HomeMy WebLinkAbout2776 Olympia Dr; ; 84-43-96; Permitsl[
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e('; hereby affirm that I am licensed under
l)(OVlslons ol Chapter 9 (commencing with
Section 7000) ol Division 3 ol the Business
and Professions Code, and my license is In
lull force and effect.
Loe No 294215 Clm Rl
I hereby athrm that I am eJCempt from the Contrac-I
tol's License uw fDf the tollowmg reason (Sec. 7031 5 Business and Prolessions Code. Any aty or county wtuch re-quires a permit to construct. alte,. Improve. demolish, or repair any structure, prior 10 11s issuance also requires ?heap♦
phcant for such pertn1t to hie a signed statement lhal he .1s licensed pursuant to the provisions of the Contractor's
License Law (Chapler 9 corMienc1ng with Section 7000 ot Division 3 of the Business and Professions Cade} or !hat is ex-
empt therelrom and the basis tor the alleged exempltOn Any ~~~1;: ~PPS:~,:~~~ ~,:i;~:~~ ;;:nr,: ~~~
dred dollars ($500).
0 I, as owner of the property. or my employees with wages
as their sole compeosation. will do the work. and the struc-
ture ,s not intended or olfered foJ sale (Sec. 7044. Business and Professions Code: The contraclOf's License Law does
no! apply lo an owner ol property who buUds or improves
thereon and who does such work h,msert or through his own employees. provk1ed that such improvements are not intend· ed or offered lor sale. U. however. the building or WTlprove,.
ment is sold within one year of completion, the owner-builder
will have the burden o1 proving that he did not build or im-prove lor the purpose of sale).
0 I. as owner ot lhe property, am excluswety contracting
with licensed conlraclors to construct the proteet {Sec. 7044. Business and Professions Code: The Contractor's Ucense
Law does not apply to an owner of property who builds Of im-proves thereon. and who contracts for each pro;ects with a
~ector(s) license pursuant to the Contractor·s license
D As a homeowner I am imp,oving my home. and lhe follow·
Ing conditions exist: 1. The work is being per1ormed prior to sale. 2. I have lived m my home for twelve months
prior to completk>n ot thtS work. 3. I have not claimed this exemption during the
last lhree years.
D lamexemptunderSec. ______ ,B&P.C.
lor this reason -------------
~ hereby affirm thal I hai,e a cert,hcale of coosen1
10 self-insure. or a cer11t1cate of Workers·
Compensation Insurance. or a cert,hed copy thereof
!Sec JBOO. Labo< Code)
POLICYNO WP 233-02-48
co~ANY Fireman's Fund if Copy ,s hied with the c,ty
D C,ert1he<1 copy ,s heret>y tum1shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need no1 be compleleCI If !he permit 1s IOf one hundred dOllars tS 100) or less)
0 I cer11ty that 1n lhe performance ot the wo111 to,
which ttus pemut Is issued. I shall no1 employ any
person ,n any manner so as to become sut>1ec1 to
the WOOters· Compensation Laws of Cailt()t'n,a
NOTICE TO APPLICANT If. after makin~ 1h15 Cert,
l1cate of Exemptt0n. you sflOuld become sut>1ec1 l"J
the WOl"kers' Compensation provisions of tile Labor
Code. you must tor1hv..·11h comply with such
provIsIons or this perm11 shall be deemed re...-oked
~•eby afhrm 11\al lhere ,s a consuuco,on 1end,ng agency tor !he pe'1ormance ol the wor1i1 to,
which this permit ,s issued tSec Y:/37 C1v1I Codel
Lenders Name Crocker Bank
Lencle•• AdC•ess s an Dj ego
u ..... .," .... 'v,,., I ..... Vnll.l gr "L"" n""" ..-~ .. ___ .,. ...... ._ -.-,-· -... . ----------------
• CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ! 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.RO. NEAREST CROSS ST. I DA;E,73A;;~CATIONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2776 Olympia Drive 3681 '!'l'lt,'l
LOT BLOCI( b~BDI VISION J ASSESSOR PARCEL NO c) CONTRACTOR CONTRACTORS PHONE • ZONE (j~-13-91,
% innaker Pt l t..14. ~\ 5{(0 Standard Pacific of San Diego 279-2042 OWNER'S NAME I OWNER'S PHONE
279-2042 CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE COOE
Standard Pacific of San Diego (same} 294215
OWNER'S MAILING AODRESS
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK Buzard/Henning & Associates NR ,srs
DESIGNER'S AODRESS DESIGNER'S PHONE
SFD -Plan 320 4883 Ronson Ct. .SD 92111 278-6855 6( d .t.1 bLh.if:J& ----~--· . ------------·~--·-NO EDU ::rrr•.-.' F/P F LR ELEV. OCC GP
STORIES
vO NO ;J-,e,3 I
C.,e;su74,A°'1 I GP LANO USE
1
PAz,,SPACE RE?NITS l GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD Fl RE SPR AREA cw YO ND vO ~ vO N~ Nor Valid Unlns Machine CerrifiN
QTY. PLUMBING PERMIT · ISSUE 1.50 QTY. MECHANICAL-PERMIT· ISSUE a-SUMMARY/ACCOUNT NUMBER
1/;J,., EACH FIXTURE TRAP 2/J-:-I INSTALL FURN. DUCTS iJP TO 100,000 BTU 4--:-BUILDING PERMIT 01-00·00·8220 40.~-
I EACH BUILDING SEWER uS/J OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221
I EACH WATER HEATER ANO/OR VENT .1.<71 BO ILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 _? 1-1. ~~
.I EACH GAS SYSTEM 1 TO 4 OUTLETS ;)._~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00·8222 49-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00·8223 .(o-
EACH INSTAl . ALTER. REPAIR WATER PIPE I VENT FAN SINGLE DUCT ::,..,,-, MECHANICAL 01·00·00·8224 q-
EACH VACUUM BREAKER ... MECH EXHAUST -HOO0IOUCTS MOBILEHOME 01·00·0()·8225
WATER SOFTNER -RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1 .nn.nn.oooc
TOT.t.L MECHANICAL 9---: STRONG MOTION 80·92·33·0519 &.:y;,
TOTAL PLUMBING I ~Cl-FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE ~ ~) PUBLIC FACILITIES FEE 32·00·00·8933 .s---BRIDGE FEE
NEW CONST EA AMP/SWTtBKR /IJ1JA ..:1-r::--COLLECTORS fJ\ ,,. "-.,? SCHOOL FEE · DISTRICT
1 PH 3 PH ' STORAGE TANKS }I \A I (1 ,v_ Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE \'\ lY-\. ~ -~-Encinitas 80-92·22·0519
1 PH 3 PH PUMP I -\.1 ~r ~ " I San Oieguito 80·92·23-0519
REMO0EL'ALTER PER CIRCUIT PLAN CHECK FEE '1/ -\ V ' San Marcos 80-92-24-0519
TEMP POLE 200 AMPS 'V \ ..
OVER 200 AMPS LICENSE TAX 01-00-00-8162 t?tJCf-
TEMP OCCUPANCY (30 DAYSI MF~ /..1>t7 -
CREDIT DEPOSIT -
TOTAL ELECT RICAL I
-.5o--TOTAL SOLAR TOTAL FEES PAYABLE I ~,s-r.M
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY &piratlGn Ewry-ffllt-.iedbylfle=::..-Olflcialundlwlheprov1s«>nsollh11 * AN1•~~" ISAEQUIIIEDFOREXCAVATIONSOYEA CERTIFY Ut-J0ER,PENALTY OF.iiERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code thall expite by l1mi-.,d become · W ·void If the building or worlc G 5' O" EP OEMOUTION Ofl CONSTRUCTION OF
DECLARATIONS AA~TR(JE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS euthorized by lUCII permit Is not com"""ICINI wllllin 110clays from tne dole 01;Acn STIIUC OYER 3 STORIES IN HEIGHT permit. or II !he bu::L,°' -eutllOriZN by IUCh ~ ~pencled or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-llbanclDnecl Ill MV 1111 -WOfll ii tor a 180 ~ •••• ~
STRUCTION, WHET!iER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S Sl-g.7:-f.l/_ /J. OWNER IT CONTRACTOR 0 APPROVE~ ~/44-KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~{/ -,.,,_ -
GRANTING OF THIS PERMIT ,--,.,. r' BY PHONE 0
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TYPE I DATE INSPECTOR ' ':.... -'' .---... ,,'!_-....·\ ,r ·~-~-< ...... " q tr4· 4 3 :, ,
"~ 1 .... ' ,-'. BUILDING ' ,. \ I . . . ~ --
FOUNDATION I '-l,_-,.,b~· ~ FIELD INSPECTION RECORD .. '" ~ REINFORCED STEEL ' / # _,.,.....,,
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES '
MASONRY I REQ IF INSPECTO R'S GUNITE OR GROUT ! INSPECTION CHECKED APPROVAL DATE
F
FLOOR & CEILING SUB FRAME I -.... --, .-
D SH~R
SOILS COMPLIANCE ~ \_ -r ~ --SHEATHING D ROOF PRIOR TO \ •, •.
I FOUNDATION INSP ·-·)'• FRAME I
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI •
INSULATION \,'2..-~ A" _,_-_,1 PRESTRESSED
CONCRETE ,.
INTERIOR LATH & DRYWALL I " ' POST TENSIONED " ' .. CONCRETE
< . PLUMBING ' '-... ·~.-FIELD WELDIN_9 •• I
SEWER AND BUCO D IPUCO I ,: HIGH STRENGTH . BOLTS . -' • UNDERGROUND D WASTE D WATER
D WATER SPECIAL MASONRY '.,. ...... I TOP OUT D WASTE -... -
TUB AND SHOWER PAN ' ' !
GAS TEST ' ' ' ' PILES CAISSONS
D WATER HEATER D SOLAR W,t.TER ' ' ..
\ ' r ' -I -··· -I ELECTRICAL I _..., ," ..... ' .
D ELECTRIC UNDERGROUND □:UFFER ' ' --' ROUGH ELECTRIC I -. .,
D ELECTRIC SERVICE D TEMPORARY .. -. '-... .,, ~ -
D BONDING D POOL : ' ...:, ~ ..... '
I ~-
"'., · . '· ' , ,. " \ \\:'\ MECHANICAL I -. .
D DUCT & PLEM., D REF. PIPlt',IG -. ~ ~-
HEAT -AIR COND. SYSTEMS I \
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE -\
ITEMS ABOVE HA \IE BEEN APPROVED. ..
FINAL I
I
PLUMBING I
ELECTRICAL I I/ / . .
MECHANICAL I fl \[-, J(b / . <-. ' '
GAS I V ,, (...\ ~Ii.I ' ·. ~
BUILDING I ~ I '>JI ~
SPECIAL CONDITIONS I ~
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