HomeMy WebLinkAbout2772 Olympia Dr; ; 84-43-94; Permitf I[
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~hereby affirm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
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I htfeby alhrm tNI I am exemp1 trom the Contrac-tor's L,ce""' Law for Ill< lotlow,ng reason (Sec 7031 5
Business and Professions Code Any city or county which re-quires a permit to construct, alter. improve, demolish, or
repair any structure, pri04' to 11s issuance also requires !heap· phcant lor such perm.I 10 file a signed statement that he 1s
licensed pursuant to the prov,st0ns of the contractOf''s License Law ( Chapter 9 commenc,ng with Section 7000 of
DtvisIon 3 ot the Business and Protess,ons COde) or that 1s ex-empt therefrom and the basis for th< allege<! e,emp110n My
violatiOn 01 Section 7031.!> by an applicant for a permit sub-jects the appllcanl lo a civil penalty of not more than hve hun-
dred dOflars ($500)
O I. as owner o1 the property. or my empk)yees with wages
as their sole compensation, wit! do the wOfk. and the struc-ture is not Intended or offered for sale (Sec 704◄. Business
and Professions Code: Th< Contractor's License Law does nol apply 10 an owner o1 property who builds 0f Improves
!hereon and who does such work himself or through his own
employees, provided that such improvements are not intend· ed or offered tor sale. If, however. the building °' improve-
ment is so!d wilhin one year of comple11on. lhe owner-builder
will have the burden of prov,ng thal h< dld not build or im-
prove for the purpose of salo).
D I, as owner m lhe property, am exclusively contracting wlfh licensed contractors to construct th< project (Sec. 704◄,
Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who bu1kjs ~ im-
proves !hereon. and who contracts for each projects with a ~:eclor(s) license pursuant lo lhe Conlfactof's License
D As a homeowner I am improving my home, and th< IOllow-ing conditions exist
1, Th< work Is being pertormed prior to sale .
2. I have lived in my home for twelve months prior to comple:Hon ol lhfs WOfk .
3. I have not claimed this exemption during the last three years
g ih~:.!~°:t under Sec. ------, 8 & P,C. -------------
~reby affirm that I have a cert,hcate of consenr to self-insure. or a eert1f1ca1e of Workers·
Compensation Insurance. or a cer11heo copy !hereof
(Sec 3800, Label< Code)
POLICY NO WP 233-02-48
cO)"PANY Fireman's Fund
fD Copy is hied with the city
0 Cert1tte-d copy 1s hereby tum,shed
CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This se-cllon need not be completed ,t the permit
1s tor one hundred dollars tS 100> or ~ss>
O I certify that in the perlormance 01 the wo~ tor
wtl1cn this penml 1s issued. I shall 001 employ any
person m any mannet so ~ to become sub1ec1 10
lhe Wor1(ers· Compensation Laws ol Cantom,a
NOTICE TO APPLICANT If. after mak.m~ lh1s Cert,
hcate ot Exemption. you sllOukl become sub1ec1 ,,, lhe WMers' Compensahon prov1s1ons of Ille LabOf
Code, )'OU musl forthv.1lh comply Wllh such
prov1s1ons or this pemu1 snall be deemed revokeo
✓,hereby atlum Illa! there 1s a cons1ruc11on tendt"Q aoency to, lhe performance of the woril f()f
which this perm11 1s issued tSec J/:1J7 C1v1t COdeJ
LendersName Crocker Bank
Lender'sAddress San Diego
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 ADDRESS AV. ST.RD, NEAREST CROSS ST. r•TE6il3/aftlONI BUSINESS LICENSE It VALUATION PERMIT NUMBER
2772 Olympia Drive 3681 96180
L~r I BLOCK l suBD1v,s,oN 1 ASSESSOR PARCEL NO C) CONTRACTOR CONTRACTORS PHONE # ZONE 84-43-94 Soinnaker Pt lll,7 4 '3> S"<, D
OWNER'S NAME
1
OWNER'S PHONE Standard Pacific of San Diego 279-2042
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE Standard Pacific of San Diego 279-2042 (same) 294215 OWNER'S MAILING ADDRESS -•·
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
Buzard/Henning~ ~ciates NR 1725 DESCRIPTION OF WORK
DESIGNEfl-SAOOR£SS -~--r-· ~ -DESIGNER'S PHONE
SFD -Plan 340 4883 Ronson Ct.; ~.A .~ 278-6855 6~21/845Eibb ~~L~ •" -----·-------"----------F/P FLA ELEV. NO OCC GP EDU
STORIES R-3 1 vO NO 1 ---
CENSUS TRACT I GP LAND USE I PARK~:~SPACE I RES ~NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
CA ,4-o"J AREA CONST
Y O N □ v □ N□x VN v□ N(J{ Not Valid Unl~s ~chine Certified
QTY. PLUMBING PERMIT · ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
.LL EACH FIXTURE TRAP 27.50 1 INSTALL FURN. DUCTS UP TD 100,000 BTU 4.00 BUILDING PERMIT 01 ·00·00·8220 424.00
1 EACH BUILDING SEWER 6.§0 OVER 100,000 BTU SIGN PERMIT 01 ·00-00·8221
1 EACH WATER HEATER AND/OR VENT 2 . .50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 ?.7 "i 60
] EACH GAS SYSTEM 1 TO 4 OUTLETS 2 r:,n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 i;, i;n
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00·00·8223 -:i.n nn
EACH INSTA~. ALTER. REPAlR WATER PIPE 2 VENT FAN SINGLE DUCT t,_ nn MECHANICAL 0 l ·00·00· 8224 , , nn
? EACH VACUUM BREAKER 5 on MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·00·8225
WA TEA SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·00·00-8226
TOT,'-l MECHANICAL STRONG MOTION 80·92·33·0519 t:. .-z.2.
TOTAL PLUMBING I 11.00 -. -i;, i:;n FIRE SPRINKLERS 01 ·00·00·8227
QTY. SOLAR · ISSUE ~ PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT · ISSUE 5.00 ) BRIDGE FEE
NEW CONST EA AMP/SWT 1BKR 100 25.00 COLLECTORS \ l}\ ,
SCHOOL FEE -DISTRICT , .
l PH 3 PH STORAGE TAN KS ,._f -l .. \jJ Carlsbad 80·92· 21 ·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE " [j ~wL."' ('\ fa. Encinilas 80·92· 22·0519
l PH 3 PH PUMP "'\\ \J-D., ,-, San Oieguilo 80·92· 23·0519
REMODEL'ALTER PER CIRCUIT PLAN CHECK FEE ~ }' l \,, I San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS V vi'>
OVER 200 AMPS LICENSE TAX 01-00-00-8162 1923.00
TEMP OCCUPANCY 130 DAYS) MFF 600.00
CREDIT DEPOSIT --
TOTAL ELECTRICAL
I TOTAL SOLAR . I 30.00 TOTAL FEES PAYABLE 3321.83 ' .
I HAVE CAREFULLY EXAMINED THE.COMPLETED '"APPLICATION ANO PERMIT" AND DO HEREBY Expinlioft. E-vpen,11tileuld~=Ullderlfleprovis,onsol1h11 * A~ IS REQUIIIE0 FOfl EXCAVATIONS OV£fl CERTIFY UNOE8 PENAL1'Y. OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lllall explra Ir lilllilalloll . liillil: H the building or wort 5' O" DEE DEMOuTION Oft CONSTRUCTION OF aultlanacl by 8UCh P9l1ftit is llOI 110dtlys from lhe dale of such DECL-ARATIOH!t ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permil. Of II die :=.,or wmll ~ 1¥1.-'! .,.,,..., ~(led or STAUC OVER 3 STORIES IN H£1GHT J ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-abendllliad•-...... · •-f Aouo STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY ANO APPI.ICANT"S • . .. ~ CONtflACTOR 0 APPROVE BY ~If± KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE ~~~~•~-~~~:-BYPHONE 0 GRANTING OF THIS f>ERMIT. ,.' -·: -
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TYPE I
BUILDING I
OUNDATION I
I
~EINFORCED STEEL I
IASONRY I
iUNITE OR GROUT / :
F
R
M
G
F
s
F
LOOR & CEILING SUB ~ I
HEATH ING f;i Rn~ 7o SH~AR
RAME /'---L,}11' I
I
EXTERIOR LATH I . INSULATION I
INTERIOR LATH & DRYWALL I
I
I -
PLUMBING !
I
SEWER AND BUCO DIPUCO I
.....
I
UNDERGROUND D WASTE □ WATER
TOP OUT □ WASTE □ ~ATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR W~TER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □;UFFER
,ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
' □ BONDING □ POOL I . I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIP't'G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS !
I
.J
DATE INSPECTOR
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL ! (/ .I
MECHANICAL I rn t----~J
GAS I Id .4 . -i i I I
BUILDING I IA' ~ ,ff-
SPECIAL CONDITIONS I ivv-
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FIELD INSPECTION RECORD .
'•
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
'
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI '
PRES TRESSED . "'!..;,. I CONCRETE ,· ., POST TENSIONED
~,,I ·i CONCRETE
FIELD WELDING '
HIGH STRENGTH , :
BOLTS '.
·,
SPECIAL MASONRY I
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PILES CAISSONS -I
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