HomeMy WebLinkAbout2683 WATERBURY WAY; ; 86-1244; Permit.,, z 0 .: C Cl: C .., u ... 0
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0 I her.t>y alllrm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaelona Code, and my license is in
full force and effect.
I hereby athrm lt\it I am exempl from lhe Conlrac·
10< s Lanse Law 10< 11,e tollow1ng reason (Sec 7031 5 Business and Protess,ons Code Any c,ty or county wh,cl'l re· quites a perm11 10 coostruct. alter. improve, demohsh, or repiir any structure, poor to ,ts issuance also requires !he~-
planl tor such pertn11 10 ftle a s,oned st1temen1 lha1 he ,s heensed pursuanl 10 the prov,s,ons ot the tonuacu:w s lttense law (Chaplet' 9 coovnenc1ng with Section 7000 ot DIYtSIOn J of the Business and ProleSSIOnS COde) or thal IS ex·
empl therefrom and the basis tor lhe allegea exemptton Any
vlOl,hon ot Section 7031 .5 by•• apphcanl tor a permit sub·
Jtcts the appltcant to a cMI penalty of no1 mo,e than t1ve hun-dred dollars ($500)
I I, as owner ot lhe property, or my employees with wages
as their sole compensat10n, will do the work. and rhe struc-
ture ,s not uitended or ollered lo, sale (Sec 7~• Business
and ProtesSK>ns Code The ContrJCtor's Lanse Law does
not appty to an owner of property who builds o, improves
!hereon and who does such work himself or through his own
employees, prOYK1ed Iha! such improvements are not intend·
ed or ottered tor sale 11, however, the bu1kt1ng or improve-ment Is sold w1thIn one year of complehon. the owner-builder will hive lhe burden of proving that he did not bu1kS or Mn-prove lor Ille purpose of sale)
n I, as owner of lhe propeny. am exclusrvety contrac1m9 wtlh licensed contrac!Of'S to cons1ruc1 the prOJecl (Sec 70◄4,
Business and Proless10ns Code The Contrac1or·s license Law does not apply to an owner DI property who butkts or un-
proyes thereon. and who contracls lor e.acn pro,ects wilh a
t:eclor(s) hcense pursuant to the ContrJCtor·s L,cense
0 As a homeowner I am improving my hOme. and the lotlow mg conchhons e,ust
1 The work IS being ~formed prtOJ to Wle
2 1 llave loved in my home tor lw.,.,,. months prtOJ ID complehon of lh1s WO(!(
I have not clamled this exemption dunng the last three years
D I •m exempt under Sec _____ _
fo.-this reason B&PC ------------
I :J I hereby altum !hat I have a cer11ficate of consent to I
seIl•1nsure. or a cerllhcate of Workers Compenut,on In-
surance. or a cer11hed copy thereof (Sec. 3800. LabOr Code) I
POLICY NO. l
COMPANY
C Copy ,s tiled w11h the city
0 Cerllhed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1t the permit
Is tor one hundred dollars ($ 100) or less>
C I cer11fy that in lhe performance of lhe work lor which
1h1s permit Is issued, I shall not employ any person in any
manner so as to beeome subJect to the Workers· Compen-
sa!lon Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate
ol Exempoon. you shouki become subJect 10 the Wo<kers
Compensation provisions of the Ubor Code, you musl
lorthw1lh comply with sue~ pr0¥1slons or this permI1 shall
be deemed revoked
0 I hereby affirm that there Is a construction lending
agency for the performance ol lhe work for which I his per,
mIt IS ,ssued (Sec 3097, QYII Code)
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLI CANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
JOB AODAESS
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
BUSINESS LICENSE ,t VALUATION 1"-llcRMIT NUMBER
)24-\ ~TS1 BLOCK CONTRACTOR CONTRACTORS PHONE • ZONE
OWNf R·s NAME
CONTRACTOR'S ADOAESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MA L NG ADDA ESS /
,2/4 £ 3
I PARKING SPACE I AES UNITS I
OESIGNEA·s ADOAESS
GRADING PERMIT ISSUEO
"p F L R ELEV
YO NO
I REDEVELOPMENT
AAEA ,o NO
NO
STORIES
TYPE
CONST
DESIGNER'S PHONE
STATE LICENSE NO.
OCC GP EDU
OCC LOAD FIRE SPA
t'?
Nor Valid Un~s Machine Certd1M
QTY. PLUMBING PERM IT -ISSUE 1 6'"0 QTY. MECHANICAL PERMIT -ISSUE l-3 .QO SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU BUILDING PERMIT 001 ·810·00·00-8220
EACH BUI LO ING SEWER OVER 100.000 BTU SIGN PERMIT 001-810·00·00·822 I ----------EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8821
EACH GAS SYSTEM 5 OR MORE
EA CH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP ----+-----+--t-------------------t-------t--------
METAL FIREPLACE
TOTAL PLUMBING 001·810·00·00-8222
ELECTRICAL 001-810-00·00·8223 --------·-
EACH INSTAl . ALTER. REPAIR WATER PIPE ---~-EACH VACUUM BREAKER
VENT FAN SINGLE DUCT
----tt------1---------------+------r ---------MECH EXHAUST HOOD DUCTS
MECHANICAL 001-810-00·00·8224
MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE /HEATER SOLAR 001-810·00·00·8226 EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519·92·33
TOTJ;L MECHANICAL FIRE SPRINKLERS 001 ·810·00-00-8227
TOT AL PLUMBING I PUBLIC FACILITIES FEE 320-810-00-00-87 40
BRIDGE FEE 360·810·00-00-8740
3u.
QTY. ELECTRICAL PERMIT -ISSUE ~ p o QTY. MOBILE HOME SETUP
--t-----------------+--'(_oc..6J_ •---Jt---+-----------------+-----➔--P_A_RK_·_IN_·L_IE_U_(:...A_R_EA ___ l _______________
7 TIF 1ri y --r, 1l4·8.lll.·OO.;,QQ·B835 NEW CONST EA AMP SWl HK R CAR PORT
I PH 3 PH AWNING
EXIST BLOG EA AMP SWT BKR GARAGE FMF
1 PH 3 PH
REMODEL ALHR PER CIRCUIT
ucENsE TAX n Fr. 1 01'1-r!!l~0-8162
TEMPPOLE ]OOAMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRI CAL I TOTAL TOTAL FEES PAYABLE I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPUCA TION AND PJeMIT ANO 00 HEREBY hpiratron Every permil issued by the Bullding Ott1c1al under lhe prov,s,ons of th,s
Code snail expire by hm,tation and become null and void It the bulld1ng or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING T~E authonzed by such permit Is nol commenced w1lhIn ISO days from the dale of such.• * AN OSHA PEAM:T IS REQUIRED F0A EXCAVATIONS OVER
5· O" DEEP ANO OEMOllTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT ~ perm,1. or ,t the building or work autnot1zed by such permit ,s suspended or
SSUED TO COMPLY WITH ALL CITY COU Nl Y AND ST A TE LAWS GOVERN I NG BUILDING CO', ~•:::,:b:;:•::;n:::do~n:,::ed::::_a;:1~a:,::n2.,!vt:,::im'.!!e!..a~f!.!1te~r~1h'.!!e!..w!!~Or:_::•cc•~•.!:c~o!!!!!mm!.!e~n.!::ced~~lo~r.!acloe~n~od.<l::!!!_l .!1!!!!. SO!!;dA!JrrtJ!Sc...._-j~"""'"""'~~--"'!!!~-,,-----------,----:.,.."""1
STRUCTION WHETHER SPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVE INDEMNIFY ANO~~PL7CAN= S S lt' rt,/ 0 APPROVED B~) ~ DAl~E ~' / KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS ANO A IGNATURE j OWNER l .,.. CONTRACTOR •
1
71('
" STRUCT\JMS OVER 3 STORIES IN HEIGHT
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ( ( /J BY PHONE [J
GRANTING OF THIS PERMIT ~\:, (,..-{ , ._-__._"--"1,'vlif _ _,
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TYPE ' DATE INSPECTOR I ' .
BUILDING I
I
FOUNDATION I FIELD INSPECTION RECORD .. ..
-REINFORCED STEEL :
MASONRY I I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEl)-ING
SHEATHING D ROOF D SitfEAR
FRAME I
so,LS COlvtPLIANCE . • • I••• . . , ... I.
PRIOR TO .. ' . .
' > FOUNDATION INSP ~--:. ... ' ; .. ....
EXTERIOR LATH I
I
STRUCTURAL CONCRETE ..r
OVER 2000 PSI
INSULATION J
I
INTERIOR LATH & DRYWALL I :
PRESTRESSED ' CONCRETE
POST TENSIONED r·· • .•• -'! ! > ,,. ·: ( i i
CONCRl:TE 1),. 1. i :.,.. \f ~' l : J
PLUMBING I FIELD Wf.LOING
D SEWER AND BUCO D f?L/CO
UNDERGROUND □ WASTE q WATER
TOP OUT □ WASTE D WATER
HIGH STRENGTH • ~
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN ' J
GAS TEST I
I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
' I -
ELECTRICAL l
D ELECTRIC UNDERGROUND ill UFFER
ROUGH ELECTRIC ' I
□ ELECTRIC SERVICE D TEMPiQRARY \ ~-
D BONDING □ POOL l '
i
MECHANICAL l
□ DUCT & PLEM., □ REF. PIFIING -. . ·----~ ·' -~-•."
HEAT -AIR COND. SYSTEMS ' I ;
-~ . • -. ~
VENTILATING SYSTEMS l
I
I
CALL FOR FINAL INSPECmON WHEN ALL APPROPRIATE
ITEMS ABOVE HA1 E BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I ~ I -"\
MECHANICAL l -,J_ '
GAS I ~ \~ .
BUILDING ' \ ,-
I r--. \._JOoo..._\
SPECIAL CONDITIONS I \ ,~
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