HomeMy WebLinkAbout2704 Olympia Dr; ; 83-83-160; PermitIll z 0 ;::
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~ hereby attlrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is in
~~II ~~•ce ~~4~"f '5 Class B 1
I hereby affirm lhat I am exempt lrom the Conlrat· tor's License Law lor the following reason !Sec 7031.5
Business ana ProfessJOns COde Any city or county wh1Cn re-quires a permit to construct. alter, unprove~ demohsh, 01 repa,r any structure. prior to 11s issuance also requires !heap-
phcant '°' such perrrnl to lile a s19ned stalement that he 1s
hcenSed pursuant to the prov1s10nS ot !he con1ractor' s L,cense uw (Chap!er 9 cornmenc,ng w11h Section 7000 ol
Ofv1s10n 3 ot the Busmess and Professions Code} or tbat is ex·
empt therelrom and lhe basis tor lhe altegea exempllon _ Any
v1olatton of Sectt0n 7031.5 by an applicant ror a perm11 sub-JeCIS the apphcant 10 a c1V1I penalty ol not more than five hun•
dred dollars (S500)_
0 I. as owner of the property, or my employees with wages
as the,r sole compensatlOfl, w,N do the work, and the struc-ture is not intended or olfered for sale (Sec 7044, Business
and ProfesslOflS Code The Contractor's license law does no1 apply to an owner ol pr()perty who builds or unproves thereon and who does such work himself or through his own
employees, provided that such 1mprovemen1s are not mlend-
ed or olfered for sale. 11, however, the building or imp,ove,• meni is sold within one year of completion, the owner-builder
wlll have the burtten 01 proving that he did not build or im-prove !or lhe purpose 01 sale).
D I, as owner of the property, am exclusrvety contracting with licensed contraclors to construct the protect (Sec 7044, Business and Professions Code: The Contractor's lteense
Law does not apply to an owner ol property who builds or im-proves lhefeon. al'ld who contracts for each projects wilh a
contractOf(S} license pursuant to the Contractor's license L.1w)_
D As a homeowner I am improving my home. and lhe lollow-lng conchlions exist:
L The w0<k is being perl0<med prior 10 sar..
2. I have lived in my home !or twetve months
3. rr:: :r~~~of t1~ii :"~ption during lhe last three years.
D lamexemplunderSec. _______ e&P.C.
for this reason ,.,
~reby affirm that I ha .. e a cet11hca1e ot consent
to sell-insure, or a cert1fica1e of Workers·
Compensation Insurance. or a certified copy !Plereot
(Sec 3800. LollOr COOel
POLICY NO WP 233-02-48
co,-ANv Fireman's Fund
e'"Copy IS Med with lhe c1ly
0 Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This section need no1 be compleled ,f lhe permit
1s IOf one hundred dollars (S 1001 Of less)
81cer111y !hat 1n the performance ol me work lor
whteh this permit 1s issued. I shall no1 empl()y any
person 1n any manner so as to become sub1ec1 10
the W0111.ers· Compensation Laws ot Caltlorn,a
NOTICE TO APPLICANT If, aller malun-;i !his Cert,
hcate ol Exempt.on. you shouk::I t>ecome sub1ec1 I?
the Work.ers· CompenYhon p,ov1s1ons ol !he U bOr cooe. you must forthw11h comply w,1h suct1
prov1s1ons or 1h1s perm,1 shall be deeme<J revoked
~reby affum 11\at lhere 1s a cons1ruc1,on
1end1~ agency tor 1ne perio,mance ot the work to,
which this permit ,s issued tSec 3097 C1v1l Cooe1
LenoersName Crocker Ba k u
lende,'s AdOress s-=~---,....,,_==-----an Diego
---------------. ··---...... _ ·-·. -·-·-··· --. ·-r ··----------..
CARLSBAD BUILDING DEPARTMENT > APP1/CATION & PERMIT I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST_
!°ATE ~~~p;~;;~ONI
I BUSINESS LICENSE # VALUATION PERMIT NUMBER
2704 Olympia Drive 3681 86562
L~Tf.~-BLDCK t suBo, v1s,0N .I ASSESSO'l.i~~ N~ Ob CONTRACTOR r CONTRACTORS PHONE • ZONE 83-83-160
i ... -r ...... ::a.k_er Pt: I l, 7 279-2042 OWNER.$ NAME I OWNER'S PHONE Standard Pacific of San Dieso
CONTRACTOR'S ADDRESS l LICENSE NO. PLAN I.O-# BLOG use coDe
~---..2-~..2 P~ri fie of San Die_go 279-2042 (same) ' 294215 OWNER·s MAil ING ADDRESS
San Diego 92111 OEStGNER LICENSE " STANDARD PLAN # BUILDING SQ_ FOOTAGE 7290 Clairemont Mesa Blvd., Buzard-Henning & Associates NR 1725 DESCRIPTION OF WORK
OESIGNER•s ADDRESS DESIGNER'S PHONE
4883 Ronson Ct., SD 92111 278-6855 Single-family dwell~~g-~~~ached garage ----F/P FLR ELEV-NO DCC GP EDU ~1.!~Z!U/~3 -~~ 49&~5~ STORIES u, ,,. ... ~1,,n vO NO 1 R-3 1 ---
~N~~~T I GP LANO USE I p;:~NG SPACE I RES t TS I GRADING PERMIT ISSUED I REDE VELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND Y0 N~ VN vO Jo Nor Valid Unlffr Machine Curi lied
QTY_ PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 3.00 SUMMAR~ACCOUNTNUMBER
10 EACH FIXTURE TRAP 25.00 1 INSTALL FURN. DUCTS UP TO 100.000 BTU 4.00 BUILDING PERMIT 01·00·00·8220 39-4.00
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 2 "H Cl"
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2 50 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 I, I, ()()
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00·00-8223 1() ()()
EACH INSTAL .. ALTER . REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT 4 nn MECHANICAL 01·00-00-8224 11 ()()
EACH VACUUM BREAKER MECH EXHAUST • HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION Of EA f U RNACE/HEA TE R MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01·00·00-~??~
TOT l.l MECHAN ICAL 11.00 STRONG MOTION 80-92·33-0519 _J:, 11h
TOT Al PLUMBING I I, I, ()() 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 AMPISWT 18K R 100 25.00 COLLECTORS SCHOOL FEE -DISTRICT
I 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
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE / ----...__,_ San Marcos 80·92·24-0519
TEMP POLE 200 AMPS I '
OVER 200 AMPS ,,.. () .. . J. LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) -V ' -" -,
~ -~ J CREDIT DEPOSIT (243.55 /
TOTAL ELECTRICAL
I 30.00 TOTAL SOLAR TOTAL FEES PAYABLE l 499.56
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT" AND DO HEREBY E•---Every permtt ouuedbylhe BuilcllnOOfhct•l uncler lhe prov, .. ons of tl>JS * AN ~IT IS AE0UIRED FOR EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••Pff• by llmttaliOn and become null -VOid tt the butlding or work s· O" EP DEMOuTION 0A CONSTRUCTION OF DECLARATIONS ARE TAU£ AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author1Zed by such permit II not commancad Within 180 days from the dale of such STJIUC OYER 3 STORIES IN HEIGHT parm,t. or ,t '!I, bulklt:,'X.!'r work autl>Or&Ud by such perm,1 ~-or ISSUED TO COMPLY WITH ALL CIJY, COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned al ,_ a Ille work ,. commenced for a Dltnod 1 , -STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLICANT..., ~ OWNER [Y" CONTRACTOR 0 APPROVED r __l_ t~/J, KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ .L)JA BY PHONE 0 GRANTING OF THIS. PERMIT. • " Yr -, '¥ -r ~--
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I_
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH~AR
FRAME I
EXTERIOR LATH 1/
INSULATION 3•\2· ~·-Q) .
INTERIOR LATH & DRYWALL I
I I
PLUMBING I
SEWER AND BUCO D IPUCO I I
UNDERGROUND D WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST ' □ WATER HEATER □ SOLAR W"4TER
I "
ELECTRICAL ' ' □ ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL I
I
I
MECHANICAL I • I
□ DUCT & PLEM., □ REF. PIPINIG c' ---
HEAT -AIR COND. SYSTEMS ' VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEM_S_ABOVE HAVE E3~EN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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FIELD INSPECTION RECORD .
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL -J
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP , '
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED -
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH I . BOLTS .
SPECIAL MASONRY >t,• , .
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I PILES CAISSONS . -. . ' .
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