HomeMy WebLinkAbout2748 Olympia Dr; ; 85-155-82; PermitII) z 0 ~ cc < ... 0 w 0
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ie{ 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~,11~<,t.5 Bl
Lie No ~~= ~~ ·'±=~=J.~ Clm
I hereby at1Irm that I am exempl lrom lhe Contrac·
tor's license Law for the lotlowmg reason (Sec 7031 5
Business and Prolesst0ns Code Any city ot county which re· quires a permit to construcl, alter, rmprove, demohsh, or repa1t any structure. pnOf to ,ts issuance also requues !heap-
plicant !or such permit 10 fiJe a sii;lned statement that he 1s
lteensed pursuant 10 !he prov1s1ons of the conuactor s license Law (Chapter 9 commencing with Section 7000 ot
Dlv1st0n 3 of the Business and Professions Code) Of lhat ,sex-empt lherelrom and 1he basis tor !he allege<J exemption Any
v,olauon of Section 7031.5 by an applant !or a permit sub· Jects !he apphca.nt to a c1vll penalty of not more than live hun-dred dollars ($500).
0 I, as owner of lhe property. or my employees with wages as their sole compensation, will do the work. and the struc-
lure is not intended or ottered lor sale (Sec 7044. Business
and Pro1ess1ons Code: The Con1ractof's license Law does not apply to an owner or propeny who builds or improves
!hereon and who does such WOfk himsett or through his own
employees. provided !hat such improvements are not mtelld· ed or olfered !or sale. If. however, the buikhng or lmprove--
ment is sold within one year o1 completk>n, the owner-builder will have lhe burden of proving thal he did not butld or im-
prove lo, the purpose o1 sale).
D I, as owner of the property, am exclus,vely conrractmg
wilh licensed contractors to construct lhe prOject (Sec. 7044. Business and Proless1ons Code: The Contractor's Ucense Law does not appty to an owner of property who builds or im-proves thereon. and who contracts for each prQfects with a contractor(s) hcense pursuant to the ConHactor's Ucense Law)
D As a homeowner I am improving my home. and !he follow-Ing cond1t1ons exist:
1. The work 1s being performed pr tar 10 sale
2 I have hved in my home !or twelve months
pnor lo complellon of lhiS WOfk 3 I have not claimed lhis e11.empt1on during the lasl three years
~r
1
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~~r:~:g1underSec, ______ , B&P.C. -------------
~reby affirm 1ha1 I ha-1e a cen11,ca1e ol consent
10 self-insure, or a cen1f1ca1e of Workers
Compensatton Insurance, or a cen,t.ect copy thereol
(Sec 3800. Labor Code)
POLICYNO WP 842-258-56
co~ANY Fremont Ind. rt' Copy ,s filed w,tn lhe c,1y
D Cert1lled copy 1s hereby lurn,shed
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This sechon need not be completed 1I !he permit
1s tor one nundred dOllars (S 100) or Iess1
0 I cerwy that in the perlormance ol 1he wOOI tor
which th+s pemut Is ,ssued. I shall no1 emoIoy any
person ,n any manner so as to become sub1ec1 IO the Wor1iters· Compensation Laws of CaI1torn1a
NOTICE TO APPLICANT If. after maktnJ lh•S Cert•
licate ol h:emp11on. you sh<>vld beCome sub1ect I? 1he Wonlers· Compensation provIsIons ol lhe Lclt>or
Code. you must torth'!"1lh comply with such
provIs1ons 01 ttus permit snail be deemed revokeo
efi nereby atfum lhat there •s a construct,on
ten<l•no aoency tor Ille oenormance ot lhe woni IOf
wt11ch 1t11s perm11 1s issued tSec )097 '131 Cook,
LendersName Croc ke r an
LendersAddress San Die g o
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
JO;;~o;es~lympia Drive AV.ST.RO. NEARESTCROSS ST. IOATEOF3/20?so5 I BUSINESSLICENSE11-ro~:.O PERMITNU=g-7
LOT I BLOCK _ 1 s~aoI v,sI0N . 1 _AssEssoR PARCEL No. 7' CONTRACTOR coNTAACToRs PHONE. zoNE a t:.. ..,, frP
onl Sb1nnaker Pq1nt hc7 ~~~ 4'\ Ou U:.I
owNT R-sNAME I owNeR·sPHoNe 8tandard Pacific 279-2042
d P
• f • 279 2042 CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLDG use CODE
Standar ac1 1c -
OWNER'S MAILING ADDRESS (same) 294215
7290 Clairemont Mesa Blvd., SD 92111 0Es1GNeR uceNse= sTANoARoPLAN# Bu1LD1NGsa.FooTAGE
oescRIPT oN oF woRK Buzard/Henning & Assoc. NR /J ::J--5
OE.SIGNER'S ADDRESS DESIGNER'S PHONE ----------------------------------
SF D _ Plan 340 4883 Ronson Ct. , SD 92111 278-6855 ~
1
_ _ • _
----,1P FLA ELev. No oQ GP /Du ,tiltiP .,7Jo o;i706 ~ ST~IES _;2_ ' • -•• ,------~------...,.------..------,.-------L----,-v_0_N...c0=-_::::::_-_-4 ____ +-_L-,_-4-'----= :.;J-+------l t'<'.
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I :~~~VELOPMENT ~VP~ occ LOAO FIRE SPA ~
c_::r "7'-t•Olf' ~ L.J{) { YD N D v □ ,.,,'ff (/'/iJ vO r-.---&_ _ Not v?iiitf.._ Unless Milchine Certified
QTY. PLUMBING PERMIT· ISSUE / W QTY. MECHANICAL PERMIT· ISSUE 3 -SUMMARY/A~T~ER
f / EACH FIXTURE TRAP .,.....,,_, ,"Y') / INSTALL FURN. DUCTS uP TO 100.000 BTU L/-. -BUILDING PERMIT 01-0l.1@'·8220 U .-{,7 -
/ EACH BUILDING SEWER r;,:,.. .fvl OVER 100,000 BTU -SIGN PERMIT 01·0d'911!a221
/ EACHWATERHEATERAN010RVENT ~5{') BOILER/COMPRESSORUPT03HP PLANCHECK 01-00-~ .J-R':J.../Q
/ EACH GAS SYSTEM 1 TO 4 OUTLETS ~-?( BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING (j'j:._ ~..,_ .tfj / ,1'fl'I
EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE ELECTRICAL ctr-UO"@Q-8223 :::?_/1 -
EACH INSTAl . ALTER. REPAIR WATER PIPE ~ VENT FAN SINGLE OUCT LJ . -MECHANICAL 01~R??A J If -
-L EACH VACUUM BREAKER --,c;.=, _("() -MECH EXHAUST HOOO DUCTS MOBILEHOME 01·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP 11--+-----------------+------lf----+-----------------1----'---+--'c;..;:.;:..;.::.:c..c.:.;_;_;__;:c...:..:.c'-'--'-:..C:..::'----------+----------t
1 EACH ROOF DRAIN (INSIDE) SOLAR 01.00.00.ooos /
1 TQTJ;L MECHANICAL STRONG MOTION 80-92-33·0519 -/. C) '-f-
TOTAL PLUMBCNG I h/ ,.&j{\ ! I . _.. FIRE SPRINKLERS --01·00·00·8227 •
c; PUBLIC FACILITIES FEE 32·00·00·89ll QTY. ELECTRICAL PERMIT· ISSUE ---QTY. SOLAR· ISSUE BRIOGE FEE
NEw coNsT EA AMP swr sKR r or; ~ -coLLEcToRs scHooL FEE. 01srn1cT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP;SWT BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Oieguito 80-92-23·0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMPPOLE 200AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 A°r1 / /) -
I TEMP OCCUPANCY (30 DAYS) • MFF 80-92-57-0519 / r_:x-x C) n r.; 1 -
: CREDIT DEPOSIT
: TOTAL ELECTRICAL I RD ~ TOTAL SOLAR TOTf,L FEES PAYABLE I ?; -; rJC-i rt-. 4
I • I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT" AND DO HEREBY fapiralion Every permit issued byth9 Bullding Ofhciat unde< the prov,5,ons of th15 * AN OS~IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e<pire by limitation •nd become null and void If 1h8 building or work 5· O" PAN MOUTION OR CONSTRUCTION OF I G E R ITS authonzedbysuchperm,t,snotcommencedwrthin 180daysfromthedateofsuch -•~ ~ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND A R E IF A PE M I permit. or if the building or work authorized by such permit IS suspended or STRUC,vn<e Vt<R 3 STORIES IN HEIGHT
I ISSUED. TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON L!.•b~a~n~do~n.!!ed~a!.;t s~n!l1v.,t1:q"""~'•~fte!!r....!1~he!c._w!!:o~r!.k_!:1S~c~o~m!!!m!!!e~nc~e:!!d_.!:fo~r...!a!..loe~1r1~odg,_o~ll!.!!80!!...2'da!l1v~s-:-~~~~"'!"'-,~--------,-"T--~-----I(
1 STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPUCANT"S s,,..~:•~R ~ □ APPROVED By J\ ~T ½ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL: LIABILITIES, JUDGMENTS. COSTS AND ·rr,· OWNER CONTRACTOR fO. _,-
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE (,../'~-BY PHONE O ~J
: L~G:R:A~N~T~IN:G:~o:F~T:H:IS~P:E~R:M:n: _________________________________ ,::~~/.,!: ~::::..!.J'.~~::::..-~~-~~:::3-:'~~!:::::-i:.::::: ... _____ J_ ____ ~,jr:jz~:-~ ___________ JIL~----'-~~(,)~~_J
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TYPE DATE INSPECTOR
BUILDING ~~--1ss -~ I
I
FOUNDATION FIELD INSPECTION RECORD I
REINFORCED STEEL \ ...
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S N OTES I
INSPECTION REQ IF INSPECTO R s DATE I CHECKED APPROVAL I
J SOILS COMPLIANCE I PRIOR TO
FRAME I FOUNDATION INSP
I
EXTERIOR LATH STRUCTURAL CONCRETE t
OVER 2000 PSI .1
INSULATION ; PRES TRESSED I
INTERIOR LATH & DRYWALL CONCRETE I
POST TENSIONED I
CONCRETE t
PLUMBING FIELD WELDING ' SEWER AND BUCO DIPUCO ..
UNDERGROUND D WASTE D WATER
I
' ' -, J HIGH STRENGTH
BOLTS I
TOP OUT D WASTE D WATER
I SPECIAL MASONRY I t I
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
' ·' I
' I
PILES CAISSON~ : !
I
I
I
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
I
' -I ' ' ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY !
D BONDING D POOL -I ..
~
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS !
VENTILATING SYSTEMS
t
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
I
!
FINAL !
PLUMBING I
I ,
ELECTRICAL I ~--I MECHANICAL
GAS I .
' BUILDING I I
SPECIAL CONDITIONS ' '
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