HomeMy WebLinkAbout2703 Olympia Dr; ; 83-83-171; PermitII) z 0 ~ ~ ... ~ 0
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✓,hereby affirm that I am licensed under
l)(O'llalona of Chapter 9 (commencing with
S.Clion 7000) of Division 3 of the Business
and Proleaalons Code, and my license Is In
~~I ~';°'1~'lftI"5I. Class a Bl
I
!or ! ~: •:i:: t~ha:h! t:.:~:i::..'=1 (~ ~[t\ I
Business and Professions Code Any city or county which re-I ~~~ a:,~~:~u~~. ;'1~:~~~!S ,!~~an~:~~:~eq~::~:·a: I pllcanl tor such perm,! 10 hie a signed sta1emen1 Iha! he IS I
t:1i: l~:(C~1pt~~ ~or::~; w~h 1~1~nnt;=~~ f
Oivlsion 3 of !he Business and ProtessJOns Code) or Iha! IS ex-I
empt therefrom and the basis lo, the allegeo exempllon Any vt01a110n of SeclJOn 7031.~ by an appticanl for a perm,r sub-
jeets the apphcant to a cMI penalty of nol more lhan five hun•
dred dollars ($500)
O I, as owner of Ille propeny. Of my employees with wages
as their sole compensatoo, will do the WOfk, and the struc· ture 1s not intended or offered for sale {Sec. 7044, Business
and Professions Code. The ContractOf's Ucense Law does
not apply 10 an owne< of propeny who buHds Of improves
thereon and who does such work himself or through his own employees, provided that such improvements are not intend-ed or offered ror sale. If, however, the bu1khng or Improve•
ment is sold wllhin one year of completion, the owner•builder
will have Ille burden of prov,ng that he did not build Of im-prove l0< the purpose ol sale).
0 I, as owner of !he property. am exclusr,ely contracling w1lh licensed contractors lo construct the project (Sec. 7044.
Business and Profess10ns Code: The Contracto<'s License Law does not appty to an owner of property who builds or im•
proves thereon. and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License uwJ.
O As a homeowner I am improving my home, and Ille lollow· ing condittOA;s exist: t. The work is being pertormed prior to sale. 2. I have hved In my home fllf !Welve months prk>r to compSetion of this work.
3. I have not claimed this exemption during lhe last three years.
0 lamexemptunderSec. ______ . B&P.C.
for this reason
~ hereby atftrm tr'lat I ha ... e .a cen,hcate ol consent
to self.,nsyre. o, a cert1f1cate of Wor~ers·
Compensation Insurance. or a cen,hed copy thereof
(Sec 3800. LabOt Cooe>
POLICYNO WP 233-02-48
co,PANY Fireman I s Fund
tf Copy IS hied With the City
D Cert1hed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORIIERS' COMPENSATION INSURANCE
(This section need not be completed 11 the perm.-1
• /s IOf one hundred dollars (S 1()()) m less)
ef I cert,ty that in the pertOf'mance of the work tor
which this pemut ,s issued, I shall not employ any person 1n any manner so as to become subJect 10
lhe Workers· Compensation Laws of Cahtorn,a
NOTICE TO APPLICANT 11. after mak1n~ this Cen,
ltcate of ExempttOfl. you should become SYt>Ject I? lhe Worke,s· Compen~t•on prov,s1ons of the UbC)r
Code. you must forthw1lh comply w,th such
provisions Ot 1h15 perm,1 shall be deemed re\/Oke<l
~ hereby alt,rm lhat !here ,s a cons1ruc1ton
1ef\d1ng agency tor ll'le periormance ot the wo°' to,
wh1Ch lhtS penrul 1s 1ssueo i5ec 3097 C1v1I COde)
Lenders Nam• Crocker Bank
Lende<SA<ldress San Di ego
USE BALL POINT PEN ONLY & PRESS HARD --APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
., CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT r 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 I
JOB ADDRESS AV. ST. RO. NEAREST CROSS ST I DATE ;;j7~7;;0NI
BUSINESS LICENSE ,t VALUATION PERMIT NUMBER
2703 Olympia Drive 3681 109448
LOT BLOCII tUBOt VISION I ASSE5f?;iA~6!. ~ i) CONTRACTOR CONTRACTORS PHONE • ZONE 83-83-171
17· ·-'---1---'Dt-07 0 Standard Pacific of San Diego 279-2042
OVl/I,,E"A'S "'AME .. I OWNER'S PHONE
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLDG USE CODE ,._ ..2 --~ n--.;4=.;,. nf= C'--n-ro~n 279-2042
OWNER'S MA, L•NG ADDRESS (same) 294215
DESIGNER LICENSE tr STANDA RO PLAN # BUILDING SO. FOOTAGE
7?QO r.1 .. -tri:>mnnt-Mesa Blvd .• San Diego 92111 Buzard-Henning & Associates NR 2205 DESCRIPTION OF WORK
DESIGNER'S ADORESS DESIGNER'S PHONE
Sing!e-fam!ly dwelli~j~at~ache~_ garage 4883 Ronson Ct., SD 92111 278-6855 ,,e1.201e;i 85 280CeQ': -.. .._ ....
·-----FIP F LR ELEV. NO OCC GP EDU
Plan 350 STORIES
vO NO 2 R-3 1 -. ---
CENSUS TRACT I GP LAND USE I PARII ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRESPR ex ,-4-0-f AREA CONST
579 1 YO N □ v□ NllO VN vO ~ Not Valid Un~s Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT · ISSUE 3.00 SUMMAR~ACCOUNTNUMBER
1? EACH FIXTURE TRAP JU.l}U 1 INSTALL FURN. DUCTS UP TO 100,000 BTU 4 .uu_ BUILDING PERMIT 01-00-00-8220 /, C: Q ()()
1 EACH BUILDING SEWER 6.50 OVER 100,000 BTU SIGN PERMIT 01·00-00-8221
1 EACH WA TEA HEATER ANO /OR VENT 2.50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ?00 -:ti:;
, EACH GAS SYSTEM 1 TO 4 OUTLETS 2.50 BOILER/COMPRESSOR 3.15 HP TOTAL PLUMBING 01 ·00·00·8222 I. fl r\f,
~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~" ""
EACH INSTAl . ALTER, REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT 4.00 MECHANICAL 01 ·00-00-8224 ,,~;;;;
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01·00·0Q·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.no.nn.ooo~
TOTJ;L MECHANICAL 11.00 STRONG MOTION 80·92-33-0519 7 ££
TOTAL PLUMBING I ,. o nn FIRE SPRINKLERS 01·00-00-8227
QTY. QTY. SOLAR· ISSUE PUBLIC FACILITIES FEE 32·00·00-8933
ELECTRICAL PERMIT· ISSUE i:; ()() BRIDGE FEE
NEW CONST EA AMP/SWT 1BKR , (\(\ ? ,:; (\(\ COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TAN KS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Oieguito 80·92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS /.,., n \
OVER 200 AMPS (CJU--4l---I LICENSE TAX 01-00-00-8162 2189.00
TEMP OCCUPANCY 130 DAYSI \ t:;--:2_1-"J
\ / CREDIT DEPOSIT (243.55/
TOTA L HEnRICAL I TOTAL SO!fiR -I 30.00 TOTAL FEES PAYABLE 2800.46 -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND DO HEREBY Expo ration. Every per mot ,asuad by the Bulldtng Ofloc,at uncle< the provoStona of lh1s * AN~IT IS AEOUlflED FOR EXCAVATIONS OYER
CERTIFY 1-JNOER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda Shall elCptNJ by bm1tat1on and become null -"°'" If the building or worlt S' O" ANO OEMOUTION OR CONSTAUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author•zed by such parm,t •• not commenced w,1t11n 180 chlys from the date of such STRUC OVER 3 STOAIES IN HEIGHT permit. or ,I the build•~ or worlt aulhorlled by such par"::!.f-suspended or ' ISSUED TO COMPLY WITH All CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at any 111118 a er the work II commenced for a""'' of 180 "-• STRUCTlON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLI~~ OWNER~ CONTRACT~□ APPROVEV)-,~It~ · KEEP HARMLESS THE CITY OF CARLSi'IAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _.,_;.,~ BY PHONE 0 GRANTING OF THIS PERMIT ., rr-r-
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHF.AR
FRAME
EXTERIOR LA TH
INSULATION ·~-~
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO DIPUCO
UNDERGROUND
TOP OUT D WASTE
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR W~TER
ELECTRICAL
D ELECTRIC UNDERGROUND D 1UFFER
ROUGH ELECTRIC 1
D ELECTRIC SERVICE D TEMPdRARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV,E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS I .
BUILDING
SPECIAL CONDITIONS
---' . .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
rouNDATION INSP
STRUCl URAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH .,
BOLTS
SPECIAL MASONRY
PILES CAISSOr-.S
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INSPECTOR'S NOTES
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