HomeMy WebLinkAbout2684 WATERBURY WAY; ; 83-83-27; PermitCl) z 0 ;:::: C ac C ... (.) Ill a
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~ereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and mylf:11 se Is In
full for~!,AA~J~V J lie No c;~-~~_.i,,l/,...,.~.__.)__,_~_ C Class --L.J'---
1 hereby affirm that I am exempt from the Contrac·
tor's license Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county whidl re-quires a permit to construct, alter. improve, demolish, or
repair any structure, prior to its issuance also requires the ap-plicant for such permit to file a signed statement that he is
licensed pursuant to the provisions ot the Contractor's Ucense law (Chapter 9 commencinQ with Section 7000 o1
Division 3 o1 the Business and Professions Code}°' thal Is ex-empt therelrorn and the basis for the alleged exemption. Any
vl()!ation o1 Section 7031.5 by an applicant for a permit sub-jects the applicant to a civil penalty of not more than live hun-dred dollars (S500).
D t. as owner o1 the property, or my employees with wages as !heir sole compensation, will do the work, and the struc-
ture is not intended or offered for sale (Sec. 7044, Busmess and Prolessions Code: The Contractor's Ltcense Law ctoes
not apply to an owner ot property who builds or improves
thereon and who does such work himself or through his own employees, provided that such improvements are not intend·
ed or ottered lor sale II, however, the building or improve· ment is sold within one year ot completion, the owner-builder will have the burden 01' prOYing that he did not build or im-
prove for the purpose o1 sale).
q I, as owner ot the property, am exclustvely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Lk:ense
Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projects with a contractor(s) ltcense pursuant to the Contractor's Llc:ense Law).
D As a homeowner I am improving my home, and the follow· ing conditions exist:
1. The work is being performed prior to sale. 2. I have live<! in my home for twelve months prior to completion of this work. 3. I have not claimed this ex.emption during the last three years.
D I am exempt under Sec. ______ , B & P.C. for this reason ___________ _
/Y attorm that I hase a cert11icate of consent ~ ::irf~~1sure. or a cert1f1ca1e ot Woril.ers·
~~,J!j~nt!s"':i:;r~~. certified coo:;;eof
POLICY NO i>Y2__"?r _If~---T ...SJ-/--
COMPANY / i-etn4,,,, S p.JtL_
~y IS flleCI With the Ctty
D Cen1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This sechon need not be completed 11 !he perm11
_})Aor one hundred dollars (S 100) or less)
la"1"'cert1ty !hat in the performance ot the worlt lo,
which ttus permit 1s issued. I shall not employ any
person an any manner so as to become sut>Ject to
the Workers· Compensation Laws ot California
NOTICE TO APPLICANT It. after makm;i ttus Gerti
flcate of Exemption, you shouk:1 become sut>1ec1 t?
the Workers· Compensation provisions of the Labor
Code, you must IOf1hw1th comply with such
pro111s1ons or this permit shall be deemed revokeo
0 I hereby affirm lhal there 1s a construction
lending agency r
wn1ch ttus per
Lenoef's Name
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
JOB ADDRESS AV. ST.I DATE Of Al'PLICATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER
RD. in1L/4R" 2684 Waterburv Wav 1"/1?/R'.1 11:.~1
~~-~-i=+ OWNER'S NAME ' OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE • ZONE
Standard Pacific of San Diego 279-2042 Standard Pacific of San Die20 279-2042
OWNER'S MAILING ADDRESS CONTRACTOR'S AODRESS LICENSE NO. PLAN 1.0. # BLDG use CODE
~ 7290 Clairemont Mesa Blvd., San Diego, CA 9211] (same) 294215
LOT !BLOCK j SUBDIVISION I ASSESSOR PARCEL NO.i: i) OESIGNER LICENSE rt STANDARD PLAN# BUILDING SO. FOOTAGE
?7 '--'--nt.--n~ l\o,~ l ::>-O Buzard-Henning & Associates NR ::)-:Jr)~ DESCRIPTION OF WOR~ Af 74 ,Of DESIGNER'S ADDRESS OESIGNER'S PHONE ,I Dl.lf:lcJ"'~~
4883 Ronson Ct., San Diego 921 1 278-6855 'J8 ... 1
C:in~lo-family dwelling-attached garage -·-F/P FLRELEV. NO EDU OCC GP
.A/,.,_ $ $"O vO NO
S~ES ~-:2., I -,~
CENSUS TRACT I GP LAM) USE
IP~;~ce I R/ UNITS I GRAOING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPR AREA vtv v □ ND v0 N'l!I vO Nt-J{ Nor Valid Unlffs Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7C-QTY. MECHANICAL PERMIT· ISSUE 5 -SUMM A RY/ACCOUNT NUMBER . .
11 EACH FIXTURE TRAP ~--I INSTALL FURN. DUCTS UP TO 100,000 BTU L/ --BUILDING PERMIT 01 ·00-00-8220 ~-
( EACH BUILDING SEWER c...~ OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
{ --:i. .i::,/'J >c;v/, ~~ EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806
1 EACH GAS SYSTEM 1 TO 4 OUTLETS ..,_;i:=n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00-8222 L/<1-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00·8223 ~-
EACH INSTAl ., ALTER, REPAIR WATER PIPE 'L VENT FAN SINGLE DUCT l-/ --MECHANICAL 01 ·00-00-8224 ,,-
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MDBILEHDME 01 ·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-R~2fi
TOTM MECHANICAL STRONG MOTION 80·92·33·0519 ~/_,?,
TOTAL PLUMBING I '-(Cf . -!I -~
FIRE SPRINKLERS 01·00·00-8227
s--QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00-8923
Q T Y. ELECTRICAL PERMIT · ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR I tJ tn :lJ:i-COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE / I Encinitas 80-92·22·0519
1 PH 3 PH PUMP / J ,J / San Dieguito 80-92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE/(/ p,,I" \j / • / San Marcos 80-92-24·0519
TEMP POLE 200 AMPS IV'-.., r ./
OVER 200 AMPS \ r ,/" f 1r ~ 77/-r... (')f ~ l_),-J)j{J ;J. -.21.xct-
TEMP OCCUPANCY 130 OAYS) --.....__....--,, ..... --. n1 F.nn r>t=--P~l7 < ~,LI -{, ~-1:j , .,
TOTAL ELECTRICAL I 30 -TOTAL SOLAR TOTAL FEES PAYABLE I 7?a>.Lfh,
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,rat,on Every permit issued by the Bullding Ollieial under the prov,s,ons of 11111 * AN OSHA P£MIIT IS AEOUIREO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm111t1on and become null Md vOKI If the buItdIng or worlt 5' O" DEEP ANO DEMOl.lTION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authoflZed by such permit ,s not commenced w11h,n 110 days from the date of such STAUCT\RS OYER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-=::o.:i •~t ~Y ~~~•~.~:.;~~t~~":' ::,i;:::.,•~t=-~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPll~ITUR
,,, OWNER~ CONTRACTOR 0 APPROVED BY !J--I DATo/Q ltY t )
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE At:')~-BY PHONE 0 GRANTING OF THIS PERMIT -fl" w--
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INSPECTION TYPE DATE INSPECTOR \, ..
BUILDING
FIELD INSPECTION RECORD , .... ?n e2 '1>oK FOUNDATION -~
... _ ....... --~ -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL
INSPECTION REO IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUS, FRb<ME PRIOR TO
FOUNDATION INSP
SHEATHIN~..ti. ..... ~ j ,,,.,-. STRUCTURAL CONCRETE
FRAME ~v,-~ JZ...z!'!:O .,}::::7~-OVER 2000 PSI
EXTERIOR LATH l'4"SU~ATl9Pri~~ ~·. PRESTRESSED . ,-
/ CONCRETE I
INTERIOR LATH &l'.fRYWALL ~ -,JL()Jd.,, (C/"y POST TENSIONED / CONCRETE
PLUMBING I .
FIELD WELDING _.. a c °'2 ~ SEWER AND BL/CO "" HIGH STRENGTH r f'J • -. ~ BOLTS PLUMBING UNDERGROUND
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND ~HOWER PAN
GAS TEST I
PILES CAISSONS
ELECTRICAL
TEMPORARY POWER I
ELECTRIC UNDERGROUND .
ROUGH ELECTRIC I l?..:U·~ ~./J
ELECTRIC SERVICE \ . . I -. BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL --DUCT & PLEM., REF. PIPING r-,.'1~·.>5-::: .kZLI
HEAT -AIR COND. -SOLAR SYSTEMS -.
VENTILATING SYSTEMS
• ,., .-.,. r . •'l<"' ·,
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . ,
BEEN APPROVED. . ITEMS ABOVE HAVE I JOB SITE FINAL ~1t--SVL-_,
PLUMBING ~,# ~ "_.,,-nA~ I{/
ELECTRICAL ~.Y .,,,<1,u,
MECHANICAL ~./" r1 -v
GAS . V -BUILDING
SPECIAL CONDITIONS .
CERT OF OCCUPANCY ISSUED