HomeMy WebLinkAbout2762 Olympia Dr; ; 85-155-89; PermitIll z 0 .: C C C ... u Ill 0
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O I h«eby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Profeulona Code, and my license Is In
full fC>rAA-4rldAI~
Loe No -6_ ::,~<±~-6~1.~ o_ Class B 1
I hereDy allirm Iha! I am eumpl lrom 1ne Contrac-lor s La115e uw lor !he lollowing reason (Se<: 7031 S
Business and ProlesSK)f'IS COde Any city Of counly wnich re-quires a permit to construct. alter, m,prove. demolish or
repair any structure. poor to its issuance also requ11es !heap· pl>c:anl lor such perm,, ID file • Sljjned Slalement lhal he IS
Jicensed pursuant to lhe prOYtslOflS ot the Contracto(s License Law (Chapter 9 commencing w1lh SeciMJfl 7000 ot
OM$t0n 3 of Ille Busmess and ProtesSMJfls COCeJ o, Iha! " ex-empt 1nere1rom and !he DaSis tor lhe ,negeo exemphon AOy Vlofal,on ol Seci,on 7031,S by an a~nl lor a perm,, sub·
)ects the appUcant to a tMI penalty or not more than t,ve hun-dred dOllors ($500)
0 I, as owner ol lhe pr-,y. or my employees w,th wages
as their sote compensahon, wrll do the WOJk, and the strut•
lure is not intended cw ottered lo, sale (Sec 70-14, Business
and ProtesSMlfls Code. The ConlraclO<'s License Law does nol apply lo an owner ot pr-,y who builds or imp,.,,.,
lhefeon and who does such W0<1< lllmse!f or through his own employees, provided !hat SUCh lmprovenents are not intend-ed or offered for sale If, llow!-ffl, the 1>u,kf1ng or improve-ment 1s sokS within one _year ot completion. the owner-builder wtll haW !he l>urden ol P,OYlng Iha! he did not buikf or im-
prove lor lhe purpose ot sale).
D I. as owner of the property, am exclusrvety contracting
wilh licensed conllacfors 10 cons1ruc1 lhe projoct (Sec. 7044, Busmess and ProfesStOns Code: The Contractcw·s license
Law does not apply lo an OWflOl ot prOl)er1y who l>uilcls or im-proves !hereon, and who contracts lor each p<OfOCIS with a
f.':)~tor(s) license pursuant to lhe COnlractor's License
D As a ""'-ne< I am improving my home, and the lollow· ing conditlOflS extSt: 1 The work is lleing pe~ormed prio< lo sale
2 I hive kWO in my home 1or twetve monlhs
prior 10 comll!etion of !Ills work.
3. I haW not claimed !his exempllOO dll!fng lhe last three years.
D I am exempl Under Se<:.------. B & P.C. tor this reason ____________ _
D I hefeby afhrm that I h.ate a-een1t1cate of conse01
to self-insure. or a cen1t1ca1e of Wo~ers·
Compens.auon Insurance. Of a cen1fled cooy thereof
!Sec 3800 Labo< Godel
POLICYNO WP 842-258 -56
coMPANv F r emont Ind . O Copy 1s hied w1U'I tne city
0 Certified COJ)y 15 hereby furnished
CERT I FICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This secttOn nee<i not be completed 11 lhe perm,1
,s '°' one hundred ootl~s (S 100) o, '9ss>
0 t certify that ,n the perforrn.,-.ce ol 1he w0'1l ro,
•h•Ch this pemut ,s issued. I shall not employ any
pe<son ,n any manner so as to t,ecome sub1ec1 10
lhe WMers· Compensation Laws of Ca11torn1a
NOTICE TO APPLICANT 11. atte, makin~ trus Cen,
ttc.,1e of E.xemphon. you sf\Ouki become sut>tect t?
lhe WC>f'll;e,s· Compenu11on p,ov1s1ons of I rte LabOr
Gode you mus1 lorthw1th compty w11h such
provIs,ons or this perm,1 shaJI be deemed ,~okeo
O I r.ereb'( allirm that lhere 1s a construc1,on
1enoIog ~ency •01 lhe per10f'mance ot the ..-i~ lor wh1Ch U"HS permit IS tSSued (Sec )097 C1v1I Coch!I
Len<lersName C r ock e r Ban k
Le.-rsACldress 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
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AO0RESS AV. ST. RO. NEAREST CROSS ST.
IDATE ;/;~~;:1 BUSINESS LICENSE II VALUATION PERMIT NUMBER
2762 Olympia Drive 3681 /,~~37 135--1s1J -of LOT BLOCK :nltsuao1v1s,0N Poti:tESSOR PARCEL Nrc.-t 7 </-1/ CONTRACTOR CONTRACTORS PHONE • ZONE 89 . S nnaker
OWNE R"S NAME •
DiegJ
OWNER'S PKONE Standard Pacific 279-2042
Standard Pacific of San 279-2042 CONTRACToR·s ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE COOE
OWNER"S MAILING AOOl'IESS (same) 294215
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE • STANDARD PLAN II BUILDING SO. FOOT AGE
, DESCRIPTION OF WORIC Buzard/Henning & Assoc. NR 75()7.~
ft.i143 I !>\ ou DESIGNER'S ADDRESS -. -DESIGNER'S PHONE
b/Uf/L,,~ .. 4883 Ronson Ct ,., SD 92111 278-6855 ~I 1J.~ ... ~li'n -J)]an ~~n . ' -----~-------F/P FLA ELEV. NO OCC GP EDU
vO NO sr::ts f)j--3 r . --
CENSUS TRACT I GP LANO uSE I P?:'l/ z;cE I RE?NITS I GRADING PERMIT ISSUED I REDEVELOPMENT Vh' ace LOAO FIRE SPA AREA --
YO ND vO ,.,,151( vO 4_ '-_ Not Valid Uniffs Machine Cuttfi«I
QTY. PLUMBING PERMIT· ISSUE 7So QTY. MECHANICAL PERMIT· ISSUE 3-~An
~
ulllJT NUMBER ~
l'-1 EACH FIXTURE TRAP ~"""--I INSTALL FURN. DUCTS lJPTD 100.000 BTU 4 .-BUILDING PERMIT ~ 011'1l!!-OO·B220 h."2.:5-
/ EACH BUILDING SEWER b, 5 0 OVER 100,000 BTU SIGN PERMIT .:::,..... <ttb0()-~1
I EACH WATER HEATER AND/OR VENT ~l) BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK -... '-...... 01-:uo:'b0-8806 LIOC/.'-fD
{ EACH GAS SYSTEM I TO 4 OUTLETS "2 _,:;;;/ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING, -"01·00·00-8222 <;"4-
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL u 1~-00-8223 ,~-
EACH INSTAl . ALTER. REPAIR WATER PIPE ""5 VENT FAN SINGLE DUCT 6 --MECHANICAL 0 01·00-ob.8224 /.~-
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEH0ME
.....__ j
V :. vv•8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILfH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n,.nn.nn.aooc
TOT/;L MECHANICAL 13 .-STRONG MOTION 80·92-33-0519 f .;;l,~/
TOTAL PLUMBING I e:;4 --FIRE SPRINKLERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT · ISSUE 5-QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00·8933
NEW CONST EA AMP/SWT BKR inn "2-<-COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21·0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519
I PH 3 PH PUMP San Dieguito 80·92· 23-0519
REMODEL 'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 :~517-
TEMP OCCUPANCY (30 OAYSl ,e-~ xw-
CREDIT DEPOSIT
TOTAL ELECTRICAL I 30_-TOTAL SOLAR TOTAL FEES PAYABLE I ~:5,~!20 ..
' -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT·· AND 00 HEREBY ExpirMIOft. e-y pern,it --.111eBuildi,.Olllcial-lheP,OVltlOIII of !1>11 * AN OSHA P£MIIT..Jli..AEOUll'IEO FOR EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code llllall .. .,.,. Dr n--. 111e1·~ flUI .. VOid H Ille IIUlld1ng 01 WOrll s· O" DEEP ~ OR CONSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE tF A PERMIT IS aull>onZed by IIUCII .,.,..,,, • ---........ 110clays lrom !fie dale 01 such smucne"' ~ONES 1H HEIGHT ~ permJI. or If Ille llulldl:11.,"' _., ~ l,r a,ch perm,1 ,s --or ISSUEO: TO COMPLY WITH All CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-allandclllMIM_,,...,. .,__.. ..,_a_,_o11llil.o-.-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A~T'SZTUAf. . OWNER□ CONTRACTOR 0 APPROVEO BY (Jr 11'hr· KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY AOCRUE AGAINST SAID CITY tN CO~SEOUENCE OF THE ;~-~L-. BYPHONE 0 GRANTING OF THIS PEflMIT. -r
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION !
I
REINFORCED STEEL I .
MASONRY I -
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME ' I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO D IPUCO I
f ' C
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR W~TER ,,
I
l
ELECTRICAL I
D ELECTRIC UNDERGROUND D1 UFFER
ROUGH ELECTRIC i
D ELECTRIC SERVICE D TEMPORARY '
D BONDING D POOL I -
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING -
HEAT -AIR COND. SYSTEMS I
l
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV.E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S
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 ,
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INSPECTOR'S NOTES
DATE
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