HomeMy WebLinkAbout2746 Olympia Dr; ; 85-155-81; PermitIll z 0 .:: <I( a: <I( ... u ..,
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and effect.
Lie No 294215 Class
I hereby affirm thal I am exempt from lhe Contrac· tor's L1tense Law 10< the lollow,ng reason (Sec 7031.5 Business and Prolessmns Code Any city or county which re· quires a permit to cons1rucr. alter, improve. demohsh, or
repa!r any structure, prior to 11s issuance also requires !heap-
pllcanl fDf such penrut to file a siqned statemen1 that he ,s
licensed pursuant to the provisions ol lhe c;on1racIor"s license Law (Chapler 9 commencing with Section 7000 ol Oiv1s1on 3 ol lhe Busmess and Professmns Code) or that 1s ex·
empt therefrom and the basis for the allege(] exemption Any v1olah0n ol Secllon 7031.5 by an applicanl tor a perm11 sub·
1ects the applicant to a civll penally ol not more than hve hun·
dred dollars (S500)
rJ I, as owner of !he property. or my employees with wages
as 1he,r sole compensation. will do lhe work. and the struc· iure is not intended°' ofleced tor sale (Sec 7044. Business
and Profession\ CDCle Tile Contractor's license Law does nol apply to an owne:1 ol property who builds or improves thereon and who does such work h,msell or through tus own
employees. provided thal such improvements are not tnlend·
ed or o11ered lor sale II, however. lhe building or improve-ment Is sold within one year ol compteHon, lhe owner·builder will have the burden of provmg 11\at he did not build or im·
prove for the purpose of sale}
D I, as owner of lhe property, am exclus1vety contracimg
with licensed contractDfs to construct the protect (Sec. 7044,
Business and Professt0ns Code: The ContracIor·s license
Law does no! apply to an owner ol property who builds or 1m•
proves lhereon, and who contracts for each prOJects w11h a
contraclor(s) license pursuant to the Con1ractor's license Law).
□ As a homeowner I am ,mprovmg my home, and the loflow· Ing conditions exist
t. The work 1s being performed prior to sale. 2. I have lwed in my home 101 twetve months
3. frri!v~ :"~~;:g' t~~ ::~p110n during the
last three years
D I am exempt under Sec. ______ . B & P C
for this reason -------------
0 I hereby affirm 1na1 I haofe a cen,f,cate of consent
10 self insure. or a cerut1caIe ol w orkers
Compensa11on Insurance. or a cen,tied copy thereof
(Sec 3800 LabOr Code)
POLICYNO WP 842-258-56
COMPANY Fremont Ind .
0 Copy IS hied with the Ctly
0 Cer11f1ed copy 1s hereby lurmshed
CERTIFICATl OF EXEMPTION FROM WORI\ERS' COMPENSATION INSURANCE (This secIIon neeC not be completed 11 me permit
Is tor one hundred dOllars ($100) or less)
D I cer11ty that tn me performance of me wor11. tor
which this permit 1s issued. I stlall not employ any
person In any manner so as to beCome sub1ec1 11..1
the Wor1ters· Compensa11on Laws ot Catitorn1a
NOTICE TO APPLICANT 11. after makin~ lhIS Cert,
ltcate of Exemption you should beCome subtect l'J the Workers' Compensation p,o..,1s1ons of the Lat>or
Code you must torth'A>tlh comply w1lh such
pr0'l1S1ons or 1h1s permit shall be deemed revokeo
0 I hereby attum Iha! there ,s a construchon
Iend1ng aoency tor the pertormance ol the wor11. to,
which HHS perm,I •"1SSued I~ 3097 ~I COO~I_ 1..,rocKer ,l:janK Lenoers Name ___________ _
lende(5Adaress San Di ego
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ;J,4c,., 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. I OAT;O; ;~~l;A~IONI
BUSINESS LICENSE ,t VALUATION PERMIT NUMBER
?.7.tJ.i:, n1 vmni a --¢-of Drive 3681 , .
-I . I
LOT I B LOCK sdtueo1v1s10N ,J ASSESSOR PARCEL NO. c) CONTRACTOR CONTRACTORS PHONE • ZONo/ ;i_t, '1 t, 7 ~/ 81 nni:iker P nt J 1,;,-, ~~ ~'O D Standard Pacific 279-2042 OWNER'S NAME I OWNER'S PHONE
CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLOG use COOE Standard Pac.if ic 279-2042 (same) 294215 OWNER'S MAILING AOORESS
7290 Clairemont Mesa Blvd . , SD 92111 DESIGNER LICENSE ~ STANDARD PLAN# BUILDING SO. FOOTAGE
Buzard/Henning 8t Assoc. NR ,~ OESCRIPTION OF WORI(
DESIGNER'S ADDRESS DESIGNER'S PHONE ../'
4883 Ronson Ct. , SD 9211] 278-6855 6lcH:11Lbt:i7~! :;)c)._(l.:::, SFD -Plan xm 350 I -• ;.,, • -
.--F/P FLA ELEV. NO ol:S 7 vO NO --$;!JES
CENSUS TRACT I GP LANO use ,P~ACE RES r lTS
1
GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OGG LOAD FIRE SPA
Q.\r+Of AREA c17N YO ND v□ N'lll v□ NJZ(_ Not Valid Unlers Machine Certified
QT~. PLUMBING PERMIT· 1'1iu1.9 7?3. QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARVACCOUNTNUMBER
,.i EACH FIXTURE TRAP ~-Art: I INSTALL FURN. DUCTS iJP TO 100,000 BTU u .-BUILDING PERMIT 01-00-00-8220 ~ o.~
I EACH BUILDING SEWER (.,.. f,7) OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221
~ I EACH WATER HEATER ANO OR VENT 1,,n/'., BOILER/COMPRESSOR UP TO 3 HP PLA~CHECK 01 ·00-00-8806 ,~,-
( EACH GAS SYSTEM 1 TO 4 OUTLETS '"'J....-V-BOILER/COMPRESSOR 3 15 HP TOTAL ~G 01-00-00-8222 ~-· --f,
EACH GAS SYSTEM 5 OR MO RE METAL FIREPLACE ~~-ELECTRICAL""'-.. 01 ·00-00-8223 ~n-
EACH INSTAl. ALTER, REPAIR WATER PIPE I VENT FAN SING LE DUCT MECHANICAL c--01-00-00·8224 ~ ff /I -I EACH VACUUM BREAKER ;)._.!{7) MECH EXHAUST HOOD DUCTS MOBI~ ._ '-01-00-00-8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEH0Mn'ARK71'1+.P ~-
EACH ROOF DRAIN I INSIDE! SOLAR .2_ 01-00-QQ-A??~
~'/-.-TOT t;L MECHANICAL //ff~ STRONG MOTION =:::::, 80·92-33-0519 , &'.. ? <=
TOTAL PLUMBING I --FIRE SPRINi<LERS ~-00-00-8227 I
QTY. ELECTRICAL PERMIT -ISSUE 5-QTY. SOLAR · ISSUE PUBLIC FACIUTIEG~ 32~R9l)
BRIDGE FEE )
NEW CONST EA AMP SWT BKR /r,l)A-.,s:➔,...cs-COLLECTORS SCHOOL FEE · DISTRICT c./ __/'
1 PH 3 PH STORAGE TANKS Carlsbad
r
80-92-21-0519
EXIST BLOG EA AMP/SWT BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Diegu1to 80·92-23-0519
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 700 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 cl ~-:), ;;-3
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 /l.X'XI J/ 7"> <5LJ -<
CREDIT DEPOSIT I
TOTAL ELECTRICAL
I WJ. TOTAL SOLAR TOTAL FEES PAYABLE IA_ 3!; ~
I -
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMlr AND DO HEREBY Exp,rahon Every permit issued by the Bu1ld1ng Ofhctal undef lhe provisions of this * AN os\~~;:tlrr 1s REOUIRE6~ l'xlAvl~Ns OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaJI expire by 11m1tat1on and become null and void If the bwldmg or work 5' O" D PA DEMOLITION OR CONSTRUCTION OF authorized by such permit ,snot commenced within 180days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE CF A PERMfT IS permit or 1f the bu1ldinft or worll authorized by such permit 1s suspended or STRUC OVER J STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at any time a ter the work Is commenced tor a oenod of 180 davs
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLICANT~~ OWNER ~ONTRACTOR 0 APPROVEDr... i 1:rn/t✓ 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 I T -.. , 0
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TYPE
BUILDING
OUNDATION F
R
M
:EINFORCED STEEL
YiASONRY
GUNITE OR GROUT
LOOR & CEILING SUB FRAME
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1
I
I
I F
s
F
,HEATH ING D ROOF D SH6AR
RAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
'
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST i
D WATER HEATER D SOLAR WATEPI
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D l!JFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
DATE INSPECTOR
. .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA ve BEEN APPROVED.
FINAL I i.---t"-•
PLUMBING I . t,X ) ,, ..,,.
ELECTRICAL I ,1)1
MECHANICAL I iv
GAS I '1
BUILDING I
SPECIAL CONDITIONS I .. .
I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REO IF INSPECTORS INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING -
HIGH STRENGTH
BOLTS
SPECIAL M"A°SO-NRY
PILES CAISSONS -..
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INSPECTOR'S NOTES .. -~. '
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