HomeMy WebLinkAbout2696 WATERBURY WAY; ; 83-83-24; PermitCl) z 0 ;:: < a:: < ...,
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~M>y affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my ~I se is In
lull lorJ?J.~ / l!C Noc;o..,;~c.o,.._c..... 0,s• -~~---
I hereby alf,rm 11\al I .am exempt lrom the Col'l1rac· tor s License Law lor the looow,ng reason (Sec 7031 5 Business and Professions Code Any c11y or coonty whdl re• quires a perm11 to construct aller. improve. denlOOsh. or
repair any structure pnor to its issuance also requires !heap· p1cant lor such perllllt to hie a StQned statement INt he is hcenstd pursuant 10 the prDY1s1ons ot the contrac.to, s
Locense Law (Chapter 9 commencog w,i. S.CbOft 7000 ol Orvis.on 3 ol u,. &s.ness and Prolti-s Coen) or that ,s u
empt u,eretrorn and the baSls tor the alltge(I exempt""' Arr, ~~,:~ ~pp~:1tt~c~ g:~7,;~:~:; ~r;:~ ~~~
dred dollars (S500)
D I, as owner of the propeny, or my employees with wages
as their sole compensatt0n. w,11 do the work. and lhe struc-t\Jre 1s not intended or altered tor salfl !Sec 7044 Bus.ness
and Profes...,, Corle TIie Controctor s Locense Law does
not apply to an owner of propeny wtto bu•lds or improves
thereon and who doeS such WOf'k h,msell or through l'Hs own employees. provKted that such improvements are not intend•
ed Of' ottered IOf sale II, however, the budding or improve-ment 1s sold w11hm one year of completion, the owner-builder
Will haYO Ille burclen of proving that he did nol bu1kf or lffl• prOYe tor the purpose of sale)
□ t. as owner ol the propeny, am exclus,wly contr,ctJng with llcensod contractors to construct the proiect (Sec 7044,
Bus,nes, and ProfesSIOlls Code Tho Contractor's License Law does no1 apply to an owner of property who builds or 1m• proves !hereon, and who con1rac1s tor each pro,ects with a contrac!Of(S) hcense pursuant to lhe Contract()('s License Law)
0 As a holMowner f affl lffll)(OV1ng my home, and Ille follow· mg conchhons txlSI
t TIie wor1c is be1ng pe,1ormed prl()f to sate 2 I have lrved in my home !Of twelve monlhs prl()f to complet10n ol this work.
3 I have not claimed this exemption dormg lhe last lhree years.
□ I am exempt under Sec ______ . B & P C
for lhts reason ------------
~eby aflorm that I ha,e a cen,t,cate ot consent
to self-insure. or a cemhcate ot Work.ers
Compens.at,on Insurance. or a cen1t1@0 copy thereol :,::o u~'7,tp~J~; ~
CO!'>"'NY Ct~ r~
f![ C,of,y 15'.l:C, ~1th the Ctly / _.
0 Certified COJ)y Is hereby lurn1stted
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Hus sec11on need not be completeo 11 the perm11 _,,,)J IOt one hundre<J dOllars {S 1001 o, less)
~ certify that m !he performance of the wort. 10,
which this perm,t ,s ,ssued. I shall not employ any
person In .viy mNiner so H to beeome sub1ec1 to the w oor.ers Com~ns.i11on U ws ol Caltlomia
NOTICE TO APPUCANT If after makin', this Cert,
ftuite ot Exemp11on you shouKJ beeome sub1ect ,,,
the WOf1o.ers Compen~tton prov1st0ns of the UOOf
Cooe. you must forth-Arlh comply wtlh such
provisions or !his permit shall be deemed reY0ked
O I hefet>y aflirm thal !here Is a con~1ruc1ion 1 lend•OQ ~ency
which th•S "9r
Lender 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 AOORESS AV. ST RO. NEAREST CROSS ST
I DATE OF:~~~;~·;~
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2696 Waterbury Way 3681 'S656~
~---~3411 LOT lri• C>C~·'J;uB01v,s ON I ASSES' OR PARCEL N0.2S CQf'jTRACTOR CONTRACTORS PHONE • ZONE 24 innaker Pt. 1117 '-t4 \ 00 Standard Pacific of San Diego 279-2042 ow .. E Rs f'jAME I OWNER'S PHONE
Standard Pacific of CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLDG USE CODE San Diego 279-2042 (same) OW,,.ER MA "'G AOORESS 294215
7290 Clairemont Mesa Blvd., San Diego, CA 92111 OESIG .. ER L•CENSE • STANDARD PLAN# BUILDING SO FOOTAGE
Buzard-Henning & Associates NR /?-25 OESCRIPT ON OF WORK
C.fno1 o-4'~ ... .r 1 u ..:a •• "1 1;no--"'t-t-<1rh~..:I ---<"ltno. OESIGNE R'S ACOR ESS DESIGNER'S PHONE -. -~ -4883 Ronson Ct., San Diego 921 11 278-6855 -F/P FLRELEV. NO CCC GP EDU
.di~ 3a/o vO .. o STO,IES f!.. 3 I IG/14, r 4 5 499~ CENSUS TRACT I GP ~NO USE
p~s·4;:;CE 1 RES/NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE CCC LOAD FIRE SPR AREA v1" YO N D vO N~ v□ Nil( Not Valid Unlffs Machine Certd1M
QTY. PLUMBING PERMIT -ISSUE 11.£!!-QTY. MECHANICAL PERMIT -ISSUE s-SUMMARY/ACCOUNT NUMBER
/0 EACH FIXTURE TRAP , ·.1.n.-INSTALL FURN. DUCTS UP TO 100.000 BTU /..I -BUILDING PERMIT 01-00·00·8220 .:::S"'1 L{-
I EACH BUILDING SEWER .h~O OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER ANO OR VENT ;;tt::;V BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 / _"-\ "ii I O 3__
I EACH GAS SYSTEM 1 TO 4 OUT LETS ~R') BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING OHl0-00·8222 ~-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 .:-so-
EACH INSTAl . ALTER. REPAIR WATER PIPE "") VENT FAN SINGLE DUCT J.-f -MECHANICAL 01 ·00·00-8224 1-1,-
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MDBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01·00-00-A"~
TOTI.L MECHANICAL STRONG MOTION 80-92-33-0519 6 ,0t:,, ----TOTAL PLUMBING I 1/L(.-ll -FIRE SPRINKLERS 01-00-00-8227
~ SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE QTY.
BRIDGE FEE
NEW CONST EA AMP SWT BK R too ?..!5_-COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMPISWT BKR ROCK STORAGE \.\ I Encinitas 80-92-22-0519
I PH 3 PH PUMP ii i.\.\ San Diegu1to 80-92-23-0519
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE " tJ .ft ~ San Marcos 80-92-24·0519
TEMP POLE 200 AMPS "' Ii ..... ~
OVER 200 AMPS \ IV f\' (J LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) " (j
_; -~
CREDIT DEPOSIT '-A '-f ~,~:, I
TOTAL ELELTRICAL I 30 ./ TOTAL SOLAR TOTAL FEES PAYABLE I '-/qCf,56
HAVE CAREFULLY EXAMINED THE COMPLETED APPUCATIUN AND PERMIT AND DO HEREBY Exp,rat,on Every pernut '"ued by ttle Bu1ldtng Ott.c,11 under 1he prov•s,ons of this * AN OSHA PEFMIT IS REQUIRED FOR EXCAVATIONS OVER CERT,FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm11111on and become null and void It the buifd,ng or work 5 0 DEEP -'NO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANl) AGREE IF A PERMIT 15 authorized by such permit ,snot commenced w,th1n 180 days from 1he date of such STAUCTUR£S OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON :~~~n~ 1
~t l~~~!'Je~;h:o;~,:~~~~~~.:6e~~~~ :e~~~,~~w;.~~ or • I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT .1 ./_ -E Jf. OWNER ct'"""" CONTRACTOR 0 APPROVED BY ti--/01l1/J3
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS COSTS AND
~
f-//.L /.J.,1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT ,. --v · ~
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' ,, -I INSPECTOR . TYPE DATE .. -. I.
BUILDING I ' J
FOUNDATION I e' t--,n~ r-, ~Af FIELD INSPECTION RECORD
REINFORCED STEEL ' Y"'~ --REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
REO IF INSPECTOR'S
GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE I / ~ FLOOR & CEILING SUB FR~~ I ---3 SOILS COMPLIANCE
SHEATHING ta ROOF.~ SHBt\R / -PRIOR TO , \
'C,,tOV 17 -3?·X3 1'"1 ,_
.1.)0J VA' FOUNDATION INSP FRAME ·-,,. ,-I " STRUCTURAL CONCRETE EXTERIOR LATH 3 _L OVER 2000 PSI
INSULATION ,~ .. y,LJYY.A PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE --PLUMBING I .., FIELD WELDING
SEWER AND BUCO DIPUCO ' IJ..,-,J 02 IIDI V HIGH STRENGTH I "' BOLTS O ~ATEW' ,-.. ., ~ 1-V'" / UNDERGROUND D WASTE -
(1;,u • V
SPECIAL MASONRY
""' ?', ,,,.. TOP OUT □ WASTE □ WATER ~ ",J,,Y_7 ' -
TUB AND SHOWER PAN ' ' I
GAS TEST I PILES CAISSONS
□ WATER HEATER D SOLAR WATER . -\ ,.
: "' ELECTRICAL I .-\
D ELECTRIC UNDERGROUND □ li.lFFE,B --..... ,,,--
ROUGH ELECTRIC ,-z..-1x?·~ lZ· jJ vi ·--~ ~ --. . -\ D ELECTRIC SERVICE D TEMPOAARY ·-~ ~ . . '
D BONDING 0 POOL I
I -. I v --... ! 1 ;~
/ / \ MECHANICAL I ,e,,?, -~;h~~--D REF. PIPING\~ ,~ -v •• -.. -\ -□ DUCT & PLEM., .,,,..,,V'I \,
' ' HEAT -AIR COND. SYSTEMS I r
I
VENTILATING SYSTEMS I
I . CALL FOR FINAL INSPECTiN WHEN ALL APPROPRIATE -ITEMS ABOVE HA V BEEN APPROVED.
FINAL I ,
PLUMBING ' .l~/ I ,, ..
ELECTRICAL I /f\~/. ~~/J...-?h I . .,. . . .. ..... -. ,,~~ "'-;/Wt/" .. --MECHANICAL I .
~~ iJ>< , GAS I .
BUILDING I ~ If'?' :1)\
SPECIAL CONDITIONS I w ..
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