HomeMy WebLinkAbout2696 WATERBURY WAY; ; 85-257; Permitl, O I hereby affirm that I am licensed under
• provisions of Chapter 9 (commencing with
S.Cllon 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and effect.r-,-
Ltc No •7 79 ·:7-e Class ___ ,L_~--d--
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I hereby affirm that I am exempt from the Contrac-tor's License Law !or the tol1owing reason (Sec 7031.5
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Business and Profess10ns Code Any c11y or county wh1th re-quires a perm1I to construct, atter. improve. demohsh. or
repair any Slructure. prt0r lo 11s issuance also requires !heap-phcant tor such permit to tile a signed statement that he 1s
licensed pursuanl to the prOY1st0ns of the Conrracto( s license Law (Chapter 9 commencmg w1lh Seclt0n 7000 ol 0w1st0n 3 ol lhe Business and Proless100s Code) or thal 1s ex-
empt therefrom and the basis for the allegea exemption Arry vio&ation ol Section 7031.5 by an apphcant lor a permit sub· Jects the apphcant to a c,w penalty of not more than t1ve hun-dred dol~rs ($500)
0 I, as rrwner of the prC>perty, or my employees with wages as their sole compensation, w,u do the work, and the struc· lure 1s not mtended Of' oflered lor sale {Sec 704◄, Busmess
and Professions Code, The Contractor's Ucense Law does
not apply lo an owner of property who builds or tmproves
!hereon and who does such work himself or through his own employees, provided that such improvements are nol intend-ed or offered for sale. 11, however, the building or improve-
ment is sold within one year ot completton, the owner-builder will have the burden ol prOVlng thal he did not build or im-prove tor the purpose of sale).
D I, as owner ot the property, am exclusively contrading with licensed contractors to construct the pro;ect {Sec. 704◄•
Business and ProfesSJOns Code: The Contractor's license Law does not apply to an owner or property who buUds or im-proves thereon. and who contracts tor each projects with a
contractor(s) license pursuant to lhe ContractOJ's License Law).
□ As a homeowner I am improving my home, and !he lollow-ing condiUons exist:
t. The work is being performed pnor to sale. 2. I have lived In my home to, IWelve months pnor to completion 01 this work.
3. I have not claimed this exemption durmg the last three years.
D I am exemp1 under Sec. ______ , B & P.C. lor this reason ------------
O I hereby affirm that I ha....e a cer,1ttcaIe ol cons.en!
to self-insure. or a cert1l1cate ol Workers·
Compensation Insurance. or a cer,,t1eo copy thereof (Sec 3800. Labo< Code)
POLICY No.S-7 -<:I( ;IS' f / t ,!)~f' i-f
COMJ)NY
~y IS hied with the city
O Cen1hed copy Is hereby lurn,sneo
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be compteled if the permit
Is tor one hundred OOllars tS 1()0) or less I
O I cen1ty Iha! ,n lhe performance of the woni tor
wh1Ch this permit Is ,ssued. I shall 001 employ a,ny
person in any manner so a.s 10 become subIect to
the Wofkers· Compensation Laws ot Gahtorn~
NOTICE TO APPLICANT If, after makmJ lhIs Cen,
ticate ot E•empI10n. you shOuld t>ecome subIecI n the WOt1(ers· Compensation p,°"Ist0ns ot lhe Labor
Code. you mus! tor,h..-.1th comply with such
provisions or IhIs permit shall be oe-emed re..,oked
0 I hereby attum thal there Is a con! Iruc1ton
tend•no ilQency to, lhe pertorma,nce ol the wont lo,
which this permit Is issued !Sec 'Jl:lj7 C1111I CodeI
Lenders Name __________ _
Lender's Address --------=----'---
USE BALL POINT PEN ONLY & PRESS HARD .. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AOORESS AV. ST.RO. NEAREST CROSS ST.
!
DATE OF APPLICATIONII BUSINESS LICENSE " VALUATION PERMIT NUMBER
;}.f,-::J&-/.JJ A ..,....i!.f'A.il,,a LI {3,1.)GO,,d ~-//-YS:-7,C, ;:t_ J. /J7r1J
.,,,... ~h--LOT BLOCK I SUBDIVISION I ~SESSOR PARCEL NO .-CONTRACTOR CONTRACTORS PHONE • ZON'I: ~~7 //. ,_, -Ao/w/-1 -..J ~
~-1, / ,,,-_r; l~ .... i /,, ~S/ -"✓• -¥911' OWNER'S NAME I 7' 3 • 0:N~'5.f1..:9r /f_JJ ..,__ ,.-, 0'1 /,,,. ,.r ,5? coNTRAcToR·s AD~REss S ft./11' ,rr. r1.•, , ,.. , LICENSE NO. PLAN 1.0. # BLDG USE CODE .fl:1J.. I?/' 1.J p t.--r J Y /-' V ' .:::.6 .,,./ --k' I -Jj_-fJ.j ?7t · -q /., f< ,.:.. -_,,.,_,,, r... h :::-!\.'.~ ·r--> .P OWNER'S MAILING ADDRESS
.). t-t , I,., ~}~ .,-P,.h A {._I R>' {!.13-~• J ~ .er r...JJ DESIGNER LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE -: L , t ;; I.Yi j r-,~ DESCRIPTION OF WORK .q., b,?[./,
,f',"i,T/LJ':.. ;) St .-i? "-"' A ....... / I ,N 13 J'<..L£. DESIGNER'S ADDRESS DESIGNER'S PHONE t!/lt/f: 3l .
r-· -. --F/P FLR ELEV. NO DCC GP EDU STORIES
vO NO ---
CENSUS TRACT I GP LAND USE I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REDEVE LOPMENT TYPE OCC LOAD FIRE SPA AflEA CONST
YO ND vO NO vO NO Nor Valid Unl~s M~chine Certified
QTY. PLUMBING PERMIT · ISSUE r'J~ QTY. MECHANICAL PERMIT· ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00-8220 /7• <rV
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 i.,;:?. 3 7
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00-8224
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 01-00-QQ.A??~
TOTI.L MECHANICAL STRONG MOTION 80·92·33-0519 ~-
TOT AL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227
5"--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT· ISSUE
BRIDGE FEE
NEW CONST EA AMP/SWT IBK R COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encinilas 80·92· 22-0519
I PH 3 PH PUMP San Dieguilo 80·92· 23·0519
REMOOEL'A LHR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP POLE 100 AMPS
OVER 100 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI _-,,.-_..-
I.✓.r-
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 3/ ~s
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exp.ration Every permit issued by the Butldtng Off1c11I under the provisions ofth,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaU exptre by hmIt111on and become null and void ff 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 author12ed by such perm,t ,snot commenced w1th1n 180 days from the date of such STRUCl\JAES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON =~~ '!, •:~v ~~:1:ffe~~~~~r:~!h:~:~J'e:~~7 ;'9~';;~•~.5~~~~ or STAUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
A~·s SIGNATURE ~LOWNER D CONTRACTORp{' APP~•
ID~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT ~,, _,,.~_llJ. . ~
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" TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR/ LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I .
I
PLUMBING I ' I
SEWER AND BUCO D IPUCO I ,
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W4TER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WAtER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ljJFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPOIRARY
D BONDING D POOL !
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS r
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL /NSPECTl~N WHEN ALL APPROPR/A TE
ITEMS ABOVE HA VE 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 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
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