HomeMy WebLinkAbout2688 WATERBURY WAY; ; 84-363; Permit.,,
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0 I hereby affirm that I am llcensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHalons Code, and my llcense Is in
full force and effect.
llC No ------Cl,ss
I hereby alhrm thal I am exempt lrom u,e Contra<:-
t0<' s Licenso law tor the lollow,ng re,son (Sec 7031 5 Business and Prolesst00s Code Any city or county wh.cli re·
quires a permit to construct alter, improve. demohsh. or rePi•' arry structure. pnor to ,ts issuance also requires !heap-
plicant tor such permit to file a signed statement thal he 1s
hcensed i,ursuant 10 the PfOVIs10ns of !he ConlrKtor s license Law (Chapter 9 commenc,ng with Section 7000 o1 °"'"""' 3 of the 8uSlfltSS and Protes...,, Code) OI Iha! 1$ ... empl therefrom and the baStS tor lhe aItegea exemptt0n Arry
v!Olol,on ot Sect,on 7031 5 by an appioQnt lo<• perm,1 sub· ,ects the aPIJl,c.lnt to a civil penally of not more than 1..,. hun•
dred doflats (SSOO)
,... I_ as owner ot the property, OJ my employees w11h wages
as their soAe compensation. w,11 do the work and the struc·
ture tS noi Inlendecl or of1ered tor Sile (Sec 704• Business
and Professions Code. The Contractor's License Law does no1 apply to an owner ot property who builds or improves
thereon and who dots such work" htmselt or through his own employees, provided that such Improvemen1s are not intend• ed or ottered !or sale. If, however. the building or Improve-
men1 Is sotd wIlh1n one year or compte110n, the owner·bu1kJer will haV11 the burden ot prOYlng that he did not tluIld o, Im• prove t0< the purpose of sale).
D I. as owner of the property. am exclusively contracl.ng with llcensed contracl0<s to C0<1Struct the pro,ect (Sec 7044,
Bus.mess and Profess,ons Code The Contrac1or·s Lttnse U w does nol apply to an owner o1 property whO bu,kis or m-
PfO'teS lhe<eon, and who COOl'1Cls for uch pro,ec:1s Wllh a contraclor(s) hcense pursuant to lhe Contractor's Licen.se Law)
0 As• homeowner I am ,mprOYlng my home, and the lollow ang cond1hons eiust:
1 , The WO<k IS l>eing pe~O<med pr10< 10 sale 2 I have hved in my home lor lwetve monlhs
3. r:!o =~::t t
1~.': =~pttOn dunng lhe last three years.
0 I hereby affirm that I N.-e a cet11hea1e of consent
to self insure. or a cer11t1cate of W()(kers
Compensahon Insurance. Of a cen,f1ed CoPy thereof
(Sec 3800. l..obot CO<leJ
POLICY NO
COMPANY
0 Copy IS hied with the C1ly
0 Cert1hed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec110n need not t>e compteled ,t the o,erm11
1s lo, one hundred OOllars {S 100) o, Jess)
0 I cerhfy that 1n the perto,mance ol lhe wOB IOf
whteh this pemut 15 ,ssued I shall no1 emptoy any
person ,n any manner so as 10 become sut>1ec1 10
11'\e WO<kers ComoensatlOn Laws of CaitfOfn•a
NOTICE TO APPLICANT II. alte, maktn1 lh•S Cen,
hCiile ol Exemp11on. you sh<>old become sut>1ec1 t?
lhe Wooers· Compensalton pro .. ,s'°"s of !he LabOr Cooe you musl lorth""-llh comply with such
pro .. ,s,ons or lh,s permit shall t>e oeemed ,e..,06'.e<J
0 I hereby atlirm lhal lhete 15 a ton!ltucl1on
lending agency t()f lhe per1o,ma.nce ot lhe won-. IOf
whtCh 1h15 perm11 ,s tSSueCI tSec )097 C1vtl Coc:Je1
Len<>ersN~e __________ _
Lenoe, s Address _________ _
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 AOORESS "'8~ 6v,/AV ~;EARESTCROSSST C~ne,n::-< • I o;;z;7;;N1
BUSINESS LICENSE • VALUATION PERMIT NUMBER ~88 £/,..., g4'✓ ~k.?
LOT BLOCK
~
BOIVIS,QN pJ.ASSESSOR PARC~ NO L~ c.]TRA~~,W~ ~ CONTRACTORS PHONE • ZONE -3:i-Q ?_L,.. y,,,,k,;,_ ~2~-7~~2. 2 E R'S NAM~E -•/4 I ;,z;:;;_ ;;:_ el. "4~~£ CONTRACTOR"S AOORESS LICENSE NO PLAN 1.0. # BLOG use COOE
~,¥J'2 ~~/?, ~,e~ "):,~;;.,~~~/ ~y /4',,/Ad DESIGNER LICENSE • STANOARO PLAN II BUILDING SO. FOOTAGE
~~ell" DESCR1PT ON OF~ --
~C/.,e ~A'~c!I'~ M4 DESIGNER'S ADDRESS DESIGNER'S PHONE -~
EK-1-~~/tfllt'lfl->--F/P F LR ELEV. NO ace GP EDU 71 bl 4/1,j STORIES • vO NO ---00 1713 I r:,/ 4 I • CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REOE VE LOPMENT TYPE ace LOAO FIRE SPA I AREA CONST
YO N 0 vO NO vO NO Nor Valid Unlrss Machmt Ctrldit!d
QTY. PLUMBING PERMIT · ISSUE ti~~ QTY. MECHANICAL PERMIT · ISSUE .3-SUMMARY/ACCOUNT N U MBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01 ·00·00·B220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00·8221
EACH WATER HEATER AND/OR VE NT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00· 00· 8806 -EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00·8222 /'/J ,~
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 I
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224
EACH VACUUM BREAKER MECH EX HAUST -HOOD/DUCTS MOBILEHOME OHJ0·00·8225
WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ( INSIDE) SOLAR 0 1 :00:.00.· A ??I\ I _\ ew -f,lr ~I.TeN/..ct...J ~ , .SG,, TOT.I.L ME CHANICAL STRONG MOTION 80·92·33·0519
TOT AL PLUMBING I Ia rtY; --
FIRE SPRINKLERS 01 ·00·00·8227 r PUBLIC FACILITIES FEE 32·00-00·8933 QTY. ELECTRICAL PERMIT • ISSUE .~-QTY. SOLAR • ISSUE
BRIDGE FEE
NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP/SWT BKR ROCK STORAGE Encinilas 80·92· 22·0519 1 PH 3 PH PUMP San Dieguito 80·92·23·0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 700 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 OAYS) m~~
CREDIT DEPOSIT
TOTAL ELE CTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /o,,-g:g-
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' ANO DO HEREBY Eap,rabon Every pemMt llaued bytheBl,Mllng Off1c1af undef the provisions of 1n,s * AN OSHA PERMIT IS REOUIAEO FOfl EXCAVATIONS OVEA CERT,FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••pere by hmrtateon and become null attd void If lhe bu,ld,ng or work 5 0 DEEP ANO OElilOLITION 0A CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE tF A PERMIT IS •u•:~or r, 1uchftnot commenced Within 180 days trom me date ~f such STAUCTVAf.S OVEA 3 STORIES IN HEIGHT per • 1i lhe bu o,o, u.%.:""'°'IZ8d by such perm,1 is suspended or ISSUED TO COMPLY WtTH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING GOif anw • commenced for•"""'"' of !l!O davs STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN ~ 1~ ~ )~
APPflQ?~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS ~TS A~~IC ~IGNAT • OWNE CONTRACTO ~;/4 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUEN -_T, ~ BY PHONE 0
I GRANTING OF THIS PERMIT _/ ---Lt~
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TYPE DATE INSPECTOR -I -'; _ '8"1-... o ~~3 BUILDING I ...
I l -F OUNDATION I FIELD INSPECTION RECORD
M
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
ASONRY I
I REO IF INSPECTORS
GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE • A ) i -
SHEATHING D ROOF D SHEf\R PRIOR TO
FOUNDATION INSP
FRAME I
STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION I PRESTRESSED I CONCRETE -INTERIOR LATH & DRYWALL I POST TENSIONED
) I CONCRETE
PLUMBING I FIELD WELDING .
SEWER AND BUCO DIPUCO I HIGH STRENGTH
BOLTS UNDERGROUND D WASTE D WATER '
TOP OUT D WASTE D WATER SPECIAL MASONRY l
TUB AND SHOWER PAN I -
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
\ J -ELECTRICAL I ,. . -
D ELECTRIC UNDERGROUND D l!JFFER -
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO$ARY -. .
D BONDING 0 POOL I
I
MECHANICAL ' I
D DUCT & PLEM., D REF. PIPING .
HEAT -AIR COND. SYSTEMS I ·--
VENTILATING SYSTEMS I ' -., --
I .~ " I -. .. . . ,~ -1, CALL FOR FINAL JNSPECTIQN WHEN ALL APPROPRIATE . . .... '-,.... -ITEMS ABOVE HAV5 BEEN AP.PROVED. • ,. . ~ ' -•
.~
FINAL I -6\,i . -......~ ----n,. II). AA rw ~~<'
.., .
PLUMBING / tl~v ---s,,
ELECTRICAL "(\'1 . . -.... \ ,_ .. " < .. ,.J.:_ --'"" .:., . ~ ,>
MECHANICAL I ,s•. -... ""'t.!..: I .... -· GAS I --~ ... <r; ' -:-.~?, --, "' ' ... --.
' ~ . >• -BUILDING -' •· ,. I ...._
SPECIAL CONDITIONS I
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