HomeMy WebLinkAbout2683 WATERBURY WAY; ; 83-83-28; PermitCl) z 0 ~ C IC C ... 0 ..,
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g{' 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
lull ror_c'-f9M'WJ/ ~ / Lic No ~ Class _ _..g;_ __ _,. __ _
I hereby allirm lhal I am exempt from the Contrac· tor's License Law for the loflowing reason (Sec. 7031.5
Business and Professions Code: Any city °' county which re-quires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance also requires the ap-
plicant tor such permit to hie a signed statement Iha! he is licensed pursuant 10 the provisJOns of the Contractor's License Law (Chapter 9 commenc,ng with Sec1JOn 7000 of
OIYISIOO 3 of the BuSJness and ProfessJOOS Code) or that Is ex· empt therefrom and the bosls lor the allejjed exemplJOn Airy YIOlahon of Secllon 7031.5 by an apploc:anl for a permit sub-
jects the apploc:ant to a tMI penalty of not """• than five hun-dred dollars ($500)
D I, as owner of the property, or rrr, employees w~h wages
as theu 5°" compensation, Will do the work, and the struc-
ture is not intended or ollered for sale (Sec. 7044, Bus,ness
and ProfessJOns Code The Contractor's License Law does not appfy to an owne, of property who builds or improves
thereon and who does such work h1msetf or through his own employees, provided that such Improvements are not intend-
ed or offered tor sale. ti, h<>Yiever. the building or improve-ment is sotd within one year o« completion, the owner-builder
will have the burden of provmg that he did not build or im· prove for the purpose of sale).
D I, as owner of the property, am exclusively contracting willl licensed contractors lo construct the project (Sec. 7044,
Business and ProfessJOns Code· The Conlractor·s License Law does not apj)ly to an owner of property who builds or im-proves thereon, and who contracts for each projects wrth a
contractorjs) haonse pursuant 10 the Contractor·, License Law).
D As a -ner I am ,mpraving rrr, home. and Ille follow· ing condibons exist 1. The work Is being pertonned prior to sale.
2. I ha,. lived In my home for twelve months prior to compte110n of this work.
3. I have not claimed this exemption durtng the last three years.
f;~h~r~~:l:'underSec ______ ,B&P.C.
~,et>y affirm that I hait! a cen1hcate of consent to self-insure, o, a cen1flcate of Workers
Compe:n.sattO<\ Insurance. Of a certified copy thereof
(See 3800. Uti:"4' f:lf'e) ~
POUCYNO WJJ£.J±~~-'f.
COMPANY /~5,_
~Copy IS hied with the city
D Cen1fled copy ,s hereby furnished
CEATIFICATl OF EXEMPTION FROM WOAl<EAS. COMPENSATION INSURANCE
(Th,s sectt0n need not be completed 11 tile perm,,
,)>"<" one hundred dol~rs (S 100) o, less)
p-1" certify that In the perto,mance of the wOf'k lor
which this perffut is issued. I shall not employ any
person m any mannttt so as to beeome svb1ect to the WMers· Compensatton Laws of Caklornia
NOTICE TO APPLICANT 11, after mak1n;i 1n1s Cert1 hcate ol Exemption. you shoutd beeome subIec1 1"l
the Wof11.ers· Compensation p,o..,,s,ons of the ubor
Code, you must forthwith comply with such
p,o..,,s,ons or this permit shall be deemed revokecl
O I hereby atlum lhat Inere 1s a construction lend1no agency t t the work to,
wh,ch 1h15 pe<m1
)
USE BALL POINT PEN ONLY & PRESS HARO 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
2683 Waterbury Way
AV. ST.I DATE OF Al'l'LICATIONII RO.
10/12/83
BUSINESS LICENSE #
3681
OWNER'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE•
Standard Pacific of San Diego 279-2042 Standard Pacific of San Diego 279-2042
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO.
7290 Clairemont Mesa Blvd., San Diego, CA 92111 (same) 294215
LOT BLOC!< J SUBDIVISION I ASSESSOR PARCEL NO
?R :n;-..,,.1r.,r Pt-1 t-1Lll4 ' :1.\ Qr J
DESCA,PTION OF WOA~ C:'i 74 ,0 4 DESIGNER'S ADDRESS
DESIGNER
Buzard-Henning & Associates
LICENSE•
NR
DESIGNER'S PHONE 1----------...::::::....,.._.,__.;___......J.. ______________ __
_,Sin_gle-family dwelling-attached garage 4883 Ronson Ct., San Diego 921 1 278-6855
,1) ~-'!, ""
CENSUS TRACT I GP LIii.NO USE GRADING f'.EAMIT ISSUED
YO N □
F/P FLA ELEV.
vO NO
I
REDEVELOPMENT AREA
v□ Nl!f
NO
STORIES /
TYPE
vXt
OCC GP EDU
f-3 I
OCC LOAD FIRE SPA
VALUATION PERMIT NUMBER
~v,Shd
ZONE 8'3--g3-J,~
PLAN 1.0. # BLOG USE CODE
STANDARD PLAN # BUILDING SO. FOOTAGE
1--::r;;5
10/ ~/8J45
Nor Valid Unkss ~chine ~,tifi«J
QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
,n
I j
I
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE ---EACH INSTA~. ALTER, REPAIR WATER PIPE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL Fl REPLACE
------1--r)--½-VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS ______ .J...-----'--'-lf----<1-----
WATER SOFTNER RE LOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
LI -BUILDING PERMIT 01-00-00·8220
SIGN PERMIT 01 ·00·00·8221
PLAN CHECK 01-00·00·8806
TOTAL PLUMBING 01 ·00·00·8222 UL/-
ELECTRICAL 01 ·00·00·8223
LI MECHANICAL 01-00-00·8224 ti -
MOBILEHOME 01 ·00·00·8225
MOBILEHOME PARK INSP
SOLAR Ot-00-QQ.R??~
-I
TOTJ;L MECHANICAL
II
£.. Oh -1--.....=.:c.:..:.::.:.:..::...:::..:..=::._ ____ __.:::::...:::::....::::::....:::::.:..::...--1------~=::...c5-!...j STRONG MOTION 80·92·33·0519
TOT AL PLUMBING FIRE SPRINKLERS 01-00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE I Encinitas 80·92·22-0519
1 PH 3 PH PUMP 'L I San Dieguito 80·92·23-0519
REMOOEL'AL TER PER CIRCUIT
TEMP POLE 200AMPS
PLAN CHECK FEE San Marcos 80-92·24·0519 / /) .. ~ J ~----,#/ ___ 1--------------L------<
I I"' VY u , 0 ./
OVER 200 AMPS I V -i .,J
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' ANO DO HEREBY Exp,r■Mn Everypermtl-t,ylhelluildlngOlllcielunderlhepro-onsoflhts * All OSHA P£MIIT IS AEOUIAEO FOfl EXCAVATIONS OYEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ~~r~::::~h~:::~~~~~:,~';,9,,,b.~d~,.~,:'c~ 5s!:~~~DEERMOL3ST~SORIN~~T TIONOF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS t f the bu Id -autt,or&Ud bi, h permtt ded •nuv•~ v• ..,...... """'"
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L; ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· L.!~~b&n!!m~:»!!!·~.:i~•a!!t_!■~np!Ybme!!;1!!_!1~~ore,!lhe!!!!_.!-2!L.Jla!.£COl!!!ffl!!""!!!•!!!!lced:!!!IUC.!lot!!!.!a!.J...,.,,..~~~,i!_1.!J\":o2!1penl.l"!ix•u•L°'-::-i~~~~~~----.-':'"°----------~
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ,_ 0 APPROVED BY /
l<EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND APPll~ANT'S NA~• OWNER..., CONTRACTOR
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0
GRANTING OF THIS PERMIT 'r,:;i..,_-IOATElo/L<//f.~ ~
INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
SHEATH IN
FRAME
EXTERIOR LATH lNSULATION
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
E
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN. APPROVED.
JOB SITE FINAL
PLUMBIN.G
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL .
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTAESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
-
PILES CAISSONS
-
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