HomeMy WebLinkAbout2740 Olympia Dr; ; 85-155-78; Permitu, z 0 ;:::
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full forct-Al'd,,.~t.5 Bl L,c No _.::'.;_ ::1_'"±_.::'.;_ .l_ Clm
I hereby alfirm 1ha1 I am exempt lrom 1ne Contrac·
tor's license law tor lhe lo+lowing reason (Sec. 7031.5 Business and Protess,ons COde Any c,ty or county wh,cn re-quires a permit to conslrucl, alter. improve, demolish, or
repair any structure. pnor to ,ts issuance also requires !heap-
plicant tor such perrrwt lo file a !»Qned statement that he 1s
licensed pursuant to the prov1st0ns of !he i.:on1rac1or's license Law (Chapter 9 commencing with Section 7000 of
O,v1st0n 3 ol lhe Busmess and Protessions Code) or that 1s ex-empt therefrom and the basis for the allegeo exemp110n Any
vlOJahon of Section 7031.5 by an apphcanl for a permit sub·
1ec1s the apphcant to a c1't1l penalty of nol more than five hun-
dred dollars ($500)
l I. as owner of lhe property, or my employees with wages
as their sole compensatmn. will do !he work. and the struc-
ture ts not intended or offered for sale (Sec 7044, Business
and Prnless1om, Code The Contractor's License Law does not a_pply to an owner of property who builds or improves
thereon and who does such work himsell or through his own employees, provided Iha! such improvements are nol intend-
ed or ottered for sale II, however, the building or improve· menl ts Sffld w1th1n one year 01 comptet1on, the owner-builder
wlll have the burden ol proving that he did not build or im-prove tor the purpose of sale).
D I, as owner of the property, am exclusively contracllng with licensed contraclors to construct the prOject (Sec 7044.
Business and ProlessiOns COde: The Contractor's license law does not apply to an owner of property who builds or im-proves thereon, and who contracts !or each prOJects with a
contractor(s) license pursuant to the Contrac10f's license Law)
D A.s a homeowner I am improving my home. and lhe f()(low
mg conditions exist. 1. The work is bemg performed pnor to .sale 2. I have h'iled in my home fo, 1welve months pnor to completion ol 1h1s work, 3. I have not claimed this exemp110n dunng the
last three years.
g 11h~:,:~e;;g' under Sec ______ . 9 & p c -------------
0 I hereby affirm ltiat I ha'le a cert1f,ca1e of consent
to self-,nsure. or a cert1f1ca1e ol Workers
Compensation Insurance. or a cen•hed copy thereof
(Sec 3800, Labo, Code!
POUCYNoWP 842-258-56
coMPANYFremont Ind.
0 Copy IS filed Wll!"I the Ctl'y
0 Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sec1+on need no! be compleled ,t the perm,1 ,s IOf' one hundred OOllars tS tOOJ or less)
0 I cert1iy that 1n 1he pertormance ot the woOI. tor
which th,s permit 1s 1ssuecJ. I shall not employ any
pe,son ,n any manner so as 10 t>eeome sub1ect 10
lhe Wor11.ers· Compensation Laws 01 Ca1ilorn1a
NOTICE TO APPLICANT II. alter makinJ lh1S Cert1
hcale ot Exemption. yov st\OulcJ beeome sub1ec1 ,,_,
lhe WOOl,ers· Compensation prov1s1ons or 1he LabOr
Cooe you must ronhw1th comply w11h such prov1s,ons or ttus permit shall be <Jttmeo re"oke<J
D I hereby affirm Itta! there 1s a cons1tuct,on
1end1nQ agency 'Of lhe performance ot me woo,, to,
wti,ch th,5 oerm,t ,s ,ssueo 1Sec 3097 C1"'' Coae1
Lenoe,sName Crocker Bank
Len0e'5AOO•ess San Diego
I USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I I
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
I 1200 Elm, Carlsbad, California 92008·1989 (619) 438·5525
1 JOB ADORES~ AV.ST.RO. NEAREST CROSS ST. I OA; ;;;/L~C;TIONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
; 2740 Olympia Drive 3681 q'4'-lt/7 'i{6-/6'--rl ' L9f BLOCK Sp S,UBOIVl~ON p~ .AS,SSOR PARlEL NO 370v CONTRACTOR CONTRACTORS PHONE • ZONE 8 ;, 1nna er 1n ~, 1...(3~
OWNER'S NAME I OWNER'S PHONE 81:!:lnrl!:l-rn D<>rd -f'; r, ?.7q ?.04?.
Standard Pacific 279-2042 CONTRACTOR'S ADDRESS LICENSE NO. PLAN LO.# BLOG USE CODE
(same) O~~'ttftNG "OORESS t Mesa Blvd. , SD 92111 294215 a1remon DESIGNER LICENSE a STANOARO PLAN# BUILDING SO. FOOTAGE
OESCRIPTtON Of WORK Buzard/Henning & Assoc. NR /687
DESIGNER'S ADDRESS DESIGNER'S PHONE
SFD Plan 320 4883 Ronson Ct .. SD 92111 278-6855 6(2~/8;;,;;,/,J;J 35~3~3 --~ -F/P FLA ELEV. NO DCC GP EDU
vO NO --s:,Es R--3 I
CE~S TRACT )i GP LANO USE
1
piriPACE
I
Ar UNITS
1
GRADING PERMIT ISSUED I REDEVELOPMENT TYW DCC LOAD FIRE SPA c;, r-t--o AREA ,¥" ½T vO ~ YO ND vO N Not Valid Un/err Machine Certified
'" 7&2-
,
QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
(,# EACH FIXTURE TRAP ~.-I INSTALL FURN. DUCTS iJP TO 100,000 BTU LJ .-BUILDING PERMIT 01-00-00-8220 L.{ I Y-
I EACH BUILDING SEWER C-.,',f'l OVER 100,000 BTU SIGN PERMIT 01 ·00-00·8221
EACH WATER HEATER AND•OR VENT "1,,R') BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK o 1-oo-oo"il806 "J.7 I • 70
EACH GAS SYSTEM I TO 4 OUTLETS I -~ BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01-00·0~1 4, 1-
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00-82 ~ o-
EACH INSTA~. ALTER, REPAIR WATER PIPE I VENT FAN SINGLE DUCT ~.-MECHANICAL 01-00·00·8224 \ 1-
EACH VACUUM BREAKER
.
MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01-00·00·8225 (' ("\
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP " "i:--...
EACH ROOF DRAIN fl'JSIDE I SOLAR n,-~ ~·-'
TOT .4L MECHANICAL 1~ STRONG MOTION 80-~-3~)_9 . ~ t:,, .f,,., I ---~ TOT AL PLUMBING I Lf'{ .-FIRE SPRINKLERS 01-00·00c8l 27
,q-PUBLIC FACILITIES FEE 32-00-0lldl.9 ~ QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR -ISSUE '---._ '-~ BRIDGE FEE
NEW CONST EA AMP SWT BKR lrnk "::l.-5-COLLECTORS SCHOOL FEE -DISTRICT ~
1 PH 3 PH STORAGE TANKS Carlsbad 80·92-~·0519 "\.
EXIST BLOG EA AMP/SWT BKR ROCK STORAGE Encinitas 80-92-22-o5'11!-~
1 PH 3 PH PUMP San Dieguilo 80-92·23-0519
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24·0519
TEMP PD LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /}S x-,-
TEMP OCCUPANCY 130 OAYSI MFF 80-92-57-0519 [ ( 1S <Si) ~o-
I CREDIT DEPOSIT
TOTAL ELECTRICAL I ~-:-TOTAL SOLAR TOTAL FEES PAYABLE I 3s53,31
1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND 00 HEREBY Expiration. Every permit issued by the Building Offtc1al under lhe provisions of this * AN ~ IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by hm,tatton and become null and void If the bu1ld1ng or work 5 O" EEP A DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,s nol commenced wtth,n 180 days from lhe dateot such STRUC OVER 3 STORIES IN HEIGHT J
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-~~'::~n~ 1
~t ':~v ~~~:1~He~~h=~~,:~!:0~~:1.ixe~~~~ r~~~·~trs8~".':' or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPft~
OWNER ~NTAACTOR 0 APPROVED ~~ 1Do/i"Sf
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 --·~
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT 1
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHijAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING i
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE □ WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST i
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPINt3
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ I_TEMS ABOVE HA V~ BEEN APPROVED
FINAL I .-
PLUMBING I ('/'
ELECTRICAL I -'-' --_o -
MECHANICAL I ,-t/"-1--
GAS I \ ~
BUILDING I -
SPECIAL CONDITIONS I
I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOl TS
SPECIAL MASONRY
PILES CAISSOl'<S
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--. -85-).Q;" -7& \ '1 " .. \ ,._.., ·,
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' INSPECTOR'S NOTES -•-
DATE
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