HomeMy WebLinkAbout2736 Olympia Dr; ; 85-155-77; Permit.,, z 0 .:: < a:: < ... Iii 0
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D I hereby affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000} of Division 3 of the Business
and Profeaalona Code, and my license is In
full forc•.#!l!l t f!KI. Lie No Zl::E!:4-J 5 c1m __ R_] __ _
I hereby affirm lhat I am exempt trom the Conuac• tor's l.Jcense Law tor the IOllowmg reason (Sec 7031.5
Business and Professions Code Any c,ty or county which re+ quires a permit to construci. a11er, rmprove, Clemohsh. or
repair any slructUie. prior to 11s issuance also requues !heap·
phcant for such permit to hie a signed statement that he 1s licensed l)tlrsuant 10 the prov.1sions o1 !he ton1rac1or·s
LJcense Law (Cflapter 9 commencing with Section 7000 ot O.V1s10n 3 of Ille Business and Professions Code) Of that ,sex·
empt therelrom and the basis tor the allegeo exemption_ Any
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dred dollars ($500)
□ t. as owner of the property, or my employees with wages
as their sole compensa11on will do the work, and the struc-
lure ,s not intended or ottered !or sale (Sec 7044 Busmess
and ProleSSJons. Code The Contractor's license Law does not appty to an owner of Pfoperty who builds Of improves
thereon and who does such work himself Of through hls own employees. provided that such improvements a,e no! inlend-
ed or offered tor sale. II, however. lhe bu1lchng or improve-
ment is sold w1th1n one year of complett00. the owner-builder
wd! have !he burden ol prOVlng thal he did no! bu1ld or 1m-pr..,,e for the purpose ot sate)
D I. as owner of the property, am exclusively conlracling
with licensed con1ractors 10 construe! 1he pro1ect (Sec. 7044,
Business and Pfofess10ns Code. The Conlractor's Lteense
Law does not apply to an owner of property who builds°' im-proves thereon, and who contracts fOI' each projecls With a contractor(s} hcense pursuant to the Con1ractor's lteense Law).
□ As a homeowner I am improvmg my home, and the follow mg conditions exist.
t. The work is being performed prior to sale
2 I have lived m my home IOf twelve months 3 rr~!v~ ~:1pc~1:t t1~i~ ::~pltOO dunng the laS1 three years
0 I am exempt under Sec. ______ , B & P C
fOf this reason
D I hereby affirm Iha! 1 ha,..e a cert,hcate ol consenl
to self ,nsure. or a cert1l1cate ol Workers Compensauon Insurance. or a cert,lied copy lhereol
(Sec 3800. Labor Code)
POUCYNO WP 842-258-56
coMPANY Fremont Ind.
□ Copy IS hied wtlh the C'1y
0 Certified copy 1s hereby furnished
CERTIFICATl OF EXlMPTtON FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed it lhe perm,1 ,s tor one hundred dollars fS 1001 or less)
0 I cer11ly !hat m 1he performance ot !he work ro,
wtuch this perm11 1s issued. I shall not employ any
person 1n any manner so as 10 beeome subJect 10
!he Workers Compensa11on Laws or Calllorn•a
NOTICE TO APPLICANT If. aller maio.1n;11h1s Cert,
hca1e ol Exemptton. you should become sub1ec1 t')
lhe Wof1{ers' Compensation provisions ol tne Labor
Code. you mus! lorth-.rlh comply with such
prov1s,ons or 1tus perm,1 shall be oeemed re ... okeo
0 I hereby affirm lhal there 1s a conSHUCl•on
1end,ng agency tor lhe perlormance of 1he wo!'ll: tor
wh,ch ll"Hs perm11 •S issued 1Sec ..)()97 C1'111I Cooe}
LendersName Crocker Bank
LenOersAdd•ess San Diego
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ... --• • -•---••• • -• •--••• •••• -••••n•••-•• •••--• •---•-•----•••---
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB AODRESS AV. ST RO. NEAREST CROSS ST. !DATE OF APPLICATION I BUSINESS LICENSE " VALUATION PERMIT NUMBER
2736 Olvmoia Drive 3/20 /85 I 3681 / -.,/ r;/. 7 --r-i
LOT BLOCK I_ SUBDIVISION .I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE. ZONE -~ _,,.Jt::L -I I 77 Snli.nnaker Pollnt 11,; 4~~ 3ro00 . . uJ
owNeR·s NAME I o wNrn·s PHONE Standard Pac1f 1c 279-2042
. • • CONTRACTOR'S ADORESS LICENSE NO PLAN 1.0. 4t BLOG USE COOE Standard Pac1f1c 279-2042 (s m ) 294215
OWNE 'I'S MA• Li NG AOORESS ....... __ a __ e _______________ --+--------➔---------+------,---,:-:---:-----t
7290 Clairemont Mesa Blvd. SD 92111 Des1GNER • ucENse" sTANDA'loPLAN# Bu1LDtNGsa.FooTAGE
' Buzard/Henning & Assoc. NR -...._._.,,ic OESCRIPTI0N OF WORI( e::;,-,.-;t(' j -J
a---------------------------------OESIGNEA'S ADORESS DESIGNER'S PHONE
SFD _ Plan 350 4883 Ronson Ct., SD 92111 278-6855
>---F/P F LR ELEV. NO occ GP EDU 6/Btl ,~, . ?Q" . ,
STORIES /J_,,7 r '-ul;J,J _ ... o ti30B.7t
vO NO --L ~ '". 1
e::r 140~ · • AREA _ _/ C,O)'~T / .J'
CENSUS TRACT I GP LAND USE Ip ~AAK791NG SPACE RES/UNITS I GRAOING PERMIT ISSUED I REOEVELOPMENT TYPE occ LOAO FIRE SPA
I v D N D v□ NJS.., V /V v□ ~ Not Valid Unless M;,chine Cerrified
QT!. PLUMBING PERMIT -l;SUE 7 @ QTY. MECHANICAL PERMIT· ISSUE ':::;? -SUMMARY/ACCOUNT NUMBER
· /-, EACH FIXTURE TRAP ~~~ / INSTALL FURN. DUCTS iJP TO 100,000 BTU t..f . -BUILDING PERMIT 01·00·00-8220 ~t"'Y),br}
• j EACH BUILDING SEWER £.. .f=ii' OVER 100,000 BTU SlGN PERMIT ~ 01·00\00-8221
. J EACH WATER HEATER ANO OR VENT :.J....fiD BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-~0-8806 :::::?~ ~
· EACH GAS SYSTEM 1 TO 4 OUTLETS ...::).. ~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·0~2 ,nL_, -
' EACHGASSYSTEM50RMORE METAL FIREPLACE ELECTRICAL 'Q.1-00·0~ ::2Q-
. EACH INSTAl. ALTER, REPAIR WATER PIPE .:J. VENT FAN SINGLE DUCT Lf . -MECHANICAL ~00-00·8~24 / / -
1 /' EACH VACUUM BREAKER -=:) f,,'1 MECH EXHAUST HOOO'OUCTS MOBCLEHOME Q.~ ~o-oo-t'n5
' WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP , ~
1
EACH ROOF DRAIN (INSIDE) SOLAR n.r ~-nn.o1o
1 TOTt;LMECHANICAL STRONG MOTION ~~-3~
I TOTAL PLUMBING I .t:; ""l../. -I I -FIRE SPRINKLERS -~ioo-a~+----------1
1 ~ PUBLIC FACILITIES FEE ~-0~0-89ll K, fi_ 1 QTY. ELECTRICAL PERMIT -ISSUE -QTY. SOLAR · ISSUE '-'
1 BRIDGE FEE
1 NEW CONST EA AMP SWI BKR -::2,.::;-COLLECTORS SCHOOL FEE -DISTRICT
1 1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519 lt---+------------------+--------11---+-----------------+--------lt----'------------'---'---'---'---'-+-----------1
1 EXIST BLOG EA AMP,SWT 'BKR ROCK STORAGE Enctntlas 80·92·22·0519
I 1 PH 3 PH PUMP San OiegutlO 80·92·23-0519
1 REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519 11---+------------------+--------11---+-----------------+--------11------------------+-----------1
1
TEMPPOLE 200AMPS
1 OVER 200 AMPS LICENSE TAX 01-00-00-8162 ~,:'j-f -
1 TEMP OCCUPANCY !30 DAYSI MFF 80-92-57-0519 / ( ")<")<7' J .?'I" XU -
1 CREDIT DEPOSIT -
: TOTAL ELECTRICAL '. --=?n .-TOTAL SOLAR TOTAL FEES PAYABLE Lf 3L/if:7L../
I t HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT"" AND 00 HEREBY Exp,rat,on E•ery permit issued bylheBulldtngOfhc,at under the prov,s,onsofth,s * AN OSHA PERM~IS REQUIRED FOf! EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by flm1tat1on and become null and •o,d If tne bu,td,ng or work 5· O" DEEP AN MOt.JTION OR CONSTRUCTION OF
1 DECLARATIONS ARE TRUE. AND CORRECT ANO C FURTHER CERTIFY AND AGREE IF A PE.AMIT IS auth0"'ed by such permit 15 not commenced ""'th'" lBO days from the date of such STAUCl\JRE VER 3 STORIES IN HEIGHT perm11. or 1f the butld1ng or work authonzed by such permit 1s suspended or
I JSSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-~•b~•~n~do~n~ed~at~•!!;n!l.,!!Yh!!;m!!,e~af~tt,e!!!r_!!lh~e~w!!!O!!,rk~1s_!:C2_om~m~en!!!c:!:el:!.d,!!:fO!!_r,.!a..Eoe~,r~1od~o~l,).l80"~,d,!,!8!X,•'sL..--::-j~~~~~-,~--------'7"'~--~--i
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO C r~ 17 --,: □ APPROVED BY~~ ~~;j KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS· COSTS ANO APPLI ANT s SIGN RE JJ OWNER-CONTRACTOR " \ 1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,,, BY P O E. 0 ~,,,,....
I GRANTING OF THIS PERMIT --~ ,-4 ~~ -H N I " ,----//• ..--v ~ \...
I --------------------------------------------+-------------~-----------------...1-./.----..../------'
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TYPE I DATE INSPECTOR I
BUILDING I 1$S" --1.ss--""7,· ( ~\~ ~-~ -<
-, ' ., ,,
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
i
GUNITE OR GROUT I
' REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPEC·TION REQ IF INSPECTOR S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I
SHEATHING □ ROOF □ SHBAR
SOILS COMPLIANCE . .
PRIOR TO
FRAME I
I
' FOUNDATION INSP
'
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION .
I
INTERIOR LATH & DRYWALL I
I
i
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I
□ WATER HEATER □ SOLAR WATER
PILES CAISSONS -' ! .
I ' .. ' l ,. _ ____,..
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ VFFER
ROUGH ELECTRIC I
' '" . ;.
~ . . . . ---
□ ELECTRIC SERVICE □ TEMPO~ARY ~---~ I• ~ ' . . □ BONDING □ POOL I -
I
I \
MECHANICAL 1 " .
□ DUCT & PLEM., □ REF. PIPINp .
HEAT -AIR COND. SYSTEMS I •
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT!'J_N WHEN ALL APPROPRIATE
ITEMS ABOVE HA V BEEN APPROVED.
. , ' -~
FINAL I
PLUMBING I <Y~
ELECTRICAL I <'" .. u-
MECHANICAL I I 'l/-<:.... ~~ I
.
GAS I \"' b -. -~
BUILDING I
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SPECIAL CONDITIONS I
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