HomeMy WebLinkAbout2691 WATERBURY WAY; ; 83-83-30; Permita:
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~eby aHlrm 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 ~~l~~#~Om ,6/
I he<eby attirm that I am exempt lrom the Contrac-tor's License Law lor the following reason (Sec 7031.5
Business and ProfessN>ns Code: Any city or county which re· quires a pem111 to construct, alter, imprOYe, dernohsh. or rep.air any structure, p(IO( to its issuance also require, the ap·
plicanI for such perlTMt to file a s.gned statement that he Is lansed pursuant to the prov1sJOnS ot the Conlractor's
Locense Law (Chapter 9 cornmencmg with Sectoon 7000 of Olv1soon 3 of the Bus,ness and Prtlfess,ons Code) or that IS ex-empt therefrom and the basis lor the al1ege,l exempt,on Any
Vloiabon of SectJon 7031.5 by an applicant lor a pem11t sub ,ects the applicant to a CMI penalty al 1101 mort than riv. I.0n-
drod dollars ($500). /
D I, as owner of the property. or my empI~ with wages
as the,r SOie compensatoon, w,U do the NO<k and the strut· ture 1s nol intended« offered for sale (Sec. 7044. Business
and Professoons Code The Contractor's License Law does not appty to an owner of g,ti>perty who builds Of improves
thereon and who does sue~ work hImseM or through his own
employees, provided \tlat such improvements are not intend· od or ottered lor $.lie. II, however the building or Improve-
ment is sotd within one year of com~et1on. the owner·budder w1H have t•e btlrden of prOV!ng that he did not btl1ld or im-
prove 101 the purpose of sale).
,5 I, as owner ol the property. am exclusr,ety contracting
with licensed contractors to construct the proiect (Sec ro.4, Business and Profess10ns Code: The Contractor·s Llcense
Law -1101 •pply to an owner of property who builds or Im-proves thereon, and who contracts lor each pra,ects with • contr,ctor{s) locense pursuant to the Contractor's License law)
D As a homeOWner I am improving my home. and the follow·
ing cond1hons ex.1st: 1. The work is being pertormed pr10r to sale. 2. I have lived in my home lor twelve months
3. r'~!o ~Pct::t t1~i~ :X~ption during the last three years.
D laml!lle<nptunderSec. ______ ,B&P.C.
lor this reason __________ _
~eby affirm that I ha"te a cer11hca1e ol consent to self insure, or a cen,flcate ol Workers· :,::~~i~;~?~ .
co~YJ~...7~
tr"Coc>y tS hied w1lh ltte cIly
D Cent lied copy 1s neret>y furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(Th,s section need not be completed 11 1ne perm11 _;,A01 one hundred dollars (S 1~ or ~ss)
¢ 7~~•ty that 1n the performance ot the wOtk tor 1'1'htch this pemHt 1s issued. I shall not emp,oy an,
person In any manner so as 10 beeome sub1ect to
the wonc.ers Compensation Laws ot Cahtom,a
NOTICE TO APPLICANT If, after malun-;1 Ults Cen1
ticate ot Exemption, you shoulO t>ecome sub)«t 1?
tne W()Ol.ers· Compensation prov,s,ons ot me Lat>or
Code. you must forthwith comply w1lh sucn
provisions or this perm,, shall be oeemec revoked
D I hereby affirm lhal 1nere ,s a cons1ruc1on
Ienc:s,no agency t()f 1ne performance ol lhe wor,.. tor
whoch lhos perm~ JUJ~
LenOe< s N•me f7
Lel'\IOef s Address • •
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-55°25
APPLICATION & PERMIT
JOB A0DRESS AV ST.IOATE OF Al'PLICATI~ BUSINESS LICENSE # VALUATION PERMIT NUMBER
2691 Waterbury Way RD. I ()CJL/L/i5 10/12/8 3681
OWNER'S NAME I OWNER'S PHONE CONTl'IACTOR CONTfllACTOflS PHONE • ZONE <oY~:yYJ Standard Pacific of San Diego 279-2042 St-<>nrl.qrcl n.,,.,f F-r r nF C'-,n n-r---279-2042
OWNER'S MAILING ADDRESS CONTRACTOR'S A00RESS -LICENSE NO. PLAN 1.0. # BLDG use C00E
7290 Clairemont Mesa Blvd., San Diego, CA 92111 <same) 294215
LOT BLOCIC J:uBDIvIsI0N l ASSESSOR PARCEL NO ,qoo DESIGNER LICENSE# STANDAR0 PLAN# BUILDING SO. FOOTAGE
30 innaker Pt. I~? 441 ::2::J,DS DESCRIPTION OF WORIC l'1f 74 ,o~ Buzard-Henning & Associates NR
DESIGNER'S ADDRESS OEStGNEfll'S PHONE
Single-family dwelling -attached garage 4883 Ronson Ct .• San Die20 921 1 278-6855 _I GI .l~I ~.4 _ 55 F/P FLA ELEV. NO
0~3 7 2800,L.t:
~~ro vO NO
$~ES
CENSUS TRACT I GP LAND use I PA?/3/c/E I REi UNITS I GRACING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA ~ viv vO~ YO ND vO N Not Valid Unkss Machin• C•rtifi«J
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE 3 -SUMMARY/ACCOUNT NUMBER
\ l EACH FIXTURE TRAP / ~-:--I INSTALL FURN. DUCTS UP TO 100,000 BTU LI .-BUILDING PERMIT 01-00-00·8220 LJ...t;~-
I EACH BUILDING SEWER ~ hl"J OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER ANO/OR VENT ~H\ BOILER/COMPRESSOR UPT0 3 HP PLAN CHECK 01 ·00·00-8806 7-qq,~t::;
' -~ -J .J::J"J t-19-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 ::?~--11-EACH tNSTAl . ALTER, REPAIR WATER PIPE '/ VENT FAN SINGLE DUCT 4 -MECHANICAL 01-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST -HODO/DUCTS M0BILEH0ME 01 ·00-00-8225 -
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1-oo-oo-a22~
TOT J.L MECHANICAL STRONG MOTION 80·92-33-0519 r.1--£.... r -7-l'"f. -Ir .-TOT AL PLUMBING FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE s--QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
NEW CONST EA AMP/SWT /BK R rvo 2r::::,-COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS cartsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP -San 0iegui1o 80-92·23·0519 -
REMODEL ALTER PER CIRCUIT PLAN CHECK i'EV • d"' / San Marcos 80-92-24-0519 ----I ,, ,.,vi/o/ TEMP POLE 200 AMPS
OVER 200 AMPS I /'110, ~ I •C~...,,. I 'A-X 111--/Yr/:.~ ~,t.-::J :11 K'-1--
Vr/ ~ -'-TEMP OCCUPANCY (30 DAYS) -~--I -----~ ,,,..PPn,r ( v::::p ,f; I I / ~4 ~, ~-) /
TOTAL ELECTRICAL -r 36_-TOTAL SOLAR TOTAL FEES PAYABLE I :L5< (Y) I Lib ·.
l HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' ANO DO HEREBY Exptratlon Every perm,! ouued bytheBuildlngOllicial unclerlhep<0¥191011Sollllos * AN 06HA PEMIIT IS AEQUIR£O FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ahall exptre by hmrtatoon and become null -vood II Iha bulldtng o, -5' o-DEEP ANO DEMOl.lTION Ofll CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulllonzed by auc~ perm,1 os not commenced wo1tlin 1a, clayl "om the date ol lUCII STIIUCT\JAtS OYEfll 3 STOAIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON ~1~1~. ':'.:1:x: Ille~ .... ~~ ~"':ci ~~ 0,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPll~~AT fll • OWNER~ CONTRACTOR 0 APPROVED BY j/-ID23/u/ )JJ 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 --~.&.. -IIYPHONE fJ GRANTING OF THIS PERMIT u--,., -
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INSPECTION TYPE DATE INSPECTOR ., . BUILDING -
"" 77.9;. ln::?n.t\ FIELD INSPECTION RECORD
FOUNDATION ~
( ·----.. ~ -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES RE INFORCE D STEEL
MASONRY INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL .
GUNITE OR GROUT ' SOILS COMPLIANCE
FLOOR & CEI Ll~G SU8-,Ff;3,AM E PRIOR TO . FOUNDATION INSP --
IG<2'~ ,.'I;'--~/ SHEATH IN 'r 'f llrl ,., STRUCTURAL CONCRETE V -1?;"2-1,~ ~
FRAME ~ OVER 2000 PSI
EXTERIOR LATH lNSULATION ' PRES TRESSED CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED , CONCRETE
PLUMBING FIELD WELDING ---C>,lf, SEWER AND BL/CO .. ·~ ~ 0 HIGH STRENGTH
PLUMBING UNDERGROUND ;> \Vi,,----...-~ BOLTS -
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND $HOWER PAN .
GAS TEST PILES CAISSONS
ELECTRICAL ' \
TEMPORARY POWER
ELECTRIC UNDERGROUND -
ROUGH ELECTRIC I \7 ·U -~ >J.?'I -
ELECTRIC SERVICE " -. . ' -B01\IDING I ---
G. F. I. -SMOKE DETECTOR . . .
MECHANICAL ;
~ ~\. .... _ DUCT & PLEM., REF. PIPING \ 'Z.:2,1 , x,; ►~ --
HEAT -AIR COND. -SOLAR SYSTEMS
~-·
-· ... .-... ,_ ,.,~ ··~·--.
VENTILATING SYSTEMS . .., ' . -.--.. =--.
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE1 BEEN APPROVED. .. '
JOB SITE FINAL ,
PLUMBING ' -I "'~ "''
ELECTRICAL I A"t"\ ~ ~,\,,,D-W
MECHANICAL ,,,.iL,--~1 i -v
GAS ~~ ,_. ·v -~
--
BUILDING ( •v
SPECIAL CONDITIONS -
' CERT OF OCCUPANCY ISSUED ' .
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