HomeMy WebLinkAbout2707 WATERBURY WAY; ; 83-83-33; PermitUI z 0 ~ a: C ... u "' 0
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~ereby affirm that I am llcensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llcense Is In
full forst J_nd effecj, JI/
lie NooL't"2£.5L Class _.,,,CJ,,._._ __ _
I hereby affirm that I am exempt from the Conlrac-tor' 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 its issuance also requires the ap-
plttant for such permit to file a signed statement ttlat he is licensed pursuant to the prov,sJOfls of the Contractor's
Lteense Law (Chapter 9 commencing with Section 7000 ot Division 3 of the Business and Professions Code) or that is ex-empt therefrom and the basis for the alleged exemption. Any
violation of Sec110n 7031.5 by an applicant lor a permit sub· jects the apphcant lo a civil penalty o1 not more than five hun-dred dollars 1S500).
D I, as owner of the property, or my employees with wages
as their sole compensation, will do the work, and the struc-
ture Is not intended or of1ered tor sale (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 himself or through h,s own employees. provided that such Improvements are not intend-ed or offered for sale. If, however, the building or improve-
ment is SOid within one year of completion, the owner-builder will have the burden of proving that he did not build or im-
prove for the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license law does not apply lo an owner of property who builds or im-
proves thereon, and who contracts for each projects with a contractor{s) lieense pursuant to the Contractor's Ucense law).
D As a homeowner I am improving my home, and the follow· ing conditions exist:
t. The work is being pertormeo prior to sale. 2. I have lived in my home tor twetve months prior to completion ol this work. 3. I have not claimed this exemption during the last three years.
D I am exempt under Sec. ______ , 8 & P.C.
for this reason ___________ _
~ereby affirm that I ha'le a cerhhcale of consenl to self-insure, or a cer1If1ca1e of Woriters·
Compensation Insurance. or a cen,lled copy thereol
(Sec 3800. Labor Code) :;~~~~
rf Copy IS filed with !he Ctfy
□ Certified copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permI1 ,)> tor one hundred dollars (S 100) or less)
Vi cen1fy lhat in the perlormance 01 the wor1i1 for
which this pemut Is issued, I shall not employ any
pe,son in any manner so as to become subiect 10
the WoO(e,s· Compensation Laws ot Calttorma
NOTICE TO APPLICANT II. after makin;J lhIs Cen1-
l1cate of Exemption, you should beeome subJect t? the Wor1te,s· Compensation provisions of the l..abor
COde. you must 10f1hw,th comply w,Ih such
provIs,ons Of lh1s perm,t shall be deemed revOked
O I hereby affirm lhat lhere ,s a cons1ructIon
1end1no agency t01 lhe performance of lhe war-. lor
wh,ch 1h1s per~ :s~:~ n~,
l endersName~~-~-""'-""'-~"""'=:;..;;:=a...
Lender's Address __ __:L=-•:....,,.tf..:...::• ___ _
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.,DATE OF Al'P'LICATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER
RD, '[07/~ 2707 Waterbury Way 10/12/83 3681
OWNER'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE • ZONE l3--f 3-33 Standard Pacific of San Diego 279-2042 Standard Pacific of San Diego 279-2042
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BL DG USE CODE
7290 Clairemont Mesa Blvd ., San Diego, CA 92111 (same) 294215
LOT BLOCK dnSUBOIVISION I ASSESSOR PAR(,.CEL NO. {)O OESIGNER LICENSE ,t STANDARD PLAN ,t BUILDING SQ. FOOTAGE
33 ,;nn<1L-=..-'Pt-'"'' I\ \ ':l. NR Jst3 DESCRIPTION OF WORK (!;) '74~0'-t Buzard-Hennin2 & Associates
DESIGNER'S AOORESS DESIGNER'S PHONE
Sin'1:le-famil.y dwelling-attached z.ar~e 4883 Ronson Ct. San Die'1:o 92 11 278-6R';5 -----NO EDU 10/ /f334 • 65.1
/'h -~31.,
F/P FL A ELEV. OCC GP
STORIES I . --
vO NO I i!,-3
CE,~_sus TRACT I GP LA'IIJ USE , I PAR2'7JACE I RE5JNITS I GRACING ~ERMIT ISSUED I REDEVELOPMENT Tw/PE OCC LOAD FIRE SPR AREA C ;i:
v0 NV, YO N 0 vO ~ Not Valid Unlffs Machine ~rtifi«I
QTY. PLUMBING PERMIT - ISSUE """7rE-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
ft) EACH FIXTURE TRAP '-?~-INSTALL FURN. DUCTS UP TO 100,000 BTU q..,-:-BUILDING PERMIT 01-00-00-8220 ~7/,.-
I EACH BUILDING SEWER /_ ~/) OVER 100,000 STU SIGN PERMIT 01 ·00-00-8221
I EACH WATER HEATER ANO/OR VENT .a...O'/ BOILER/COMPRESSOR UP TO 3 HP Pl.AN CHECK 01-00-00-8806 _::1 ¢/4. ~<
/ EACH GAS SYSTEM 1 TO 4 OUTLETS _::},<"t7 BOI LER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00-8222 "~-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 3tl-
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SING LE DUCT MECHANICAL 01 ·00·00-8224 7-
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-00-00-8225
WATER SO FTNE R RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8~26
TOTJ.L MECHANICAL STRONG MOTION 80·92·33-0519 t:. /_ <
TOTAL PLUMBING I 44-"I~ FIRE SPRINKLERS 01-00-00-8227 -PUBLIC FACILITIES FEE 32-00-00-8923
QTY. ELECTRICAL PERMIT -ISSUE ..r=-QTY. SOLAR -ISSUE , BRIDGE FEE
NEW CONST EA AMP/SWT/BKR I l7ZJ _'7.1;-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
I PH 3 PH PUMP
~----
San Dieguito 80-92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE / I San Marcos 80-92-24-0519
TEMP POLE 200 AMPS / .r y ,
OVER 200 AMPS / AnY, 1/" / ....
TEMP OCCUPANCY 130 DAYSI / r r,,__ ,,~ / l'_r't',I, =i /)..,_/111sir ./ :i;4 ~r".1 -I " / I -
TOTAL ELECTRICAL I go-~ TOTAL FEES PAYABLE I 4-ts:'.tf:5
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY Exp,rat1on Every permit,_ by the Building Officlal unde< the provtStOnl ofthls * AN 06HA PERMIT IS REQUIAEO FOfl EXCAVATIONS OVEfl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1ta11on and become null and v01d II the butld1ng or wor1l ·$' O" DEEP ANO DEMOLITION OR CONSTIIUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 11 not commenced w,tll,n 180 days from the date of such STRUCTURtS OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-::::O.:i •~t t~v '::'~1~.~~~C:,~,:':!"~ r,~:;:::.i ~f";~~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPUCAN~'S SI URE lf, OWNER[!-""' CONTRACTOR 0 APPROVED BY r ,1¾1h KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO ?.ti_ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE L"'I ~ --BY PHONE 0 GRANTING OF THIS PERMIT -f -r tr -
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INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED
MASONRY
STEEL
GUNITE OR G
FLOOR & CEI
ROUT
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SHEATHINGG
FRAME
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H lNSULATION EXTERIOR LAT
INTERIOR LA TH & DRYWALL
PLUMBING
BL/CO SEWER AND
PLUMBING UN
PLUMBING TO
TUB AND ~HO
GAS TEST
DERGROUND
POUT
WER PAN
E LECTRICAL
POWER TEMPORARY
ELECTRIC UN
ROUGH ELECT
ELECTRIC SER
BONDING
DERGROUND
RIC
VICE
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M ECHANICAL
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DATE INSPECTOR
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ITEMS ABOVE HA VE
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CON
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE .
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES'CAISSONS
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