HomeMy WebLinkAbout2728 Olympia Dr; ; 85-155-73; PermitIll z 0 ~ C a: C _,
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O I hereby affirm that I am licensed under
provlalona ol Chapter 9 (commencing with
Section 7000) ol Division 3 ol the Business
and Prole11lon1 Code, and my license Is in
~~II :rc~~4'~·5 om _fil
I hefeby •lhrm thal I am exempt tram lhe Contra<:· tor s License Law to, Ille lollowmg reason (Sec 703t 5
Business and Proless10ns Code Any city Df cot.mly wt11c.t1 re-
Quirts a perm,t to construct. alter. mprove. cternot,sti. «
repair any structure ptlOf 1011s rssuance also req1Jires !heap·
pt1can1 f« such permit to frle a s•~oed s1atemen1 that he ,s 1acensed pu,~nt to the OIDVlsaons of the Contractor's License Law (Chaple< 9 commencmg ,.,In Sec1o0n 7000 ol
Otv1s10n 3 of the Business and Proless10ns COde1 or lhal is ex-empl lheretrorn and the baSIS tor !he •llegeo exempl,on Any
Y>Ol.lhon of SecllDn 70315 byan apptocon110< • perm,, sub-
,ects lhe app1~n110 a c,vd penalty or not more than live hun-
dred dollars ($500)
I. as owne< DI lhe pioperty or my emplOyeeS w,lh wages
as their sote compensauon. will do lhe work. and !he struc•
rure ,s not intended or ottered lor ~e (Sec 7CM◄. Business
and Pro!essions COde The Contraclor" s L,cense law does no1 apply to an owner of p,operty who builds or improves
thereon and wl\O does such W<M"k hlmse!r or through his own
employees, p,ovtded that such ImprtNtmenls are not ,ntend-ed or ottered tor sale 11, however, !he bu11d1ng or unprove-.
menl 1s sold \IIW1lhin one year of comple110n, lhe owner-bu•lder
WII have lhe burden DI piov,ng lhal he did not build or lffl·
piove tor !he purpose of saleJ
~ I. as owner or the property. am exdusrvely conlracting
with totensed contractors 10 construct the pro,ect (Sec. 70.◄, Business and Professions Code. The Conlractor·s License
Law does not apply 10 an owner ot property who buikls or ,m-p,oves thereon. and ..,ho contracts tor each proaects wrth a
contractor(s} lanse pursuant to the Contractor·s Lteense law)
D As•_.., I om unpiov,ng my home. and !he ID41ow
mg cond1tions exist t The WD<k IS being per1ormed PIIO! lo sale 2 I hove ~ved on my IMlme tor 1...,.,. months
prlOC' to completCN1 ot lhIs work
I have not claimed !his exemphon dunng the Last lhree years
g /;:'r"~:g' under Set _____ _ B&PC
D I hereby aft.rm that I na ... e a cen1ftca1e ol consent
to self insure. or a cen1t.ca1e ol Workers
Compensation fnsurMM:e °' a cen1tted copy !here-at !Sec 3800. ul>O< Code>
POUCYNo WP 842-258-56
coMPANY Fremont Ind.
O Co()y 1s flled wttl°' tne city
0 Cen1lfed copy ,s hereby furnished
CEATIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This sec11on neeo not oe comp1e1ed 1t ine pe,m,1
1$ lo, one hundrecJ 0011ars IS 1()0) or 1ess1
0 I cen,ty ttlat in 1ne pertormance ot the won.. tor
which 11'\1s permit ,s ,ssued I sh.all no! employ any
person m M'IY manner so u 10 bc!C~ suo1ec, to
1he wooe,s Compensation u .. s ot C.alltom,a
NOTICE TO APPLICANT If. alter makin11rus Cen
hute ot E•emp1ion you should beCome SUb)KI I? !he WQnlers Compensation prov,s,ons ol !he Laoo1
Cooe you must tonn .. 1th comply with such
pr0',1ISt0ns Of 1r11s permit sh.ii be oeemec> ,e"oi.eo
0 I hereby aftum !hat there ,s a cons1ruc11on
lend,ng ~ency '°' tne pertormance ol lhe •()(I,, 101 wtuch th1S permit 1s 1ssueo tSec 3097 C1v1I COd~I
L•not,rsNam• Cracker Bank
l •not,rsAooress Sa.a Dieeo
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USE BALL POINT PEN ONLY & PRESS HARD ---. ··---... ···-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
>OB AOOAESS AV. ST AO NEAREST CROSS ST I O;T; ;~A;;;ATIONI
BUSINESS LICENSE " VALUATION PERMIT NUMBE A
2728 Olympia Drive 3681 J)-l,qh7 gri(f/73 LOT BLOCK :bSUBOIVISION 1~ ASSESSOR PARCEL NO. LJ CONTRACTOR CONTRACTORS PHONE• ZONE 73 S innaker P . ,~,4'!.-:l, 3_, 0 Standard Pacific 279-2042 OWNER 5 NAME ' I OWNER'S PHONE
Standard Pacific 279-2042 CONTRACTOR'S AOOAESS LICENSE NO PLAN 1.0 . • BLOG USE COOE
(same) 294215 OWNER'S MA l •NG AOOAESS
7290 Clairemont Mesa Blvd. , SD 92111 OESIGNEA LICENSE 1t STANOARO PLAN # BUILDING SO. FOOTAGE
Buzard/Henning & Assoc. NR ;)-d(J5 OESCA,PT'ON OF WORK
OES1GNEA'S AOOAESS OESIGNEA"S PHONE
4883 Ronson Ct. , SD 92111 278-6855
-8.FD -Plan 350 F p FLA ELEV. NO OCC GP EDU 6i Cb1~;t:, J/J!l ll3Al .7
vO "□ --~s R._--,2:) I ct;~~~ I GP LANO USE
lp57GcfCE AE?NITS I GRADING PERMIT ISSUEO I REOEVE LOPMENT TVPE OCC LOAO Fl At SPA AREA viV YO ND yQ ,,1(. vO ,.,g:__ Not Valid Unkn Machine Certtf,«J
QTY. PLUMBING PERMIT · ISSUE 750 QTY. MECHANICAL PERMIT· ISSUE :;:s -SUMMARY/ACCOUNT NUMBER
' r~ EACH FIXTURE TRAP ~ A--,'Yl I INSTALL FURN DUCTS i.JP TO 100,000 BTU 4 .-BUILDING PERMIT ---......... _ 01·00·00·8220 F,r;~.&;T)
f EACH BUI LUING SEWER /'.. .. t:5/J OVER 100,000 BTU SIGN PERMIT -........... -.....:...._ Ol:_00·00-8221 -
I EACH WATER HEATER ANO OR VENT ~,~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ---.l.. "&..·00·00·8806 ;"'l~,(~ ., EACH GAS SYSTEM I 10 4 OUTLETS I .1~ BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING ::-. o).."nl!-oo-s222 1T4-,
EACH GAS SYSTEM 5 OR MORE r-METAL FIREPLACE ELECTRICAL <.. 01-~8223 ::-<o-I
EACH INSTAl . ALTER, REPAIR WATER PIPE 2 VENT FAN SINGLE OUCT LJ .-MECHANICAL ~1-00·00-~ fl---~ I EACH VACUUM BREAKER ')_f:Jf'. MECH EXHAUST HOOD DUCTS ~ MOBILEHOME "'-.... ---..Of\00-00-8°22r -
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP "-..
EACH ROOF DRAIN I NSIDE I SOLAR -.:::::.. 01-00-nn-•).0
TOT J;L MECHANICAL ----•••••• 19 II STRONG MOTION -,---
TOTAL PLUMBING I f-14 . -FIRE SPRINKLERS 01 ·00·00-8227
fj-QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·893) n.x<I QTY. ELECTRICAL PERMIT · ISSUE BRIDGE FEE
,
NEW CONST EA AMP SW! BK R ~-COLLECTORS SCHOOL FEE • DISTRICT
l PH 3 PH -STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP swr BKR ROCK STORAGE Encm11as 80·92-22-0519
I PH 3 PH PUMP San D1egu110 80·92·23-0519
REMODEL ALTtR PER CIRCUIT PLAtJ CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 ~rt-,
TEMP OCCUPANCY 130 OAYSI MFF 80-92-57-0519 l r 7'..;'\ rJ ~o-
CREDIT DEPOSIT
TOIAL ELECTRICAL I :~o .-TOTAL SOLAR TOTAL FEES PAYABLE I ~3t.(8',7'-f
HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT AND DO HEREBY Exp,rat,on EYftry permit issued by tt,e Building Off1c1at u,ider 1he prov1s,ons of this 1t AN OSHA~ REQUIRED FOR EXCAVATIONS OVER CEATiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION t<EAEON INCLUDING THE Code shall expue by hm,tahon and become null and vo,d If the bu,ld,ng or -work 5· 0 DEEP AND MOUTION OR CONSTRUCTION OF
DECLARIITIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author1zed by such permit ,snot commenced w1th111 180 days from the date of such STRUCT1JR£ ER 3 STORIES IN HEIGHT perm11. or 1f lhe bu•:~, or work authonzed by such permII ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• abandoned al any tim er the work Is commenced for • oeuod ot .:Hllii davs-S•RUCTION , WHETHER SPEC,FIED HEREIN OR NOT_ I ALSO AGREE TO SIi.VE INDEMNIFY AND
APPLICANT~~ OWNER (V CONTRACTOR 0 APPAOVEOB~ l~/4r~ 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 A'J _..,, ......_ BY PHONE 0 GRIINTING OF THIS PERMIT , E • r v--,
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TYPE I DATE INSPECTOR
BUILDING I
,. -' ' ·• :. 2'5"" -1 ss -=t~ ,,~.
'
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FOUNDATION I ' FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE \ -SHEATHING D ROOF D SHeAR PRIOR TO
FRAME I
FOUNDATION INSP '
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
PRES TRESSED
CONCRETE
POST TENS1ONED
I CONCRETE
PLUMBING I FIELD WELD.ING
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH I \ BOLTS _-...... -~ . .
TOP OUT D WASTE D W~TER SPECIAL MASONRY -
' -.
TUB AND SHOWER PAN I !
GAS TEST I
D WATER HEATER D SOLAR WAYER
PILES CAISSQ1'.~ .
.. ;-_,. .
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ELECTRICAL I c: r -. -D ELECTRIC UNDERGROUND D WFFER
ROUGH ELECTRIC I
--. ,. t ,, -,
D ELECTRIC SERVICE D TEMPORARY \ -. ~
,, . '
D BONDING D POOL I '
-I ! ' ,, ~ ,
MECHANICAL I , ~ -
D DUCT & PLEM., D REF. PIPING !
HEAT -AIR COND. SYSTEMS I -. .
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE ' \ ..
.. ·-· .. --····--. --..... . ·-
FINAL I ,_
PLUMBING I ~
ELECTRICAL I A _Lo: -
MECHANICAL I \ ·v '-V ; ' .. ..
GAS I \ t:,,, .
BUILDING I
SPECIAL CONDITIONS I
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