,
PLUMBING . ,_, -I -___ _,,
ELECTRICAL I l'lAI .,\IV___.,,..,-;:' r..---✓~ \,_ it. , . , t• -.. t ..... -• . l ~ j I -. . ' •:::: tr~ .,...,,....--/ . 1S ~ . -" MECHANICAL I ; -. t· ,-.
I ' ~ .. -,\..
GAS ' --~ . , :v .;: :-. I . ' J . I . ' ,.,.
~ , -' ~ -1' '-' . ♦ BUILDING I c,/ • . .
' l
SPECIAL CONDITIONS I
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