HomeMy WebLinkAbout2743 WATERBURY WAY; ; 83-83-42; PermitCl) z 0 ~ II: < ... ~ 0
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KK I hereby affirm that I am licensed under
provisions 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.
Lie No --29"423:-5-Class B-1
I hereby affirm that I am exempt fr001 the Contrac·
tor's License Law tor the following reason (Sec. 7031.5 Business and Professk>ns Code: Any city or county which re· quires a permit to construct, alter. improve, demolish, or
repair any structure. prior to its issuance also reQuires the ap-
r~~~orp~~i~a~:111~/l~~~~f ~ta•,h~~~~~!c~!!!
license Law (Chapter 9 commencing with Section 7000 of Dtvision 3 of the Business and Professions Code} or that is ex·
empt therefrom and the basis !or the alleged exemption. Any violation of Sectk>n 7031.5 by an applicant !or a permit sub-
jects the applicant to a civil penalty ol not more than live hun· dred dollars ($500).
D I, as owner of the property, or my employees with wages
as their sole compensation, wtll do tM: work, and the struc-ture is not intended or ottered for sale (Sec. 7044, Business
and Professions Code: The Contractor's License Law dOes
r:~,:~:n~0 .:;o c;;:r s~~:::t~i:!0tt ~i~~~~~rs:~
employees, provided that such improvements are not Intend-ed or offered tor sale. If, however. the building or improve-
ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not bulld or Im•
prove for the purpose of sale).
D I. as owner ol the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessMlns Code: The Contractor's license
Law does not apply to an owner of property who builds or im-proves thereon, and who contracts !or each projects with a con1ractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home. and the follow· Ing cond1Uons exist:
f. The work is being perlormed prior to sale. 2. I have lived In my home for twelve months
3. rr:v~ ~:1~~1~of :~i~ =~ption during the last three years.
~ I hereby affirm that I ha'le a cert1t1cate of consent
10 self-insure. or a cert1t1caIe ot Workers·
Compensal!on Insurance. or a certified ce>py !hereof
(Sec 3800. u oor Cod•.!..
POUCYNO WP:_2j3-02:48 --
COMPANY Fireman' s... Eun.d..--1ns
~ Copy IS filed With the city
0 Cer1Ihed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need no! be completed 1f the perm,I
Is fOf one huncred dollars {S 100) or Jess)
::[] I certify that in the performance of lhe woni; fOf which this permit ,s issued. I shall no1 employ any
person In any manner so as to become subIect to
the Woric.ers· Compensation Laws of Cahfom,a
NOTICE TO APPLICANT If, after ma.km~ lh1s Cert1•
tIcate of Exemption, you should become subJecl I?
the Workers' Compensa11on prO'llISIons ol lhe Labor
Code, you must forthwith comply with such provisions or th,s permit shall be deemed revoked
Lby atli,m that there IS a construct,on
lending agency tor !he per1ormance ol lhe wor11. lo,
which th,s permit ,s issued (Sec YY:J7. CMI Code)
Lenoer s Name _C ...... r ... o ...... c◄k ... e"'-'r-... B ... a""'"nuk..__
Ll?n<ler"s Address -=L::.;o=s--=An=:..g.,_e.;.._lc._e_s __
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERM!,! .r1 a-J J 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST. I DATE OF APPLtCATtONII BUSINE~ r SE # t) llo'ALiJA-ft0"4 PERMIT NUMBER
RD. ,,..,.,.,, -,. ?7h -:i Wi:iterbnrv W<>v -:i /), /A --:, I E!:ib -~':> .. fz... OWNER'S NAME I OWNER'S PHONE CONTRACTOR --CONTRAq OAS PHONE• ZONE
Standard Pacific of San Dieizo 270-2Q42 8 t .a n rla,-.rl Po,..i-fi ,-, n -f Q.,,.., ni .,,c,,-., ?7o_?nh?
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0, # BLDG USE CODE
7290 Clairemont Mesa Blvd., San Diego . CA 92111 Same 294215 1?2 I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO DESIGNER LICENSE# STANDARD PLAN# BUILDING 50. FOOTAGE
Quail Ridue 167-4 ~2-l 6 'CO
DESCRIPTION OF WORK Buzard-Hennin,c;i: & As sociates NIA ".l20 1c;88
S i n "'1 ra f'<>mi 1,, rh.,.,, l l i ,.., rr u i + h -++-n'--.:1 ------DESIGNER'S ADDRESS DESIGNER'S PHONE 7/07/ 37 -~ -~ 7 "73 ,Di
~--r 74~ 4883 Ronson Ct . ~ .. ,.., n ~ar, ?7R_t:. c; c; 7107.I ~~~ u7 ~ilJ -----F/P FLRELEV. NO
Ej
OCC GP
vO NO ---s~ ,Z.3
CENSUS TRACT I GP LANO USE I PAi;;{;E l RE5/NITS I GRAOING PERMIT ISSUED I REOEVELOPMENT ~y OCC LOAD FIRE S~PR 7107 l837Qc7 "73;02 AREA .,/J -
v □ N D vO vO N Not Valid Unkss Machine Cutifitd
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QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER -. _,
P? EACH FIXTURE TRAP ~-Q) I INSTALL FURN. DUCTS UP TO 100,000 BTU '-1-.-BUILDING PERMIT 01·00-00·B220 ·~i/{,(J ,:;,_ ~ ----
J} I EACH BUILDING SEWER 1-<o OVER 100,000 BTU SIGN PERMIT 01·00-00·B221 }Ir,
·1 EACH WATER HEATER ANO/OR VENT '7 _:'QI} BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00-8806' ~.,., :.<'I ,, ~
·r -'/ EACH GAS SYSTEM I TO 4 0 UTLETS "2.--'2'.: BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 (c;I.~ ~• ~
EACH GAS SYSTEM 5 OR MORE MET Al FIREPLACE ELECTRICAL 01·00·00·8223 -:,.J,_-
EACH INSTA~ .. ALTER, REPA IR WATER PIPE J VENT FAN SINGLE DUCT 17__. --MECHANICAL 01 ·00·00·8224 ·q .--
EACH VACUUM 8REAKE R MECH EXHAUST -HOOD/DUCTS M0BILEH0ME 01 ·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP -EACH ROOF DRAIN (INSIDE) SOLAR n1 .no.nn.A?o" --
TOTt.L MECHANICAL '1 STRONG MOTION 80·92·33·0519 "n.lP7 ~~-,v
TOTAL PLUMBING I p::::J'J.c:n -FIRE SPRINKLERS
,
01 ·00·00·8227
r PUBLIC FACILITIES FEE 32-00-00-8923 QTY. ELECTRICAL PERMIT • ISSUE ,~ QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT /BKA lac '/~---COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP -San Dieguito 80·92·23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEV I I San Marcos 80·92-24-0519
TEMP POLE 200 AMPS ./ ~ <v<./ / I , \
OVER 200 AMPS _///fl~,, ,d / ~-.,,"K -~ .r_ ~ 77'1"-:Z., ~ )
TEMP OCCUPANCY (30 DAYSI Tf/7 I _,, i/ / I , 7
--\ l )./715. o-i V __,,,../
TOTAL ELECTRICAL I '---I OT AL SOLAR I //---~ t '
~ TOTAL FEES PAYABLE -. -, 7 ---
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration Every permit IUU8d by the Ek.t~dtng Olftc1at under the provisions ofthtS * AN OSHA PERMIT IS REOU1AED FOIi EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tation and become null and void If the butld,ng or work 5' o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF authorozed by such perm,t ,snot commenced wtth,n 180 days from the date of suet\ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or •~ft . ild1~ or work authorized by such permit II suspended or STAUCl\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned bme a er the work ,s commenced for I nenod -• -~-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
~E
• OWNERIT CONTRACTOR 0 APPROVED BY '~r ,
0
A1/1l{? 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
~---~ BY PHONE □, GRANTING OF THIS PERMIT ,, ~-
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INSPECTION TYPE
FOUNDATION
REINFORCED STEEL
MASONRY
FLOOR &
SHEATH IN
FRAME
EXTERIOR LAT
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTqMS
VENTILATING SYSTEMS·
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
•'::~
FIELD INSPECTION RECO RD
REQUIRED SPECIAL INSPECTIONS
IN SPECTION REO. IF INSPECTOR'S
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 I
.
' -~3 -~,.., ;:;)-•
INSPECTOR'S NOTES
DATE -# ~--.
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