HomeMy WebLinkAbout2695 Olympia Dr; ; 83-83-167; Permiten z 0 ~ ,c
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Leby affirm that I am licensed under
p,ovlalona of cnapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is In
full force,M<h{fl!C,L Bl
Lie No ~0.=-4~'-=l.=::>_ Class -'='----
I hereby aHirm lhat I am exempt from the Contrac·
tor's License Law lo, Ille lollow1ng reason (Sec. 7031.5 Business and ProfesStOns Code Any c,ty or county wh.c.h re· quires a pemut to construct. alle<, 1mpf0Ye, demOlish. or repair any structure, prK>r 10 its issuance also requires the ap-
phcant for such permit to file a s,qned statement lhat he 1s lteensed pursuant to the provisions of lhe conuactor's
license Law (Chapter 9 commencing with SecltOn 7000 ol OlvIsw>n 3 of the &Slness and Professt0ns COde) or lhat 1sex·
empt therefrom and lhe basis tor the a1Iegeo exemption A.ny
v100hon of Sechon 7031.5 by an applican1 k)r a perm11 sub· 1ects the apphcant to a c,v.1 penalty of not more than t,ve hun·
dred dollars ($500)
O I. as owner of the property. or my employees with wages
as their sole compensallon, will do the wock, and lhe struc-
lure ls not intended or ottered !or sale (Sec 704◄, Busmess and Professions. Code. The Contraclof's license Law does
nol apply to an owner of property who builds OJ nnproves
lhereon and whO does such work h1mseI1 OJ through hrs own ernpk)yees, provlded that such improvements are not intend·
ed or ottered tor sale If, however. the building or improve-ment 1s sold within one year of completion. !he owner·buUder
will have the burden ot proving !hal he did no1 build or im-
p<ove for tile purpose of sale).
D I. as owner of the property, am exclusM!ly contracting wilh ltcensed contract°'s to construct the project (Sec. 704◄,
Business and Professions Code: The Contractor's License Law does not appty to an owner ot property who builds or im·
proves thereon. and who contracts tor each projects with a contractor(s) license pursuant to the Contractor's Ucense
Law).
D As a homeowner I am imp10ving my home, and Ille follow·
Ing conditions exist t ~.~or~~ l>e/;:9 ~rt= f~ior r!.?.~:• months
3. rtv~o :ri:::c,01 t~~: :plion during the last three y,ars.
D tamexemptunderSec, ______ ,B&P.C.
for this reason
~ereby affirm that I ha....,e a cert1f1cate of consent
to self-insure. or a certthcate of Workers·
Compensation Insurance. o, a cert,tied copy thereof
tSec 3800. Lal>O< COOe)
POLICY NO WP 233-02-48
co.,,PANY Fireman' s Fund
~ Cocv IS hied With the c,ty
□ Certified CoPY IS hereby lum•shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 lhe perm,1 1s tor one hundred OOllars (S 1())) or less) ~ cert1t·y that 1n !he performance ot the wo"' tor
which this pemut ,s issued. I shall not employ any
person 1n any manner so as to beeome sub1ec1 to
the Wonters· Compensation Laws Qt Ca11torn,a
NOTICE TO APPLICANT II. after makin:J 1tus Cen,
hcate or Exemption. you should beeome sub1ec1 I'>
1he Wonters· Compensation provisions ol lhe Labo,
Code. you must torthw1lh comply w11h such
prov1s,ons or this perm,1 shall be deeme<l revoke<J
~•eby attum 1naI the•e •s a consi,uct1on
1eoo1ng agency tor Irle pefiormance ot lhe 1NOt11. lo, which this oerm,1 ,s issued (Sec 3(137 C1v1I COdel
LendersN•me Crocker Bank
Lende,'sAOd•ess San Diego
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -
CARLSBAD BUILDING DEPARTMENT -' APPLICATION & PERMIT
t 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AODRESS AV. ST.RO. NEAREST CROSS ST. I DATE 0~;;~;;;1;N1
BUSINESS LICENSE • VALUATION PERMIT NUMBER
2695 Olympia Drive 3681 80716
LOT BLOCK SjiSUBDIVISION I ASSESSOR PA\C~ NO CONTRACTOR CONTRACTORS PHONE • ZONE 83-83-167
1 i:;,7 ........ 1c ..... 'Pt-. 1~,4 03> oo Standard Pacific of San Diego 279-2042 OWNER'S NAME I OWNER"S PHONE
279-2042 CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG use CODE
St-<>ndard Pacific of·san Diego (same) 294215
OWNER'S MAILING ADDRESS
7290 Clairemont Mesa Blvd., San Diego 92111 DESIGNER LICENSE • STANDARD PLAN # BUILDING SO. FOOT AGE
Buzard-Henning & Associates NR
DESCRIPTION OF WORK 1583
DESIGNER.$ ADDRESS DESIGNER"S PHONE -
Single-family dwelling-attached garage l,J~83 n-----C1: -SD 921 1 278-6855 !2f20/~ ...,__. ___ -·-----------------------~ ~ F/P F LR ELEV. NO OCC GP EDU '(:~ '"466.L
Plan 330 STORIES -vO NO R-3 1 ,
~5~4~ GP LANO use I PARK;; :PACE I RES ;NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND vO NK) VN v0 N~ Not Valid Unlffs Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
10 EACH FIXTURE TRAP ? c; ('\('\ 1 INSTALL FURN. DUCTS iJP TD 100.000 BTU I, nn. BUILDING PERMIT 01 ·00·00·8220 376 ()()
1 EACH BUI LO ING SEWER f. ,;;n OV ER 100,000 BTU SIGN PERMIT 01 ·00·00·8221
1 EACH WATER HEATER AND/OR VENT ? c;n BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01·00·00·8806 ?l,,f, 1c;
, EACH GAS SYSTEM 1 TD 4 OUTLETS ? t;;('\ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 6.6. nn
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 1n nn
EACH INSTAI, .. ALTER. REPAIR \\'ATER PlPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224 7 nn
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 0Hl0·00·8225
WATER SOFTNER RELOCATION OF EA FU.RNACE/HEATER MOBILEHOME PARK INSP .
EACH ROOF DRAIN (INSIDE) SOLAR n, .oo.nn.oooc
TDT.I.L MECHANICAL STRONG MOTION 80·92·33·0519 ::> • b::>
101 AL PLUMBING I 44.00 7.00 FIRE SPRINKLERS 01·00·00·8227
PUBLIC FACILITIES FEE 32·00·00·8933
QTY. ELECTRICAL PERMIT • ISSUE 5.00 QTY. SOLAR · ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT 1BKR 100 25.00 COLLECTORS I SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS I Carlsbad 80·92·21-0519
EX1ST ,BLDG EA AMP/SWT /BKR ROCK STORAGE __-' I Encinitas 80·92· 22·0519
1 PH 3 PH PUMP / JJ <7'-\ 7 San Oieguito 80·92·23·0519
REMOOE L'ALTER PER CIRCUIT PLAN CHE(K FEE n n V .:z. /U I San Marcos 80·92·24·0519
TEMP POLE 200 AMPS I lY r /\ v /
□VER 200 AMPS J / LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) \ / / ' '-...___/ CREDIT DEPOSIT ( 243 . 55)
TOTAL ELEClRICAL I 30.00 TOTAL SOLAR I \
TOTAL FEES PAYABLE
' < 46Ci .4'i
'J HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT .. AND DO HEREBY Expirauon. E..,., permit ,_ by the Bultdtng Off,c,at uncle< tt>fl prov191ons of 1h11 * AN OSHA~ IS REOUIAED FOR EXCAVATIONS OVER
CERT(FY UNDER PENALTY Of. PERJURY TMAT ALL INFORMATION HEREON INCLUDING THE Code Shall ••Ptre by limitation and become null and •Otd II the bu1ld1ng Of work 5· 0 .. .lilftl'_~MOUTION OR COf!ISTRUCTIOH Of authorlled by such permit 19 not commenced within 180days from the date of such DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or 1f the~ ~1~ work authOflHd by such permit 11 suspended or STAUC,""7" ER l STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUtLDlNG CON _,,cloned at anv a Ille work 11 commenced tor a_,;.,.~ 1an ~--··
STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICA~~ OWNER □ CONTRACTOR 0 APPROVEU.--(~A?> KEEP HARMLESS THE CITY OF CAALSBAO AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACC,._,E AGAINST SAID CITY IN CONSEQUENCE OF THE A"J.,J BY PHONE 0
_ GRANTING OF THIS PERMIT v--. ./
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TYPE I DATE INSPECTOR I
BUILDING I /
FOUNDATION ' I 1~.~
.,
I ,r~
REINFORCED STEEL I ,-I ,---. -
I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FBJ~ME I
I
SHEATHING r-'V.r;. ll-1r1'6 <yf"sHEAR ./
FRAME I -?A:iv ~-G ~~ ~ I
EXTERIOR LATH ✓ \.
INSULATION ( · 11,. 1~1 \ ~
INTERIOR LATH & DRYWALL I _) ~'hS•~ cO\
I -i
PLUMBING I /
SEWER AND BUCO DIPUCO I ' r , .... ~"' ~
UNDERGROUND D WASTE D WATEFV I'-'-· ,_....,
TOP OUT D WASTE D WATER ~-?·' J -
J
TUB AND SHOWER PAN I -
I
GAS TEST I
D WATER HEATER D SOLAR WATER a
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC : ~ ~/ ~~, -• -.....-.:---,.,~
D ELECTRIC SERVICE D TEMPORARY -
D BONDING D POOL I
I
I
MECHANICAL I /
D DUCT & PLEM., D REF. PIPING ~ ..:c.<;4 ~
HEAT -AIR COND. SYSTEMS I -
I
VENTILATING SYSTEMS !
I
CALL FOR FINAL INSPECT~FN WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED.
FINAL I
PLUMBING I \~( ./.-.» ,, ' -
ELECTRICAL I tfl)t: ~
MECHANICAL I fi f/~~ v-
GAS I ~ / .,rr rr I
BUILDING I 1 "
I .
SPECIAL CONDITIONS I
I
I
. --... ._
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES ~
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