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Home My WebLink About2704 WATERBURY WAY; ; 84-412; PermitIll z 0 ;: ,c a: ,c .... (.) "' 0 0 I hereby affirm that I am licensed under >-S.Ctlon 7000) of Division 3 of the Business ~ and Professions Code, and my license is in [ provisions of Chapter 9 (commencing with a: full force and effect. !i Lie No _____ Clm 0 (.) a: "' 0 .... 5 ~ "' z 3 0 z 0 ;: ,c Ill z "' ~ :I 0 (.) Ill i,c "' "' a: 0 3 I hereby alflrm that I am exempt lrom lhe Conuac· l0<'s License Law lor lhe lollow1ng reason (Sec 7031 5 Business and Prolessions Code Any city or county which re• quires a permit to construct. alter. improve, demohsh, or repair any structure, pnor to IIs issuance also requires !heap· pltcanl for such permtt to hie a signed statement that he ,s licensed pursuant lo the provisions 01 lhe contrac1or·s license Law (Chapter 9 commencing w1lh Section 7000 of Division 3 of the Business and Pro1ess1ons Code} or that 1s ex· empt therefrom and the basis for the allegea exemption Any viOlation of Seclton 7031.5 by an apphcant for a permll sub· 1ects the applicant lo a civil penalty ol not more than five hun· dred dollars ($500). D I, as owner <>' the property, or my employees with wages as their sole compensahon. will do !he work, and the struc- ture 1s not intended or otlered lor sale (Sec 7044, Business and Professions Code: The Contractor's License Law does 001 apply to an owner ol property who builds or improves thereon and who does such work himself or through his own employees, provided that such 1mprovemenls are not intend-ed or ollered for sale. 11, however. lhe budding or amprove- ment 1s sold w1th1n one ~r of completion, the owner-budder will have the burden of proving that he did not buUd or im-prove ID< Ille purpose of sale). D I, as owner <>' lhe property, am exclusivety contracling with ltcensed contractors to construct the project (Sec. 7044, Business and Prolessions Code: The Contractor's License Law does not appty lo an owner of property who builds or im-proves thereon, and who cootracls for each pro,ects with a contractor(s) lftense pursuant to lhe Contractor's License Law). D As a homeowner I am improving my home, and the follow· ing conditions exist: 1. The work is being performed prior to sale. 2. I have lived in my home for twelve months prior to compJetion of lhis work. 3. I have nol claimed lhis exempHon during the last three years. □ I hereby affirm that I ha,,-e a cen,ticate ol consent 10 self.insure. or a cert1f1cate of Workers Compensalton Insurance. or a cert1f1ed copy thereof tSec 3800. Labo< Code) POLICY NO COMPANY □ Copy IS hied with the city 0 Certified copy 1s hereby lurn1shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f nie perm,1 •s tor one hundred dOllars ($ 1()()) or less) D I certify lhat 1n the perlor~nce or the wo"' tor which 1h1s perm11 •s issued. I shall not employ any person ,n any manner so as to become sub1ec1 lo the Workers' Compensation Laws ol Cahlorn1a NOTICE TO APPLICANT If. al1er malun~ tn,s Cen, hcate ol Exemption. you should t>ecome sub1ec1 n the Woti(ers· Compensation provisions ol !he Labor Code, you mus! forthwith comply with sucn prov1s,ons or 1h1s permit shall be oeemed revoke-cl 0 I hereby attum tha1 there ,s a cons11uc1ton 1eno,no aoency to, lhe per1ormance ol !he wo"' lor wt'11ch this permit ,s issued 1Sec 3097 Ctvd Cooei Lenoer s Name __________ _ Lenders Address _________ _ 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 AOORESS AV. ST.AO. NEAREST CROSS ST. I 07 ~F 37:TIONI BUSINESS LICENSE # ~ 9<!/'-RMIT NUMBER .:..'104 l..'-""-"'\.u~~ Wo........, ((1 ~ LOT BLOCK I SUBOIVISlbN I I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE OWNER'S NAME 1 OWNER'S PHONE I".• " --I A#,!1..1 .. -,.. CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE ~ .... """-~ ~ c:~--ic:~----7:J,._f:!-""::t OWNER'S MAILING ADDRESS DESIGNER LICENSE• STANDARD PLAN # BUILDING SO. FOOTAGE ~~ DESCRIPTION OF WORK .. .I --l -.,, ----=--1 DESIGNER'S ADDRESS DESIGNER'S PHONE . ~. --. F/P F LR ELEV. NO DCC GP EDU STORIES vO NO ---71:itl ;,, 7. CENSUS TRACT I GP LAND USE I PARKING SPACE l RES UNITS 1 GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD Fl RE SPR AREA CONST YO ND vO NO YO NO Not Valid Unlt!Ss Machine Certified QTY. PLUMBING PERMIT -ISSUE 1~ QTY. MECHANICAL PERMIT -ISSUE 5-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP , INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 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 EACH GAS SYSTEM l TO 4 OUT LETS J \h BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 /0, -EACH GAS SYSTEM 5 OR MORE -- METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~/# .J 0 VENT FAN SINGLE DUCT -EACH INSTAl .. ALTER, REPAIR WATER PIPE MECHANICAL 01-00-00·8224 EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01-00·0Q-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR n1-oo-o0-A??1. ~· TOTJ.L MECHANICAL STRONG MOTION 80-92-33-0519 TOTAL PLUMBING I /0 .-:---FIRE SPRINKLERS 01-00-00-8227 QTY. PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE s-SOLAR -ISSUE BRIDGE FEE NEW CO NST EA AMPISW1 BK R COLLECTORS SCHOOL FEE • DISTRICT l PH 3 PH .... S"'tl STORAGE TANKS Carlsbad 80-92-21 -0519 EXIST BLDG EA AMP/SWT /BKR y ROCK STORAGE Encinitas 80-92-22-0519 l PH 3 PH PUMP San Dieguito 80-92-23-0519 REMOOE L 'AL TEA 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 DAYS) /??~J:--- CREDIT DEPOSIT TOTAL ELHTRICAL I ?L ~o TOTAL SOLAR TOTAL FEES PAYABLE I / 7 , ..50 -Exp,rat,on Every pe<fflll -byllle8uilding0fflc:ialunder lheprov1s1ons of this AN OSHA PERMIT IS AEQU.{eO FOfl EXCAVATIONS OVER r HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" ANO DO HEREBY * CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE CoCle Ihatl ••Pl•• by lim,tet,on and become null and vOld If the building or work 5' O" DEEP AND DEMOl.lTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such pe,m,t ,a not commenced wilh,n 190 clays from lhe date of such STAUCT\JflfS OYER 3 STORIES IN HEIGHT permit, or 1f the bu•ldl~or work autllonzed by ouch permit Is suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON --at anv -the -,a commencecl tor a _,od of t80 davs STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPUCANT'S SIONA TUAE • OWNERQ--' CONTRACTOR 0 APPROVED BY JtJ~ OATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE S~• 't..,C."-.1 IL. __ BYPHONE 0 7-3/--tp GRANTING OF THIS PERMIT I ...... / ~ IL >-ro 0 a. E Q) I- I 'O 0 (.'.) C (1) {) a. a. <1'. I 0 rJ) rJ) Q) rJ) rJ) <1'. I 3: 0 ~ >- vi rJ) Q) {) 0 ct (1) ~ Cl ~ Q) {) C (1) C IL ::::::. C Q) ~ (.'.) 0 u Q) a. rJ) C I TYPE I DATE INSPECTOR BUILDING I FOUNDATION I I REINFORCED STEEL I MASONRY I GUNITE OR GROUT I I FLOOR-& CEILING SUB FRAME I SHEATHING D ROOF D SHEAR FRAME I I EXTERIOR LATH ! INSULATION I INTERIOR LATH & DRYWALL I I I PLUMBING I SEWER AND BUCO DIPUCO I I UNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN I I GAS TEST I D WATER HEATER D SOLAR w,+.TER I ELECTRICAL I D ELECTRIC UNDERGROUND D 1UFFER ROUGH ELECTRIC I I D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL I I MECHANICAL I D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I ' I ., -r:....a ' ... , I ... CALL FOR FINAL INSPECTfON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS -- 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 PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS - SPECIAL MASONRY PILES CAISSONS - .• . 4li" J-:r <.\ re, - \ . ! ..