HomeMy WebLinkAbout2688 WATERBURY WAY; ; 85-227; PermitIJ) z 0 ~ IC ,c
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfaHlons Code, and my license is on
full force and effect.
Loe No _____ Clm
I hertby af11rm that I am uempt lrom the Contrac-
tor's License law tor the lollow,ng reason {Sec 7031 5 Bus,ness and Professions Code Any c,1y or county whicti re· Quires a perm11 10 construct. atter, improve, demolish. or repair any struclure. prior 10 11s issuance also requires :heap-
phcanl lor such permit 10 hie a s1Qned statement 1Nt he 1s ~nsed pursuanl to lhe prov1s10ns ol the (.;Ontr,ctcw s
License Law (Chaipter 9 cornmencmo w11h Sec110n 7000 ol
OtY1SK>n 3 of the Business and Protessl0f1s COCle) or 1~11s ex• empl then!lrom and the baSIS JOI' the a egea exempll0f1 Any
violation of Section 7031.5 by an apphc:.anl IOJ a permd sub-t«IS the apphcant to a CMI penaily o1 no1 more thin 1 'It nun-
dre<I do<lars S500)
I, l5 DYwner of the property 0( my ffllPIOyeeS W1lh wages
as their SOie com.pensat10n vr U do the woo: and lhe strut• ture 1s not mlencled °' offered !or sate (Sec 7~4 Busmess
and ProteSSIOfls Code The Contraclof's license Law does no1 apply 10 an owner of property who bu11ds or improves !hereon and who does such work himself or lhrough hrs own
employees. provided thal such 1mprovemen1s are not 1nten<J-ed or ollered lor sale II. however. the butkltng or improve-
ment 1s sold within one year of completion the owner-builder will have the burden 01 proving Iha! he did not build or im-
prove tor the purpose 01 sale)
..... I, as owner of the property am exctusmty conlrxting
with licensed contractors lo construct the pro,ect (Sec 70u Busrness and ProlesS10ns Code The Contr,c1or·s License
LlN does not apply to an owner 01 property who bu,lds Of im-proves lheleon. and who contracts lot each prqects ,..,1h a
conlr~k>fls) k:ense pursuant to the Contrxtor s Lanse L1w)
As• homeowner I 1m unprOV1ng my home, and the tolow
ing COtKhllOnS exrst t The wo,k ,, be1ng penormeo pr10r to sal<
2 I Nve lived m my home for twetve monU1s poor to complel10n of this work
3 I have not ctauned this exemp11on during the lasl lhree years
B&PC
0 I hereby afl,rm th.al I ha-le a cen1hcate ot consen1 10 sell insure or a cer11t1ca1e of wo,kers
Compensation Insurance o, a cer11he<J cooy thereat
!Sec 3800 Laoor CO<lel
POLICY NO
COMPANY
0 Copy IS hied with lhe city
D Cen,fled copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS COM PENSA TOON INSURANCE
(Tt·us section need not be complele<S ,t lhe perm,1
•s '°' one hundred OOllars {$ IOOt o, 1es~1
D I cer'ltfy that 1n the pertQfmance ot 1rie ""on,. lo, wtuch ttus permit ,s issued I s~II not employ iitly
person ,n ¥ly manne, so a.s to beeome sut>iecr tu
the Wo""-ers Compensahon Urws ot Ca1,torn,a
NOTICE TO APPLICANT If. after mak.1nJ lh1S Cert,
liute ol Exemp11on you should beeome sut>1ect ,.,
the Wor\.ers Compen!Mlt1on p,o..,1s1ons ol lhe Labor Cooe you must tonh-A1th comply with such
pro..,1s,ons o, lh,s oerm11 shall be oeemeo ,,..,01-.ecJ
O I hereby attum tMI mere ,s a .or,51ruct10"
end,ng ~ency tor the perto,mance 01 me •Of1o IOI'
wh•Ch this pe-rm,t ,s ssue<I 1Sec )097 c,..,, Cooe1
Le~r s N.ame __________ _
Lenoer s AOdress _________ _
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 1r------------------------------------------------------------------------------, USE BALL POINT PEN ONLY & PRESS HARD
APPLICATION & PERMIT
CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. It BLDG USE CODE
OWNER'S MA L NG AOOAESS
: 2~SB /4,,/;,?,-hvr✓ /4,,6y DESIGNER LICENSE 11 STANDARD PLAN,, BUILDING $0. FOOTAGE
CENSUS TRACT I GP LAND USE l PAR-KING SPACE I AES UNITS I
QTY. PLUMBING PERMIT -ISSUE I
EACH FIXTURE TRAP ,
EACH BUILDING SEWER
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS ----
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL , ALTER. REPAIR WATER PIPE o-----t------EACH VACUUM BREAKER
WATER S0FTNER
EACH ROOF ORAN I ~SIDE)
TOT Al PLUMBING I
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP SWl 8KR
I PH 3 PH
EXIST BLOG EA AMP SWT BKR
I PH 3 PH
REMODEL ALTtR PER CIRCUIT
TEMPP0LE ZOOAMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TO TAL fLELlRICAL I
I
OES1GNEA S ADDRESS
F p FLA ELEV
vO NO
GRADING PERMIT ISSUED
I
REDEVELOPMENT
AREA
-..o NO
QTY. MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS UP TO 100 000 BTU
OVER 100.000 BTU
NO
STORIES
TYPE
CONST
DESIGNER'S PHONE
0 lblJ
OCC GP EDU
OCC LOAD FIRE SPA
vO NO Nor Valid Unl~u Machine Curdttd
SUMMARY/ACCOUN1' NUMBER
BUILDING PERMIT 01-00-00-8220 /1'?, VO
SIGN PERMIT 01-00-00-8221 ' ------------------t-------tr--------------------+---f...,5CJ B0ILER/C0MPRESS0R UP TO 3 HP PLAN CHECK 01-00-00·8806
BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 -METAL FIREPLACE ELECTRICAL 01-00-00-8223
VENT FAN SING LE DUCT MECHANICAL 01-00-00· 8224 -
MECH EXHAUST HOOD DUCTS M0BILEH0ME 01 ·00·00-8225
RELOCATION OF EA FURNACE HEATER M0BILEH0ME PARK INSP
TOTt.L MECHANICAL
S0l,Af!__ 01-00-00-A??~
,-STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-00-00-8227
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·89l)
BRIDGE FEE
COLLECTORS SCHOOL FEE • DISTRICT
STORAGE TANKS Carlsbad 80-92-21-0519
ROCK STORAGE Encinitas 80-92-22-0519
PUMP San 0oegu,10 80-92-23-0519
PLA'I CHECK FEE San Marcos 80·92-24-0519 -
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519
CREDIT DEPOSIT /I')
TOTAL SOLAR TOTAL FEES PAYABLE I L6>v JI
HAVE CAREFULLY EXAMlllE0 THE COMPLETED APPL•CATION ANO PERMIT ANO 00 HEREBY Expiration E•ery permit issued by the Buoldong 011,c,al under lhe pro••••onsof thos
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 1,m,tation and become null and void If the bu1ld,ng or work * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
5 0 DEEP ANO DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT DEC LA RAT ONS ARE TRUE ANO CORRECT ANO• FURTHER CERTIFY ANO AGREE IF A PERM T S z•ulhorozed by such perm,t ,snot commenced '"'th'n t80 days lrom the date of such ~•t or 1f the tW'f'id,ng or work author,zed by such P8rJl'l'h ,s suspended or
ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAVIS GOVERN NG BUILDING CON[l~~•:::'ii'do7.,n:,:ad':::a;;,t ~ •""""~to•mm~••:;,•-,ftt~••rc.:t~h~e_:w'.!o~rk~••~c~o'.!cm~m!!en=c:!::e<l~lo~rc1;1i,~~°'"'~'cod~oe!!l_1~80=d!.!a.Lys,__--::::-f"::":':~~~~----~:.,-------~"'.""------, STRUCTION WHETHER SPEC F ED HEREIN OR NOT I ALSO AGREE TO SAVE IN~EMNIFY AN ~~ APPAO
KEEP HARMLESS THE CITY or CARLSBAD AGA,NS~ ALL LIABILITIES JUDGMENTS COSTS Ii., APPi CA SIGN e • , • o w /\E CONTRACTOR O ~E ~ct .
EXPENSES WHICH MAY IN ANY VIAY ACCRUE AGAINST SAID CITY IN CONSEOU OF -/ ~ -~ BY PHONE 0
GRANTING OF THIS PERMIT / • , , , .., • ./ • _f.J
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DATE INSPECTOR ~--c)..;;)., r TYPE I . -I . ... BUILDING -.--. ·. -FOUNDATION I h.l..1 ,~ A-L ~-FIELD INSPECTION RECORD
REINFORCED STEEL I -'f,l-0fJ> ].,,,,/7 I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I I
REO IF INSPECTORS GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE I
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE
SHEATHING D ROOF D SH~AR PRIOR TO
FOUNDATION INSP FRAME I
STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION I PRES TRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
BOLTS UNDERGROUND D WASTE D IJ{ATER
TOP OUT D WATER SPECIAL MASONRY D WASTE
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WAtER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D l!IFFER
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
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VB BEEN APPROVED.
FINAL I
rlA
PLUMBING I \ ~'t'
ELECTRICAL I \ l,;{ ~ I -MECHANICAL I ' ~ l i .-/
GAS I \ ~ I
BUILDING I
SPECIAL CONDITIONS I
I