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Home My WebLink About2704 WATERBURY WAY; ; 84-382; PermitII) z 0 ;:: < a:: <· <3 "' 0 a:: "' 0 ~ 5 ~ "' z 3 0 z 0 ;:: < "' z "' a. :I 0 u II) ir: w " a:: 0 3 I hereby attlrm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. Lie No ------Class I hereby affirm that I am exempr lrom lhe Cootrac· tor's License Law tor the following reason (Sec 7031 5 Busmess and Professions Code Any city or county wh1eh re- quires a permit to construct, alter, improve, demolish, or repair any structure. prtof to IIs issuance also requires !heap- plicant for such perm,t 10 tile a signed statement that he Is lttensed pursuant to lhe prov,s,ons of the ConiracIo(s license Law {Chapter 9 commencing w1Ih SecI10n 7000 ol Oiv1s1on 3 of the Bus.mess and Professions C<lde) or that Is ex-empt therefrom and the bas,s tor the alleged exempt10n Any vI0Cat1on of Section 7031.5 by an apphcant for a permI1 sub-,ects the apphcant to a CIVIi penalty ol not more than hve hun· dred dollars ($500). 0 I, as owner of the property. or my emp~ees with wages as their j pensahon, wlll do lhe work. and lhe struc· lure 1s nol I ded o, offered for sale {5ec. 7044, Business and Prate Code. The Con1ractor's LJcense Law does not apply owner of property who builds or improves thereon an does such work himself or through his own employees, provtded thal such improvements are 001 mtend-ed or ollered lor sale. II, however, lhe bu11thng °' improve- ment is sotd within one year of comptehon. lhe owner-builder will have lhe burden ot proving that he dtd not txuk:J or im- prove 10< the purpose ol sale), 0 I, as owner of the property, am exclusively contracting with licensed conlractors to conslruct the project (Sec. 7044, Business and ProfessfOns Code: The Contractor's Lanse Law does not apply to an owner ol property who builds or im-proves thereon. and who contracts tor each pro;ects with a contractOf(S) license pursuant to !he Conlractor's bcense Law). D As a homeowner I am improving my home. and !he !()(low- ing condIt1ons exist: 1. The work is being performed pr!Of lo sale. 2. I have livtd in my home for twelve months prior to compJetion of this work. 3. I have not claimed lhis exempt.on during the last three years. 0 I hereby affirm tha1 I ha-,e a cert1t1cate ol consenl to self-insure, or a cert1t,cate of Workers Compensation Insurance, Of a cen1t1ed copy thereot (Sec 3800. ubo< Code! POLICY NO COMPANY 0 Copy IS hied with the c1ly 0 Certified copy 1s hereby lum1shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec11on need not be compleled ,t 1he perm,t ,s 10f one hundred dollars (SIOO) °' less) O I cen1ty that ,n lhe per10fmance of tne woo to, wtHCh ttus pemut 1s issued. I shall not employ any person ,n any manner so as 10 t,ecome sub1ec1 10 the Wof'1il.ers· Compens.a11on Laws ol Cahtom,a NOTICE TO APPLICANT If. after mak1n1 lhts Cert, hcate ot Exemption. you should t>ecome sub1ec1 I'> the w oni.ers· Compensation prov,s,ons ot lhe Labor Code. you mus! forth-.,th comply with such prov1s1ons or this perm,t shall be deemed revoked O I hereby afhrm th.JI there 1s a construc11on lending agency tor the perlormance ol the wOti( tor wh1Ch lh•S permit IS issued 1sec "J(fJ7 C1v1I COde) Lenoer s Name ___________ _ Lenoer s Ad<Jress __________ _ 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 ADOAESS AV ST.AO NEAREST CROSS ST. I:;.f,:;:~IONI BUSINESS LICENSE # VALUATION PERMIT NUMBER 1.1o+ v' ~'22()~ ~"( '"A ~ ef-3f1/L, LOT BLOCK SUBOI VISION ASSESSOR PARCEL NO CONTRACTOR /?/~ CONTRACTORS PHONE • ZONE __ i . . ·-..... -OWNER'S NAME I OWNER'S PHONE ... u,- /\t~ J .C:::..I \ 7£&:f.-L:1/ /'2 CONTRACTOR'S AODRESS --. LICENSE NO. PLAN 1.0. # BLDG USE CODE --~ ,_.,.,_ .... ---J a . OWNER'S MAILING ADOAESS - ~F~ DESIGNER LICENSE • STANOAAO PLAN # ~ ING ri· FOOTAGE ~ ~10 DESCRIPTION OF WORK I I C 1· I l,,,,IJ ifr ~ .. ..,...n .... DESIGNER'S AOOAESS DESIGNER'S PHONE DC 19 , ....,-. j2 I • J7Jtno coJ~ CE.-T~ ~ - ~ F/P FLR ELEV. NO OCC GP EDU STORIES vO NO --- CENSUS TRACT I GP LANO use I PARKING SPACE 1 AES UNITS j GRAOING PERMIT ISSUEO I AEOEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO YO NO Not Valid Un~s M~chine Certified . 7~ QTY. PLUMBING PERMIT -ISSUE 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 ''7'/0, ~o EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 - EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00-8806 ~l)_S_ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSO R 3 15 HP TOTAL PLUMBING 01-00-00-8222 - EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 -00-00· 8224 EACH VACUUM BREAKER ME CH EXHAUST -H000/0 UCTS MOBILEHOME 01-00-00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (iNSIDE) SOLAR 01-00-00-A??~ TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 .. ~o TO TAL PLUMBING I FIRE SPRINKLERS -01 -00-00·8227 QTY. ELECTRICAL PERMIT -ISSUE ~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 BRIDGE FEE NEW CONST EA AMPISWT BKR COLLECTORS SCHOOL FEE • DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 EX 1ST BLO G EA AMP/SWT /BK R ROCK STORAGE Encinitas 80·92-22-0519 1 PH 3 PH PUMP San Dieguito 80-92-23-0519 REMO OEL'ALTER 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 (30 DAYSI ///r-P ' / .... -.\ CREDIT DEPOSIT (lg~ "1/'Z7,f¥t \"~1-Zv>/ TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I • ~~,to I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY E,cp.rahon EYery permit issued by the Bufldmg Off1c,11 under the prov,s,ons of this * AN OSHA PEFWIT IS REQUIRED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hrmt1t1on and become null and void If the building or work 5' 0" DEEP ANO OEMOllTION OR CONSTRUCTION OF aulhorized by such pe,m11 ,snot commenced w1tt11n 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ~'::::On~ '!t t::y ~r:!:1~.i~~<:~,:~!h:~:~.:i.:~~~ r~~~•~,s~ebdl«:' or STRUCT\JR£S OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE • OWNER~ CONTRACTOR 0 AP OVED BY -~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~ 17-~t•&f EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~-~(-"'$. ~.~. BY PHONE 0 .bAA/,:1 fj Jo GRANTING OF THIS PERMIT ' w.. -·, ~ u:: >, ~ 0 C. E Q) I- 'O 0 <.'.} C 0) u C. C. <l'. I 0 rn rn Q) rn rn <l'. I :i: 0 Gi >- rn rn Q) u 0 a: 0) iii 0 ~ Q) u C 0) C LL C Q) ~ <.'.} 0 0 Q) C. rn C Q) .c :!: TYPE I DATE INSPECTOR BUILDING ' I FOUNDATION I REINFORCED STEEL I MASONRY I I GUN'ITE OR GROUT I FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SHrAR FRAME I EXTERIOR LATH I INSULATION ' I INTERIOR LATH & DRYWALL I I PLUMBING I SEWER AND BUCO □IPL/CO I UNDERGROUND D WASTE D jty__ATER TOP OUT D WASTE □~ATER TUB AND SHOWER PAN I GAS TEST I D WATER HEATER D SOLAR WATER I ELECTRICAL I D ELECTRIC UNDERGROUND 0 1UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPQRARY D BONDING D POOL I , I MECHANICAL ' I D DUCT & PLEM., D REF. PIPll"JG HEAT -AIR COND. SYSTEMS I -. , . ' • ' ~ t . -VENTILATING SYSTEMS I ' I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA WE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS •. ~ -. FIELD INSPECTIO N RECORD REQUIRED SPECIAL INSPEC TIONS INSPECTOR"S NOTES INSPECTION REQ IF INSPECTOR"S DATE CHECKED APPROVAL -• -· -. . .. . ~ .. .l.-~ SOILS COMPLIAN CE ,. PRIOR TO fOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE -POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY '::-,..,\ ' PILES CAISSONS ~ - ~---~·<:-... 't:.:.O ~ •·c~ " ' • "-' -. . ,• ' -~ > ' ) .~ ' - 1' .. . . . '