HomeMy WebLinkAbout2702 Olympia Dr; ; 83-83-161; Permit"' z 0 ;:: C a: C ..,
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~ hereby affirm that I am llcensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In ~~:I ~~':t?Jt.!Jft: Class ~~L
I hereby affirm !hat I am exempt from the Contrac·
1or·s License Law tor the lollowmg reason (Sec 7031 5 Business and Profess,ons Code· Any city or county whtCh re--quires a permit to conS1ruct, alter, tmprove. demohsh, or repair any structure. pnor 10 its issuance also requires ?heap-
phcanl fDf such permtl to tile a signed s1atement rhat he 1s licensed pursuant to the prOV1SIOO$ ol the COnlfactor"s
license Law (Chapter 9 ccmmenctng with Sec.lion 7000 of OiY,..,. J ol ll!e Su!!ness and ProfesSIO!ls Code) or Iha! IS ex-
empt therefrom and the basis lor the allegeo exemption Any vtolat1on ol section 7031.5 by an applic.ant tor a perm,t sub-
iects the applicant to a covtt penalty of not more than tr;e hun-
dre<f dollars ($500)
D I, as owner of !he p,operty, or my employees w,th wages
as lheir sate compensation. will do the work, and lhe struc-
ture 1s not Intended or offered fOf sale (5ec 7044, Busmess and ProtessK>ns Code. The Contractor's License Law does
not apP'y to an owner of property who builds Of improves !hereon and who does such wo,k h1msett or through his own employees, provkled t~t such imp(ovements are not intend·
ed or ottered tor sale If, how~r, the building or improve-ment is sokS w11hin one year of completion, the owner·budder
will have the burden of proving that he did not build or im-
prove for the purpose of sale).
D I. as owner of the property. am exclusively contracting wilh ticensed contractors to cons1ruct the pro;eci (Sec. 70.4,
Business and Professions Code: The contractor's License Law does not apply to an owner of property who builds or im-proves thereon. and who contracts for each proiecls with a
~f~ctor(s} license pursuant to the Contractor's LJcense
D As a homeowner I am improving my home. and the follow-
ing conditions exist: 1 _ The work is being pertormed prior to sale.
2. I have lived In my home for twelYe months prior to completion of this work.
3. I have not ctaimed lhts exemption during the last three years.
g :h~:r-:.•;;tunderSoc. ------. B&P_C_ -------------
6ereby affirm that I have a cert1hcate ol consent
to self.insure, or a certificate ol Workers·
Compensation Insurance. Of a cert1f1ed copy thereof
(Sec 3800. Labo< Code!
POLICYNO WP 233-02-48
co~Nv Fireman's Fund e1' Copy IS hied with the city
0 Certified copy 1s hereby lum,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1t the permI1
~
or one hundred doUars ($100) or less)
n,ty that in the pertormance ot lhe work tor
c his permit 1s issued. I shall not empl0y any
pe,son ,n any manner so as to beeome sub1ect 10
the Workers· Compensahon Laws ot Gahforma
NOTICE TO APPLICANT If. after ma11.in1 !his Cert,
fie.ate of Exemption. you shOuld t>ecome sub1ect t? lhe W~ers· Compen.salton provisions ol the Labor
Code, you must lorthw1lh comply w,tn such
p,ov1s1ons or th,s permit shall be oeemed revOked
~reby allorm thot tnere ,s a cons1ruc11on
lending agency tor lhe performance ot lhe IIIVOrk tor
which th,s perm,t IS issued (Sec m1 c,v11 C~)
Lenders Nam~ Crocker Bank
Lender-sAd<lress San DieQ:Q
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 ADDRESS AV. ST.RD. NEAREST CROSS ST 'DATE OF APPLICATION! BUSINESS LICENSE ,r VALUATION PERMIT NUMBER
2702 Olvmoia Drive 1?/1?/~-:t ~-.R1 HXmra 80971
LOT 'BLOCK j SUBD1v1S10N J ASSESSOR, P_ARCEL NO ~ CONTRACTOR CONTRACTORS PHONE• ZONE 83-83-161
16 Sninnaker Pt I '-11 '-''-" I I 4 0 u
owNEA's NAME I owNeA·s PHONE Standard Pacific of San Dieizo 279-2042
CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLOG USE CODE
Standard Pacific of San Die20 279-2042 ( )
OWNER·s MA•L•NG AODRESS same 0294215
7290 1 1 d 2 DESIGNER LlClNSE" STANDARO PLAN# BUILDING SO. FOOTAGE C airemont Mesa B v ., San Diego 9 111
DEscR,PT,oN of WORK Buzard-Henning & Associates NR 1588
DESIGNER'S ADDRESS DESIGNER'S PHONE -------------------------------~ Single-family dwelling-attached garage 4883 Ronson Ct., San Diego 92Jll 278-6855
>-------------------------~------F/P FLRELEV. NO OCCGP EDU
sroR1Es ,,1 2rao1c!! t s ti76~9c
Plan 320 v□ NO --? R .~ 1 •--. ' --
/&-'.-1 I AREA CONST CENSUS TRACT I GP LANO USE I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPA
C,I 7'-f-0"'1 61 6 1 y D N O v□ NC{ VN v□ ~ Not Valid Un~s Machine Certifil!d
QTY_ PLUMBING PERMIT -ISSUE 7 • 50 QTY. MECHANICAL PERMIT -ISSUE 3. 00 SUMMARY/ACCOUNT NUMBER
13 EACHF(XTURETRAP 32 r;;n 1 INSTALLFURNOUCTSiJPTOlOO.OOOBTU 4.00 BUILDINGPERMIT 01-00-00-8220 17f,_nn
1 EACH BUILDING SEWER f:, ,n OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
1 EACH WATER HEATER ANO/OR VENT ? . r;;n BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ", 0 ,,,,
1 EACH GAS SYSTEM 1 TO 4 OUTLETS '> i:::n BOILER/COMPRESSOR 315 HP -TOTAL PLUMBING 01-00-00-8222 t:::1 ~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 -00-00-B223 ~n ()()
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT ? -()() MECHANICAL 01·00·00-8224 Q nn
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 -nn-nn-ooo"
TOTJ.L MECHANICAL g OO STRONG MOTION 80-92-33·0519 c: c. 7
TOTAL PLUMBING I 51. 50 • FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT . ISSUE QTY. SOLAR. ISSUE PUBLIC FACILITIES FEE 32·00-00·8933 5 • 00 BRIDGE FEE
NEW CONST EA AMP/SWT 1BK R 100 25 • 00 COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT /BK R : ROCK STORAGE Encinitas 80-92·22·0519
I PH 3 PH PUMP San Oieguito 80-92-23-0519
REMOOEL 'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS ~ ~
OVER 200 AMPS /,J, { )_ -A \ LICENSE TAX 01-00-00-8162
TEMPOCCUPANCY(30DAYS) 1-""-_;::;-, , ) ~ ..._
\ U r -/ CREDIT DEPOSIT ( 243. 55 /
TOTAL ELECTRI CAL I 30.00 "-...TOTAL~ntA TOTAL FEES PAYABLE I 476.92
t HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HEREBY Exp,raliOn Every permit _ .,.,Ille Bullding Olllclat under !he pr0111s,on1 oflhll * AN 05HA P£ ... IT 1$ REQUIRED FOfl EXCAVA Tl0NS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code_, expre by ltm.--become null -VOid II Iha bu,ldtn!f Of worll 5· O" ..-,. _, OEIIOllTlON OR CONSTRUCTION OF . auth0<1Zed by such pem,,t ,snot commenced w,tt,., 180 days from the date ot such c~;;_-_,,__ ::.. DECLARATIONS ARE TRUE AND CORRECT AND I FURTllER CEflTIFY ANO AGREE IF A PERMIT 1$ permit. o, ,I th& bwldtng or wo,a aulhorizad by such permit ,1 sua-.ded or S ·-•y~ OVER 3 STONES IN ltEIGHT
ISSUED TO COMPL,Y WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING COi'<· •ban-at• 1NM aftar the -,e -icacl to, a"""°" ftt ->ii#, ,..M. f ~
STRUCT .. ION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT-" ~ If. ,__ 0 APPROVEtY}-t~½ KEEP HARMLESS THE CITY OF CARlSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND ~: ~ OWNER LJ CONTRACJOR--
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIOQTY IN CONSEQUENCE OF THE AJA....., BY PHONE '□ f /'--.
GRANTING OF THIS-PERMIT. ., ·-~ V 'If .... -'-I .K "1
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TYPE I DATE INSPECTOR
BUILDING I
I
.
--~ -,.., . &'~ -S-~-1 ~ I ; "~. " --.
FOUNDATION I FIELD INSPECTION RECORD
~. ~
·--I REINFORCED STEEL I
MASONRY I i
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECl IONS INSPECTOR'S NOTES -
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL --• ----J •. -. FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHfAR
FRAME I ~· t1 .QA •"'J!!:J't-,
EXTERIOR LATH -
'
' ' ,,. SOILS COMPLIANCE ,
rRIOR TO
roUNDATION INSP
STRUClURALCONCRETE
OVER 2000 PSI
INSULATION b .. Lt., ... y~--¥•~
INTERIOR LATH & DRYWALL I . PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING ,,
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER -
TOP OUT D WASTE D WATER
HIGH STRENGTH ,.
BOLTS ,: . SPECIAL MASONRY I:
TUB AND SHOWER PAN I j
GAS TEST I
I PILES CAISSONS '
D WATER HEATER D SOLAR WATER . < ' '
ELECTRICAL I
I
D ELECTRIC UNDERGROUND D 'UFFER 0
ROUGH ELECTRIC I ~-l?· v ~ -,~. ,.
D ELECTRIC SERVICE □ TEMPQRARY -D BONDING D POOL I
' ' MECHANICAL I / I
D DUCT & PLEM., □ REF. PIPING 5\2-~+-~ '
HEAT -AIR COND. SYSTEMS I (; t-V ,,
VENTILATING SYSTEMS I
I .. I
ITEMS ABOVE HA VIE BEEN APPROVED.
FINAL 1
PLUMBING
ELECTRICAL
MECHANICAL -' ' ~
GAS
BUILDING
SPECIAL CONDITIONS -.