HomeMy WebLinkAbout2701 Olympia Dr; ; 83-83-170; Permit,n z
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~eby affirm that I am licensed under
provision■ of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profe99lons Code, and my license Is in
full force 'I'~ tf!o<otS Bl Lic No _ _,L.,...~c...'l-.,_,,L.=.L= Class __
I hereby allinn lllil I am exempl lrom lhe Contrac-
1or· s License Law tor lhe lotlowmg reason (Sec. 7031.5
Business and ProfesSIOl'ls Code Any city or county whfth re-quires a permll to construct, al1er, improve. demolish. Of repa,r any structure, prior to its ,ssuance also requires !he ap-
ptocanl to, such perrrul lo tile a s,gned slatemenl lhal he is lteensed pursuant to the prov1st0ns of the Contrac1o(s License Law (Chapter 9 commencing wdh Sechon 7000 of
OiVisIon 3 DI the Business and Profession~ Code) or that is ex· empt lherelrom and lhe basis lor Ille allegea exemplton Arty
V1olahon ot Section 7031.5 by an apphcant lor a permit sub·
,ects lhe applicant to a t!Vft penatty ot not more than five hun--dred dollar> ($500).
D I, as owner of Ille property, or mi employees wilh wages
as their sole compensahon, will do the W'Ofk, and the struc· ture Is not intended CN" offered for sale (Sec. 7<M4. Business
and Pro1essIons Code. The Contraclor's l.Jcense Law does
not apply 10 an owner of property who buHds or iA'lp(oves
thereon and who does such work himself Of through his own
employees, provided that such improvements are no1 mlend• ed or offered lo, sale. 11, however, lhe budding o, improve-
ment is sold within one year of compaetlOn. the owner-builder
WIii have Ille burden 01 prOYtng lhal he did not build or Im· prove to, lhe purpose ot sale).
D I, as owner ot lhe property, am excluSM!ly amlracting wilh licensed conlraclors lo conslrucl lhe p,~ect (Sec. 7044,
Business and ProfessK>ns Code: The Contractor's Lanse Law does not apply to an owner ol property who builds Of im· proves thereon. and who contracls lor each projects with a contractor(s} license pursuant to the Contractor's License Law).
O As a homeOWner I am imprOYing my home, and the follow·
ing conditions exist: 1. The work IS being pe~onned prior 10 sale. 2. I have lived in rrr, home lor iweiv. roonlhs prior 10 completion ol lhis work .
3. I haYf! not claimed this exemption during the last three years.
D I am exempl under Sec. ______ . B & P.C. for this reason ____________ _
~reby affirm that I t\a;,e a cert11tu1e ot consent 10 self-insure. or a cert1t1cate of Workers·
Compenwhon Insurance. or a cer1,t1ed copy thereof
(Sec 3800. Labo< Code!
POLICYNO WP 233-02 -48
co~Nv Fireman's Fund ~ Copy IS hie<! with lhe city
0 Cert1hed copy Is hereby turmslled
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
2n cttan need not be completed 11 the permit tor one hundred dollars (S 1001 or less I
n,ty that ,n the performance ot the work 104'
which this permit 1s issued, I shall not employ any
pefson 1n any manne1 so a.s lo become sub1ec1 10
the woncers· Compensation Ll•s ol CaI11orn,a
NOTICE TO APPLICANT II. alter maktnJ lhIs Cel"l1
l1cate ol Exemption, you snoukJ beeome subjecl I?
the Workers· Compensation pmv1s1ons ol the Labof
Code. you must tonnw1th comply w1lh such provisions or this permit shall De deemed revOke<J
~ret>y alt,rm lhal there ,s a coosuuctton
lending .igency to, the per1ormance ot the w~ tor
wh,ch th,s permit ,s issued 1Sec .3097 C1v1I Cocse,
Lenoe,s Name Crocker Bank
Lende<SAdd•ess San Diego
USE BALL POINT PEN ONLY & PRESS HARD --·--APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT ' 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB AOORESS AV ST.RO. NEAREST CROSS ST. I OATEl ;;;;~~~IONI
BUSINESS LICENSE ,t VALUATION PERMIT N U MBER
2701 Olympia Drive 3681 ~ 80971
LOT BLOCK b~BOIVISIQN .J ASSESSOR p~~L NO u CONTRACTOR CONTRACTORS PHONE • ZONE 83-83-170
170 innaker Pt lw7~ or..,e Standard Pacific of San Diego 279-2042 OWNER'S NAME .. 1 OWNE R"S PHONE
Standard Pacific __ of San Diego 279-2042
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG USE CODE
(same) 294125
OWNER'S MAILING ADDRESS
7290 Clairemont Mesa Blvd., San Diego 92111 DESIGNER LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE
Buzard-Henning & Associates NR
OESCRIPTtON OF WORK 1588
DESIGNER'S ADDRESS
San Diego 92
DESIGNER'S PHONE
Single-family dwelling-attached garage 4883 Ronson Ct., 11 278-6855
-----~ -------. -------------F/P FLRELEV. NO OCCGP EDU STORIES
Plan 32'1-"" vO NO -o _-:i 1
--" ')
~t;~1 GP LANO USE I PARK~~G6SPACE I RESl UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR I 21:"';~3 ,i:: . 76.9c' ~w
AREA CONST VN
Y □ N 0 vO ~ vO ~ Not Valid Un~s ~chine Certified
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARVACCOUNTNUMBER
13 EACH FIXTURE TRAP 32.50 1 INSTALL FURN. DUCTS i.JP TO 100,000 BTU --BUILDING PERMIT 01-00-00-8220 '.\71, (\(\
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 80 I LE R/COMPR ESSO R UP TO 3 HP PLAN CHECK 01-00-00·8806 248.30
1 EACH GAS SYSTEM I TO 4 OUTLETS 2 t;() BOILER/COMPR ESSOR 3-15 HP ' TOTAL PLUMBING 01-00-00-8222 'li'll 50
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ':if"\ on
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT 2 _0(.) MECHANICAL 01-00-00-8224 q -()()
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.M-nn.aooc
TOT I.L MECHANICAL 9.00 STRONG MOTION 80-92-33-0519 <; ,; 7
TOTAL PLUMBING I ,:; 1 <:;(\ FIRE SPRINKLERS 01-00-00-8227
ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. 5.00 BRIDGE FEE
NEW CONST EA AMP/SWT ,BKR 100 25.uu 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
I PH 3 PH PUMP ~ -San Dieguito 80-92-23-0519
REMOOEU AL TEA PER CIRCUIT PLAN CijlCK FEE "-...,--..... San Marcos 80-92-24-0519
TEMP POLE 200 AMPS I ,. fl A ' "' OVER 200 AMPS ---\ LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) I s _71 -1 7 ) ~ ' \. , ./ CREDIT DEPOSIT (243.55/
TOTAL ELECTRICAL I 30.00 "------TOTAL SOL TOTAL FEES PAYABLE I 476.92
1. HAVE C~-=~ft' EXAMINED TH£"(X)MPLETED · APPLICATION ANO PERMIT AND DO HEREBY Exp,ratlon.E"')'permtt_,.bytt,eBulldingOfftciatundeftheprovt!NOOlofth11 * AN OSHA PERMIT IS AE0UlflEO FOR EXCAVATIOttS OVEA
• CERTIFY toENAlTY OF PERJURY THAT ALL INFORMATION tiEREON INCLUDING THE COIie shall expire by llffldMIOII .,d become null and vOtcl II the bull<ling or worll S'O" OR CONSTRUCTION OF
DEClARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PEl™IT IS author,zed by such pe,mot ,a not commenced Wllllkl 180 days t,om the date ,>t such s ·-...;;: / ..1.-R J STORIES IN HEIGHT permit. Of II the build,~ work authot1Z8<1 by IIUCh pe,m11 II o, ISSUEO-TO COMPI.Y WITH All CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON-abandoned at -the worll ,a commenced tor a~-11111 ·--STRIJCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APf't..l~ OWNEA(J"" CONTRACTOR 0 APPRO\IEO~ i'~I~ KEEi> HARMlESS THE CITY OF CARt.SBAD AGAINST ALL LIABILITIES, JUOGMENTS, COSTS AND
EXPENSES WHlcifMAY iN ANY WAY ACCRJE AGAINST SAID CITY IN CONSEQUENCE OF THE ·-k'fL~I -BYPHONE Q ~NTING-QF Tttl8 PERMIT , ~· -,7J .,., ,. (.
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TYPE I DATE INSPECTOR
BUILDING I
. . -~ ... . .,._ ...... ,;.~~
""'----:: <g-.; -t<~-1,0 ,, .. ·~ ·~ ·-
FOUNDATION . ' l ,~ ~ I
REINFORCED STEEL I e"' ,•,,u '+C:..L..)
MASONRY -I .
GUNITE OR GROUT I
I
FIELD INSPECTION RECORD \
REQUIRED SPECIAL INSPECl IONS INSPECTOR'S NOTES --
INSPECTION REQ IF INSPECTOR"S DATE CHECKED APPROVAL -, -
FLOOR & CEILING SUB ~ I
~13P.Qf.,UD SHF.AR . ' SHEATHING
FRAME 'O -~-I -~~\~·Q,. _1
EXTERIOR LATH I \
l , SOILS COMPLIANCE : PRIOR TO . . ' rouNDATION INSP ,
STRUClURALCONCRETE
OVER 2000 PSI
INSULATION I \ ~
INTERIOR LATH & DRYWALL I ~ ~?':). ~ u?Y")) I
PRESTRESSED .,
CONCRETE
POST TENSIONED
I CONCRETE .
PLUMBING I FIELD WELDING I
SEWER AND BUCO D IPUCO I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH .. BOLTS -'I.
TOP OUT D WASTE D WATER • t:l.•\~ t;"' SPECIAL MASONRY
TUB AND SHOWER PAN I
_J_ -GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR W4TER "
I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1UFFER ' ROUGH ELECTRIC I ~-\~'Q ,#)
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL ' l I
I -
MECHANICAL I
D DUCT & PLEM., D REF. PIPl~G -~a.c~ 'A"_LjrJJ :i:!\ ":,·1:J .J2 1a • -
HEAT -AIR COND. SYSTEMS I _,
VENTILATING SYSTEMS I
I
_l --
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL .. . ,
GAS I
BUILDING
SPECIAL CONDITIONS