HomeMy WebLinkAbout2696 Olympia Dr; ; 84-303; Permiti / I hereby affirm that I am licensed under nJ provlalona of Chapter 9 (commencing with ~ j Section 7000) of Division 3 of the Business
and Professions Code, and my license Is in
full force and effect.
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I nereby allirm lhat I am exempt lrom the Contrac· 10<·s License Law lor Ille lollowing reason (Se< 7031 5 Busmess and Proless1ons Code Any cuy or county which re· quires a permit to construct. alter 1mprnve. demoltsh. or
repair any structure. prior to its issuance also requires !heap·
pltcant lor such permit 10 flle a s19ned statement thal he 1s licensed pursuant to the prov1s1ons of the Conti.tlOI' s license Law (Chapter 9 tDfTlmenc,ng w11h Section 7000 ol
Owis1on 3 o1 lhe Busmess and Protess10ns CCX,e) or lhal 1s ex-empt therefrom and the basis ror the allegea exemphon Ant
v10lat10n of Sec110n 7031.5 by an apphc.ant for a perm11 sub--Jects the apphcant lo a c!Y!I penalty ol not m°'e tnan bve hun-
dred dollars ($500)
'l I, as owner of lhe property, Of my employees with wages as their sole compensation, will do the work. and lhe struc-
lure 1s nol intended or olfered fOJ 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 lmprovemenls are not intend-
ed or offered for sale If, however. the building or improve-ment Is sotd within one year of completion. the owner-builder
will have the burden ol proving !hat he did not build or im-prove lor th< purpose o1 sale).
D I, as owner ol the property, am exclusively contracung with licensed conlraclors lo construct the pro,ecl (Sec 7044.
Business and Prolessions Code The Conlractof's l.Jc:ense
Law does not appty to an owner of property who builds or rm-
proves thereon. and who contracts tor each protects w11h a
c-0nuactor(s) hcense pursuant to the Conlractor's License law)
0 As a homeowner I am improving my home, and the follow
ing conditions ex,st. t. The wock IS being pertormed POOf [O .sale
2. I have hved ,n my home lor twelve months
3. rr~~v~ ;:1P~:::: IIt,~ =~p11on during the last lhree years.
□ I am exempt under Sec. ______ , 8 & P C
for this reason ____________ _
D I hereby affirm I hat I ha.,,e a cer11hca1e ol to sell 1nsu,e. 01 a cer1lf,cate of )J(orkers
Compensation Insurance. or a cer;l\_,ed c¢y thereof
(Sec 3800. Labo< Codel
POLICY NO
COMPANY
D Copy 1s hied with the city
0 Cer11hed copy 1s t'lereby furnished
CERTIFICA Tl OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE (Ttus section neec noI be completed 11 lhe perm,1
,s for one hundted dollars ($100) or iess)
0 I certify Iha! in the pert01mance of the woni. to,
which this permit 1s issued. I shall not employ any
person In any manner so as lo be-Come subIecI 10 the WoL11.ers· Compensation Laws ol California
NOTICE TO APPLICANT If. alter makin:J 1h15 Cert• ltcate of Exemption. ~ou should t>ecome subIec1 t'J
the Workers Compensation p,ov1s1ons o1 the Lat>or
c ooe. yov must torHh\."1th comply with such
prov1s1ons or this oerm1t shall be aeemed revoked
0 I hereby att1rm lhal there 1s a cons1ruc11on
tending agency tor rhe performance ol the wC>fk to,
which th,s perm11 1s issued (Sec J097 C,vil Cooe,
lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD 1,-----------------------------------------------------------------------------------, APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
' CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 : JO~;q~ ok,~l A. ec.:v~{-RO. NEAREST CROSS ST. ,~: ,~A:~;;IONI BUSINr E # _,/:;~~#: PERMIT N UMBER
: LOT I BLOC'( I SUBrJ1v1s1'bN I ASSESSOR PARCEL NO. I ..... -. I -OR U,ull~i~ CONTR:TORS PHONE. ~ ¥55''::;:.-:;>r-, 3113
I OW,,,ER'S NAME l OWNER'S PHONE ~ -~~:JSf-. (_};J I/&) c,1,1.ql/, : .Ml!! J IH1tS • w'nh~ \3 \ ou.5h 'l~L/-s ~ '2>/ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG USE COOE
I OWNER'S~AoLING ADDRESS CJ Cf/I)[/ f?: ~~5 l)~. lfJ,,1/, '7~ ~~ 0(u""10'\A fuJ.i.-{ oEs•GNER ~A,IJ 11(1~, LICENse.. s TANOAROPLAN # BUILDINGso.FoorAGE
DESCRIPTION OF WORK I I
DESIGNER'S AOORESS DESIGNER'S PHONE r--------,.;;:---r-----=:---------------------1 D~ CooJe~ ...,._ _____ .,._ ____ ......,. _____ ----'! .61I.~1st.::,1J1i. :,;_.,1
1 ~ Y. f F/P FLRELEV. No o ccGP EDu 0lJJf5w/ti 611 "18,. .,7., 12 ._/ A X' ~ l f111 STORIES . .. • .I ~ 6,'V _ii) V v□ "'0 --
AREA CONST CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE occ LOAD FIRE SPR
YD N D vO NO vO NO Not Valid Unl~s Machine Certified
QTY. PLUMBING PERMIT · ISSUE ~2.f!?.-QTY. MECHANICAL PERMIT · ISSUE 3 ,..--SUMMARY/ACCOUNT NUMBER .,.
EACH FIXTURE TRAP ' INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01·00·00·8220 /?',;, ~
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00·00·8221
EACH WATER HEATER AN0 I0R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00·8806 LO ~
EACH GAS SYSTEM I TO 4 0 UTLETS 801 LER/COMPR ESSO R 3-15 HP TOTAL PLUMBING 01·00·00-8222 ----1---------i EACH GAS SYSTEM 5 OR MORE METAi FIREPLACF ELECTRICAL 01·00·00-8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00-8224
EACH VACUUM BREAKE R MECH EXHAUST H0001DUCTS MOBILEHOME 0l·00·0Q-8225
1 WATE R SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
I EACH ROOF DR~IN I :NSIDE) SOLAR 0l.·00-00-•??~
1 TOT.C.L MECHAN ICAL STRONG MOTION 80·9'"2-"'3""3 .... os'"',""9-+-----,-.5-=v_,....--r
' TOTAL PLUMBING I ~ FIRE SPRINKLERS -01·00-00-8227
QTY. ELECTRICAL PERMIT . ISSUE ~ QTY. SOLAR . ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll
J -BRIDGE FEE
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92·21-0519
EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Oiegu1to 80·92·23-0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS ., M--:',= 1 z=
OVER 200 AMPS LICENSE TAX 01-00-00-8162
fEMP OCCU PANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
fOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE j ~ h , f o
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT"' AND DO HEREBY E,p,rahon Every permit issued by the Bu1ld1ng Ofhc1al underthe prov,s,ons ot th,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation •nd become null •nd void It lhe building or wor~ S' o·· DEEP AND DEMOLITION OR CONSTRUCTION Of authorized by such permit ,snot commenced w11hm 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or ,I the building or work authonzea by such permit 15 suspended or STAUCT\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv time after the work 15 commenced lor a penod of 180 davs ~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPrll.l • L □ ,,.,., APPROVED BY /k °!Ji wt KEEP HARMLESS THE CITY or CARLSBAD AGAINST AL~ LIABILITIES. JUDGMENTS. COSTS AND 1 Ts SIGNA~UR\ .. /'J OWNER CONTRACTO ... , , D
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _ ~. L<../ _ ~ U BY PHO E O , ,
GRANTING OF THIS PERMIT __ _ : -r --~ N • 9 1
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TYPE DATE INSPECTOR .. ' .. . . . . .. . ..
BUILDING ' . ' , " . : 84-303 'i\_f\ \ ··-.·-~ ... ~ , .... ... , \
FOUNDATION FIELD INSPECTION RECORD
REINFiORCED STEEL
MASO'NRY
GUNITE OR GROUT
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SHE;AR
SOILS COMPLIANCE
PRIOR TO
FRAME FOUNDATION INSP . . .. .
EXTERIOR LA TH STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION PRESTRESSED
INTERIOR LATH & DRYWALL CONCRETE
POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
SEWER AND BUCO □IPUCO
UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE D WATER SPECIAL MASONRY .
TUB AND SHOWER PAN
GAS TEST PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
' ROUGH ELECTRIC 1
<
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL " -
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ;. -... _ -.; ,._~ l ,;.. .
VENTILATING SYSTEMS '--. t' -t:-t:; -'C '\ ✓ ' ., : .,,,
CALL FOR FINAL INSPECTION WHEN ALL APPROfRIA TE
_ ITEMS ABOVE HA VB BEEN...AP)?~OVE,D:--'. -~ 1 ·, , \:I
FINAL
. ._~--..... -:::~i, i 11 1--i~J::').? .
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
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' -~4\t' .... .... .... . t ~ , ). -\ C -..... .....,,'f. ~ ' .. \ .. .. ~ta:---....-\ . , ..... "'· \ '"'.-:--~""') i ~}'• _< f I ·-I ; ' --......__ ':'--~ ·-· '"',,,_,.... ~ '"\,j _.,,,, . ' .-. . , ., . ' . -,I•-' ..., .. ,·-'.-\-...... . . ---------...-..----. ---,..__
SPECIAL CONDITIONS . .
PLANNING: TYPE OF STRUCTURE ~ ~
SCHOOL FEES: SAN DIEGUITO
ZONE:
IX
i...J 3 i...J
--------
CARLSBAD --------
% COVERAGE ------------
BUILDING HEIGHT ----------
FENCES/WALLS -----------
TWO CAR GARAGE -----------
------
ENCINITAS --------
SAN MARCOS --------
REQUIRED SETBACKS ------
FRONT ---------
SIDE ----------
REAR ----------
;: ~ COMMENTS:
i...J < ----------------------------ei::: 0
0~ □ REDEVELOP~1ENT APPROVAL REQUIRED: ______________ ........: __ _ s~□ i...i ....
a:o IX::::>□ 8~ LANDSCAPE PLAN COMMENTS: -----------------,------
ENVIRONMENTAL REQUIREp_: ____________________ _
ADDITIONAL COMMENTS: -------------------------
X OK TO ISSUE : ~ ~ DATE: ¢7" /rYoK TO FINAL: DATE: ----------
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? __
P.F.F. PARK IN LIEU -------------------------
R. O. W: IMPROVEMENTS : _______________ _
________________ E.D.U: _____________ _
SHIER:
LATERAL: DRIVEWAY:
ei:::
i...J GRADING PERMIT: 3 i...J .... i...J > I-DRAINAGE: i...J < IX 0
~ □ EASEMENTS: ADDITIONAL COMMENTS:
-a □ 1-W uei::: ~SD ei::: 0 ow uei::: OK TO ISSUE: DATE :
* ENGINEERING INSPECTION REQUIRED: ___________________ _
PUBLIC ~!ORKS INSPECTOR: _____________________ _
FINAL OK: -----------DATE : ______________ _
* IF THIS ITEM IS NOT CHECKED , BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
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