HomeMy WebLinkAbout2758 Olympia Dr; ; 85-155-87; Permit.,, z 0 ;:: 4( a: 4( ... u "' 0
II:
i[
0 u
II: "' 0 ...
5 • ii "' z ~
z 0 ;::
4( .,, z "' Q. :E 0 u .,,
iz: "' " a: 0 3
i[
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 forciw"'1•f!fl-5 Bl lie No ~L,=l:::l~':1:==~ Clm ---
I hereby afllrrn lhat I am exempt lrom the Contrac-
1or·s License Law !or !he loflowmg reason (Sec 7031 5 Business and Professions Code Any c,ty or county wnten re~
qwres a perm,! to construct. alter, improve, demohsh. or repair any structure. pnor to its issuance also requires !heap-
phcant for such permit 10 Ille a signed slatement lhat he ,s
licensed pursuant to the prov1s10ns of the Con1ractors
Lieense Law (Chapler 9 commef'IClog with Secllon 7000 ot ONis1on 3 ol the Business and Prolessions Code) 0< lhat ,sex-
empt lherefrom and Ille basis for the allegeo exemption Any v10lat1on ot Sect10n 7031.5 by an apphcant tor a permit sub-
Jects the applicant 10 a c1v1I penalty of not more than r,ve hun• dred dollars {$500)
O I, as owner of the property. or my employees WTth wages
as their sole compensation, will do the work. alld the struc-lure 1s not intended or oflered fOf sale (Sec 7044. Business
and Professions Code The Contractor's LJcense Law does
not apply 10 an owner of properly whO bu1kJs or improves !hereon and who does such work h1mse11 Of through his own
employees. provided !hat sucn improvements are not intend· ed or offered for safe If, however. the building or improve-
ment 1s sold within one year ol comptehon, the owner-builder will have the burden of proving lhat he did not build or im-
prove !or the purpose of sale)
D I, as owner of !he propeny, am exclusively contracting
with hcenSed con1ractors to construcl the pr01ec1 (Sec. 7044. Business and Professions Code The Contractor's License Law does not apply to an owner of propeny who builds or im-
proves thereon. and who cootracts fo, each protects with a contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am 1mp(oving my home. and the follow-ing conditions exist
1. The work 1s being performed prlOI' to sale.
2. I have !ived in my home for twelve months priOr to completion o1 lhis work.
3 I have not clatmed this e.xemp110n during lhe last three years.
0 I am exempt under Sec. ______ . B & P C
for lhis reason
D I hereby affirm Iha! I ha.-e a cer'1111ca1e of consenl
10 sell insure. or a cert1t,ca1e ol Wo~ers
Compensation Insurance. or a certified copy thereof
{Sec 3800. Labor Code)
f'OLICYNO WP 842-258-56
coMPANY Fremont Ind.
□ Copy IS filed Wllh the Ctty
0 Certified copy 1s hereby lum,shed
CERTIFICATl OF EXEMPTION FROM WORI\ERS COMPENSATION INSURANCE
(This section need nol be completed 11 the perm,1
1s tor one hundred dOllars (SlOO) or iessJ
0 I cen,ry that 1n the performance ot tne wor11. tor
which this pemut 1s issued, I shall nol employ any
person m any manner so as 10 beeome sub1ec1 10
the Wot1(,ers' Compensa11on Laws 01 Ca11torn1a
NOTICE TO APPLICANT If. after makin1 !his Cert•
flcate of Exemohon you should t>ecome sub1ec1 t')
the Wonters· Compensa11on pro¥1s1ons or the Labor
Code. you must lorthv.11h comply w1lh such pro¥1s1ons or !his perm,1 shall be deemed re11okea
0 I hereby affirm lhal lhere •s a conslruction
tending agency tor !he pertOf'mance ol 1he wot1i tor
wtuch ltus perm11 ~ssved (~C 3097 ~d Coo1!... 1..,roc Ker tlanK Lenoer s Name "--.... s...,a=-n-D...-.i_e_g_o __
L~nder s Ad<fress --------='--
I
I
I
I
I
I
I
I
I
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANO DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
'• -1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
jQB ADDRESS AV ST.RO NEAREST CROSS ST. I OAT; /~~/;;TIONI
BUSINESS LICENSE a VALUATION PERMIT NUMBER
2758 Olympia Drive 1~, 431 40,. Ou 3681 ql/»I::, v(?_<t,1 '807 I BLOCK s ,!LSUBOII SION Po~ri'tsEssoR PARcELCf., 7 '/_ LI--CONTRACTOR CONTR,..CTORS PHONE • ZONE p nna er Standard Pacific 279-2042 ~..,(
OWNEA"S NAME
j OWNE R'S PHONE
Standard Pacific 279-2042 CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
(same) 294215
OWNER'S MAILING ADDRESS
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE q STANDARD PLAN # BUILDING SO. FOOTAGE
DESCRIPTION OF WORK Buzard/Henning & Assoc. NR (603
DESIGNER'S ADDA ESS DESIGNER'S PHONE .JTU I ( t
SFD -Plan 330 4883 Ronson Ct., SD 9211 l 278-6855
-F/P F LR ELEV. NO OR~ EDU
YO NO --ST07 Es {
CENSUS TRACT I GP LANO USE
r ~7 L7CE 1
RES ?ITS I GRADING PERMIT ISSUED I REOEVELOPMENT i;f)tJ OCC LOAD FIRESPR
AREA ,b(.
YO ND v0 N vO NO Nor Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7$2 QTY. MECHANICAL PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER
"'J EACH FIXTURE TRAP ~--I INSTALL FURN. DUCTS iJP TO 100.000 BTU u .-BUILDlNG PERMIT 01-00·00-8220 ~/{i!S -
I EACH 8UIL0ING SEWER £-.F ~ OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER AN010R VENT _<.:),.,,. £ t':l BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 :2·11 . /0
( EACH GAS SYSTEM 1 TO 4 OUTLETS ::),...."" fO 80ILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00·00-8222 qq-
EA CH GAS SYSTEM S OR MORE ' METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~()-
EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 7-·-~ -EACH VACUUM BREAKER MECH EXHAUST H000I0UCTS M0BILEH0ME 01 ·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR 01 -00-00-A??~ T0TI.L MECHANICAL STRONG MOTION 80-92-33-0519 ~,tzD 7 .--TOTAL PLUMBING I !-1!1'_. -FIRE SPRINKLERS 01-00-00-8227 -PUBLIC FACILITIES FEE 32-00·00-893) QTY. ELECTRICAL PERMIT -ISSUE 5-QTY. SOLAR -ISSUE BRIDGE FEE
',.._NE~NST EA AMP SWT BKR f(JrJ '").,7 -COLLECTORS SCHOOL FEE -DISTRICT
1~ 3 PH -STORAGE TANKS Carlsbad 80-92-21-0519
E~LDG EA AMPISWT BKR ROCK STORAGE Encinitas 80·92-22-0519
NPH~ 3 PH PUMP San Dieguito 80·92·23·0519 ........ ~MO□fl,ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
..... ~EMP PO~ 200 AMPS
[~200 A\o,PS LICENSE TAX 01-00-00-8162 /blY'"J -~ 0CCUPA1VCY (30 DAYSI -: MFF 80-92-57-0519 It--7-.nt'J 5?-8'0-... -CREDIT DEPOSIT
TOTA L ELECTR ICAL l 3d .-TOTAL SOLAR ~
TOTAL FEES PAYABLE /'17 °?-J3<..f;;)..,30
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMlr' ANO 00 HEREBY Expfrat1on Every permit tSsued by the Bu1ld1ng Official under the prov1s1ons ofth,s • * AN OSHA '7#, REQUIRED FOR EXCAVATIONS OVER CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by l1m1tatton and become null and vo,d If the build,ng or work 5· 0 .. DEEP ANO MOUTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced within 180 days lrom the date of such STRUCTURES EA J STORIES IN HEIGHT permit. or it the bu1ldmH or work author1Zed by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON abandoned at any hme a ter the work 1s commenced tor a oenod of 180 davs ~. .L STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APT T2ATURE ~~ '2~ OWNER D CONTRACTOR 0 APPROVED BY (A 1DtJ1/«-I\EEP HARMLESS THE CITY or CARLSBAD AGA>NST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE V PHONE 0 GRANTING OF THIS PERMIT --a
2:! u::
>-;;;
0 a.
E a,
I-
I
"O 0
(!J
C <1l .~
a. a. ct
I
.:,t;
C a:
0 V,
V, a,
V, V, ct
I
~
.2 a; >-
Cl)
V, a, u
0 a:
<1l
iii 0
§:
a, u C co
C u::
C a, ~
(!J
0
0 a, a. V,
C
~ .c 3:
TYPE DATE INSPECTOR
BUILDING
FOUNDATION '
REINFORCED STEEL -
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL -I ~ I .
PLUMBING ...
SEWER AND BUCO DIPUCO ..'
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER •·
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY r
D BONDING D POOL
MECHANICAL
D DUCT & PLEM ., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
,,. _J
~ ... [$5" ~/;
' FIELD INSPECTION RECORD . I
' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I
I
INSPECTION REO IF INSPECTORS DATE I CHECKED APPROVAL
SOILS COMPLIANCE I
PRIOR TO ' FOUNDATION INSP I
STRUCTURAL CONCRETE I OVER 2000 PSI
PRES TRESSED I CONCRETE
POST TENSIONED I CONCRETE
FIELD WELDING I
HIGH STRENGTH ~ I BOLTS -SPECIAL MASONRY I
' _l
L I
PILES CAISSOtl.S I I
I
I
I
!
I
I
' I
I
I
I
-I
I
~ ,' I
I . ✓ ! /. I
7 ~-I
I
--· l . / I . I
I
I
I
--!
I
I
I
I
I
I < I