HomeMy WebLinkAbout2695 Olympia Dr; ; CB890469; Permitfl) z 0 ;::
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Iii I hereby alllrm that I am licensed under
j:i;o,,111on1 of Chapter 9 (commencing with
Section 7000) of DMalon 3 of lhe Business
and ProlH1lon1 Code, and my license is in
full force and ellecl.
1 hereby alhrm that I im uempt trom lhe ConlrM:·
ICW s Locense uw lor lhe lollow,ng , ..... (Sec 70 I 5 Bus,neu and Pfotesst0ns Code Any c,ry or county w re
qut<es a per1n11 to construct. alt et. improve demol or repair any structure. ptlOf to I1s issuance also require .heap•
p1iun1 for such permit to hie a StQned s1a1emen1 at he 1s bcensecl pursuJinl to lhe p,cw,s,ons oC the ntritlor s • Lunse uw (~ 9 commonc,ng w,lh 7000 OI
l)v,StOO 3 ol !he Business and Protess,ons Coe! 1 or 1na1 ,s tx
empl lhe/ehom ™ the basis lor the allegeo •emp11on Any
vlOl,I1011 DI Sechon 7031.5 by •• applican cw• Otllllll S<Jb ,ects lhe aapt,c.,nl 10 a CMI penatty ot not e than hve hun
dre<I dollars ($500)
I I. as owner OI lhe prOl)erly Of my <nplOyees w11h wages
as the,r SOie compens.at10n. Wtl1 do I work and the struc·
lure 1s not intended or oflered lor (Sec 704• Busmtss
ancl Prol'tss.ons. Code The COtltr o, s Lacense uw does
not ~ to an owner of p,optf who buucts or ,mprcwes thereon and whO does s.uch wor h1msen or through his own
emotoyees, provtded that such prcwements are not ,ntend eo Of of'ered lor ule II, ver !tie bu1k:hng oc 1mprO'le ment Is so,c1 within one 'fU/ compitbOn. lfle owner budder
w1I -lhe burden OI pr 1119 lhal he did nOI IJU!ld or tm-
p,ove tor the ourDOSt ot lei
~!.~·,::.,:~~~:· s '1~~$1r!~1 f~1g:~r (~:''f~~~
Bus,ness and PtOI s Code The conuac:10< s L1Cense
liw does not apt)I o an OWntf of property who bu1kls « m-p,oves thereon. who contracts tor eacri prqects Wltl'I a
conuactOf(S} I se pursuant 10 the Conuactor's License Law)
'ntr I am unprcw,ng my llome. •n<I Ille lollow
UtSI w0<k ,s being perl0<med prior 10 sale
I have lived m my home !or lwelve months pnor to complelion o, lhts WOfk
I hive not clatmed thts exemption during the
last lhree years
_______ B&P C
(2 I hereby athrm that I have a certificate ol consent to
~nsu,e. o, a cerh11ca1e oJ Workers Compensation ln-
,utance or a certthed copy t~eol (Sec 3800. Labof Code)
POLICY NO Pu.lL-"\o--0"2..!'Z:.5.01S
COMP•NY <...J.A
1( Copy IS filed with the city
0 Cert1f1ed copy 15 hereby lurmsrutd
CERTIFIC•TE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
l
:J tcert,tythatin the perf0t1. ··---· , .. _ ··-·· ·-· _ ... ~
tn,s permit 11 issued. I s~I t emptoy any per.son ,n -1y I
manner so as to t,ecom btect to the W0tkerS Com pen•
sation Laws of Cal
NOTICE TO A ICANT If. after making this Cert1hcate
of Exemp you should beeome subJect to lhe Workers
ahon prOVJsIons ot the l..ab<>t Code. you must 1
to, 1th comply with such provisions or this permit shalt
deemed revoked
ffm that 1hert ts , construction tending
JQel'lC~ performance ol the wonc lo, whteh this per ,ssoeo {Sec 3097 c,...,, Code)
Lenders Name ____ _
Lendef's Address
USE BALL POINT PEN ONLY & PRESS HARD --...... -APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT J I, ,.,J r;,J-PPLICATION & PERMIT -2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV ST. RD. THOMAS BROS NO. I DAf ep~P._1~~1"10NI BUSINESS L1CENS£ • 14.tfbO PERMIT NUMBER
-Z..b41S 0 l ½ ~ M ~r I';/ c:_-") ~J ,-o I I ft. l\ q,_, iqo<1,1 't) I B~TL\ I SUBDIVISION I ASSESSOFI P.AqEL NO I~ CONTRACTOR CONTRACTORS PHONE • ZONE ( (f> , 4-~ I,, \ i ?-, \ 4.., -~ 2., -n r\\ ~ L~~~ ,A 9:>--A<; 7 '-f:2!-r'7J-/"'F, OW!'loa( R"S I\IAME OWNER"S PHONE
M; 't{~ ()11.,_,_\e 12:i-~,, '-\ B CONTRACTOR"$ ADDRESS STATE LICENSE NO BUILDING SQ. FOOTAGE
,5c., i\1 hr,-, 1,,'\.d o....-« ·sZ6i'=r> ~()O O"''<eq·5 MAl~•NG ADDRESS -~'-VV\€ -
DESIGNER e...;")NE R'S PHONE
(: .
OESCPIPT,1Cl'lf p,.:::lf /.,ry-.,1'> , ...-vt ✓• .-,,' l '-J"-'\I 6":l.., L-0'2_.~c., 6159 04/13/89 0001 01 02
,\ -'.°'){v-.A DESIGNfR"S ADDRESS O .L ;AcO~ lM~ STATE LICENSE NO BldP111t 193-0( ' ID\~~
F p FLRELEV NO OCC GP EDU
STOFIIES
vO NO --I CENSUS TFIACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPR
AREA CONST
YO ND ,o NO vO NO Not v~lid Unlns ~chin~ C~11ifi«J
QTY. PLUMBING PERMIT -ISSUE ?. so QTY. MECHANICAL PERMIT· ISSUE IS: co SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100 000 BTU ~UILUINt., ~tHMII UIJl·~lU·UU·UU·ouv 11~:.L-
I EACH BUILUING SEWER OVER 100 000 BTU SIGN PERMIT 001 ·810·00·00-8221
I EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00·00·8891 //'16
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00·8222 15
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223 15
EACH INST AL ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224
I EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS MOBILEHOME 001 ·810·00·00·8225 ,
WATER SOFTNER RELOCATION Of EA FU RNACE1HEA TE R SOLAR 001 ·810-00·00·8226
EACH ROOF DRAIN I INSIDE I DRYER VENT STRONG MOTION 880-519·92·33 I
. / TOT I.L MECHANICAL FIRE SPRIN~LERS 001·810·00·00·8227
IOIAL PLUMBINL I If . PUBLIC FACILITIES FEE 320·810·00·00·8740
i.5,® BRIDGE FEE 360·810·00-00·8740
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWl BKR CAR PORT . TIF 312·810·00·00-8835
1 PH 3 PH AWNING LA COSTA TIF 311-810·00·00·8835
EXISI BLOG EA AMP SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00·00·8162
--7 !AfEMODEL Al TtR PER CIRCUIT MFF 880·519·92·57
TEMP POLE 700 AMPS
OVER ]00 AMPS
,· TEMP OCCUPANCY 130 DAYS!
CREDIT DEPOSIT f.. ~6.-/
lOIAl ElfLIRICAI I ,,.,.. I JOIAL I If~ r(J I /). TOTAL FEES PAYABLE ' ~ .....
, HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PEFIMIT ANO 00 HEREBY Exp1rat1on Every permit issued by tt,e Building Off1c111 under the prov1s1on1 of this * AN OSHA PEAlil:T IS MOUIRf.D FOR EXCAVATIONS OVER
CERTiFY lJNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON :NCLUDING THE Code shall expire by l1m,11t1on end beeome null and v01C1 If the bu1ld1ng or work S o· DEEP ANO DEYOllTION OR CONSTRUCTION OJ aulhor•zed by such permit •s no1 commenced ..-,ttun 180 days from 1r.e da1e \)t such OECtAFIATIONS AflE lRUE ANO COFIRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~
~~~,:, •~t ':~v ~,;!:•:ft.ith=~~,:~!"':~:'.:J.:~~7 :90:~~•~,5~:r,!1-~ 0'
STRUCT\JfllS OVER 3 STOftlES IN HEIGHT
'SSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION WHETHER SPECIFIED HEREIN OFI IIIOT I ALSO AGREE TO SAVE INDEMNl~Y AND APPLICANTS SIGNATURE 4 OWNER□ CONTRACT~~ APPROVED r () I/ DATE l(EEP HARMLESS THE CITY OF (;ARLSBAD.AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO . . ~ 0 El<PENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONS~UENCE OF THE BY PH<>foE fJ M~~ I (:,;f ~--..... Y-Yf'! GRANTING OF THIS PEFIMIT .l #n ~ , J __, IJ,t{ I~ l , .ffi"r'I -'v-A I
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TYPE I DATE INSPECTOR -'-,J ·-. -
' BUILDING 1
FOUNDATION I ._~ }9 I FIELD INSPECTION RECORD
REINFORCED STEEL I c:'> ., V"
MASONRY I
GUNITE OR GROUT
REQUIRED SPECIAL INSPECTIONS INSPE!ZJTOR'S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE t)~~ (c_~~,«{ /} ,tD' c,,q CHECKED APPROVAL .
SUB FRAME D FLOOR D CEILING SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR
FRAME '
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I '\ STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION ' INTERIOR LATH & DRYWALL :
I
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING .
I FIELD WELDING
D SEWER AND BUCO D PUCO
UNDERGROUND D WASTE □'WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
I
.
GAS TEST ' ~ 1,t y, ..--..0----PILES CAISSONS
D WATER HEATER D SOLAR W'f,.. TEA
' '-:"'-' ELECTRICAL I
-\-.
D ELECTRIC UNDERGROUND D1UFFER j.cfa {~ l-"\_-l -
ROUGH ELECTRIC I
' D ~CTRIC SERVICE D TEMPORARY
c:7BONDING O yoQL ' s ·s -~' , __ _O . •· .
I
' MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I CT~'.:.q r c.:•O(
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE V. . . ... . . -. . ....
h2: Chh-.'~, Ct-:J ~' '· .
.
FINAL I I ....
PLUMBING T
It'-I I ,.. :, .
ELECTRICAL I ,~ J. I
MECHANICAL I _,' .Y
GAS 7 J \J ~~ I
. ~ r
' \ -~-,, , .
,....1. ... ~ ""·::,, I
BUILDING I K \ . •' l
SPECIAL CONDITIONS I ' -
'
I "
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 89-469 DATE: 7-10-89
PROJECT NAME: ---------------------------------
ADDRESS: --:-----2_6_9S_O_l_y_m_p_l_a ____________________ _
p~RWN! _ ..... ,1 _15_2~~~-UNIT NUMBER: ------PHASE NO.: ------
TYPE OF UNIT: ___ pc __ l ________ NUMBER OF UNITS:
CONTACT PERSON: ___ B_e_t _h ___________________________ _
CONTACTTELEPHONE:_7_'1_J_-_i&_O_S _________________________ _
-nJln rl , , bh ..
INSPECTED 0'~¥.' DATE
-, • I?-EJI APPROVED ✓ BY: INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS:----------------------------------
C
Rev. 1/86 WHITE: Suspense BLUE: Water Dlstrl NARY: Utilities PINK: Planning GOLD: Fire
(
DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
THIS PERMIT MUST BE
POSTED ON THE JOB SITE
RIGHT OF WAY PERMIT 11525
Applicant Please Print and Fill In Shaded Area
JOB
ADDRESS
NEAREST
CROSS STREET
ISSUED BY DATE I /J
I
PROJECT a~\ -'-\ be. 24 ouR No'r1cE REau1RED FOR NUMBER {) \ ASSESSOR'S PARCEL NO. INSPECTION AND PRIOR TO START OF WORK.
CALL 438·3101 APN -l.
CONTRACTOR It I\ .\ .c:.. YOU MUST CALL UNDERGROUND SERVICE
1---------'-'_;,_ 'I...:....:.. \-=.J:e:::.......o:....J...;:.----''--'----'--'=-<--'-'-~.....,_ ___ -i A LE RT (1-800-422-4133) TWO
CONTRACTOR'S WORKING DAYS PRIOR TO WORK.
MAILING /":... _j ~, l:::,, fL-J,. v\J ~~
ADDRESS
CITY /°. ;><.
STATE /'.,-5 3>
LICENSE
NUMBER Jt. l t 0
DESCRIPTION
OF WORK
START
DATE
., ,~
ESTIMATED
COMPLETION DATE
24 HOUR
ZIP c.J TELJ' U/_:b
BUSINESS
LICENSE
NUMBER \ (. l.. C
THE UNDERSIGNED ACKNOWLEDGES THAT ALL WORK
SHALL BE PERFORMED PER CITY CODES, STANDARD
SPECIFICATIONS, CITY APPROVED PLANS AND
STANDARDS.
SIGNATURE \, \.', .10 .J)
UNDERGROUND SERVICE ALERT NO. _____ _
THIS PERMIT IS INVALID WITHOUT THIS NUMBER
IF ANY EXCAVATION OR BORING IS DONE.
.:i1 9 04 n 89 0001
M
VALIDATION AREA
INITIALS
:'7'"?2 ' -TRAFFIC CONTROL PLAN APPROVED
AND ATTACHED
LIABILITY INSURANCE VERIFIED
t;:---I r
-FEE: J_:) • '\
PAID
BILLED
RESTORATION SECURITY
'H./ ,-/Lr
TRAFFIC CONTROL DEPOSIT
INSPECTOR'S
SIGNATURE
$-
$-
DATE
BLUE -FILE; YELLOW -INSPECTOR; GREEN • UTILITIES; PINK · FINANCE; WHITE · CONTRACTOR