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Home My WebLink About2703 WATERBURY WAY; ; 83-83-32; PermitCl) z 0 ;:: C a: C ~ 0 "' a C i[ 0 0 er: "' a ~ 5 I "' z 3 0 z 0 ;:: C Cl) z w CL :I 0 0 Ill ic w " a: 0 3 ~ereby affirm that I am licensed under provisions of Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Professions Code, and my license Is In lull force A~!'.1'=?' :? ! Lie Nn ;2.~::,_ Class _J&l..-~f_.__ __ I hereby affirm Iha! I am exempt frooi the Contrac-tor's License Law lor the lollowmg reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a permit lo construct. alter. improve, demolish, or repair any structure, prior to its issuance also requires the ap· plicant for such permit to file a signed statement that he is ltcensed pursuant to the prO\lislOOs of the Contrac!Of's License Law (Chapter 9 commeneing with Section 7000 of Oiv1SIon 3 ol lhe Business and Prolesslons Code) or that Is ex· empt therefrom and the basis for the alleged exemption. Any violalion of Section 7031,5 by an apphcanl lor a permit sub-jects the applicant to a civil penalty of nof more lhan five hun-dred dollars ($500). □ I, as owner of the property, or my employees with wages as their soie compensation. will do the work, and the struc-ture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The ContraclDf's License Law does not apply to an owner o1 property who builds or improves thereon and who does such work himself or through his own employees, provided !hat such improvements are not intend-ed or ottered for sale. If, however, the building or Improve- ment is sold within one year~ completion, the OW"ner·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 coostruct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im• proves thereon, and who contracts for each proiects with a contractor(s) ltcense pursuant to the 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 prtOr to sale. 2. I have lived in my home !or twetve months prior to completion of this work. 3. I have not claimed this exemption during the last three years. □ I am exempt under Sec. ______ , B & P.C. !or this reason ___________ _ ~reby affirm that I na.-...e a cert1f,cate ot consenl to self-insure. or a cert,t,cate of Workers' Compensation Insurance. or a cert1f1ed copy thereof (Sec 3800. ubor ~~~. i1.,2 J-L CO~ANY ~ elf' Copy IS I ed With the city D Cer11f1ed copy Is hereby furnished CERTIFICATl OF EXEMPTION FROM WOR~ERS. COMPENSATION INSURANCE (This section need no! be completed 11 lhe permit /tor one hundred dOllars ($100) or less) i:;t'1 _certify ttlal in the ~rlormarice of lhe wot11. for which this penTUt Is issued, I shall not employ any person m any manfter~so--a.s 10 become subIect to the Workers· Compen~t,on Laws of Calllorma NOTICE TO APPLICANT If. alter makm~ this Cert1 t1cate ol Exemption, you should become subIect I? the Workers· Compensation provisions ol lhe Laoor Code. you must forthwith comply w1ltl sucn prov,s,ons or ttus permit shall be deemed ,evoked O I hereby aff1tm lhat there ,s a construcIIon Ienci,ng aoency IOf the pe,normance ot It1e wot11. to, wn1cl"I th,s perm,t 1 Issu (Sec c,v,I e) Lenoer s Name 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 Aii.Tr;;:;z-,3oN1 BUSINESS LICENSE # VALUATION PERMIT NUMBER &,7()3 Wderi>Clr,j v'lav 3~fl ~7t?113 OWNER'S NAME I I I ~79:~;;£E ~ :°1R::/IJi;ti d: G., /)~/J CONTRACTORS PHONE t ZONE g-3 ... g3-3J- 5-ft11J,.d faci.f:; 111 San /)i~P :211/-;;lf} t/;b OWNER'S MAILING ADDRESS CJ CONTRACTOR'S ADDRESS // LICENSE NO. PLAN 1.0. # BLOG USE CODE 7r7-9o C/a1,ur,;;i J!I~~ &'vd. .511n /J1,,,;tJ rA 9,;2..111 I.~-~) ~:Ztli~s ~1 I BLOCK l~SU;B,,01 VISJl;_O:N ,4]JJ ASSESSOR PARCEL N'.f ~ DESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE 111n ' Y' llo '1 u.u, ( ..z.rvi &urz/.,f/aJ/)1~4 j /Js.s~~. I/~ /.311 DESCRIPTION OF WORK' /I~ -r'f',-0~ DESIGNER'S ADDRESS (J I DESIGNER'S PHONE (./1·'~-f~ dtucJfu,q -q,-f/_,if.k~t gaca.r~ I/Rt3 JJAJ.f~~ ~114'-/)~ -219 ~ ~. f>~ <'S' F/P FLA ELEV. £NO DCC GP EDU l, /)~~, .. TORIES ~-3 I !Ct 14/ 34S,S5 393;2::. vO NO ---I . CENSUS TRACT I GP LANO USE I PA~~;PACE f RE?NITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONvJ/ YO N 0 vO .-v0 N&_ Not Valid Un~s Machine ~rtifil!d QTY. PLUMBING PERMIT -ISSUE ~~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER 'l EACH FIXTURE TRAP T;;:J7j~ 7 INSTALL FURN. DUCTS UP TO 100,000 BTU 4--:--BUILDING PERMIT 01 ·00·00-8220 _-q~ 7- EACH BUILDING SEWER fA.r;?J OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221 I EACH WATER HEATER ANO/OR VENT ~-SP BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 .:J.I{/ tJ-> I EACH GAS SYSTEM I TO 4 OUTLETS ., -~/,l BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 :Jq- EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 -~t,- EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 7- 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-no-nn-8226 TOTt.L MECHANICAL STRONG MOTION 80-92-33-0519 4,,-7< f--I ~q-7 -TOTAL PLUMBING FIRE SPRINKLERS 01-00-00·8227 QTY. ELECTRICAL PERMIT -ISSUE f-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8923 BRIDGE FEE NEW CONST EA AMP/SWT/BKR /11) -;:;.~-COLLECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TAN KS 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 /---\ San Marcos 80-92-24-0519 ft TEMP POLE 200 AMPS / r4~4 DVE R 200 AMPS / -Un~ ... ,.v ' ./ .. . ~ TEMP OCCUPANCY (30 DAYS) I {/-'.'.l--/ C/' ~ ~-i-!: /i}/,A ~~ :r, ( ::1.¢?. ~6? -v;,-.-,/' . V 7 TOTAL ELECTRICAL --T~ :5o -'--TOTA TOTAL FEES PAYABLE I 393.:25' I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT'" AND DO HEREBY Expiration Every permtt ~ by Ille 8utldlng Olflciel under tne provisions of this * AN 06HA P£AMIT IS REQUIAEO FOR EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1hall expore by hm1tatlon Md become null and •OKI II tne bu1ldIng or work 5' o•· DEEP ANO DEM0UTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhor1Zed by such permit 11 not comr--=ed _., 180 days from the date of such STAUCl\JAES OYER 3 STORIES IN HEIGHT perm,t, or 11 the butldt~ or work autlloriZN by ouch permtt II ouspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv bme er the work ia COlllfflalCecl for a oenod nL-1ail nau• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPlPPl~CANT' ~~A RE Jf ()WNERCT CONTRACTOR 0 APPR°CJ)_ l¥t1/!3 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 ·-~ ..,, .... _ BY PHONE 0 GRANTING OF THIS PERMIT. VI -//"' -. I 2 iI >, ~ 0 a. E Q) I- I .:,; C ii 0 r/'J r/'J Q) r/'J r/'J < I 3: _Q Qi >- ui r/'J Q) 0 0 a: "' iii Cl ~ Q) 0 C "' C iI C Q) Q) 5 0 0 Q) a. Ill C INSPECTION TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR G FLOOR & C SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS INSPECTOR CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN. APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED . '- 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 .. \_ . ' ·-· 'J . - .,. .. ,. --'" • C ,.,.. ,.. . ..,. ___ .1 . \. ~ ' " ,._ ..... ,_. ~ ,..__, . . ' . . •~. ; . . " .. -' . '