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Home My WebLink About2684 WATERBURY WAY; ; 85-707; Permit.,, z 0 ~ C ac C ... 0 "' 0 ac I[ 0 0 ac "' 0 ... 5 • ii "' z 3 0 z 0 ~ C .,, z w .,. ::E 0 0 .,, a: w "' rr: 0 3 0 I hereby affirm that I am licensed under provlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. LIC No _____ Clm I hereby afhrm that I am exempt lrom the Contrac• to,'s Ltcense Law tor the following reason (Sec 7031 5 Business and Proless,ons Code Any c11y or county wh,ct. re· quues a permit 10 construct. alter improve demohsh. or repair any suucture. puor to 11s issuance also requires !heap· p1.can1 tor such permit 10 ftle a s1qned statement Iha! he ,s licensed pursuant to the ptovis,ons ol the iAnlfX:IOf s License La• (Chapter 9 convnencmg w th S~'°" 7000 o1 Oiv,stOn 3 ol the BuSJness and Professl()OS Code) or 1~11s ex· empt thefelrom and the basis !or the alle:gea exemp1,on Any vlOlat,on of Sectoo 7031 5 by an apphunt tor a pe..m11 sub iects the apphunt to a tr1o ~ peNltt of not more ttwn t ve hun· drerl dOltars ($500) )< I as O¥wner ot the property or my employees w•!h w,ges as the r SOie compensat on. "1111 do the w()(k al"id ll'le struc· ture 1s no1 ,ntended or otlered tor sa•e (Set 704-t Buscl'leSs and Prolession!. Code The Contractor s License La-N does nol apply to an owner ol property who builds or 1mprevts !hereon and who does sucil work tumsert or lhrough his own employees. provided that such 1mprovemen1s are not mlend· ed or ottered lor sale It. however tl'le bu1ld1ng CN' improve menl 1s sold w1lh1n one year of complehon lhe owrter·bur~r wdl have the burden ol proving lhal ht did not build Of 1m· prove tor the purpose of sale) I. as O'#ner of the pro;,erty. am exctus1vely contract ,g w,ttl kensed contractors to construct the prOl'(I (Ste 70H Business and ProfesSIOC'IS Code The COntraclor" s lanse La-.v does not app, to an OYwl\ef of property who bu Ids or un prO"Wes thereon. and who contracts tor ea<:h p,o,ects ""th a contr~IOf(S) license pursuant to the Cootrxtor s La:nse La") D As a homeOwner I arn mprovmg my home and the follQw mo cond1IIOC'IS exist 1 1 he work rs berng pertormeo pr"" to sale 2 I have hved in my home tor twelve mon1hs pnor to comptet10n ol tt11s work 3 I have not claimed trus exemption during lhe tasl three years I am exempl under Sec _____ _ B&PC lor th,s reason ___________ _ ~ I hereDy aft.rm that I ha\'e a certificate ot consent 10 se11.,nsure or a certificate ol WoO\.ers Compensat.on In• SUtance Of a cert,hed copy thereof (Sec 3800. Labor Codel POLICY NO COMPANY r-, Copy IS hied w,lh the city r, Certified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed 1t Ihe permit ,s fOf one hundred dollars 1s100, oc 1111) ~ J I certify that in the performance ol the work 10f" which this permit Is issued. I shall not employ any Ptrson in any manner so as to beeome subJect to the WOfkers Compen- HltOn Laws of Cahforma NOTICE TO APPLICANT. If. alter making this Certificate ot ExempI,on. you should t,ec:ome subIecI to the Workers Compensation p,ov1s1ons of the Labor Code. you must torlhw1tn comply w1lh such provisions or IMs permit Shall be deemed revoked. 0 I hereby athrm that there Is a construchon lending agency fOf the performance of the work. for which 1h11 per m,t IS issued (Sec. 3097. Qv11 Cooel Lenders Name _____ _ Lenders Address, __________ _ 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 ;oe ADDRESS AV ST RO NEAREST CROSS ST I ~/~0~7;·~•0NI BUSINESS LICENSE r VALUATION is)MIT NUMBER 2.l..Q°"" \.v ~~ ?., \) R.-.( w'-/ n ,,~ LOT BLOCIC I sueo v1s10N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE 70'7 OWNE R"S NAME I OWNER'S PHONE ~ \<l .G. ll ~, ~Q. 414-l. ~.$"0 CONTRACTOR"S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE OVIINER"S MA, N<., ADDRESS "-"1J.Q-S--o IC CSAr-L(,,,<.12L... OESlGNER DESIGNER"$ PHONE OESCA PT ,,... F Wt Al< 'D 2. r 1/ I l,v,"TH D~O TfllT7'/fl~~B~ '2,h V a '-"'-tr'la DESIGNERS ADDRESS LICENSE NO a I 00013"8~2 0/ / 85 ~-r: Rok.{ ~i!J,\. I "-~ F p FLRELEV NO DCC GP EDU .II .... \.I --:>r ~.;, A\ ~" .-12.._ ha:,..,.. V STORIES ~ vO NO CENSUS T RAC1 GP LANcJ' USE PARK ING SPACE RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND ,..,-,a "'o vO NO Nor Valid Unlnt Machine Cerrtf,~ QTY. PLUMBING PERMIT· ISSUE 7~ QTY. MECHANI~ ~T -ISSUE 3 ✓ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP , INSTALL FU!fl_.. DU~ iJP TO 100 000 BTU BUILDING PERMIT 001·810·00·00·8220 -z,.p, ..J 0 EACH BUI LUING SEWER . o~\.../" OVER 100 000 BTU SIGN PERMIT 001·810·00·00·8221 I,, EACH WATER HEATER ANO OR VENT BOIL RESSOR UP TO 3 HP _ / PLAN CHECK 001-810·00·00·8806 ,~.~.!" EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER m&MPRESSOR 3 15 HP ~ \. \./ TOTAL PLUMBING 001-810·00·00-8222 ------ EACH GAS SYSTEM 5 OR MORE /' ~TAL~EPLACE 4 ./ ELECTRICAL 001·810·00-00-8223 EACH INSTAL . ALTER, REPAIR WATER PIPE 1 tc-~N SINGLE DUCT , \ MECHANICAL 001·810-00-00·8224 -------I ·~ EACH VACUUM BR EA KER CH EXHAUST HOO~TS MOBILEHOME 001·810-00-00-8225 r -... -~LOCATION OF EA FU~E,HEATER WATER SOFTNER MOBILEHOME PARK INSP EACH ROOF ORAl'J 'JS10E1 I \/ ' ' 001·810·00·00·8226 __ , SOLAR. I v · TOT /;L MECHANICAL . STRONG MOTION ,_Jo._ ---880-519·92·33 ~ I I ./ --- TO I AL Pt LIMBING FIRE SPRINKLERS 001-810·00-00-8227 QTY. ELECTRICAL PERMIT· ISSUE v ----QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 332-810·00·00·8930 NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT - I PH 3 PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encinitas I PH 3 PH PUMP San 01egu110 REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 700 AMPS OVER 700 AMPS UCENSE TAX 001-810·00·00·8162 TEMP OCCUPANCY 130 DAYSI MFF 880-519-92·5 7 ~ - CREDIT DEPOSIT '<TT I ---~ lOTAL ELELTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I ?t-/--,3~ I I HAVE (,ARE• ,.L. y EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY Exp,rat1on Every permit ,ssued by ttte 8l.11td1ng Off1c1al undtr the prov1s1ons of th,s * AN OSHA PEAM:T IS REQUIRED FOR EXCAVATIONS OVER CERT FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shill exp.re by 1,m,tat1on and become null and void 11 the building or 'lllrlork 5 o· DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ authonzed by such permit is not commenced .__,th,n 180 aays from the date of such STRUCT\JM.S OVER 3 STORIES IN HEIGHT SSUED TO COMPLY W TH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILD NG CON :~~~n~ 1 ~t 1:~y ~~~4~e~;h:~~,:~t:~~~e:l~~~~ :'~~~·~,sr~~~ or STRUCTION WHETHER SPECIFIED HEREIN OR NOT ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE •~WNER ~ CONTRACTOR C APPROVED B o"'/•r ,/4 KEEP rlARMLESS THE CITY OF CARLSBAD AGAINST ALL L ABILITIES JUDGMENTS COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 'N CONSEQUENCE OF THE ~ ~. l , BY PHONE 0 _I ./~ ..l ~ .I D : i 1p tr GRANTING OF THIS PERMIT .i \...,, ~ u: >, ~ 0 a. E Q) f- ~ a. a. -cl: I 0 "' "' Q) "' "' -cl: I 3: .2 ai >- 1/) "' Q) (.) 0 a: <U iii 0 ~ Q) (.) C <U C u: :::. C Q) ~ <!) 0 u Q) a. "' C .... Q) .c. ~ TYPE I DATE INSPECTOR I BUILDING I FOUNDATION I REINFORCED STEEL I I MASONRY I GUNITE OR GROUT I SUB FRAME D FLOOR D CEl~ING SHEATHING D ROOF D SHEAR FRAME I EXTERIOR LATH I I INSULATION I INTERIOR LATH & DRYWALL I I PLUMBING I D SEWER AND BU CO D PI-/CO UNDERGROUND D WASTE D 'WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN I GAS TEST I D WATER HEATER D SOLAR WATER ' I ELECTRICAL I D ELECTRIC UNDERGROUND D UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMP~RARY D BONDING D POOL I I MECHANICAL I D DUCT & PLEM., D REF. PIPING - HEAT -AIR COND. SYSTEMS ' I VENTILATING SYSTEMS I ~ I CALL FOR FINAL INSPEC;~ON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS . I I ' I I I I J I I I I . . - ' FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO 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 ff!; Alo L AS.II. Fl. I ~. _\ e,oce:s .--- PILES CAISSO"-S • f/'LLM :.i ~ ~d ~~---rl . --...&.-b ti .t' Ir,\ I \\ 1-i? ).4 ..... . 1. . 10\ ~ ,t!l.r.,1·0 ,J1, J