HomeMy WebLinkAbout2720 Olympia Dr; ; 85-155-69; Permiten z 0 ~ C C .., u w a
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O I llefeby affirm that I am licensed under
pro,,lal~• of Chapter 9 (commencing with
S..:tlol) 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Uc No+-----Clm
I hereby'-af11rm that I am exempt lrom lhe Conlrac· tor's Lteense Law tor lhe following reason (Set 7031 5
Business and Proless!OOS Code Any ttty Of counly which re-qu1res a permit to construct. alter. improve. demohsh, or repair any structure. poor to ,ts issuance a1s0 requires the ap--pl1cant lor such permit 10 hie a s19ned statement that he ,s
hcensed pu<suan1 10 lhe prov1st00s ot the-Conlracto( s License Law (Chapter 9 commencing with Sechon 7000 ol
Oiv1s1on 3 ot the Business and Proless1ons Code} or that 1s ex-empt lherelrom and the bas.s for the allegea exemption Any
v1ola11on ol Section 7031.5 by an apphcant tor a perm11 sub· 1ec1s !he appllcanl lo a CIVIi penalty of not more lhan 1 ... hun-
dre<J dollars ($500).
O I, as owner of the property, Of my employees with wages
as their sole compensation, will do Ihe work, and the struc· ture is not ,ntended or offered lorsale {Sec 7044, Business
and Professions Code The Conlractor's Ucense Law does not apply to an owner of property who builds or mpr01Jes
thereon and who does such work himself or through his own employees. provided that such improvemenls are nol intend·
ed or ottered for sale. II. however. the building Of impr01Je· ment 1s sok:I within one yearot completion, the owner-budder
will have the burden of proving lhat he did not build Of im· prove ID< the purpose of sale).
D I. as owner of the property, am exclus,veiy contracting wrth licensed contractors 10 construct lhe pro;ect {Sec 7044,
Business and Professions Code: The Contractor· s license Law does nol appty to an owner ol property who buikis or im-proves thereon, and who contracts tor each projects with a
eontractor{s) lieense pursuant to the ContractOf's license Law).
D As a homeowner I am improving rf'rJ home. and the lollow-ing conditions exist: 1. The work is being per1omle<J prior to sale.
2. I have lived in my home for twelve months prior to C-Omplelion of this work.
3. I have not claimed lhis exemptton during lhe last three years.
D I am exempt under Sec. ______ . B & P.C. for lhis reason ____________ _
D I hereby aff,rm that I na~e a cert1f1cate of consent to self.insure, or a cert,f1cate of Workers·
Compensation Insurance. or a cer11t,ed copy lhereot
CSec 3800, Labo< Codel
POLICY NO WP 842 -258-56
coMPANv Fr emont Ind.
□ Copy IS hied With the CtJy
□ Cert1f1ed copy 1s hereby tu1mshed
CERTIFICATl OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This SKhon need not t>e compleled 11 !he perm11
,s tor one hundred dollars (S 1001 or less)
0 I cert,ty t~t in the pertorrnance ot the wo"'-tor
•h1Ch lh1S pem,11 IS issued. I shall nol employ any person 1n any manner s.o as to t>ecome sub1ec1 10
lhe Wofiters· Compensa1,on Uws ot Cahtorn1a
NOTICE TO APPLICANT If, atlet ma1i.an;1 this Cet1,
hcate ot Exempt~. you shOuld t>ecome subject l'J
lhe WC>n(.ers· Compensation provisions of the LabOr
Ccxte. you must forthwith comply with such
prov,s,ons or this perm11 shall be deemed ,evoked
0 I hereby attum that 1here 1s a cons1ruc11on
1enchng agency •or tile periOl'mance ot lhe work tor .,t,,ch !his permit ,s ,ssued (Sec JIY.J7 C,v,1 COOeJ
Lenders Name ___________ _
Lenders AOOress __________ _
USE BALL POINT PEN ONLY & PRESS HARD At't"'Ll\.,"'RI I V r JL.L.11'1 11•r vn1w,,..,,,...,1• ••••••••• -••----,,.....,,_,., r-.~ .. -----:~--··-··-·
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CARLSBAD BUILDING DEPARTMENT • APPLICATION & PERMIT _,_ .
V . -
f 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 -
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST
rA ;E/~ ~;~;A Tl ON
1
BUSINESS LICENSE • VALUATION PERMIT NUMBER
2720 Olympia Drive 3681 t15'g '2> 7
Lgg I eLqc_K l s UB~IV s,o'k }ASSESSOR PARCEL N~ ~ CONTRACTOR CONTRACTORS PHONE • ZONE &S-1.s.s -(, 9 ;pinna er t. ,~, Ll ~ ;i.<is" Standard Pacific 279-2042 -----OWNER'S NAME I OWNER'S PHONE \
Standard Pacific 279-2042 CONTRACTOR'S '°'00RESS LICENSE NO PLAN 1.0 . # I BLOG USE CODE
(same) 294215
OWNER'S M'°'' LI NG A00RESS
7290 Clairemont Mesa Blvd ., SD 92111 DESIGNER LICENSE# STAND~PLAN,# BUILDING SO. FOOTAGE
Buzard/Henning & Assoc. NR 3~7.3 DESCRIPTION OF WORK 0ESIGNER"S ADDRESS DESIGNER'S PHONE 1J Lf laiJ I ! •.
SFD Plan 360 4883 Ronson Ct. , SD 9211 278-6855 ~ I -
~ ------~ ---. NO 4 I . -
F/P FLRELEV . OCCGP EDU
STORIES f<,3 I ' ::J , I --·. -"' vO NO --
CENSUS TRACT I GP LANO USE I p"'~4-:PACE RES tTS I GRADING PERMIT ISSUEO I REDEVELOPMENT ~iw OCC LOAD FIRESPR ':t '
(!X,4--o<f AREA \ Nor Valid Unlt!ss ~chine Certified y D ND v □ N~ YO N'B
QTY. PLUMBING PERMIT -ISSUE 7 £'0 QTY. MECHANICAL PERMIT · ISSUE .3-SUMMAR\J,ccOUNT NUMBER
J 'I' EACH FIXTURE TRAP :i<-I INSTALL FURN. DUCTS UP TO 100,000 BTU ~---BUILDING PERMIT ~ 01-00-00-8220 r_;;. =J-
I EACH BUILDING SEWER is~ .I \ OVER 100,000 BTU SIGN PERMIT ,-01-00-00-8221
I EACH WATER HEATER AND/OR VENT ;).....,~/) '\la/ ~OILER/COMPRESSOR UP TO 3 HP PLAN CHECK "' "' 01-00-00-8806 4-'l!JIJ 95
I EACH GAS SYSTEM 1 TO 4 OUT LETS ;;_.cLl ir BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING \\ 'J 01-00-00-8222 Stt-
EACH GAS SYSTEM 5 0 R MD RE •• J MET AL FIREPLACE ELECTRICAL -~ 01-00-00-8223 ~o-
EACH INSTAl .. ALTER, REPAIR WATER PIPE \ I ..,,~ ~ VENT FAN SINGLE DUCT L. --MECHANICAL \\ \ 01-00-00-8224 1-:s-
EACH VACUUM BREAKER \ \.\ j)I . MECH EXHAUST -HOOD/DUCTS MOBILEHOME "U 01-00-0Q·B225
WATER SOFTNER I ~ \~ RELOCATION OF EA FURNACE/HEATER MOBILEHDME PARK INSP -
EACH ROOF DRAIN ( INSIDE) I .JI--V\__) /. SOLAR n1-nn-nn.oooo
(\ ,./V' 1.:.... TOH,L MECHANICAL STRONG MOTION . -80-92-33-0519 1.:J,.'J/
TOT AL PLUMBING \ Tlfi V~4--13 .-FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL Pl 1RJIT / ?s7uE /U QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32-00-00-8933
J ~ BRIDGE FEE
NEW CONST EA AMPISWT1S.KR/ ✓-, I / COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH (/lJ IV STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT/BKR f I J<J ROCK STORAGE -Encinitas 80-92-22-0519
1 PH 3 PH j l PUMP San Dieguito 80-92-23-0519
REMODEL ALTER PE R CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVE A 200 AMPS LICENSE TAX 01-00~162 ~<. /7, P2
TEMP OCCUPANCY (30 DAYS) /Ct;-f"O g f-17 h1J
CREDIT DEPOSIT
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I ss3/;;;it:,
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY E•p,r-Every pe""'t -bythe BuMdlng Otlic1a1 undef the pro,,191on1 of 11>11 * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expore by hfflfla"°" and become null -vood If the building Of work 5' o·: -~ DEMOuTION 011 CONSTRUCTION Of' authortzed by such perm,t 11 not commenced wtlh1n 180days trom the dale,>f sucn DECLARATIONS ARE TRUE AND CORRECT AND f FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,1. or 11 _1~tld1~ work ■uthorlUCI by such per:~,.ganded or ST~,/ OYER 3 STORIES IN HEIGHT
ISSUED:· TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON al>andOned at bme a Ille work oa commenced tor a ner of I -...~-~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT".., ~ • OWNER 0 CONTRACTOR 0 APPROVED~ 1tf-rt/s,, -KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIA81LITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE f:/2, --/.J ~ -"'-BY PHONE 0
GRANTING OF THIS PERMIT ,"',al" ~ ..,. y -
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TYPE I DATE INSPECTOR
BUILDING !
I
\., . c• . -
FOUNDATION ! FIELD INSPECTION RECORD \
REINFORCED STEEL !
MASONRY ' I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTORS .
INSPECTION REQ IF DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SH~AR
FRAME I
SOILS COMPLIANCE
PRIOR TO . FOUNDATION INSP ·'
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRESTRESSED I CONCRETE
POST TENSIONED
' I CONCRETE •
PLUMBING I
' FIELD WELDING ' SEWER AND BUCO DIPUCO I -
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W,ATER
HIGH ~TRENGTH . ' -I
BOLTS .
SPECIAL MASONRY ·, <'.
~ ; .. -.
TUB AND SHOWER PAN I • I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WJ\TER '
I
;, :• --.. .. -'
ELECTRICAL I
D ELECTRIC UNDERGROUND D \JFFER
; .
I --l '· -. \.'I r
I ' ✓ -·' . -. I •
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY '
: ._ :· ; . . ~~ . . . -. '
D BONDING D POOL I ' . . . -I -.
I
MECHANICAL I -, I
' .
\\' ·-· ,
~ '
...
D DUCT & PLEM., D REF. PIPl~G --. .. ·,
HEAT -AIR COND. SYSTEMS I
-. ·.
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ~ \. ,,,.¥
ITEMS ABOVE HA Vf BEEN APPROVED.
FINAL ----I
PLUMBING .
ELECTRICAL
MECHANICAL . .... . -•
GAS ' --
BUILDING
, ' .,..
SPECIAL CONDITIONS -
-
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