HomeMy WebLinkAbout2764 Olympia Dr; ; 85-155-90; PermitIll z
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Busl ness
and Professions Code. and my license Is In
~~:
1 ~':'ce 2n~~f2i 5cim +B~lt-'--
I hereby atlorm lhal I am exempl lrom llll C...tfilt·
1or's Locense Law tor Ille following reason (s«: 70315
Business and Prolesstens Code Any city or county whk:h re· quires a permit lo construct, alter. mprove, demolish. or repair any structure. poor to I1s 1Ssuance also requires !heap·
pllQnl for such ""'"'t to file • s,aned SLltemenl lhal he IS licensed pursuant to the prOYISJOnS ot lhe Contractor s
Locense L•w (Chapter 9 C01M1enc1ng with Sect<>n 7000 of Oivis1on 3 of tne BuSlness and Professions Codt) or that Is ex·
empl lherelrom and the bas,s tor the allege<! exemptoon Any VIOlal""1 ol s«:t,on 7031.5 by•• •Pl)locanl tor• perlll&I sub·
JOCIS the applicanl 10 a CIVIi penally of nol more than,,.. hun-
dred dollars ($500).
0 I, as owner of lhe property. or my employ,e, with wages
as the$r soae compensahon, will do the work, ano the struc· ture 1s not lntended or ol1ered to, sale (Sec 7044. Bus111ess
and ProfOSS""1s Code The Conlriltlor's License Law does
:,:Cl1n~0 .:;o :.":'s:~f:1,;:, ~•~~~~~~:=~ employees, pr<Mtled lhal such lfflprOYements .,. IIOI onlend· ed or olft,ICI for..,. II. howMt, Ille bu11d,ng or ,mpr-menl is sold within one ye.,r ol cornpleborl. Ille ownet·builde< wiH have lhe burden 01 prov,ng that he did not build or im-prove for 1ne purpose of sale)
0 1, ,. owne, of the property, ,rn exdusiYely contracting
wtth licensed tontrilCtors 10 construct the project (Sec 7044, Business and Profess,ons Code The ContractOJ's License
Law does not apply 10 an owne< ol properly who builds or im· proves !hereon, and who contracts to, each pro;ects with a contr,cto,(s} license pursuant to the Contractor's lcense Law).
O As• -net I am improving my honll, and lhe follow· ing co'l(iIt1ons exist.
1. The work is being pe~ormed pri<M' lo s,le. 2 I have kved In my honll tor lwtlve months prior to COffljlietion of 1111s -k.
3 I have not Claimed lnls exemphon durtng 1he last three ye.,rs.
D I ,rn exempt under Sec. ______ . B & P.C.
lor this reason
0 I hereby affirm 1h11 I ha-,e a cert1hcate ot consent
10 self-insure. Of a cer111tcate of W<>Aiers
Compensation Insurance. or a cen,h~ CoPy thereof
(Sec 3800. Labo< Code)
POUCYNO WP 842-258-56
COMPANY Fr e mont Ind.
□ Copy IS hied Wllh lf\e Ctly
0 Cert1hed copy ,s hereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be comple1eo •' the pe,m,1
1s fOf one hundred OOflars (S 1oot Of Jess)
D I certify thal ,n the per1onnance or the wo,1,. for
which 1h1s permit 1s issued. I shall no1 employ any
person in NIY ~ner so ~ to become sub1ec1 to
the WOtk~s Com~sattOn U ws ot Cahforma
NOTtCE TO APPLICANT II. alter makm:;1 th,s Cen1
flcate of Exemption. you shouki beeome sub1ec1 I?
tl'le Wortc.ers· Compensation pro.,,s,ons ot 1r.e Labof
cooe you must tonh .. uh comply with sucri
prov1st0ns or tri,s perm11 snail be oeeme<i ,e.,oke<J
D I hereby affirm that there •s a cons1ruct100
1end10Q ~ncy t0t me per10tmance ot !he ~ fOf
wn,ch 1tus perm,, ,s ,ssueo tSec 3097 C,v,1 COde1
Len<lers N•m•Crocker Bank
Len<lers A<l<lrm 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 AOORESS AV ST. RO. NEAREST CAOSS ST. I DA; ;;~:~C;TIONI
BUSINESS LICENSE • VALUATION PERMIT NUMBER
3008[0~~ 2764 Olvmnia Drive 3681 q4~;Jh 15-155-~ LOT I BLQCK sJ SUBDIVISION ,kASSESSOR PARCE -"'II) I . ~,-¥ CONTRACTOR CONTRACTORS PHONE • ZONE v innaker Pont ·7 Standard Pacific 279-2042 OWNER'S NAME OWNER'S ~HONE
CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLOG USE COOE Standard Pacific of San Diego 279-2042
OWNER'S MAILING ADDRESS (same) 294215
Clairemont Mesa Bltvd. , SD 92111 DESIGNER LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE 7290 Buzard/Bennin~ & Assoc. /jg-3 DESCRIPTION OF WORK NR
t 1,a-, Lt~\-5'::>-0 ~ DESIGNER'S ADDRESS -. OESIGNE A"S PHONE f;/[J 1ft
4883 Ronson Ct.,. SD 92111 278-6855 -·-. -·• ~ SFD -Plan m 330 . ~ -------------------------F/P FLR ELEV. NO OCC GP
Ei ' s7 RIES £-3 vO NO -. ---
CENSUS TRACT I GP LANO USE
I
Pi •'7z/cE I RE r NITS
1
GRADING PERMIT ISSUED I REOEVELOPMENT TY~E OCC LOAD Fl RE SPR ARE A ctN YO ND v0 No( vO NO ~ Not Valid Un~s Mlchine Ctrtilied
I 759-
, ~
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT · ISSUE 3 -~M~. ~uNTNUMBER
10 EACH FIXTURE TRAP -:l,", -I INSTALL FURN. DUCTS UP TD 100.000 BTU Li .-BU)LDING PERMIT -, lfT'00·00-8220 L.fl~ -
I EACH BUILDING SEWER t,,.q-, OVER 100,000 BTU SIGN PERMIT ~ -,Q)-00·00-8221
I EACH WATER HEATER AN O/OR VENT ::)...~ BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK .:"'.. o'h&-oo-8806 -::..J7(. 715
I EACH GAS SYSTEM 1 TO 4 OUTLETS ":l,_._qJ BOILER /COMPRESSOR 3-15 HP TOTAL PLUMBING ~ ~ 01·00-00·8222 4 4-
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL ~1-00-00-8223 -~-
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL r.:::::::. 01110·00·8224 7-
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 01·00·0Q·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ..
EACH ROOF DRAIN I INSIDE) SOLAR 01-00-00-A??"
TDTI.L MECHANICAL STRONG MOTION 80-92·33·0519 ~.c..o
I Lf'{ .-7 -TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE 6-QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00-8933
NEW CONST EA AMP/SWT BKR {N) ;lf5 -COLLECTORS SCHOOL FEE • DISTR)CT
I PH 3 PH STORAGE TANKS Carlsbad 80-92·21-0519
EXIST BLDG EA AMP/SWT/BK R ROCK STORAGE Encinitas 80·92·22·0519
I PH 3 PH PUMP San Oieguito 80·92· 23·0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24-0519
TEMP POLE 700 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 {~~-
TEMP OCCUPANCY (30 DAYS) J{,~O Y~o -
CREDIT DEPOSIT
TOTAL ELECTRICAL I ?i) .-TOTAL SOLAR TOTAL FEES PAYAB LE __J ~-~4;),3c}
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY E11Pff81ioft IE-, pen1111 --~llle8uildin90llloal......, 111e prov11ton1 ofth,1 * AN~ I& IIE0UIIIED FOR EXCAVATIONS OY£111 CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -.,..,.._ by lifflitalion becotlie riu11 -void II the butld,ng or worti s· O" DEEP DalOUTION OR CONSTAUCTION Of' authOnZecl by auc:11 permit IS nol COIIIII ............. 190 day1 lrom Ille dale of IUCII DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or ti Ille :::x.,or worll aullloriad by ..Ch perm11 11 •us--or STRUC OV£R l STONES IN HEIGHT ,IJ
ISSUED' TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· lblncloned at -Ii-. Ille-' II _iced tor a _,,od of 110 ,.__ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPU~7• OWNER□ CONTRACTOR 0 APPR~VED BY(,}-
I Dr,/ffj.-,-
KEEP HARMLESS THE CITY OF CAALS8AO AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY , .. ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~-d,.~, BY D GRANTING OF THIS PERMIT. .. < 'C
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TYPE I DATE INSPECTOR
BUILDING !
I
FOUNDATION !
REINFORCED STEEL \
MASONRY • GUNITE OR GROUT !
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME I
EXTERIOR LATH I
INSULATION !
' INTERIOR LATH & DRYWALL I
I
PLUMBING I
I
SEWER AND BUCO D IPUCO I .
UNDERGROUND D WASTE D WATER -
TOP OUT 0 WASTE D ~ATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR W,t.TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND O[UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL ' .'
I
! -
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS i
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE 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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