HomeMy WebLinkAbout2754 Olympia Dr; ; 85-155-85; Permit<JI z 0 ~ IC
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O 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 force and effect. Lie No ______ Class
I hereby affirm thal I am exempt from !tie Contrac-
tor·s License Law tor the following reason (Sec 7031 5 Business and Professions Code· Any city 01 county whictl re-
quires a permit to construct, alter, Improve, demoltsh, or
~~l~lar& S!~~~u;,~~;%~1li!S ~s:,~= :::~e~~;r;~ai~:~~
ltcensed pu,suant 10 ~the prov1swns of the Contractot's
License Law (Chapter 9 commencing with Sechon 7000 at 0iv1st0n 3 of the)3usiness and ProfesstOns Code) or I hat 1s ex-
empt therefrom and lhe basts lor the allegec, e1tempt10n Any v10ta11on of Section 7031.6 by an apphcant lor a perm,, sub·
1ects the apphcant to a c,vll penalty of not more than hve hun-
dred dollars ($500)
,..., I. as owner of the property, or my employees w11h wages
as their sole compensahon. wlll do the work, and !he struc·
ture Is not intended or olfered 1or sale (Sec. 7044. Busmess
and Profes~ons Code. The Conlracto(s license law does
not apply lo an owner ol properly who builds Of improves thereon and who does such work himself or through his own
employees. provided that such improvements are not intend·
ed or offered f~r sale II, however, the building or improve· menl 1s SOid w1lh1n one year of complehon, lhe owner·bullder
will have the burden ot proving that he did not build or im· prove for lhe purpose of sale).
D I. as owner of the property, am exclusively conlrachng w1lh lteensed contractors to consl!uct the prOjecl (Sec. 7044. Busmess and Prolesst0ns Code: The Contractor's License
law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each protects with a
contrictor(s) license pursuant lo lhe COntractor·s License Law!
D As a homeowner I am improving my home, and lhe follow·
ing cond11lons exist 1 The work is being perlormed pnor to sa!e 2. I have lived in my hOme !or twelve months
prior to completion of this wOfk. 3 1 have not claimed lh1s exemptlOfl dunng lhe
last three years.
D I am exempt under Sec. ______ • B & P.C
!or lh1s reason ____________ _
□ I hereby atfum that I na.,e a cen,hcate of consent
to self-insure. or a cen1t1cate ol Workers
Compensation Insurance. or a oert1hed copy lhereot
{Sec 3800. Labo, Godel
POLICYNO WP 842-258-56
coMPANv Fremont Ind .
□ Copy IS hied with the city
D Cen1f1ed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This s.ecuon need not be completed •' the permit
1s tor one hundred dOllars tS100} or tess)
0 1 cert1ly that 1n the pertormance of the work ror which ttus permit 15 issued. I shall not employ any
person in any manner so as to become suo1ec1 to
the. Workers Compens.atton Laws ot Ca11torn1a
NOTICE TO APPLICANT If, aller makin3 this Cen1
hcate of Exemption. vou should become subJecl I'> the WC>f'k.ers· Compensation provisions ol lhe Labo•
Code you must fonh""•th comply w11h such
prov1s1ons or Ih1s Ptmn,I shall be deemed ,e..,oi..eo
0 I hereby altnm thal there ,s a cons1ruc11on
1end1ng agency tor !he per1ormance at !he work lo,
which lh,s perm11 1s issued 1Sec 3097 C,v,1 Cooe1
Lenoe, s Name CrockQr Bank
Len<lers AOd<eSS s an Di ecro
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
;QB ADDRESS AV. ST. RO. NEAREST CROSS ST.
!°ATE ;F/;~/~T~ONI
BUSINESS LICENSE ,t riZ,A2fi1 PERMIT 7;: ii~ 2754 Olympia Drive lw'74~l47 00 -3681
LOT BLOCK h SUBDIVIS ON I~ ASSESSOR PARCEL ~ / 71-~ CONTRACTOR CONTRACTORS PHONE • ZONE I I f,r, I 85 Sn nnake r Pont -Standard Paci f i c 279-2042 I OWNER"S NAME
Dieizo I OWNE R"S PHONE
I CONTRACTOR"S ADO RESS LICENSE NO PLAN 1.0. /t BLDG use CODE
I Standard Pac ific of San 279-2042 (same) 294 215
I OWNER'S MAILING ADDRESS
I 7290/6,lairemont OESIGNER LICENSE tt STAN DARO PLAN # BUILDING SO. FOO~
I Mesa Blvd, SD 92111 Buz ard/Henniniz & -z_,~~
I oescR,f TtOJ OF WORK Assoc. NR
I OESIGNER'S ADDRESS DESIGNER'S PHONE
i_1v~~ 3-~o -~Feb 4883 Ronso n Ct .. SD 92111 278-6855
F/P FLRELEV. NO 0~3 EDU b/u I /8:, f IM, ~IES I . -. 1.m~s;2
vO NO --
CENSUS TRACT I GP LANO USE I pr, 1CE
I
RES r lTS
1
GRADING PERMIT ISSUED I RE OEVELOPMENT ~rhl OCC LOAD FIRESPR
AREA . ~
Y0 N"ri... Not Valid Unless Machine Certified y O N 0 vO , 7~0 QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE ?J-; SUMMARY/ACCOUNT NUMBER ----/;.A. EACH FIXTURE TRAP -1"►-t" ..... I INSTALL FURN. DUCTS UP TO 100.000 BTU {J,-_ -BUILDING PERMIT 01·00·00·8220 \..I r),l"J I ✓ Ll
"j EACH BUILDING SEWER L . r,:: OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 ~
I EACH WATER HEATER ANO OR VENT ;;;_-?,, BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00·8806 ~-y..(. ~J
I EACH GAS SYSTEM I TO 4 OUTLETS I ..., _.r91\ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222 ·....rd--
EACH GAS SYSTEM o OR MORE ! -~ -METAL FIREPLACE ~ ELECTRICAL 01 ·00·00·8223
EACH INSTAl . ALTER. REPAIR WATER PIPE --, ~VENT FAN SINGLE DUCT lJ-,,--MECHANICAL 01 ·00·00·8224 -11 -
I EACH VACUUM BREAKER ? .......... rr MECH EXHAUST HOOOIOUCTS
,
MOBILEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01.no.nn.000~
#. TOT I.L MECHANICAL STRONG MOTION 80·92·33-0519
TOT AL PLUMBING I .(~-II .-FIRE SPRINKLERS 01 ·00·00·8227 --
5-QTY. SOLAR · ISSUE
PUBLIC FACILITIES FEE I / 32·W-00-89ll <,( , <,{. <-f
QTY. ELECTRICAL PERMIT · ISSUE V BRIDGE FEE I
NEW CONST EA AMP SW! BK R -,.£ -COLLECTORS SCHOOL FE DltTi!CT \ I\ q )
I PH 3 PH STORAGE TANKS Carffllad I }J '~ \ V\ lRll-92· 21 ·0519
EXIST BLOG EA AMPISWT'BKR ROCK STORAGE En!inilas V \ r \ ls0·92· 22·0519 I
I PH 3 PH PUMP San\ienulo 80·92·23·0519
REMODEL AL H R PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519 -
TEMP POLE 200 AMPS
I OVER 200 AMPS LICENSE TAX 01-00-00-8162 ~~"f-
I I Q.....-~~O ~Yo I TEMP OCCUPANCY 130 DAYS) MFF B0-92-57-0519,
I CREDIT DEPOSIT£.. /¥.r<. l'l,J/JJ < ..,_,()_ ..... ~
I TOTAL ELECTRICAL I M-TOTAL SOLAR I 'HJ qi, 7,/-I TOTAL FEES PAYABLE
I
I I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT"" ANO DO HEREBY Exp1ratton Every permit issued by the Budding Official under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expHe by 1imItahon and become null and void If the bu,ld,ng or work s· o·· -MOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such perm•t ts not commenced within 180 days from the date of such ST~_rv.:R 3 STORIES IN HEIGHT I ISSUED. TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON· ::~On°~ 1!t t=~v ~~~:';He~;h:~~,:~t~i~~e:Jed~~~ ;>6~~~•~?~:Cda~~ or
I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APP~ S £..URE • OWNER 0 APPROVEDC::.~
1
fff 1t _/4s-I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND CONTRACTOR 0
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
,,,_ ~ .4 £,~,, -BY PHONE 0
I GRANTING OF THIS PERMIT ,
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
i
MASONRY i
GUNITE OR GROUT ~
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME 1
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO D IPUCO I
UNDERGROUND D WASTE D IJ1/ATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
j
GAS TEST i
D WATER HEATER D SOLAR WATER'
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND D WFFER
ROUGH ELECTRIC ' I
D ELECTRIC SERVICE D TEMPOP!ARY'
D BONDING D POOL ' I
I
MECHANICAL ' _,
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS i ,,
-~~ -·--.,1)'--r -~ _,... ,, <
I .
CALL FOR FINAL INSPECTICJN WHEN ALL APPROPRIATE
ITEMS ABOVE HA VB BEEN APPROVED.
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
. FINAL
I, ...
SPECIAL CONDITIONS
\
'\ -"'~."' -
... ( . \ . ... \
-&-S-JS"b-8"~ \"'":\ ,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
'\ t===========================-=---========~.=~-~-c=: ... :=====; INSPEC'tlON REO IF INSPECTORS DATE 1 · • • CHECKED APPROVAL _ 1 ,· _ ,
•.. . • I '\ ·,. A • • • SOILS COMPLIANCE ~ r , • .l.
PRIORTO , , • • __ ;• ~-
FOUNDATION INSP ------t-----1 ; • -
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED ••,
CONCRETE f---------------''----,--,,----------------------, POST TENSIONED , ~-
CONCRETE , • II-• , . ,
·-_., ~ ~ I( FIELD WELDiNG. .•. '".
HIGH_ STRE~GTM· \' ~ 1 . \
BOLTS '•
SPECIAL M;~o_'N'Rv \,\ ·-.
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PILES CAISSONS . • • _,. ... _ .
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