HomeMy WebLinkAbout2708 WATERBURY WAY; ; 86-295; PermitIll z 0 ;:: < Cit < -' u ...
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~ I hereby af~rm th
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at 1 "'..m licensed under
~lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
~~II ~~r"'J-f,"{ff" Class C,, ;5".3
I hereby alf1rm thal I am exempt from lhe Contrac-lOr's License Law IOI' the lollowmg reason (Sec 7031.5
Business and Proless1ons Code Any city or county which re-QU1res a perm II to construct. alter improve demolish, or repair any struclure prior to its issuance also requires !heap•
phcant for such permit 10 hie a s,qned slatement lhal he 1s licensed pursuant to the provisions ol the i.:ontractor' s License Law (Chapter 9 commencing with Sechon 7000 of
Olv1s1on 3 ol lhe Business and Proless1ons COde) or !hat 1s ex-empt therefrom and the basis for the al!egeo exemption Any
v1olauon ol Section 7031.5 by an apphcanl for a permit sub· 1ects lhe apphcant 10 a c1v1I penalty ol not more than hve hun-
dred dollars 1$500)
I. as owner of the property. or my employees with wages as lhe,r sole compensahon. will do the wOfk, and the struc·
ture Is not intended or ottered lor sate (Sec 7044 Busmess
and Protesst0ns Code The Con1ractor's License law does nol appty lo an owner of property who builds or improves
thereon and who does such wOfk himself or through his own employees, provided that such improvements are not intend-
ed or otlered for sale II, however. the bmldmg or improve· menl Is smd within one year ol completion. the owner-builder
will have the burden of provmg !hat he did not build or im-prove for lhe purpose of sale)
[l I, as owner of the property, am exclusively contracting with licensed contractors lo construct the proIect (Sec 7044,
Business and Professions Cade. The ConlractOf·s license Law does not apply to an owner ot property who builds or im-proves the,eon, and who contracts lor each pn)tects w1Ih a contractor(s) hcense pursuanl lo lhe Contraclor"s License Law)
0 As a homeowner I am ,mprov,ng my h001e, and the foUow mg condItIons ex,st t The wOfk ,s being performed prK>r to sale
2 I have hved m my home !or twelve months pnor to completion of lh,s work
I have not clauned this exemption dunng the last three years -
0 lamexemptunderSec _______ B&PC
for thts reason -------------
0 I hereby afllrm that I have a cert1hca1e of consent lo
sell-uisure. or a certificate of Workers Compensation ln-
ur~~~ :~• cert,Q'o8-'"'11171 ~bor Code)
OMPANY ~ • JJnc::t... •
Copy 1s filed with the city
Cert1l1ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This section need not be completed 1f the perm11
1s lor one hundred dollars ($1CI0J Of less)
D I certify that 1n the performance of the work for which
this permit 1s 1ssuec:t I shall not employ any person in any
manner so as to become sub1ec1 to the Wo,kers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: 11, after making this Certificate
of Exemption. you should become subJeCt lo the Workers·
Compensation provisions of the Labar Code. you must
forthwith comply with such pro\'1Sions or this permit shall
be deemed revoked.
0 I hereby affirm that there 1s a construction tending
agency for the performance of the work for which this per-
mit is issued lSec. 3097, Civil Code)
Lender"s Name ____________ _
Lender's Address ___________ 4 __ •_•
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUI LDI NG DEPARTMENT APPLICA T~O~ ! ~E ,, T Carlsbad, California 92008-1989 (619) 438-5525
JOB AOOAESS AV. ST. AO. NEAREST CROSS ST '°' of/JL/JZI BUSI_.. Sf/#1 J>' VALUATION PERMIT NUMBER
:270~ 7Jh-t1~ w(J.M_.
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52. BLOCK I SUBDIVISION 0 ~ ASSE}'so_~_RcElj'qo I CONTRACTOR ,, V CONTRACTORS PHONE• ZONE ----h --JI /i./3/ 3 Gi-n~ euu1c5 J:>, b?:z,~oo B{o-L'1S,
OWN~ ' IA, i p J ~OtJ-t-lµ31/WNEif83E3
.
CONTRAc:;;;;;;;;;S V LICENSE NO. PLAN I.D. # ,,-, BUILDING SQ FOOTAGE
fool< 3~-;l't!>
OWNER'S MA•L•NG AO(ffES~
:l-70 8 ~{.., "fl Jn.....i DESIGNER• DESIGNER'S PHONE
DESCRIPTION OF WORK ! 0 DESIGNER0S AOORESS LICENSE NO.
7}C90/
. )"./\-. ,;> 6/19;1861369 Tti ~~ 1'6
~ , -r ...... F p F LR ELEV. NO OCC GP EDU 0001 13619 6/ 19i' U ,·~~.15 STORIES
vO NO ---
CENSUS TRACT I GP LANO USE I PARl(ING SPACE t RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAO Fl RE SPR
AREA CONST
v □ ND vO NO vO NO Nor Valid Unlesr Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT · ISSUE -3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810·00·00·8220 7V-_t"5".<J
EACH BUILDING SEWER OVER 100,000 BTU . "\. SIGN PERMIT 001·810·00·00-8221
/ EACH WATER HEATER AND OR VENT~ ~ ~ BOILER/COMPRESSOR UP TO 3 HP \ PLAN CHECK 001-810-00-00·8806 -, , .(A:,
/ EACH GAS SYSTEM 1 TO 4 OUTL~TS .& _ J--.-2 -~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00-00-8222 /o~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE / ELECTRICAL 001-810-00-00·8223 /~-
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT /. MECHANICAL 001-810-00-00-8224
/ EACH VACUUM BREAKER e,-_gs;,-MECH EXHAUST
---
HOOD DUCTS / MOBILEHOME 001 ·810-00-00-8225
WATER SOFTNER RE LOCATION OF EA FURNACE/HEATER (, MOBILEHOME PARK INSP
EACH ROOF DRAIN I INSIDE) SOLAR 001-810-00-00-8226
TOH.L MECHANICAL ·-
/-~-
~ STRONG MOTION 880-51_9_:92·33 -
TOlAL PLUMBING I FIRE SPRINKLERS 001-810·00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE r-QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 332-810-00·00-8930
,4 NEW CONST EA AMP SWT BKR__ ~~ ,H'.J -COLLECTORS .\ SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS \ Carlsbad
EXIST BLDG EA AMP•SWT 'BKR ROCK STORAGE Encinilas
I 1 PH 3 PH PUMP ./ I San D1egu1to
I REMODEL A L HR PER CIRCUIT PLAN CHECK FEE /. San Marcos
I TEMP POLE 200 AMPS / I I LICENSE TAX 001·810-00-00-8162 OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI \ MFF 880-519-92·5 7
-CREDIT DEPOSIT / ,t'2") "'°" ' TOTAL ELECTRICAL l /s-.. ~~~ TOTAL FEES PAYABLE I ,q~,,cr
I HAVE CAREFULLY EXAMINED THE COMPLETED. APPLICATION AND PERMIT ANDS R~ n ,;;;rat,on ;ry permrt issued bylheBuolding o u,c,al under the provrsrons of lh,s * "N OSHA PERM:T IS REQUIRED FOR EXCAI/ATIONS 01/ER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INC Code sha~~ e by lrm,tat,on and become null and void II lhe buoldong or work 5· O" DEEP .t.ND DEMOLITION OR CONSTRUCTION OF
ECLAAATIO SARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF IT IS auth~z~ ch permit IS not commenced within 180 days from the date ol such STRUCT\JR£S OVER 3 STORIES IN HEIGHT D N p:~ . o the ~~u1lo r work authorized by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON rJlb ned at an• tha6ork ,s commenced for a oerood of t80 da•s
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY lltN£\ ,..,_.,,_,... -APPROVED BY DATE
i
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AIW APPL~ICAN ;"f'f\'c. .. ' OWNER□ CONTRACTOR Q ~~ ......... 1 ""'''~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ' ~" ~ BY PHONE 0 I GRANTING OF THIS PERMIT _ . • o _ 1 ,.. ,/ 11 _ ~
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' TYPE I DATE INSPECTOR .. . . ' ,_
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. ' ; .. • -~ BUILDING I ~ .. ., ... ;;..., .. -·,,,..•
FOUNDATION ' FIELD INSPECTION REf<?~D ... J,. .... • ·c
l ; . l
REINFORCED STEEL I
REQUIRED SPE'C11L .fr--tSfECTIONS INSPECTOR'S NOTES MASONRY I
lP'1~P~TOR S -I lNSPECTION RE0 IF" DATE '• GUNITE OR GROUT I . CHECKED AP . f.'.lq<, .l}L
SUB FRAME □ FLOOR □ CEIL!ING . .. •.. ·-.. SOILS COMPLIANCE .
SHEATHING D ROOF D SHiEAR PRIOR TO
FRAME ' FOUNDATION INSP
I STRUCTURAL CONCRETE ·-EXTERIOR LATH I OVER 2000 PSI
INSULATION I PRES TRESSED
I CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING . . ... _.-.... FIE;LD WELDING I .. · -· □ SEWER AND.BUCO □ P~/CO HIGH STRENGTH
UNDERGROUND □-WASTE D WATER BOLTS ..
TOP OUT D WASTE D WATER I I SPECIA\., MASONRY .
' TUB AND SHOWER PAN I I I _I
GAS TEST I r;?..-1'/-SL I! ...... -PILES CAISSONS
D WATER HEATER D SOLAR WAT~R I " .
I ,
" ELECTRICAL I . ... -.. D ELECTRIC UNDERGROUND o ;uFFER -' ' I -. ~-. ROUGH ELECTRIC ·~
D ELECTRIC SERVICE D TEMPORARY \ '· ., . , -D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIP~G
HEAT -AIR COND. SYSTEMS I
( ~ t ' VENTILATING SYSTEMS I f' j n
I
I
CALL FOR FINAL INSPECTYON WHEN ALL APPROPRIATE
ITEMS ABOVE HA ~E BEEN APPROVED.
FINAL I ,.
PLUMBING I .., ~ I ..... ""' .
ELECTRICAL I ~ \ I ·••" , ' -. ' . . MECHANICAL I c:--"'--. ...
GAS I __, ,-. ' .. . -I .... . . BUILDING I .. c--:-... ~ .. . ..
SPECIAL CONDITIONS ~ ---~ I -. I
1200 ELM AVENUE
CARLSBAD, CA 9200B-&89
<ltitp of <ltarl~bab
BUILDING DEPARTMENT
AFFIDAVIT
This document will certify that I know the provisions
of Ordinance 8092 requiring fencing for swimming
p_oo 1 s.
I understand that I, as the owner of
fo;{fs~~~ ~
must obtain an approved final inspection of the
fenc ing from the Building Department prior to final
inspection of the pool, and prior to any use of the
SIGNEw~ WNE
DATE tf-~ //-?~
TELEPHONE
(619) 438-5525
This signed form is to be attached to the Inspector's copy of the pool permit.