HomeMy WebLinkAbout2691 WATERBURY WAY; ; 84-342; Permiten z 0 .: C CIC C _,
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l15--1 hereby af11rm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is in
lull lo'uJY,,"ft_ e_ ::t~ lie No =-"'-'"'--"cc.. Class
I hereby afllrm that I am exempt lrom the Conuac-
lOr's Ltcense Law lor the lollowmg reason (Sec 7031 ~ Business and Professions Code Any c,ly or coonty wh1ttl re·
qU1res a permit to construct. al1er. improve, demohsh, Of repa1r any structure, prior lo ,ts issuance also requues !heap·
phcant !or such permII to tile a sI!lned statement that he Is
l.censed pursuanl to the provIsIons ol the conIracIo(s Ltcense Law (Chapter 9 cOff\JTlencmg w1lh Section 7000 or
Olv1st0n 3 or the Business and Protes5'00s Code) or thal ,sex-empt therelrom and the basis for the allegeo exemption. Any
VIOlat1on of Section 7031.S by an apphcanl for a perm11 sub· 1ects the apphcant to a c,v,1 penalty of nOI mo.-e th.an hve hun·
dred dollars ($500).
0 I. as owner ol the property, or my employees w11h wages
as their sole compensatlOfl, will do the work, and the struc-
ture 1s not intended or offered for sale (Sec 7044, Business and Proless10ns Code: The Contraclor's License Law does nol apply to an owner ol property who butlds or improves
thereon and who does such work himself or through htS own employees, provided that such improvements are not intend•
ed or offered fOf sate. 11. however, the building or improve-menl is sold w1thtn one year of compJelion, the owner•budder
will have lhe burden ot prOV1ng lhat he did not build or im· prove fc, \he purpose of sale).
D I, as owner ol the property, am exclusively contracting with lteensed c-ontractors to cons1ruc1 the project (Sec. 7044,
Business and Professions Code: The Contractor's License Law does not apply to an owner ol property who builds or im-proves thereon, and who contracts for each projects with a
contractor(s) license pursuant to the Contractor's License law).
0 As a homeowner I am improving my home, and the lotlow· ing conditions exist 1. The work is being performed prior to sale. 2. I have lived in my home tor twelve months
prior to completion of this work. 3. I have not claimed this exemptoo during the last lhree years.
~ereby affirm that I ha~ a cen,ticate ot consent to sell-insure. or a cert1hca1e of Workers·
Compensation Insurance. or a cert1f1ed copy thereof
(Sec 3800. Labo< Code)
POLICY NO IA) c_ '51!)( )>f '-I
COMPANY V A.}I b~
oZ,.eoPy IS hied with the city
0 Certified cooy 1s hereby furnished
CERTIFICA l l OF EX~MPTl()N FROM WORKERS· COMPENSATION INSURANCE
(This section need not be completed 11 the perm,1
1s tor one hundred dollars {$ 1())) rn less)
D I cen,ty that 1n the performance ot the work lo,
which 1h1s permit 1s issued. I shalt nol employ any
person in any manner so as to t>ecome sub1ect lo the Wonters· Compensa11on Laws ot Cahtorn,a
NOT.CE TO APPLICANT It. after makin1 this Cen1
ticate of b::emphon. you should become sub1ec1 1-,
the WOOlers· Compensation pro..,,s,ons of the Labof
Code. you must forth..,..,th comply with such
prov,s,ons or lh•s perm,! shall be deemed ,e..,okeo
O I he-reby affirm Iha! 1here •s a con~1tuc11on 1end1rlQ agency tor me performance ot the won. 10,
which lh1S permit tS ,ssued (Sec .)()97 C,..,,1 Codet
Lenders Name __________ _
lendefs AOdress _________ _
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) 438-5525
APPLICATION & PERMIT
JOB ADDR ESS AV, ST.RD, NEAREST CROSS ST. I D7~~:PMONI
BUSINESS LICENSE • qJt::foN PERMIT NUMBER
,U,q l ~~\a2Ps\){!X WPt'1 2...z:?9&0 ~* j o BLr~ -, ~~.+-SION ASS,~~~'2 N+:-1q CONTRACTOR . CONTRACTORS PHONE • ZONE •
N~~,:M • , .... -1,~fsA ~;, ?a-'/JP,/ OWNER.$ NAME . OWNER"S PHONE
rf°H-D ,...Jr.""~.., ...,... t'b.t u·· A ti.JA.~, ,.,_ CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
Ke:s:.. fbm &./.? / N ✓.SSeo-.1~ ~ ,,~~ ~-A-~( OWNER'S MAILING ADDRESS ~
.,. A.~ .~ DESIGNER LICENSE • STANDARD PLAN # ~
0
. ~TAGE , .,,.., ... \ ~
DESCR1P'r10N OF WORK
OESIGNER"S ADDRESS DESIGNER"S PHONE
~~~roo~+'51,\=: ---F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO ---
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA 11, AREA CONST • I
YO N D vO NO vO NO u No( yati(f {ln~s_Mlc(iint Ctrtilied I I II
QTY. PLUMBING PERMIT -ISSUE ~so QTY. MECHANICAL PERMIT -ISSUE ,.:l,~ SUMMARY/ACCOUNT NUMBER -
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01-00-00-8220 l"'XJ,~
EACH BUILDING SEWER DVE R 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER AND/OR VENT /J ao BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK -,;1..~ U/, f)J ,._ ...., .._ 6
·1 EACH GAS SYSTEM 1 TO 4 OUTLETS h t:::::-r. BOILER /COMPRESSOR 3-15 HP TOTAL PLUMBING~ -01-00-00-8222 '"'· 00 EACH GAS SYSTEM 5 OR MORE --METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 f I,. f)l) -EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224
I EACH VACUUM BREAKER ,1,.t::i[) 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-R??~
TOTl,L MECHANICAL STRONG MOTION 80·92-33-0519 t,,t:; ·-
TOTAL PLUMBING I , :-7 .OIJ FIRE SPRINKLERS 01-00-00-8227 -QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE _j/r,) BRIDGE FEE
NEW CONST EA AMPISWT BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TAN KS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT/BKR AOC K STORAGE Encinitas 80-92-22-0519
1 PH 3 PH -PUMP San Dieguito 80-92-23·0519 ,, ./ REMOOEL'AL TfR PER CIRCUIT /() _,,,,
PLAN CHECK FEE San Marcos 80-92-24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
f EMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I 15 oc TOTAL SOLAR TOTAL FEES PAYABLE I II I, 113
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT' ANO DO HEREBY Exporat;on Ewery -""' -by the Buoldlng OfflCl8I unde< the prov191ons of 1htS * AN OSHA PERMIT IS REOUIAEO FOfl EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lftall expire by hmitabOn .,d become null -vOfd II lhe bu1ldmg or wor~ S' O" DEEP ANO OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by ouch permtl ,a not commenced_,,, 180 days lrom the dale o>f such STRUCT\IR£S OVER 3 STORIES IN HEIGHT permit, o, of the bulldo~o, worti •~.3::1 ,_ by ouch -m1I ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON• ~ at any time the Work -for a DltrtOd of 180 d•u•
STRUCT\ON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~?JANT"S ~I • / / OWNER□ CONTRACTOR"fi'-~~ 11:q,t;f 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 .I' -
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TYPE DATE INSPEC'fOR . -I -
BUILDING I !
I . FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I 17,1,t,Af eJr REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I . -w
\ REO IF INSPECTOR'S l"t,?CltP.k GIi-INSPECTION DATE . GUNITE OR GROUT I CHECKED APPROVAL ..
FLOOR & CEILING SUB FRAME . ---~ I SOILS COMPLIANCE
SHEATHING □ ROOF □ SHE~R PRIOR TO
FOUNDATION INSP FRAME I . STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION . I PRES TRESSED
I CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
-SEWER AND BUCO □IPU_CO HIGH STRENGTH I
D WASTE □ WATER BOLTS . UNDERGROUND
□ WATER SPECIAL MASONRY
,1 . TOP OUT □ WASTE
TUB AND SHOWER PAN I
GAS TEST I ~. /,I ,1"11' 1(1.#-j I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER \4
I r ~ n
' ELECTRICAL I
ELECTRIC UNDERGROUND □ UFFER Q.,1'7-M /!IA . .~::::. l • --..
OUGH ELECTRIC . V-J I
f::N-~ □ ELECTRIC SERVICE □ TEMPOflARY . _-v . .
BONDING ~POOL I 1,.~,M etr -J,J -I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I ' '· : ' -' I / I / CALL FOR FINAL INSPECT~iN WHEN ALL APPROPR~TE -.. I ITEMS ABOVE HAV BEEN APPROVED. ~ ' ,
FINAL I (Vlf\ VJ 1 _;. I{ -. -. --....... -~ ,-
V . :'} 'I ' . . . . ~ r ~ PLUMBING I . ' K V /!VJ.~", ~
V " II 'I 'f 'i -. ' .. . ELECTRICAL I -·-.:.J . I i. .• t' ' . ..... . . . ' I " ,-V • , R, MECHANICAL I ., -; I ., ' ... _ ,.,.. ;,r I \ . \ ,_J.. i GAS -·-I -~ ' ' . I\ V 1 "" BUILDING I ~
SPECIAL CONDITIONS I \
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