HomeMy WebLinkAbout2711 WATERBURY WAY; ; 83-83-34; Permit.,, z 0 ;:::
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,.,/. hereby affirm that I am licensed under
;M;vis'lons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full fo~~wc.r !11 lie No Class _.1,2_'""-''------
I hereby affirm that I am exempt from the Contrac-lor' s License Law for the following reason (Sec. 7031.5
Business and Pro1ess1ons Gode: Any city or county which re-quires a permit to construct, alter. improve, demolish, or
repair any structure, prior to its issuance also requires the ap-. pllcant for such permit to tile a signed statement that he Is
licensed pursuant to the provisions ol the Contractor's License Law (Chapter 9 commencing with Section 7000 of Otvision J of the Business and ProfesslOns Code) or that is ex-
empt therefrom and the basis for the alleged exemption. Any
r:~•[~~ ~~~.:~3iJi ~~~;~:~~~ tifn~~; ~~~: dred dollars ($500).
D I, as owner of the property. or my employees wtth wages
as !heir sole compensation. will do the work, and the struc-ture is not intended or offered lor sate (Sec. 7044, Business
and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon and who does such work h1msel1 or through his own employees, provided that such Improvements are not intend· ed or offered for sale. 11, however, the building or improve·
ment is sold within one yaar of completion, the owner·builder will have the burden of proving that he did not build or im-
prove for lhe purpose of sale).
□ I, as owner of the property, am exclusivety contracting
with licensed contracto,s 10 construcl lhe project (Sec. 7044, &lsiness 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 tor each projects with a contractor(s} license pursuant to the Contractor's license Law).
D As a homeowner I am improving my home, and the follow·
Ing conditions exist: 1. The wOl'k is being perfonned prior to sale. 2. I have lived in my home for twelve months prior to completion of this work. 3. I have not claimed this exemption during the last three years.
D lamexempt underSec. ______ , B&P.C.
tor this reason __________ _
~reby affirm that I have a cen11tcate of consenl to self-,nsure, or a cert1f1cate of Workers·
Compensat,on Insurance. or a certified copy thereof
(Sec ~-~bo< e)
POLICY NO • 233,-~;;...:.!l:K~
COMPANY ~
~y IS Med with the city
0 Certified copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f the permit
_)/' fOJ one hundred dollars ($100) or less)
e"i" certify that in the performance of the wor1c. tor which this permit Is issued. I shall not employ any
person m any manner so as 10 become subIect to
the Workers· Compensation Laws of Ca1tlorn1a
NOTICE TO APPLICANT If. alter mak1n1 this Certt licate ol Exemption. you should beeome suoIect t'>
the Wor1c.ers' Compensation pro..-IsIons of lhe l.ab<>f
Code. you must forthwith comply with such provIsIons Of this permit shall be deemed revOked
0 I hereby alhrm that lhere Is a construction lending agency tor lhe performance of the work. tor
wh,ch m,s perm,~ ossued (Sec C!JCJ97,~
Lender s Name <.Jtft2C/tG4
Lender"s Address L-• A •'
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 ADDRESS AV. ST., I DATE OF APPLICATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER
RO. q 1-, t:; 0) ;). 2711 Waterbury Way 10/12/83 3681
<g3-</r,-1 OWNER'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE J ZONE
Standard Pacific of San Diego 279-2042 Standard Pacific of San Diego 279-2042
OWNER'S MAILING AODRESS CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # BLDG use CODE
7290 Clairemont Mesa Blvd, San Diego, CA 92111 (same) 294215
LOT !BLOCK J;UBOIVISION I ASSESSOR PARCEL NO. c) DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
•lJ. inn,:,ilror Pt. 11.-, '-I 1-:l. Ofli 0 /?-J..5 DESCRIPTION OF WORK C....'T 714--04
Buzard-Hennin2 & Associates NR
DESIGNER'S ADDRESS DESIGNER'S PHONE
Sinele-family__dwellin_g__-attached garage 4883 Ronson Ct .. San Die20 921 1 278-6855
-F/P FLA ELEV. NO O,R.CC.GP EDU
"'4' ., ~ fo vO NO
ST°/IES ·-~ I 10/ 11-4✓~-CENSUS TRACT I GP LA'(/ USE PA5 '40ACE I RE?NITS I GRADING f'.ERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPR J l.&9~.,..,
AREA v'N YO N 0 v0 N'S. vO,J1iif Not Valid Un/~s Machine Certifitd
QTY. PLUMBING PERMIT · ISSUE -7£!-. QTY. MECHANICAL PERMIT· ISSUE 5-SUMMARY/ACCOUNT NUMBER
' lf'I EACH FIXTURE TRAP -.:Z.."l -INSTALL FURN. DUCTS UP TO 100,000 BTU I./~ BUILDING PERMIT 01 ·00-00-8220 -Qq '-' -
EACH BUILDING SEWER /:i~.n OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221 -
1."~ '>~><.()~ EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01·00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS ,...,&;/) BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 t./1../-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223 ~11--
EACH INSTA~ .. ALTER, REPAIR WATER PIPE ? VENT FAN SINGLE DUCT 4--MECHANICAL 01 ·00-00-8224 LI -
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?2fi
TOTI.L MECHANICAL STRONG MOTION 80·92-33-0519 ~.OA
TOTAL PLUMBING I T/IJ.--I l / 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/SWTIBKR 100 ·~5 -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 ./ ~ ,,y .. l.\ / San Oieguito 80·92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK)'EE IIV ~,,.u • ./'
.,,,
San Marcos 80-92-24·0519 --I (OJ".1J1I' ./ TEMP POLE 200 AMPS
OVER 200 AMPS I -'J -----TEMP OCCUPANCY (30 DAYSI \. ~ f'_R,;::'n-, OPPn.S JT <"JL/J.,. ~6 / --
TOTAL ELECTRICAL ,-2-.n _.,,, TOTAL SOLAR TOTAL FEES PAYABLE I L/CfCJ.56
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'. AND DO HEREBY Exp,rat,on Every permtt tUued by lhe Building Olflcial under .,.p,OWielONof .. * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code •half ••p,re by ltm1t•lion and become null and YOtd ft the :-:::r.or-" 5' 0" DEEP 4N0 DEMOLITION 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ■ulhorozed by wch permol II not commenced w,ttun 180 days t,0111.,. of lllCII STRUCT\JAES OVER 3 STORIES IN HEIGHT perm,t, or ,t the bu11d1~or work •uthortad by ouch perm,, la or ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv b-a the work II commenced for a oenod:.,. •---
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANff~'S Sf l~E-OWNERS""' c:6ml~Q APPROVED BY -f)-IDT3/111fY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
ENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,,., . ·-IYPffONIO -OF THIS PERMIT V ,-. 7':~•-~
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INSPECTION TYPE DATE INSPECTOR ,-z...~ "'-'af ....
BUILDING /
S?~-C)Q~~ ...
FIELD INSPECTION RECORD -, •I'\ ..
FOUNDATION """"
11\.t7J ,Cl. ..... ../
l
REINFORCED STEEL I ,-"V (JI r c...> REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY INSPECTION REO. IF INSPECTOR'S DATE • CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME / PRIOR TO -
SHEATHING 011if" {1 -}8--~
~ FOUNDATION INSP y-yy) . ~---t7·11~ T>rn(' STRUCTURAL CONCRETE .
FRAME /'7' ' ,,,..,. / ,,,, OVER 2000 PSI
EXTERIOR LATH l~s'ULATI.PN ,•i~~ / PRES TRESSED
) ..... C..11 A-""'7'\ CONCRETE
INTERIOR LATH &DRYWALL"
., -~ u , )< POST TENSIONED
, . / CONCRETE
PLUMBING /
I,. -?Jf}:;l al\. FIELD WELDING
SEWER AND BL/CO ' HIGH STRENGTH
PLUMBING UNDERGROUND / IV.,, --BOLTS
PLUMBING TOP OUT \'?.. I \\i,<~ W'1n SPECIAL MASONRY
TUB AND $HOWER PAN
GAS TEST PILES'CAISSONS
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND _,,, ·-,~,L~ J'
ROUGH ELECTRIC IYT.t:J' ' I .. -ELECTRIC SERVICE ~-
BONDING _:;
G. F. I. -SMOKE DETECTOR
MECHANICAL ./ I. \ .
7. !lJ -~ y_f~ -'.. {;'j-. . .
DUCT & PLEM., REF. PIPING \
HEAT -AIR COND. -SOLAR SYSTEMS ' .
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIA TE ,...,, .
ITEMS ABOVE HAVE BEEN APPROVED.
. ,;. .
JOB SITE FINAL ~\)n/ .
~
PLUMBING ,~/\~~-
ELECTRICAL .Al. .. ~,.-....
MECHANICAL I (l \ , \ V • IC /~
GAS --(\ J 't" \ _4-1)./
BUILDING '-111..., \. ~
SPECIAL CONDITIONS -· '.I . ~
CERT OF OCCUPANCY ISSUED