HomeMy WebLinkAbout2697 Olympia Dr; ; 83-83-168; Permit"' z 0 ;:::
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~eby affirm that I am lfcensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Proleaalona Code, and my license Is In
lull force and effect.
Lie No 294 215 Class __fil
I hereby alfirm lhal I am exempt from the Contrac-lo<" s License Law for the following reason (Sec. 7031 5
Business and Professions Code Any cl1y or county which re-quires a permit 10 construct. alter improve. dffllotish, or
r~air any slructure. pnor to its issuance also requires the ap-plicant tor such permit 10 Me a s,gned statement that he 1s licensed pursuant to the provisions of the Contrac1or· s ucense Law (Chapter 9 commeoc,og w,tn Sec110n 7000 of
l>Ms""' 3 of lhe Busioe,s and Profess,oos Code) or lhal tS ex-· empt lherefro,o and the bas,s for lhe allegeo exemploon Any
viola I""' of Secl,oo 7031.5 by an appbcanl for a perm,1 sul>-ie<;ls the applttant to a CIVIi penalty of not more than five hun-
dred dol~rs (S500)
□ I. as owner of the property. or my employees w1lh wages
as 1he1r sote compensation, will do tht work. and the strut· ture is not intended or offered for sale (Sec 7044, Busmess
and Protess,ons Code. The Contractor's license law does
001 apply to an owner of property who builds or Improves
thereon and who does such work himself or through hrs own employees, provided th.it such improvements are not intend·
ed or offered for sale. If. however. the building or Improve-ment is sold within one year of complet1on. the owner·bu11der
wm have the burden of proving lhal he did not build or im-prove lor the purpose of sale).
□ I. as owner of lhe property. am excluSlvely contracting wilh licensed contractors 10 construct the proj<ct (Sec. 7044.
Business and Professions Code: The Cootractor·s LJceose Law does not apply lo an owner of property who builds IX im•
proves thereon. and who contracts fCN' each pro;ects with a conlraclor(s) Ueense pursuant to the COntractCN''s LICense Law).
□ As a homeowner I am improving my h0<00. and the follow· log conditions exist
I . The wOrl< is being perlormed pnor 10 sale. 2. I have lived in my home for rwetve months
3. rr:: :r~~ot :~: :'!plion during the
last lhree years.
□ I am exempt under Sec. ______ • 8 & P.C.
for this reason -------------
~reby afhrm that I ha·.-e a cert1hcate ot consent
10 self-insure, or a cert1f1cate of Workers·
Compens.ahon Insurance. o, a cert1hed cooy thereof
(Sec 3IIOO. Labo< Code)
POUCYN0 WP 233-02-48
co~Nv Fireman's Fund
g/ Copy IS filed with the city
D Cert1hed copy 1s hereby fum,shed
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1f lhe perm11
}' tor one. hundred dollars CS H)OI or less)
c,(" certify that ,n the per1ormance ol the w0f1'. h>•
which lh1s permit ,s issued, I shall nol employ any
person in any manner so as to become sub1ect to
lhe W0f1'.ers· Compens.a11on Laws ot Gahlom1a
NOTICE TO APPLICANT II. afler malun1 lh1s Cert,
hcate ot Exemption. you snouJd t>ecome sub1ec1 I'>
1he Wonters· Compensation p,ov1s1ons ol lhe Labor
Code. you musl lorthwtlh comply Wllh such
prov1s1ons o, this permit shall oe oeemed ,evoke<J
-<,eby am,m thal there 1s a construc1t0n ~1~ agency tor the perto,mance 01 !he work tor
wl'l1ch this perm,tA ,ssueq (Sec 'JttJl Cr"~ COOel l,rocKer 1>anK
Lenders Name __ ~--~------San Diego
Lenders Address --------='----
USE BALL POINT PEN ONLY & PRESS HARD .. . -.. . .. --. ~ 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 AD0RESS AV. ST. RO. NEAREST CROSS ST.
IOATE ~;;;;;;;ONI
BUSINESS LICENSE 1' VALUATION PERMIT NUMBER
2697 Olvmoia Drive 3681 80716
LOTi~ BLOCK l!uao1v,s,0N I ASSfSSOR PARCH NO. c) CONTRACTOR CONTRACTORS PHONE • ZONE 83-83-168
16 innaker Pt. ~, ---t':a..'3 oy, O .
~tandard Pacific of San Diego 279-2042 <iWN£R"S NAME 1 OWNER'S PHONE
279-2042 CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
Standard Pacific of San Diego (same) 294215
OWNER"S '""'-•L•NG ADDRESS
7290 Clairemont Mesa Blvd., San Diego 92111 0ESIGNER LICENSE 'I STANDARD PLAN# BUILDING SO. FOOTAGE
~uzard-Henning & Associates X NR 1583
OESCRIPT ION OF WORK
OESIGNER·s AOORESS DESIGNER'S PHONE -
Single-family dwelling-attached garage ~883 Ronson Ct. SD 92111 278-6855
-··----------------.. F/P F LR ELEV. NO DCC GP EDU
STORIES
Plan 330 vO NO --1 R-3 1 !!ri::01~ i!~ ti,6~4 6Ts;:;~~, GP LANO USE I PAR~~: SPACE I RE~ UNITS 1
GRA0ING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CON\fN vO ~ y D ND v0 N(9 Not Valid Un~s Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT · ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
10 EACH FIXTURE TRAP 25.00 1 INSTALL FURN. DUCTS UP TO 100.000 BTU 4.00. BUILDING PERMIT 01·00·00·8220 J/b.UU
1 EACH BUILDING SEWER 6.50 OVER 100.000 BTU SIGN PERMIT 01·00·00·8221
1 EACH WATER HEATER ANO/OR VENT 2.50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 246.35
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2.50 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 44.00
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 30.00
EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00-8224 7.00
EACH VACUUM BREAKER MECH EXHAUST -H0OO/OUCTS MOBILEH0ME 01·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n,.nn.nn.0000
-TOTM MECHANICAL 7.00 STRONG MOTION 80·92·33·0519 5.65
TOTAL PLUMBING I I./, (l(.\ FIRE SPRINi<LERS 01 ·00·00·8227
5.00 QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·8933
QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWTIBKR 100 L:J.UU COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXISl BLOG EA AMP/SWT /BKR ROCYlf(JRAGE
--------"' Encinitas 80·92· 22-0519
I PH 3 PH :ruMP A ' ' \ San Dieguito 80·92·23-0519
REM00EL!ALTER PER CIRCUIT / PLAN CHE'..l!fFfi/,, ~ A /J~ San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS I '--(.?"'....--/
OVER 200 AMPS T S -r-/ LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) \ ~ ,, ' ......... _ -CREDIT DEPOSIT ( l4J.)))
TOTAL ELECTRICAL I 30.00 TOTAL SOLAR TOTAL FEES PAYABLE I 465.45
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT" AND DO HEREBY Exp,rabon Every perm,t -t,y Ille Building Offlctal undef Ille prov1S10ns of tll,s * AN~fT IS IIEOUIIIED FOfl EXCAVAllONS OVER
CERTIFY UNDER PENALTY Of PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shell ··-by ltm"8t10n -become null -YOtd If the bu,ld,ng Of -5· ~ F DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ■utnomlld by sucn pem,,t 1s not commenced wtlhin 180 days from tne dale of sucn STAUC OY£A 3 STOAIES IN HE!Gt4T permit 0< ,1 t~1jl o, woril aulhOfWKI by such pe,-m,t 11 suapended or ISSUED TO COMPLY WITH AU CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at er,.,. work ,a commenced for a -,oo o1-,llil "•-
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"S Jl1 ~ OWNER V COIIITRACTOR 0 APPROV~~ t~n~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND _ ,·r.J / ,_ ~ i-
EXPENSES WHICH MAY IN fllM'( .WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF lHE ~n"'7v·~-BY PHONED GRANTING OF THIS PERMlf.
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' -TYPE DATE INSPECTOR . I .. ·,~. ' -g,&-S'3 ...-1 <.o'6 1 ' ,~ ·, BUILDING I ,. ~ I \ I " FOUNDATION I FIELD INSPECTION RECORD -
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ' -I AEQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE .. -FLOOR & CEILING SUB FRAME ' ... I SOILS COMPLIANCE
SHEATHING D ROOF D SHf.AR PRIOR TO
fOUNDATION INSP FRAME J --' STRUCl URAL CONCRETE ' EXTERIOR LATH I ' I OVER 2000 PSI
INSULATION I ' L PRESTRESSED I CONCRETE INTERIOR LATH & DRYWALL I ~26,<x-1 ~ POST TENSIONED
I CONCRETE
PLUMBING : FIELD WELDING
SEWER AND BUCO □IPL/CO I HIGH STRENGTH ,
BOLTS UNDERGROUND D WASTE D WATER -,. ' TOP OUT D WATER SPECIAL MASONRY ' D WASTE
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR W~TER
I • ..
ELECTRICAL I
D ELECTRIC UNDERGROUND O~UFFER ..
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY -
D BONDING D POOL I
I
I -
MECHANICAL ..
I
D DUCT & PLEM ., D REF. PIPl~G ----HEAT -AIR COND. SYSTEMS I ,. -__!. -~ ..
VENTILATING SYSTEMS I
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAW: BEEN APPROVED.
FINAL I -,/ I
PLUMBING I v,,_\~
ELECTRICAL I ,-,('f) ~
MECHANICAL I ~J /Y(' ~>~ I L
GAS I C '?; r1 • '
BUILDING I eJ \.
SPECIAL CONDITIONS I
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