HomeMy WebLinkAbout2692 WATERBURY WAY; ; 83-83-25; Permiten z 0 ~ C IC C .J u w 0
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✓i hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my61c z is in
lullfor~
Lie No "---~~ Class
I hefeby afhrm lhat I am exempt lrom the Contrac· 10<'s License Law l0< the l0ilow1ng reason (Sec 7031 5 Business and Professt0ns Code Any city« county whd• re•
quires a permit to construct. alter. improve, demolish « repair any structure, prior to its issuance also requires ?heap-
plicant tor such permit to hie a s1Qned statement Iha! he IS hcensed pursuanl to the provIs,ons of the t.:onuactor's
Ucense Law (Chapter 9 COIMlencmg w1lh Section 7000 of Oiv1s1on 3 of the Business and Protess,ons Code) or that Is e,:-
empI therefrom and the basis tor the allegeo exemption Any
V!Otahon o1 SectlOll 7031.5 by an applicant tor a permrt sub-)ects the apphcanl lo a civil penalty of not more lhan live hun·
dred d(jlars ($500)
0 I. as owner ot the property, or my employees with wages
as their scie compensaIIon will do lhe work, and the struc·
ture Is not mtended or offered lor sale (Sec 7044. Busmess and Prolessions Code. The Contractor's License Law does nol apply to an owner of property who builds or improves
thereon and who does such work himself or through his own employees. provided that such improvements are not mterld· ed or ollered tor sale. II. however. the build mg Of improve-
ment is sold within one year of completion. the owner·boileler will have the burden of proving lhal he did not build or im-prove tor the purpose of sale).
D I, as owner of the property, am exclusively contr1etmg
with hcensed contractors to construct the protect (Sec. 7044, Business and Professions Code. The Contractor's License Law does not apply lo an owner of property who builds or im-proves thereon, and who contracts !Of each protects wilh a
contractor(s) ltcense pursuant to the Con1racIor's License Law)
D As a homeowner I am ,mprovmg my home. and lhe lollow· mg condihons exist 1. The work is being per1ormed pnor 10 sate
2. I have hved in my home for twelve months pnor to completion ot lhIs work
3. I have not claimed this exemptton during lhe las! three years
~eby alform that I ha,e a cert1t,ca1e ot consent 10 sell-msure, or a cer11hcate of Workers
Compensa11on Insurance. or a cer1111ed copy lhe1eof
(Sec 3800. Labor Code)
POLICY NO uJ/J:l.33•tl~ ~f<f
co7ANY,::;~ f'tu.L
pf Copy /111~ with 1he city
0 Cen1t1ed copy Is hereby lu1n1sheo
CERTIFICATl Of EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1t lhe permit
_;;,Jor one hundred 001\ars (S HXH o, less)
~certify that m the per1ormance of lhe wOOI to,
which this perm,t 1s issued. I shall no1 emptoy any
person in any manner so as to become sub1ec1 10 the Workers' Compensatton Uws or Cahforn,a
NOTICE TO APPLICANT II. alter ma.km~ 1tus Cen1
hcate of Exemp11on. you should oecome sut>1ec1 I'>
the Workers· Compensa11on pro,-,Is1ons ot lhe-uoo, Code. you must lorth~1th comply wI1r, suer,
prov,sIons Of lh,s pe-rm,t shall t>e deemed revoked
O I ne,eby afhrm lhal !here Is a con!lruc1Ion
Iend1ng agency to, lhe per1ormance ot tne wof1o. lor
wn1cn th,s perm
Lenoer s Name...1,L;~~~C,~~~8.~
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 RD. NEAREST CROSS ST. IOATE OF APPLICATION! BUSINESS LICENSE >t VALUATION PERMIT NUMBER
2692 Waterbury Way 10/1 ?/R~ 'l&:.Rl f oqL/J./,~
i=s--f3_).f5 LOT I BLOCK ,lSUBOI VISION I ASSESSOR PARCEL NO ;l>f 00 CONTRACTOR CONTRACTORS PHONE • ZONE
"C: C ,-inn<>lc<>r Pt leoi u~ l
"OWNER'S NAME -I OWNER'S PHONE Standard Pacific of San Di <>On 279-?0b.?
Standard Pacific of San Diego 279-2042 CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE
OWNER'S MA L•NG ADDRESS (Same) 294215
7290 Clairemont Mesa Blvd., San Diego, CA 92111 DESIGNER LICENSE " STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK Buzard-Henning & Associates NR ~~07 Sin2le-familv dwellin2-attached 2ara2e DESIGNER'S ADDRESS DESIGNER'S PHONE -
c--r-,~ ::...-~ 4883 Ronson Ct., San Diego, 92 111 278-6855 -
-~--
-F/P FLA ELEV . NO OCC GP /u t7 --"3 ;'"'1>
vO NO
S~ES R.__; ---
CENSUS TRACT I GP LANO use
IPA~~CE I
RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD Ft RE SPA
AREA ~ I':>N 11.,/ I . ti l ,tii::
YO N D v O vO~ Nor VJ/id Unl~s M1chine Certified
QTY. PLUMBING PERMIT -ISSUE 7£!!_ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
17. EACH FIXTURE TRAP --::z,,.-/· INSTALL FURN. DUCTS uP TO 100,000 BTU L/ ---BUILDING PERMIT 01 ·00·00·8220 ~~'i,(-
( EACH BUI LO ING SEWER -/4,,.~ OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221 , EACH WATER HEATER ANO/OR VENT l""l,.cn 801LER/C0MPRESS0R UP TO 3 HP PLAN CHECK 01 ·00-00-8806 ;;..~q, ~5
EACH GAS SYSTEM > TO 4 OUT LETS "2..J:iC BOILER/COMPRESSOR 3-15 HP TOTAL PLUM SING 01·00·00·8222 ~-
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00-00-8223 ~-
EACH INSTAl. ALTER, REPAIR WATER PIPE ~2... VENT FAN SINGLE DUCT '-I -MECHANICAL 01-00-00·8224 11-
EACH VACUUM BREAKER MECH EXHAUST H000I0UCTS M081LEH0ME 01 ·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??I:
TOTt.L MECHANICAL l( STRONG MOTION 80·92·33·0519 -=I-,,.,_ A -TOTAL PLUMBING I '-1'1. .--FIRE SPRINi<LERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-8933
BRIDGE FEE
NEW CONST EA AMPISWT BKR rno <" ~ J COLLECTORS SCHOOL FEE • DISTRICT -I PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLOG EA AMP/SWT 'BKR ROCK STORAGE ~ Encinitas 80-92-22·0519
I PH 3 PH PUMP / \ I San Oieguito 80·92·23-0519
REM00EL 'ALHR PER CIRCUIT PLAN CHECK FF/ San Marcos 80·92· 24·0519
TEMP POLE ]00 AMPS I JI
OVER 200 AMPS I N -~ LICENSE TAX 01-00-00-8162 .::J.) gq-" TEMP OCCUPANCY 130 DAYS) :\. \f) ✓ ' "IJ ~ ' CREDIT DEPOSIT <..~4<..,,S)
TO TAL ELE CTRICAL I 30 __.
1
'-ToTAV soLAf TOTAL FEES PAYABLE I ~oo,-'-16
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND 00 HEREBY ;~permit issued by the Bu,ldtng Off1c1el under the prov1s1ons of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE C by hmttatton and become null and void If the bu1ldtng or work s· 0" DEEP AND DEMOLITION QA CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS a permit Is not commenced within 180 days from the date of such STRUCTUMS OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON ~~~::On~ '!t t:~ ~~~'~P,ei;h:~~,:~:hco~~~~ie~~~~ r~~~,~~:c~:~~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'""~--·-• OWNER (Y""" CONTRACTOR 0 APPROVED BY Jl ID;~/ccf /Yj KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND /~ //./ /J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~
GRANTING OF THIS PERMIT ·c.-v, ,-~ BY PHONE 0 -
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TYPE I
BUILDING I
I
OUNDATION I
EINFORCED STEEL I
I ASONRY I
UNITE OR GROUT I
LOOR & CEILING SUB FR~ I
HEATHING
RAME
_F
_R
_M
_G
F.
s.
F.
1i._ROQ.f~1IJ SH$R
' ,~ I
EXTERIOR LATH I
INSULATION I
r
INTERIOR LATH & DRYWALL r
I
PLUMBING I
I
SEWER AND BUCO DIPUCO I
-
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' '\
/
.........
UNDERGROUND D WASTE D WATEFT
TOP OUT D WASTE D W~TER
TUB AND SHOWER PAN I
GAS TEST I I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO!aA~Y
D BONDING D POOL I ;
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
/ DATE INSPECTOR
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CALL FOR FINAL INSPECTIGJN WHEN ALL APPROPRIATE
ITEMS ABOVE HA VI£ BEEN APPROVED.
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FINAL I
PLUMBING I /, ~~
ELECTRICAL I Af'I~ ~~
MECHANICAL I -l ~JY~ ?;"~
GAS I t~
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BUILDING -I A".\ \
SPECIAL CONDITIONS I ,1 • V I
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. . , . .
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
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
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