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Home My WebLink About2695 WATERBURY WAY; ; 85-773; Permit"' z 0 ~ < cc < ..J (.) ... a a: I[ 0 (.) cc ... a ..J 5 ID i: ... z ~ z 0 ~ < "' z ... ... 2 0 (.) "' a: ... " cc 0 ~ 0 I hereby atflrm 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 nereby iilhrm that I am exemp1 lrom lhe Coouac-1or's l1tense Law tor the loltow,ng reason (Sec 7031 5 Business and Professions Code Any city Of county which re· quires a perm11 to construct. alter. improve Oemoltsh. or repair any structure. pnOJ to its issuance also reQu11es !heap phtant tor such perm,t to file a s1qned statement that he 1s 1censed pursuant 10 lhe p,ov,st0ns o1 the ton1rK1or s lteense Law !Chapter 9 convnencmg w1lh Section 7000 of Or"•sion 3 ot lhe Business and ProlessJOns Code, or !NII ts ex· empt therefrom and the basis for the a ;egeo exemction Ariy ''°"''°" ol Sect.on 7031 5 by an applant la< a pe,m,t SUI> ,ects lhe apptant to a cMI penalty at not more fhal') live hu11-dred dollars ($5001 I, as owner at the property. or my empioyees"' th w.gn as their sole compe~tion w-21 do the wooc ano ll'le strut• lure 1s no1 intended rx offered lor sa e (Sec 7044 Business and PrOless,ons. Code The Contractor's Lecense Law does not appty to an owner of prop.rty who builds or improves the,eon and whO does such work h1msetl or through his O\lin employees. p1ovlded that such improvements are no1 mtend· ed or ottered tor sale If. however the building or 1mprove-men11s ~d w11hm one year of complellOn. lhe owner-bwlder wdl have lhe burden of provmg lhal he did not build or 1m· prove la< the purpose of sale) I. as owner of the pr~. am exclus,vety contrac1,og w,th bcensed contractors to conslruct the proiect (Sec 7044, Business 1nd ProlesslOI\S Code The ContJJCl<x s Lcense La N does not al)l)ly to an owner of property wllO builds°' .,,. p,oves lhefeori, and who coniracts tor each Pf'Oletls w1lh a contr1e1or(s) anse pursuant lo lhe Contractor s Lcense u .. , n As a homeowner t am improving my home. and the 1011ow 1ng cond1hons ex,st t The work 1s being performed poor 10 salt 2 I ha"' hved m my home for twelve months pnor 10 complehon ot lh1s WOfk 3 I have not claimed this ellempt10n Clurmg lhe last three years D I am exempt under Sec _____ _ for lhIs reason B&P C ------------ I hereby alfum 1hat I have a cer11hca1e of consen1 10 se1t-.nsure. Of a cert1llca1e or Workers Compensalton In- surance. or a cert1f1ed copy thereof tSec 3800. LabOf Code) POLICY NO COMPANY r"7 Copy IS hled with the city D Cer11l1ed copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE {This section need not be compleled 1t lhe permit ,s tor one hundred dollars (SHXl) Or less} ~ I certify that ,n lhe performance ol lhe work tor whr.d'I 1n,s permI1 ,s issued. I shall nol employ any persoo 1n any manner so as to become subJect to the Workers· Compen- sa1Ion Laws of Callforn1a. NOTICE TO APPLICANT; If. af1er making this Cerhl1cate of Exemption. you should become subIect to the Workers· Compensahon provisions of the Labor Gode. you must lorthw1lh comply with such pro"1s1ons or this permit shall be deemed revoked. 0 I hereby alftrm that there is a construction lending agency for the performance of the wofk fOf which lh,s P•· m,1 "issued (sec 3097. c,vit Code) Lender's Name ___________ _ Lender's Address _______ , ___ _ I I I I I I I I I I I I I I I ' I I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525 ,OB ADDRESS AV ST AO NEARESTC~ I o:;~~/;:;~NI BUSINESS LICENSE a ;;LU7SN'? PERMIT NUMBER JtCiS Miz:-r~arl a.Jay zs-- LOT BLOCK I SUBO V SION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE 113 OWNER S NAME 161'1-°.;;e;};;;; ~.A J"'>-b~ -- b}1//1aJ?? / C::r/"tt/Je r CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE OWNER'S "'A NG ADDRESS e:?~t?.5 Ltk:l&r.l>v; Y a-by., C!t:?r /.s hcl, Ct1; cj~ OESJGNER DESIGNER'S PHONE OESCR PT 0"' OF w1 /..2 J X' / ,f I RK/?6°~/C /16 ✓er -1 I t Sq_ /c. DESIGNER'S ADDRESS LICENSE NO. ~/2~ !.0~23/B5~.r1., !tl~3!1 >--F p F LR ELEV NO OCC GP EDU ooo.r.~ !~~ rq~e~, ~e su~se -r-C) STORIES -I ~ vO NO --- CENSUS TRACl I GP LANO use I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST YO N 0 ,□ ,-,o vO NO Not Valid Un~s M1ch1ne Certified QTY. PLUMBING PERMIT • ISSUE 1so QTY. MECHANICAL PERMIT· ISSUE _3 -SUMMARY/ACCOUNT NUMBER -EACH FIXTURE TRAP . INSTALL FURN DUCTS uP TO 100 000 BTU BUILOING PERMIT 001·810·00·00·8220 ~~ EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810·00·00·8221 -------/3~ - EACH WATER HEATER ANO OR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8806 EACH GAS SYSTEM I ro 4 OUTLETS I BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 ---,--EACH GAS SYSTE M 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223 EACH INSTAl ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 ---------EACH VACUUM BREAKER MECH EXHAUST HOOD OUCTS MOBILEHOME 001·810·00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE;HEATER MOBILEHOME PARK INSP EACH ROOF ORA,N ( "ISIDE) SOLAR 001·810·00·00·8226 TOTJ;L MECHANICAL -,_ __ -~ _:__ STRONG MOTION 880·519·92·33 - TOl Al PLUMBING I FIRE SPRINKLERS 001 ·B 10·00·00·8227 QTY. ELECTRICAL PERMIT· ISSUE ..s-/ QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 332:810·00·00·8930 NEW CONST EA AMP SWT HK R COLLECTORS SCHOOL FEE • DISTRICT I PH J PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encon11as 1 PH 3 PH PUMP San D1egu,I0 REMODEL All tR PER CIRCUIT PLAN CHECK FEE San Marcos TEMP PO LE 200 AMPS OVER 200 AMPS LICENSE TAX 001·810·00·00·8162 TEMP OCCUPANCY (30 DAYS) MFF 880·519·92·57 CREDIT DEPOSIT ./ TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I ~tf3~ -I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued by the 8u1ld1ng Ott,c•al under the provIs1ons of th,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and void If the building or work 5 0 DEEP ANO DEMOLITION OR CONSTRUCTION OF authonzed by such permI1 ,s nol commenced within 180days from the date ol such DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ~~'::~n°~ 1 ~1 1:~v ~~:1le~~h:c:~,:~!h~~~e~6e~~~~ :e~~~l~,srard:~~ or STRUCT\JMS OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ,g.," C KEEP HARMLESS THE CITY OF CARLSBAD AGA NST ALL LIABILITIES. JUDGMENTS COSTS ANO APPLICANT S SIGNATUR~lf.~ OWNER CONTRACTOR EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~ GRANT,NG OF THIS PERMIT • 1., • {..t/l..-, BY PHONE 0 APPROVED BY~ l~t1/,< t Q) u. >, .; 0 a. E Q) 1-- "O 0 (.'.) .:,: C a: 0 (/) (/) Q) (/) (/) <( I 3 0 Q) >- (/) (/) Q) u 0 ct co ~ 0 ~ Q) u C co C u: C Q) ~ (.'.) 0 ti Q) a. (/) C TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT I I I I I I I I I I SUB FRAME □ FLOOR □ CEIL!ING SHEATHING D ROOF D SHEAR FRAME I I EXTERIOR LATH I INSULATION I INTERIOR LATH & DRYWALL I I I PLUMBING I □ SEWER AND BUCO □ P~CO UNDERGROUND D WASTE 0 WATER TOP OUT D WASTE D VVATER 1UB AND SHOWER PAN I GAS TEST I 0 WATER HEATER D SOLAR W~TER ! ELECTRICAL I D ELECTRIC UNDERGROUND Di UFFER 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 I DATE INSPECTOR ,., h h/4 ,/ r,.,.~ ~ re,-~~- ~ -/L.,, r,,. ~ . .,, ri 'l"-., CALL FOR FINAL /NSPECTTON 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 INSPECTORS DATE CHECKED APPROVAL SOILS COMPL ANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH SOL TS SPECIAL MASONRY PILES CAISSOr-~ - If' ~H ,I!'"'\ r ! "· 'f-1;"'1 q,• ·n d • I ~ . .