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Home My WebLink About2691 WATERBURY WAY; ; 85-644; PermittJ) z 0 .: <( a: <( .J 0 Ill 0 C I[ 0 0 C Ill 0 .J 5 Ill « Ill z 3 0 z 0 .: <( tJ) z Ill CL :Ii 0 0 tJ) oc: Ill >£ a: 0 3 O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ot Division 3 ot the Business and Professions Code, and my license is In lull force and effect. lie No _____ _ Class t hereby af11rm that I am exempt lrom rhe Conuac- lor's License Law lor lhe I011-0wong reason (Sec 1031 5 Busmess and Professt0ns Code Any c11y or county wh1cli re-quires a perm,t to consIruc1. a1ter. improve. demohsh. or repair any structure, poor to its issuance also requues !heap- phcant tor such permit to hte a s,qned statement Iha! he 1s hcensed pursuant 10 the provIsIons ol the Con1ractor s Lteense Law (Chapter 9 commencmg with Section 7000 ol Otv1s1on 3 of the Busmess and ProlessIons Code) Of Iha! ,sex· empt lherefrom and the baSJS for the al!egeo exemp11on Any vIolat1on ol Sectt00 7031.5 by an apphcant lor a perm,t sub- ,ects the apphcant lo a cIvII penally of not more than hve hun· dred dollars ($SOD) I. as owner ol lhe propeny °' my employees with wages as their sole compensation will do lhe work. and lhe slruc· ture ,s not intended or ollered tor sa1e (Sec 7044 Business and Protesst0n5. Code The Contractor· s Lic:ense Law does not apply lo an owner ol property who builds or Impr<Nes thereon and who does such WOfk h1msell or lhrough his own employees. provided that such improvements are not mtend· ed or offered lor saIe If, however. !he buIldmg or improve· ment Is sold wIthm one year m completIon. the OWnef·bmlder wlll have the burden of proving that he dtd not build or Im· PfOVe for the purpose ol sale) r I, as OYtner ol the property, am exclusively contracting wllh hcensed contraclors to construe! lhe pro1ect (Sec 7044. Business and Protess10ns Code The Contraclor's License Law does not apply to an owner of property who builds or Im• proves thereon, and who contracts !or each proiects w11h a contractor(s) hcense pursuant lo lhe Contractor's License Law) L1 As a homeowner I am 1mprovmg my home, and lhe follow mg condI1tons exIsI 1 The work Is being perlormed prtOf to sale 2 I have ltved m my home for twelve months pnor to completion of this work I have not claimed lh1s exemptlOn dunng the last three years D I am exempt under Sec ______ . 8 & PC for this reason ____________ _ 0 I hereby allnm that I have a certificate or consent to sell-insure. or a certificate ol Workers· Compensalioo In• surance. or a certified copy thereof (Sec. 3800. Labor Code) POLICY NO COMPANY Copy IS hied ..... 1th the C•IY 0 Certified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec11on need not be completed 11 the permit 1s for one hundred dollars ($1()0) o, less) 0 I certify thal 1n lhe performance of the work for wtlich ttus permit ts issued. I shllill not employ any person 1n any manner so as 10 become subject to the Wo,kers· Campen• sat,on Laws of Cahtorma. NOTICE TO APPLICANT: If. after making this Certificate of Exemption. you should become subject to the Workers· Compensation provisions of the Labor Code. you must lorttlw1th comply with such provisions or this permit shall be deemed revoked. 0 I hereby affum that there is a. construction lending agency for lhe performance of the work for which this per- mit 1s issued (Sec. 3097. Civil Code) Lender"s Name ____________ _ Lender's Address ___________ _ I I I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS AV ST. AO. NEAREST CROSS ST. Io? ~~OL~c;:;1 BUSINESS LICENSE # ~KON PERMIT N UMBER :JbJCJ/ I/ J~-rG,()Rr~JJV //)IW' 5-c. C6 t.o+4-LOT BLOCK --I SU8O1 VISION I ASSESSOR PARCEL NO Co T7flA CONTRACTORS PHONE • ZONE OWN£ R'S NAME /\/.4,,'...'.;..~~I OWNER'S PHONE JIit? /1? P._( I. t/ 3'-l-66tf':J CONTRACT(/R'S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE OWNER'S MAIL NG ADDRESS dt,Q; u.J Jr~/LBU ll,J-) WA,V DESIGNER DESIGNER'S PHONE DESCRIPTION OF WORK -. -DESIGNER'S ADDRESS LICENSE NO 'JI U/EJ !:I(; PlrTIO tau~_( L),4.t>~~~ • li I ~03 /2 I • - /l/-1 '1 F p F LR ELEV. NO OCC GP EDU STORIES vO NO CENSUS TRACT I GP L ANO USE I PARKING SPACE AES U NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST YO ND vO NO vO NO Not Valid Un/nr M,chine Ce,11/ied QTY. PLUMBING PERMIT -ISSUE ?J,{V QTY. MECHANICAL PERMIT -ISSUE ~ _,, SUMMARY/ACCOUNT NUMBER • EACH FIXTURE TRAP INSTALL FURN DUCTS uP TD 100,000 BTU -BUILDING PERMIT 001·810·00-00-8220 7-,;;;; - EACH BUILDING SEWER DVE R 100.000 BTU SIGN PERMIT 001·810·00·00·8221 -------~ - EACH WATER HEATE R AND OR VENT BOILER/CO MPRESSOR UP TO 3 HP PLAN CHECK 001-810-00·00·8806 EACH GAS SYSTEM 1 TO 4 OUTLETS ' BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 ---- EACH GAS SYSTEM 5 OR MORE I 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 DUCTS MOBILEHOME 001 ·810·00·00-B225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOSILEHOME PARK INSP EACH ROOF DRAIN ll'ISIDE) SOLAR 001·810·00·00·8226 TOTtil MECHANICAL STRONG MOTION 880-519-92·33 -- TOTAL PLUMBING I FIRE SPRINKLERS 001-810-00·00-8227 QTY. ,,,...-_/ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 332·810·00-00-8930 ELECTRICAL PERMIT -ISSUE .tJ NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE • DISTRICT I PH 3 PH STORAGE TANKS Carlsbad EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San Olegu1to REMODEL ALT tR PER CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 001-810-00-00-8162 TEMP OCCUPANCY 130 DAYS) MFF 880·519-92-57 CREDIT DEPOSIT TOTAL ELECTRICAL . -I TOTAL SOLAR TOTAL FEES PAYABLE I lb - I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT ANO DO HEREBY Exp1ra11on Every permit ,ssued by the Bu1fd1ng Offlc1al under the provisions of thts * AN OSHA PEFM:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUOl'IG THE Code shall expire by 1tm,tat1on and become null and void If the building o, work 5' 0" DEEP ANO OEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by sucll perm,t 1s not commenced within 180 days from the ctate◊f such STRUCTVR£S OVER 3 STORIES I~ HEIGHT ISSUED TO COMPLY WITH ALL CITY COUN1Y ANO STATE LAWS GOVERNING BUILDING CON :~'::~n°~ 1 ~1 t=~Y ~~~'~Pte~;h:~~,:~!hi~~~e~!e~~~~ ;>~~7.~d 1~fs~~:~1 or STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND • AP.PR ' VEO BY 1Dt:fr!t.,-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AN:~PPLIC~NT'S SIGNATURE lf-OWNER,?-!'--CONTRACTOR 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH • Y7a -#n. BY !'HONE.q_ ,_ . -I . . GRANTING OF THIS PERMIT ·j .-_ .J ~ ~. ,. ./ re..~ -- ~ LL >-~ 0 a. E Q) t- 0 en en Q) en en <! I 3 0 Q) >- rJi en Q) <.) 0 a: <ll ~ 0 ~ Q) <.) C <ll C i.i: :::. E <.) Q) a. en C TYPE I DATE INSPECTOR BUILDING I I FOUNDATION I REINFORCED STEEL I MASONRY I I GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEll+ING SHEATHING D ROOF D SHIEAR FRAME I EXTERIOR LATH I INSULATION I I INTERIOR LATH & DRYWALL I I PLUMBING I □ SEWER AND BUCO □ PL/CO UNDERGROUND D WASTE 0 1 ATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN I GAS TEST I D WATER HEATER D SOLAR Wt-.TER I ELECTRICAL I D ELECTRIC UNDERGROUND 0 1 UFFER ROUGH ELECTRIC 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 CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL I PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS ,. --. . . . ;_ . - FIELD INSPECTION RECORD ' REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES 7 INSPECTION REQ IF INSPECTORS DATE I~ AJb ~PH ",Jt:,5 /Ji~~~,Jc.J> ~U,<LW CHECKED APPROVAL . ~ _J__.1.' -tJ_,, ~-~<> 1/~L\L:>_h / / . SOILS COMPLIANCE PRIOR TO -I FOUNDATION INSP STRUCTURAL CONCRETE I OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS . ·- - . \ -4-,, . . ' .. .