HomeMy WebLinkAbout2756 Olympia Dr; ; 85-155-86; Permit.,, z 0 ~ a: < ... u "' 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 Profeaalons Code, and my license is In
~~:I ~~,c~~%e~'it5 Clm _fil
I hereby affirm lhat I am exemp1 from the Contrac·
lor°s Lteense law tOf lhe lollow1ng reason (Sec. 7031 5
Busmess and Pro1ess1ons COcfe Any city or county which re· quires a permit 10 construct. alter, improve, demohsh. or repair any structure. pnor to 11s issuance also requires !heap•
pticant IDf such perm,1 to hie a s1s:1ned statement that he 1s licensed pursuant 10 the prov,s,ons or the Contrac1o(s
License Law (Chapter 9 commencing with Section 7000 of Olv1s1on 3 of !he Business and Professions COde) or that 1s ex·
empt therefrom and the basis fOf the allegeo exemption Any
v1ola11on of Section 7031 ~5 by an apphcan1 !or a perm,1 sub· ;eels the applicant 10 a civil penalty of not mOfe than five hurt-
dred dollars ($500)
0 I, as owner of the property, or my employees with wages
as their SOie compensa11on, will do the work. and lhe struc-
ture 1s not mt ended or oflered for sale (Sec 7044, Business and Professions Code. The ContractOf·s License law does
not apply to an owr,er of pre>perty who builds °' improves
thereon and who does such work himself or through his own employees. provided that such improvements are not intend-
ed or offered !or sate II, however, the bu1ldmg or 1mprove-
men1 is soki w11hm one year o, comp\etKm, the owner-builder
will have the burden of proving that he did no! build or ,m-prove for II>• purpose of sale).
D I, as owner ot the property, am exclus1vety contractmg wllh licensed conuactors to construct the pro,ect (Sec 7044. Busmess and Professions Code. The Con1ractof's Ucense
law does not apply to an owner ot property who builds or im-proves !hereon. and who contracts lor each protects with a contractor{s) hcense pursuant to the Contractor's License Law).
0 As a homeowner I am rmproving my home, and the fotlow· Ing conchtions e,;ist·
1. The work 1s being performed prior to sale . 2. I have lived In my home tor twelve monlhs
pnor to complet10n ol this WOik
3. I have not claimed this exemptoo during lhe last three years.
I; /;,~r:~~tunder Sec. ______ , 8(. PC ----------
D thereby athrm ttlat I ha"e a cert1hcate of consen1
10 self ,nsure. or a cert1hca1e al workers
Compensa11on Insurance. or a cen1he<J copy thereol
!Sec 3800. Labor CooeJ
POLICYNO WP 842-258-56
coMPANv Fremont Ind.
0 Copy 1S hleo w1ltl !he City
D Cen1l1ed copy ,s hereby lvm,shed
CERTIFiCATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Tt11s sec1100 need not be compleled 11 Irle perm,t 1s lo, one tlundre<l dollars IS 100) or less)
0 I cen,ty 1na1 in 1t1e performance of 1ne wor11 tor
wh,ctt this pem,11 ,s ,ssve<l. 1 shall no1 employ any
person 1n any manner so as 10 t>ecome svbJeCI to
lhe Wortcers' Compensation Laws ol Cahtorn,a
NOTICE TO APPLICANT If, after makin~ this Cen1
l,cate of Exemption you shOuld t>ecome svt>1ec1 I? me Workers· Compensauon prov1s1ons ot lhe Labor cooe. you must torth""11h comply w11h such prov,s,ons or this perm,! shall be deemed revoked
0 I hereby affirm that 1here ,s a construct,on
1end1ruJ agency tof the pertormance or the wor1o. 101
wtuch this permit ,s 1ssue<l !Sec ~7 C1v11 Cooe1
LenoersName Cracker Bank
Len<ler. Aaoress s ~ n Di Q go
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
;oe ADDRESS AV. ST RO. NEAREST CROSS ST.
IOA;E/~~p;~;TIONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
ql{l.fl/7 A6S~ 2756 Olvmo.ia Drive I (e7'-4."3J 4<is ou 3681
LOT I BLOCK :J SUBDIVISION PO~~tESSORPARCELN°Ct" ?tf-4-CONTRACTOR CONTRACTORS PHONE • ZONE 86 S innaker Standard Pacific 279-2042 g6
OWNER'S NAME OWNER'S PHONE
279-2042 CONTRACTOR'S AODRESS LICENSE NO. PLAN I.D. # BLOG USE COOE Standard Pacific (same) 294215 OWNER'S MA,LING ADDRESS
7290 Clairemont Mesa Blvd. , SD 92111 OESIGNER LICENSE sr ST ANDA RO PLAN# BUILDING SO. FOOT AGE
Buzard/Henning & Assoc. NR lf5~ OESCRIPTION OF WORK
OESIGNER'S AOORESS DESIGNER'S PHONE
SFD Plan 320 4883 Ronson Ct., SD 9211 278-6855 ~ ·~~ 11U :J~;i -..
>---F/P F LR ELEV. NO O~G~~ EDU ~ STORIES ( vO NO --.:;:i..
CENSUS TRACT I GP LANO USE
1
·:;;rhPACE
1
RErNITS
1
GRAOING PERMIT ISSUED I REOEVELOPMENT Fm OCC LOAD FIAESPR AREA CO T
y D ND vO ,...K,_ YON~ ~ Va/ief'1:H,/~s M~chine Cerrified
" ' 7f!2. .
SUMMARY/AC~ NUMBER QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE ??-,
fJ. EACH FIXTURE TRAP :-c:: rJ . -' INSTALL FURN. DUCTS UP TO l00,000 BTU LI -BUILDING PERMIT BJ,,·00·00·8~0 41><-
I EACH BUILDING SEWER ,_ .. '71", OVER l00.000 BTU SIGN PERMIT 01-0ll>00:.8211 .
I EACH WATER HEATER ANO OR VENT ~~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 ::r11. 7~
I EACH GAS SYSTEM I TO 4 OUTLETS ~.",l) BOILER/COMPRESSOR 3·l5 HP TOTAL PLUMBING 01 ·00-00-8222 ¼-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 ~-
EACH INSTA~. ALTER, REPAIR WATER PIPE ( VENT FAN SINGLE DUCT :::J-. -MECHANICAL 01-00-00· 8224 q-
EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS MOBILEHOME 01 ·00·00·8225
WATERSOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DR.\IN (INSIDE) SOLAR 01.no-00.000~
TOTt;L MECHANICAL ct STRONG MOTION 80·92-33-0519 C,.~I -
TOT AL PLUMBING I qf.--.
FIRE SPRINKLERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE c;-QTY. SOLAR· ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00·89l)
NEW CONST EA AMP SWT BKR Lll'l4-Q..n-COLLECTOR$ SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP'SWT BKR I ROCK STORAGE Encinilas 80-92-22-0519
1 PH 3 PH PUMP San Dieguilo 80·92· 23-0519
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92· 24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 fn XI --
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 l GYl'i o . 51"xO-
CREDIT DEPOSIT
TOTAL E LE CTR ICAL I :s'(} =-TOTAL SOLAR TOTAL FEES PAYABLE I r'=?~,'S ~Kil
I HAVE CAREFULLY EXAMINED THE COMPLETED '·APPLICATION AND PERMIT' AND DO HEREBY Exp.rah on. Every permit issued by the Building Off1c11I undef the provisions of this * "N ~ IS REQUIRED FOR EXCAV,.TIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDJNG THE COde shall e1Cpire by llm1tat1on and become null and void If the bu,ld,ng or work 5· 0 DEEP D OEMOU TION Ofl CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w1thtn 180 days from the date of such STRUC S OVER 3 STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON• :~~!,n~
1
~t '=~\' ~~~:•~ffei~h=~~r:~!~0~~~e~iJ~~~ :'~~~1~fs~~0a~~ or II •
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
A~T'S SZRE • OWNER □ CONTRACl"OR Q APPRO\/EDr~ ~-I 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
'A_ ~/L~. BY PHONE 0 GRANTING OF THIS PERMIT ------'-
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TYPE I DATE INSPECTOR .... \ . ,, . ..., . -.
BUILDING I
l is•lss---~lo I } . \ ' ' ' -. .
FOUNDATION i FIELD INSPECTION RECORD ' .
REINFORCED STEEL ' I
MASONRY I REQUIRED SPECIAL INSPECTION S INSPECTOR'S NOTES -
GUNITE OR GROUT J INSPECTION REQ IF INSPECTORS DATE . ' CHECKED APPROVAL
FLOOR & CEILING SUB FRAME i
SHEATHING D ROOF D SH~R
FRAME i
SOILS COMPLIANCE . , r: f' • J ; PRIOR TO -. -\ :. ,, FOUNDATION INSP
l
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING J FIELD WECDING
SEWER AND BUCO D IPUCO 1 HIGH STRENGTH
UNDERGROUND D WASTE D VVATER
TOP OUT D WASTE D WATER
BOLTS
SPECIAL MASONRY . . ~ ..... -;: t
TUB AND SHOWER PAN 1 ' '
GAS TEST I PILES CAISSO NS
D WATER HEATER D SOLAR WATER
I ,. -.. -. -•
ELECTRICAL I
D ELECTRIC UNDERGROUND D l!JFFER
ROUGH ELECTRIC I
-.. •· ' -~ .
' . ' \ , . . --
D ELECTRIC SERVICE D TEMPORARY --.
~ ~ \ ---
D BONDING D POOL I \ 7"--• J -., .... -I . ,
MECHANICAL I
\t· ' ,. ~ I 'I'
D DUCT & PLEM., D REF. PIPING ' -
--
HEAT -AIR COND. SYSTEMS I
. .-I -.
VENTILATING SYSTEMS I .
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
---ITEMS ABOVE HA ve BEEN APPROVED. "' . -t'.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
..,
-. .
GAS . f . . ' . -. . ' ' BUILDING
SPECIAL CONDITIONS