HomeMy WebLinkAbout2707 Olympia Dr; ; 83-83-173; Permite
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efi hereby affirm that I am licensed unde<
provlalona of Chaple< 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is In
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I lleret,y •""'" 11\il I am exempl lrom lhe Conlrac-lor's License Law tor lhe lollow,ng reason (Sec 7031 5 Business and Protess,ons Code Any city or county wrw:n re
quires a perm11 to cons!ruci. alter. M1'1plove. demottsh. or repair any structure prior to ,ts issuance also requires the ap-
phconl lor S<Jeh perrnit lo hie • S,Qned slitemenl tnat he IS ricensecl pursuant 10 the prov,s,ons of the eoniractor s
License Law (Cllapter 9 ccnwnenc,ng w1/h S.Ct,on 7000 ot
l)v,soon 3 al /hi BuSlness ind Proltsslons COO.I or 1na1 IS.,. 1 =\!'~';:,:' ~t~~
1~,,'~=,:~~':t :0Y . I
/«IS the applicant 10 a CIVIi penahy ot nol more 1nan f,-e hun-I
dfed dOllars ($5001 1
O I. as owner ot lhe propeny, or rrry employees w,in wages
IS !hell sole Compen$ill01'1, .... do the W<Wk ind"'' strut· ture IS not ,nlended or OHered fol sole (Sec 704◄. Bus,ness and Protess,ons COde The C4ntractor's License La., does
not apply 10 an owner of properly wt1o bl/ids or nnproves
!hereon and who does such work himself or through his own
employees, prO'iKlecl 111a1 such mpr°""""n" are not intend· ed or ottered for sale. 11, however. the bu1khng °' improve· ment ls sokf within one yur ot completx>n. the owner•bullder
W1I """" lhe burden 01 prOVlng 1/lal he did nol build or ,m-prove lor the purpose ol sale).
0 I, as owner ot lhe property, am excfusrvely contracting Wllh licensed contraclOfS to COl'ISlrUCI lhe project (Sec. 7044,
Business and Professions Code The Conlractor's License
Law does not appty to an owner ot property who builds or im-
P,OYIS !hereon. and wt1o contracts for each pra,ecls wM a con1ract0<(s} hcense pursuanl 10 the Contractor·s License Law}
D As a 11orneowner I am ,mpnwmg my home. and lhe follow· Ing condtt,ons exiSt:
1 The -k is being perlormed prMlr lo Sile. 2. I havt lived In my home tor twelve monlhs
3. r:: :;'I"'~ t1~: ~IIOfl during lhe list three years_
D I am exempt under Sec. ______ • 8 & P C.
for lltis reason -------------
~reby affirm INlt t Nl..-e a cen,ttcate or c0t1sent
to self.insure. or a cert,t,cate of Workers·
Compensatton Insurance. o, a cen,lied copy lhereot
(Sec 3800, Lillo< Code!
POUCYNO WP 233-02-48
COMPANY Fireman' s Fund ft! Copy 1$ flied with lhe city
D Cen1hed cooy 15 hereby tvrn,shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,1 the permit
•s to, one hundred dollars (S HX)) Of less) ✓icer11fy that in the perlo,rf\¥\ce ol the •°"'-lo,
which this permit IS ,ssued. I shall llOf employ any person ,n any man~ so as ro become sub1ect 10
the Wo,11.ers· Compensation Liws ot C.ahl0tn1a
NOTICE TO APPLICANT If. atter mak1n;1 this Cer11
hcate ot ExemptM)n you shootd beeom,e sut>recl I?
tf\e WOf'k.e,s· Com~s.•ion pr0\l'1S1ons ot the l.,abOf
Code. you must lorth,ulh comply w1lh such p,ov,s~ns Of lhtS permn shall be 1'eemed re1t0keo
"ne,en-; •lfirm •~t there ,s a consuucuon tending ~ncy IQf 11'\f' ~o,mance of lhe W()r'1'. to,
which !hos pe,m,'C"rt:Yt!1c~ l0,13'di'ikCode'
Lender s Name S,...a~n-D ....... i _e_g_o ___ _
Lender s AOdress -----=-
USE BALL POINT PEN ONLY & PRESS HARD --APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB ADDRESS AV.ST.RO NEAREST CROSS ST I OA;;;~;;~•;ATIONI
8USINESS LICENSE # VALUATION PERMIT NUMBER
2707 Olympia Drive 3681 109448 83-83-173
11y3 I BLOCK $~UBOIVIStON I AS,Es,u~~ ~q 0 CONTRACTOR CONTRACTORS PHONE • ZONE innaker Pt. C, · 0
OWN£ A'S NAME I OWNER'S PHONE c:---..:1--..l n-~i4'.f,-n~ c--ni-~-?70-?nl,?
CONTRACTOR'S ADDRESS -LICENSE NO PLAN 1.0. # BLOG USE CODE Standard Pacific of San Diego 279-2042
OWNER'S MAILING AOORESS (,, """'") 294?1"
7290 Clairemont Mesa Blvd., San Diego 92111 DESIGNER LICENSE • STANDARD PLAN# BUILDING SO FOOTAGE
OESCR•PI •ON Of WORK Buzard-Hennin2 & Associates NR ,~, 0/ ;j a: 2205 ,■,~-
OEStGNER'S ADDRESS DESIGNER'S PHONE I .. : ,~, ~ ... ~.. ,
__:•J., , ... : r;;J903 __ Single-family dwelling-attached garage 4883 Ronson Ct., SD 92111 278-6855 ------. -. ----~· ---•--.. F/P FLR ELEV. NO OCCGP EDU
Plan 350 vO "'O
srRIES R-3 1 -. --cCju~~I GP LANO use I PAR~;; SPACE I RES t•TS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONVN vO ~ TO ND vO~ Not Valid Uniffs Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7.50 QTY. MECHANICAL PERMIT · ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
12 EACH FIXTURE TRAP Ju.vu 1 INSTALL FURN. DUCTS UP TO 100.000 BTU 4 .. uu BUILDING PERMIT 01 ·00·00-8220 4)ts.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·B806 299.35
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2.50 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00-8222 49.00
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00-8223 30.00
EACH INSTAl . ALTER, REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT 4 .-00 MECHANICAL 01 ·00·00· 8224 11.00
EACH VACUUM BREAKER MECH EXHAUST • HO00I0UCTS M0BILEH0ME 01-00·0Q·B225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER .. MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE} SOLAR 01-00-nn-A??~
TOTJ:;L MECHANICAL 11.00 STRONG MOTION 80·92·33·0519 7 f,f,
TOl AL PLUMBING I L,,Q (.)(l FIRE SPRINKLERS Ot ·OO·OO·B227
ELECTRICAL PERMIT · ISSUE QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 QTY. c;: (l(l BRIDGE FEE
NEW CONST EA AMP'SWT BKR 1 (l(l ? c; (l() COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TAN KS Carlsbad 80-92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinilas 80·92·22·0519
1 PH • 3 PH PUMP San Dieguito B0·92· 23·0519
REMODEL AlltR PER CIRCUIT PLAN CHECK FEE San Marcos B0·92·24·0519
TEMP POLE 200 AMPS ~ ~ .
OVER 200 AMPS / \ LICENSE TAX 01-00-00-8162 2189.00
TEMP OCCUPANCY (30 DAYSI / /J Oo" dJL,, I -~ I -_,_J1·1·t CREDIT DEPOSIT (243 .55/ _,,.
TOTAL ELHTRICAL I 30.00 \. TOT Al SOLAR ~ TOTAL FEES PAYABLE I 2800.46
1 HAVE CAREFULLY EXAMINED THE COMPt.ETED ··ApPt.fCATION ANO PERMIT'" ANO DO HEREBY ex;._, C"'Ype,ffilt --bylllelluildlng Offlc:,al u_ ,11e P,OYIIIOI\S of 1'"8 * ~ ~IT 1$ REQUIIIED FOR EXCAYATI0"5 0\'£11 CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda shall up,re by li-iOn and become null and vOtd II the budding o, wort. s· ANO DEMOUTION 011 CONSTRUCTION OF
OECLARA TIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authOrWICI by IUCh permtl,. not commenced •-180 daya t,om the date ol such s OYER l STOMS 1H HEIGHT permit. o, '!Jtv butklt~ wort,. autl\onzecl by auch permit ,. ._-or -ISSUED·-TO COMPLY WITH All CITY, COUNlY ANO STATE LAWS GOVERNING BUILDING CON -donecl bme a Ille wor1l ,a Commenced lo, ■ _....,, ol 11!0 "•-,
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
ApPL:~~
OWNER[l CONTRACTOR 0 APPROVE~~
1
11'°/~ 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 . -~ BY PHONE 0 GRANTING OF THIS PERMIT. .. ''l'v
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. ·• I , ,.. • C. ., I INSPECTOR '"" '--.. ' . , .. TYPE DATE .,
83-8'3-1')~ BUILDING I ' -<-
FOUNDATION I ·1'~,Rf ~~ FIELD INSPECTION RECORD
REINFORCED STEEL I w
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
REO IF INSPECTORS GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE ., f I -FLOOR & CEILING SUB F~A~ I -~ SOILS COMPL,ANCE ' SHEATHING )Cl R ,.,,--:, "._.,, ~ SHEAR PRIOR TO ..
() ~--~ ?,•\ /1~ FOUNDATION INSP FRAME I ~,il'f'""'Y ' STRUCTURAL CONCRETE EXTERIOR LA TH : / \ OVER 2000 PSI
INSULATION ·~~ .-'>lt--;::-n;;n/ \ / PRESTRESSED I
CONCRETE INTERIOR LATH & DRYWALL o-l t;:;}'bf. U1I ~~ I POST TENSIONED I CONCRETE
PLUMBING I ----FIELD WELDING • SEWER AND BUCO DIPUCO I II ,'2 . C/l -~ HIGH STRENGTH '. I .... . I
D WASTE D tJATEK L f .J -·~ BOLTS -UNDERGROUND ,/ •J I TOP OUT D WASTE D WATER . <•\t.,.~ v-~n SPECIAL MASONRY ..... ,.
TUB AND SHOWER PAN I ,--,. I ' GAS TEST I PILES CAISSONS
. -
D WATER HEATER D SOLAR WATER ,,
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D IUFFER
ROUGH ELECTRIC I
l !'2.,/L-~ c.-;r r ~J,,IJ
D ELECTRIC SERVICE D TEMP~ARY ,-.. ..... ' -
D BONDING D POOL I
I
I
MECHANICAL I
C
D DUCT & PLEM., D REF. PIPING t:2.·\/.1...-'Vl. f-~ nLJJ-
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS !
• ~ . ti ("1"-:. -,, • l ,.,,,. -~I J I -·~
CALL FOR FINAL INSPECT~FN WHEN ALL APPROPRIATE ,r , L'-i ... , I::
ITEMS ABOVE HA V BEEN APPROVED.
FINAL I
PLUMBING ' ,./1 /~ I
ELECTRICAL I /,II lM I
MECHANICAL I /,()~ riv -.
GAS ' ~ Y'~' I
BUILDING I Y:· D -
SPECIAL CONDITIONS I ~ • I ~
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