HomeMy WebLinkAbout2688 WATERBURY WAY; ; 83-83-26; PermitIll z 0 ;:::
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~eby attlrm that I am licensed under
P,O'ilalon, of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is In
fullfor~ dj
Loe No .., ..... ~...,-~ Clm _.;),=---
r hereby 1thrm that I am exempl trom the Contrac-
10( s License law tor lhe lollowmg reason (Soc 7031 5
Busmess and Prolesst011s Cooe Any c11y °' county whtth re-quires a permit to construct. alter ,mprOl/t demohsh. or
repair any structure. prior to its issuance also requnes !heap• ptant tor such perm11 to hle a StQned statement lhat he ,s
heensed l)UfSuanl 10 the prOYlSICIOS 04 the (.;onHICIOf S License Law (Chapter 9 cornmenc.ng w1lh SocltOII 7000 of ()v,s,on 3 or lhe Bus,ness and Protessions Code) oc 1ha1 ,sex-empt lherelrom and !he bas<s for 11,e, ie,ieo e,ernp1,oo ~"Y
vt01a1ton al Soclt0n 7031 5 by an applicant lor a pe,m,1 sul>-
iects !he awitc.anl to• cMI penalty al not mo,e !hart ~,e l>un•
dred dollvs ($500).
n I, as owner of !he properly or my employees w,th wages as lhe,r sole compensatlOO. '#11111 do the work. al\d lhe struc·
lure 1s not intended or ottered IOf sale (Sec 7044 Business
and ProlesStOns Code The Contracto(s license Uw dOes not appty to an owner of propeny who butlds or 1mpravts !hereon and who does such WOl'k h1msett or through htS own
employees, provided that such improvements are no1 intend-ed or ol111ed !Of sale If. however. the building°' 1mpravt-ment 1s so6d w1thtn one year ot complehon, the owner·bu•lder w,H have the burden of provmg that he dtd nol b,r,ld or im-
prove lo, lhe purpose ot sale)
□ I. as owner of lhe properly, vn excluSNety contracting with hcensed contracto,s to construct lhe pr0fec1 (Soc 70<4. Business and ProlesStOns Code The Contractor's License Uw does noc apply &o an owner of p,operty who builds Of 1rr.-proves thereon. and who contrKIS for each P'Oft(IS Wllh a ~1ac1or(s) ltcense pursuant to the Contractor s L,cense
□ As a homeowner I am 1mprOY>ng my home. and lhe follow·
mg conchhons exist 1 The work 1s bemg performed puor to sale
2 I have lrved ,n my home fOf twelve months prw,r to complehon of this wOfk
3 I have not clauned th1s exempt,on durmg the last three years
~by alltrm that I na,e • cen,hute ot consent
to sell insure or a cert1t,ca1e ot WOf._e,s
Compens.ittOn Insurance. a, a cen11ted c0py thereol
(Sec 3800 ubol' Code>
POucv NoW/J :J,:;j-~.3--'f f
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0 Cen11ted copy 1s hereby tum,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s sec11on need not be completed ,I lht' ~m,1 _,;s fOf one hundred dollars fS 100) Of ~ss1
a!(', cen,ty thal in 1ne perlo,mance ot 1he woo tor
whee.n 1h1s permit ,s issued I shall no1 employ an.,.
person ,n any manner so as to beeome sub1ec1 10
lhe W~ers Compensation U ""s 01 Calltorma
NOTICE TO APPLICANT If. after mak.1n1 ll\+S C,er1,
ticate ot E•emption you snovld bec:ome subject ,,,
lhe WOOl.ers Compensat,on p,o..,1s1ons ol the UbOf
COde you must fortl'l"A1lh comply with such
prov,s,ons or 1h15 perm,t shall oe: aeemed revoll.ed
0 I hereby alhrm that there ,s a COMln.1ct10n
1end1ng agency toe the perto,mance of !he ..,,oo. tor
wh,ch 1h15 perm~, issued ~~7 v, c 1
LendersName~-~~~---/~~-~~~-
Lender s ACJdress .. •
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
,OB ADDRESS AV ST RO. NEAREST CROSS ST
!DATE ;~;~;;;;ON'
BUSINESS LICENSE • VALUATION PERMIT NUMBER
2688 Waterbury Way 3681 ~ 7d-fJ3
LOT I BL1:{'K 1'1.[)jluaD v•s ON I ASSES R PARCEL NO D CONTRACTOR CONTRACTORS f>H. INE • ZONE i3-f3-cU, ?I:. ft ._., __ ~,·--n~ I (L// L I..L.) J ~ 3,~( Standard Pacific of San Diego 279-2042 OWNER'S NAME . OWNER'S PHONE
Standard Pacific of San Diego 279-2042 CONTRACTOR'S AODRESS LICENSE NO PLAN 1.0. # BLDG USE CODE
OWNERS MA NG AODRESS (same) 294215
7290 Clairemont Mesa Blvd., San Diego, CA 92111 DES GNER LICENSE • STANOARD PLAN # BUILDING SO. FOOTAGE
OESCA1PT 1~ )F WOAI<. Buzard-Henning & Associates NR I (3/ ~ j ,5J 1 I ~;JA , .. ::
' .
i::inol ,:,,-f::ami l v rtuol l ino-att-::a<"hort o::ir::io,:,, DEStGNER·S AODRESS OESIGNER'S PHONE
/.,4,., 3,0
4883 Ronson Ct., San Diego 921 1 278-6855 -----F/P FLR ELEV. NO OCC GP EDU
vO NO
ST/IES ~-3 I ---
CENSUS TRACl I GP LANO USE I p5/; SPACE I RE?NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPR AREA cv,v YO ND v0 N~ vQ N.Ji!! Not Valid Unlns Machint Ctrld1«J
QTY. PLUMBING PERMIT· ISSUE ?!!!-QTY. MECHANICAL PERMIT · ISSUE .3-SUMMARY/ACCOUNT NUMBER
k' EACH FIXTURE TRAP /...1n .-I INSTALL FURN DUCTS UP TO 100.000 BTU ~ ~ BUILDING PERMIT 01-00-00·8220 337-
I EACH BUILDING SEWER /4 .5/ OVER 100,000 BTU SIGN PERMIT 01-00-00·8221
I EACH WATER HEATER ANO OR VENT ca. .~IJ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 ..::J/9.IJ.£'"
I EACH GAS SYSTEM I TO 4 OUTLETS .:J_ .<o BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00·00·8222 _:/'/-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00-8223 :l/J-
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00· 8224 .,, -
EACH VACUUM BREAKER 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-()().0Q.R??I:
TOTJ;L MECHANICAL STRONG MOTION 80-92·33·0519 ¢; 75'
I .3q 7 ----TOTAL PLUMBING -FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE ? QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00-00·8933
BRIDGE FEE
NEW CONST EA AMP'SWT BKR /!ff) ~,:;--COLLECTORS . ~ SCHOOL FEE • DISTRICT
l PH 3 PH STORAGE TANKS '1~' Carlsbad 80·92·21-0519
EXIST BLDG EA AMP/SWT SKR I ROCK STORAGE ~ L\.r Encinitas 80-92· 22·0519
l PH 3 PH PUMP t'\ '1 _p San Diegu1to 80·92· 23·0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE \ \). ,o San Marcos 80-92· 24·0519
TEMP POLE 700 AMPS r rv "' OVER 700 AMPS " u LICENSE TAX 01-00-00-8162
TEMP OCCUPAN CY 130 DAYS) . -CREDIT DEPOSIT <-:Z 'I 3. :::, S ,1
lOTAL ELECTRICAL I go-TOTAL SOLAR TOTAL FEES PAYABLE I .393.~
I HAVE AREFUI.LY EXAMINED THE COMPLETED APPLICATION AND PEPMIT AND DO HEREBY Exp,rlhon E'IHff'Y permit ••sued by t"9 Buddtng Off1c1el under the pro-.,1s,ons of th+s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREO"I !NCLUDING THE Code shall exp.re by hm1t1tion and become null and void If the build,ng or work 5 0 DEEP AND DEMOLITION OR CONSTRUCTION OF
D§.ClARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANU AGREE IF A PERMIT IS authonzed by such permit•• nol commenced ••th,n 180 days from the date of such STRUCT\JR£S OVER 3 STORIES IN HEIGHT
SSUED TO COMPLY WITH Ac:~ CITY COlJNlY AND STATE LAWS GOo/ERN NG BUILDING CON :~'::::On~ '!1 '~" ~,:·:x:~~~or:~!~~~:'e:leJ~~~ :8~~~·~~~~~ or -,..
STRuCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPL1CANT::WS SIG m OWNER[T CONTRACTOR 0 APPROr:fl/-
ID?~ kc/ I I:,
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND
EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE V r -r
,.1A._ D rL GRANTING OF THIS PERMIT ~--BY PHONE
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FAA
FRAME
EXTERIOR LATH
INSULATION
PLUMBING
SEWER AND BUCO DIPUCO
UNDERGROUND
TOP OUT D WASTE
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WAirER
ELECTRICAL
D ELECTRIC UNDERGROUND D IJFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPOAARY
D BONDING D POOL
MECHANICAL
0 DUCT & PLEM., D REF. PIPI G
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT/ N WHEN ALL APPROPRIATE
ITEMS ABOVE HA V BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
'
. ' -~ ' gg ... oo~~ r~"') I ..,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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