HomeMy WebLinkAbout2742 Olympia Dr; ; 85-155-79; Permit1h z 0 ~ C rr: C .... 0 ,.,
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O 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 forc•~',tf~l ~ Bl L,c No ______ '-'Class __ _
I hereby athrm that I im exemp1 lrom the Conuac• 101 s license Law 10< tho 101I0 • .,ng , .. son fSec 7031 5 Bu~ness and Professions COde Any oty or county which re·
qutrts a permlf to construe!. i11er unprove demolish. or repair any structure, poor to IIs issuance also requires !he aP"
plteant for such oerm11 10 hie a SIQned statement that he 1s icenSed purSUint to the prCMs.'Oni ol the con1rac1or·s license Law (Chapter 9 commencmg w1lh Section 7000 ol
Ckv1s.on Jot the Busmess ind Professions Code) or 11\at ,s tx·
empt therefrom and the basis tor the a1;egea oemplion Any
vl04at1on ol Sectt0n 7031.5 by an apphcant '°' a perm11 sub• tetts 1ne app1ant to I c,v,·; perylty of not more than hve hun·
dre<I dOl~rs 1$500)
I, as owner 01 the property Of my employees .,,th wages as their sole compensaIIon. will do the WOfk. and the struc-
ture 1s not mlended or offered k>r sate (Sec 70-1•. Business
and Protess1onrt Code The Contractor's license Law does
not appty to an owner of property \!tho budds or 1mpro...es
thereon and who ctoes such WOfk h,mseU or thfough his own employees. provided that such improvements are 001 intend·
e<l 0< olfore<I IO< sale II, hol'lover, the 1><111d,ng Of ""IJf0¥0-
ment 1s sokl w1lh1n one year DI completion, lhe owner-builder WIii haV! lhe burden at prOVlng lh.al he dd not build or un-
provo IDf the purpose of sa<e)
..., I. as owner at lhe property, am exclusive-ly contracbng
with heensed conlractOfs to construct the proteet (See 7044. Busmess and Pfofessoos Code The Contractor's bcense uw does not appty to an owner o1 property who builds or im-
proves !hereon, and who contracts !or each P'O!etls with a conlractor(s) hcense pursuant to the Conlrac1cw·s la:nse Law)
·i As a homeo,,nor I am ,mprOl'lng my home. and the loltow mg cond1l100s ex,st 1 Tho woo. Is being port0<med pr,or to sale 2 I h.l .. il¥e<I ,n my home tor IWOl¥e months
pnor to comptehon ot this work 3 I have nol ciauned thrs exemption dunng lhe last three years
D I am oxo~t under Sec ______ . 8 & PC fOf this reason ____________ _
0 I hereby artum lhat 1 P\ao1e a cen1l1cate ot consen1
to sett insure or a cen,hcate of Workers
Compensation Insurance, Of a cen1hec:I copy lhereot
(See 3800 ut>or Cod•I
POLICYNO\VP 842-258-56
coMPANv Fremont Ind.
□ Copy IS filed Wl1h the Ctly
0 Cen,hed coPy Is l\efeby turn,shed
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURP.NCE
(This secltOn need not t>e complete,c, ,1 me oe,m,1
,s 10, one hundred dOllars (S 1CX>1 or iess1
D I cen1ty that 1n the performance ot tne w~ 10, wh,ch this perm11 •s issued I shall not employ any
person ,n any manner so as 10 t>ecome suo,ect Ill
the wor11;ers· COmpensa11on Laws ot Ca11torn1a
NOTlCE TO APPUCANT 11. a.tter mal111n1 1r11s Ct'ni
hcale ol E:.:empt,on. you snou1a oecome sub1ec1 t->
1he WOtkers Compensa1,on p,ov1s1ons 01 me Latx>,
Cade you must 10f1h~•ttl comply with such prov1s,ons Of this oerm1t sh.all be oeemed ,e,-okeo
0 I hereby athrm 1~1 there ,s a cons1ruc110,.
1eno1~ agency tor u,, Pf'r1ormance ot tne woB tor
Nh1Ch lhtS permit 15 issued (Se<: .3097 C1v1I COde1
L•n<1er s Name Crocker Bank
LonoersAddroSS San Dieeo
USE BALL POINT PEN ONLY & PRESS HARD ""rr ~•--• .. • · -· ------I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I
I 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
I ;QB ADDRESS AV ST RO NEAREST CROSS ST I OA;~~;;~~ATIONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
I 2742 Olympia Drive 3681 J-;)-ff1h 7 o51tt-71 I
, L~9 I BLOC!( ~d sueo1v1s,0N l ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE S innaker Po nt I 1.,,, u 3:::l 3~00 Standard Pacific 279-2042 I OWNERS NAME I OWNE R"S PHONE I CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLDG USE COOE I Standard Pacific 279-2042
I 0W"1EA'S MA •NG ADDRESS (same) 294215
I 7290 Clairemont Blvd., OES•GNER LICENSE : STANDARD PLAN # BUILDING SO. FOOTAGE
I Mesa SD 92111 Buzard/Henning & Assoc. d ;){) '5 I DE SCA' PT I (')N OF WORK NR
DESIGNE R"S ADORESS OE SIGNE R'S PHONE
I 4883 Ronson Ct. , SD 9211] 278-6855
' SFD -Plan 350 6tiib/U:D73o U3/J8;n --F/P FLR ELEV. NO ~~3 Er -. ·-
vO NO
:,.es --~~s;;~1 GP LANO USE
1
.~0ir E I RE?NITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRESPf'
AREA ;:,if{' ?XI v0 N..,( \ YO ND vO" Not Valid Un/~s Machine CuttlrM
QTY. PLUMBING PERMIT · ISSUE 7ex:J QTY. MECHANICAL PERMIT· ISSUE 3 -SUMMARY/A~T NUMBER
[""", EACH FIXTURE TR AP J .:..J.-. .,. "J I INSTALL FURN DUCTS i.JP TO 100.000 BTU LI --BUILDING PERMIT "-0~·8220 ~.,~J
~ EACH BUILDING SEWER C..,.f}7] OVER 100,000 BTU SIGN PERMIT ........ \ 01-oo'co-0221
EACH WATER HEATER ANO OR VENT :2.67\ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~ 01-~806 f-'<~. ~&=;-
I EACH GAS SYSTEM I TO 4 OUTLETS f---~ 6L.. BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING ~ 01~~ -~~-EACH GAS SYSTEM~ OR MORE I MET AL FIREPLACE ELECTRICAL ~ 01·00-0 ·8223
EACH INSTA~. ALTER, REPAIR WA_TER PIPE -f--,_I,-VENT FAN SINGLE DUCT /1.,.-MECHANICAL _ ~1-00·00~4 ,1-
I EACH VACUUM BREAKER ~~ MECH EXHAUST H□oo 1oucTs ~
MOBILEHOME ~ ~1-00-00~
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP "'-......_" \
EACH ROOF DRAIN I •NSIOE I SOLAR _o~-ms TOT t.L MECHANICAL {I STRONG MOTION ~ 80·92· 3·0519 --
TOT Al Pl UM8ING I L;Z.J,.-FIRE SPRINKLERS 01-()()-() -8227 ~-SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-89l) ?r';~
QTY. ELECTRICAL PERMIT· ISSUE QTY. BRIDGE FEE
NEW CONST EA AMP SWT BK R 1...tS-COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH --STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Enc1n1Ias 80·92-22-0519
I PH 3 PH PUMP San o,egu110 80-92-23·0519
REMODEL ALTl:R PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 ~rt-I-
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519 /(~T) 5?-xO-
CREDIT DEPOSIT -
TOTAL ElELlRICAL I <y\~ TOTAL SOLAR TOTAL FEES PAYABLE I L(3'--fti-,.74 I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT"' ANO 00 HEREBY Expirat10f'I Every permit issued by the Building Oft1c1al under lhe prov1sIons of this * AN OSHA eflllllT IS REOUlflED FOR EXCAVATIONS OVER
CERTIFY UNDER PEtiALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaH expire by hm1t1t,on and become nuU and 'IO•d If the building or ~ork 5· 0 ~~l~MOl.lTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit ,s not commenced w,th,n 180 days from the date of sucn STRUC ES ER 3 STORIES IN HEIGHT
ISSUED. TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON =-~~n~ '!, ·:~y ~~:l~~h=~~,:~!~~~:'~le~~~~ r~~~I~=~~ or ;
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANTS SIGN~ OWNER IT CONTRACTOR 0 IIPPROVED ~ 11!'~-1,--KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL,LIABIUTIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~-/ BY PHONE 0 GRANTING OF THIS PERMIT <1(0: y .,:,.-""" _.,{_J
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH j
INSULATION I
INTERIOR LATH & DRYWALL I
i
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND 0 WASTE D WATER
TOP OUT D WASTE D W~TER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D IJFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPOijARY
D BONDING D POOL I
I
MECHANICAL I .. , ...... -;
D DUCT & PLEM ., D REF. PIP1Nf3
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT~N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
FINAL I
PLUMBING 7 r./ '
ELECTRICAL I ' -,,,,,,. "~
MECHANICAL I l ., /'U /t'o ----GAS I \ -'-? y
BUILDING ' {...,
I
SPECIAL CONDITIONS I
I
I
-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING -
HIGH STRENGTH
BOLTS
SPECIAL MASONRY ~
PILES CAISSONS r -
.
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INSPECTOR'S NOTES
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