HomeMy WebLinkAbout2695 Olympia Dr; ; CBR2017-0172; PermitPrint Date: 06/19/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2695 Olympia Dr
BLDG-Residential
1674330300
$0.00
DENNETT: CHANGEOUT FURNACE
Owner:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www .carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Permit No: CBR2017-0172
Closed -Finaled
01/26/2017
01/26/2017
KATHERINE DENNETT
2695 Olympia Dr
CARLSBAD, CA 92010
WALTER ANDERSON PLUMBING INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Tota\ Fees: $166.00 Total Payments To Date: $166.00
1830 John Towers Ave
El Cajon, CA 92020-1134
800-830-1102
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$166.00
$0.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH D HAZMATIAPCD
«~t Building Permit Application Plan Check No. <.. ~,o ? ...., I "7 -C)\,
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date I /? (,, /, 7 /SWPPP
JOB ADDRESS 2695 OLYMPIA DRIVE, CARLSBAD 92010 SUITE#/SPACEf/UNIT# IAPN ---
CT/PROJECT# 'LOT# ! PHASE# I# OF UN11.> I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. T'(PE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
changeoutfurnace
EXa:.TINO USE I PROPOSED USE I GARAGE (Sf) PATIOS (Sf) I DECKS {Sf) FIREPLACE 1 IAIR CONDITIONING I IFIRE SPRINKLERS
v,so Ne(] v,s □•oO v,s□•oO
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME kathy dennett p,...a-"An..,,..
ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 2695 OLYMPIA DRIVE, CARLSBAD 92010
CITY STATE ZIP CITY STATE ZIP
San Die110 CA 92123 CARLSBAD CA
PHONE \FAX PHONE IFAX 888-991-4377 7602138566
EMAIL EMAIL
JERMAINE~WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ANDERSON PHA
ADDRESS ADDRESS 1150 N MARSHALL AVE
CITY STATE ZIP CITY STATE ZIP
EL CAJON CA 92020
PHONE I FAX PHONE IFAX 8008301102
EMAlL EMAIL
THERESA@.,ANDERSONPHA.COM I STATE LIC. # STATE LIC.# I 0C20/C36 I C,TYBUS LIC.107 4400 876156
(Sec. 7031.5 Business and P.rofes~1ons Code: Any Crty or County which requires a permit to construct, alter, improve, demolish or r~aIr any structure, prior to its issuance, also raquIres the applicant for such permit to file a signed statement tnat he is licensed pursuant to the provisions of the Contractor's License t,aw !Chapter 9, commending with Sect10n 7000 of Division 3 of the Business and Professions Code} or that he is exemJ;lt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001).
WORJCERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensatKln as provided by Seeton 3700 of the Labor Code, for the perfonnance of the 'Mlrk for whk:h this permit Is ISsuecl
[ZJ 1 have and wlll maintain workers' compen11atlon, as required by SectiOn 3700 of the Labor Code, fa the pertonnance of the work for which this permit Is Issued. My workers' compensatkm Insurance carrier and polk:y
number are: Insurance Co ACE AMERICAN INSURANCE Polk:y No. WLRC48578238 ExplratlOn Date 312/2016
~section need riot be completed lf Iha permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the pefformance of the WOOi. for which this pennit is Issued, I shall not employ any person in any manner so as to beCOme subject to the Workers' Compensation Laws of
Callfomla. WARNING: Fallure to secure wor1ters1 compensation coverage 111 unlawful, and ts hall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages 11 provided for ln Section 3706 of the Labor code, lnlemt and attorney's fees,
NS CONTRACTOR SIGNATURE ~ [ZIAGENT DATE I· 1-6
OWNER•BUILDER DECLARATION
I hereby affirm that I Ml exempt from Contractor's License Law for the following reason:
□
□
D
l, as owner of the property or my empklyees with wa{les as lhei' sole compensatkln, will do the work and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided that such improvements are not Intended or offered for
sale. If, however, the building or Improvement Is sold wilhln one year of completlon, the owner-builder will have the burden Of proving that he did not build or Improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an O'M'IE!r of
property who builds or Improves thereon, and contracts for such projeCIS with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under SectiOn BUSinass and Professions Code for this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0Yes 0No
2. 1 (have I have not) s'gned an 241pllcatlon for a building permit for the proposed work.
3. 1 have contracted wllh the following pef'SOl'I (firm) to provide the proposed construcuon (Include name address I phone/ contractors' llcensa number):
4. I plan to provide portiOnS of the work, but I have hired the followlng person to coordinate, supeivlse and provide the major work (Include name I address I phOne I contractors' license number):
5. I will provide some of the work, but I have conlrac:ted {hired) the following persons to provide the wol'K Indicated (Include name/ address/ phone I type of work):
6$ PROPERTY OWNER SIGNATURE □AGENT DATE
I
"c OM PL Ei T Ei TH 1$ S EiC TIO N FOR NON• R 11$ IDEN TI AL BU I I.DIN (I PI! RM ITS ONLY
Is the applleant or future building occupant required to submit a business plan, acutely hazardoos materials registration foml or risk mooagement ard prevention progra-n under Sections 25505. 25533 or 25534 of the
Presley• Tanner Hazardous Substance Account Act? D Yes D No
Is lhe applieant or future building occupant required to obtain a pennll from the air pollution control district or air quality management district? □ Yes O No
Is the facility to be constructed .,.,;thin 1,000 feet of the outer boundary of a sch:>01 site? O Yes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I celtlfythat I haYe read the appllcation and state that.the abow lntoonation is col1'8d: and that the information on the plans is accurate. I agrooto comply with all City ordinances aod State laws relatl,C to building oonstructlon.
I hereby aultKlrize representalive of the Clty'ofCa'lsbad to enter~ lheatx>w mentboed properfyfor inspactb'l purp::,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND 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
OSHA: AA OSHA permit is required for excavations over 5'0' deep aoo demolition or construcoon of structures O'Jef 3 stories in heght.
EXPIRATION: Evefy permit issued by the Buik:ling Official under the prov1s· of this Cooe shall expire by Imitation cl'ld become nuu cV"ld vor:I t the buik:llng or work au~ by Sldl J):lm11 is not corrmenced within
180 days from the data of such pemlitor K the buikl'fg or work aulhoozed such permit is suspended or abandone:I at any line after the work is C001mencoo bra perbd of 180 days (Seclk)n 100.4.4 Uniform Buildrlg C.ode),
...S APPLICANT'S SIGNATURE DATE ·'u
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Pnrniit Type: BLDG-Residential Application Date: 01/26/2017 Owner· KATHERINE DENNETT
Work Cla,,s.· P/M/E Issue Date· 01/26/2017 Subdivision:
St:-1tt,s· Closed -Finaled Expiration Date: 07/25/2017 Address: 2695 Olympia Dr
Carlsbad, CA 92010-2180
1VR Nurnbcr: 1636
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
06/19/2017 BLDG-43 Air 026531-2017 Scheduled Jonathan West Incomplete
Cond./Furnace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Final 026599-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
BLDG-Electrical Final Yes
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June 19, 2017 Page 1 of 1