HomeMy WebLinkAbout2724 Olympia Dr; ; 85-155-71; PermitIll z 0 ;::
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O I hereby affirm that I am licensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHalona Code, and my license Is In
~~:1 :rce~'?Uf!fj. 5c1ass __fil
I hereby afhrm that I am exempt from the Contrac-101· s License Law for lhe lollowing reason (Sec 7031.5
Business and Proless,ons Code· Any city or county which re-quires a permit to construe!, alter, improve, ~ish. or
repatr any structure. prior to its Issuance also requires !heap-plicant lor such permu to file a s19ned stalemeot that he 1s
hcensed pursuant to the provtsions ot the Contra<:tor's L1c,nse Law (Chapler 9 commencing with Secl1on 7000 ol
DMs,on 3 of the Business and Protesswns Code) or that rs ex• empt lherefrom and lhe baslS for lhe allegeo exemption Any
vt01a11on of Section 7031,5 Dy an applte.ant tor a permit sub-
,ects the applicant to a c,vil penalty of not m<We than f1ve hun-dred dolfars ($500)
0 I, as owner of the property, Of my employees wilh wages
as lhe1r sole compensation, will do !he work. and !he struc· ture is nol intended or offered for sale (Sec. 7044. Business
and Professions Code: The Conlraclor's License Law does
no1 apply 10 an owner of properly who builds °' improves thereon and who does such work himself or through his own
empk>yees. ptOYided that such Improvements are not mtend· ed °' offered for sale. 11. however. the building or impiOYe--
rnent 1s sold within one year of ccmpletton, the owner·bu11der
will have the burden ol proving lhat he did not build or im--prove for the purpose of sale).
0 I. as a«ner of the Pfoperty, am e,;clusiYety contracting
with licensed contractors to conslruct the project (Sec 7044, Business and Professions Code· The Contractor's License Law does nol apply to an owner o1 property who builds or im• proves thereon. and who conlracts tor each projecis with a
contractor(s) license pursuant 10 the ContractOf's Ucense Law).
O As a homeowner I am improving my home. and the follow· Ing conditions exist:
t. The wo,k is being perto,med pr10< lo sale . 2. I hav• lived in my home lor lwefw monlhs
3. r:: =~::t :i: :'!ption during !he last three years.
g ih~:::a:ilunder Sec. ______ , 8& P.C. -------------
0 I he1eby afhrm tha1 I ha'-'e a cert1t1cate of consent
to self-insure. or a cer11f1cate of Worke,s·
Compe:nsahon Insurance. or a cert1f1ed copy thereof
(Sec 3800. Labo< Code!
POUCYNO WP 842-258-56
coMPANY Fremont Ind.
□ Copy IS hied with lhe city
O Cen1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Thts section need not be completed 11 !he permit
1s to, one hundred dollars IS 100) or 1ess1
D I certify that in the per1ormance ot the woo. tm
which ttus perm11 1s issued. I shall nol employ any
person m any ma.nner so as 10 become sub1ect to
the Wot1ters· Compensation Laws ol California
NOTICE TO APPLICANT II, after makm1 !his Cen1
fie.ate of Exemption. you should become sub1ec1 l'J
the WC>f'kers· Compensation prov1s100s of the Labo,
Code. you must fOr1hw1th comply w,th such
prov1s,ons or uus pe,m,1 shall be deemed revokeo
O I hereby att1tm mat 1he1e ,s a construction tend,no agency to, the per1o,mance ot lhe work to,
which this perm,t 1s issued 1Sec .3097. C,v11 COOe)
Len<>ers Name Crocker Bank
Lenae,·s Addross s a ll Di Q go
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---
i CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST.
IDAT;i2;,;;IONI
BUSINESS LICENSE I# VALUATION PERMIT NUMBEA
2724 Olympia Drive 3681 I ::u,qf.. 7
LOT BLOC!( :b5V8DI VISION ►-ti ASSESSOR PARCEL NO V CONTRACTOR CONTRACTORS PHONE t ZONE ~5-1(ir 7/ 71 S innaker P . 11;:,, ~1,~ ?.0 c, Standard Pacific 279-2042 OWNlR'S NAME -I OWNER'S PHONE
Standard Pacific 279-2042 CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLOG USE CODE
(same) 294215 OWNER'S MAILING AOOAESS
7290 Clairemont Mesa Blvd , SD 92111 DESIGNER LICENSE • STANDARD PLAN # BUILDING SQ. FOOTAGE
Buzard/Henning &·Assoc. NR -::)..~_C., OESCAIPTION OF WORK
DESIGNER'S ADORESS ·----~---DESIGNER'S PHONE 6fd~/bp: -
SFD Plan 350 4883 Ronson Ct., SD· 9211J 278-6855 -,w ... u e -j -~-.-.....;----~-·---F/P F LR ELEV. NO OCC GP EDU
vO NO s~s /2.-?, I ----
CENSUS TRACT I GP LANO USE I p~7 cf E I RES y •TS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
C.T 74-0-f AREA ~"51.. y;7v -
y D ND v0 N v0 N'IH:'.' Not V~lid Unkss Machine Certified -750 5-QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT · ISSUE SUMMARVACCOUNTNUMBER
I , .,,, EACH FIXTURE TRAP ;1;;::r, :"7 J I INSTALL FURN. DUCTS UP TD 100.000 BTU L.J .-BUILDING PERMIT 01 flf·00·8 PO ~nn.~n
EACH BUILDING SEWER t=, ,i! :() OVER 100.000 BTU SIGN PERMIT OlJ'fO·OO·~ bi
EACH WATER HEATER AND/OR VENT ~-t ~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~ -t'i·OOiJ<lk. !6 ~~✓~
EACH GAS SYSTEM 1 TO 4 OUTLETS -.:;J.....f (1} BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING \\ "' 01·0~·8222 ~U-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL r JI 01.\o-oo'!\i223 ~l'J -
EACH INSTA~ .. ALTER, REPAIR WATER PIPE -_;_ VENT FAN SINGLE DUCT Lj.-MECHANICAL \I {/i-oo-oo-s224 -,,_
I EACH VACUUM BREAKER A-5r, -MECH EXHAUST -HOOD/DUCTS -\ 101 ·00·0Q·8225 MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEA TEA MOBILEHOME PARK ~ss \,
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??I:
TOTJ;L MECHANICAL STRONG MOTION 80·92-33-0519 -
I ?,LJ. .-(! -TOTAL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE :5 QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00·8933 9,~ -BRIDGE FEE
NEW CONST EA AMP/SWT 1BKR ~.; -COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST SLOG 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
OVER 200 AMPS LICENSE TAX 01-00-00-8162 ,e:;1,-f-,~'-(-
TEMP OCCUPANCY 130 DAYSI r ~oncJ. i'i n<.J
CREDIT DEPOSIT •
TOTAL ELECTRICAL
I ':?(') .-TOTAL SOLAR TOTAL FEES PAYABLE I L/34~, 7'1
I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION ANO PERMIT'' AND DO HEREBY Exp,rahon Every permil lteued by tlle8uilcllftg Olflc:lial under the prov,11on1 of'"'" * AN1~ii IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall axp,re by hmitation and ~ null Md void If the building or worl< S' 0 P DEMOLITION OR CONSTI'UCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by euch permit ia not com-,ced .-110elaye from lhe dale of such STAUC OYER 3 STORIES IN HEIGHT perm,1. or 11 Ille build•~ worll aUltloriDcl by a,ch perm,! ,s suspended or ISSUED-TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON·· abandOned 11...., ,._ Ille wor11 IS COMfflHCN for a-.... of ,an"•~
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO 1-GREE TO SAVE INDEMNIFY ANO
A~ICA~~ OWNER CONTRACTOR 0 APPRO,VE~ ~Irr KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY~ ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,,,,,., ---BY PHONE 0 GRANTING OF·THIS PERMIT. , ,,,_, _..,. T 1,
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF D SHEAR
FRAME I
I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
i
I
PLUMBING I
SEWER AND BUCO □IPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I . -
GAS TEST I
D WATER HEATER □ SOLAR W~TER ' ' .
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D1 UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE □ TEMPORARY ►
D BONDING D POOL I c I -
I
MECHANICAL I --'
D DUCT & PLEM., □ REF. PIPING .,...~
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH -.,
BOLTS -
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
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