HomeMy WebLinkAbout2700 OLYMPIA DR; ; 84-401; Permit--b□ ' ...., ,.,rm '"" '•• "-"" """"
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• o pr011l1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of lhe Business
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c and Professions Code, and my license is In
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I hereby afhrm that I am exempt lrom the Conlrac-10<' s Lt<ense Law for the lollow,ng reason (Sec 7031 5
8uSll)tSS and Professt00s Code Any c,ry or county "'hie.ti re-quires a permit 10 construct, alter. improve. demolish. or
repa,r any structure. pnor 10 11s ,ssuarice atso requires !he a1r pkcanl tor such oerm1t to file a s1qned statement that he 1s
1icenseo pursuant lo the prOYts,ons of the conuacto, s
License Law (Chapter 9 convnenCJng w1lh Section 7000 of DMsion 3 ot the Business and Professms Code) or thal is ex·
empt lhert1rom and lhe basis for the atlegea e)len,pI1on Any ~': :P~~,t~3c~V~ :~~1:~,::~~ ~:,:~ ~~
dred dOl'lars (S500).
I, •s owner ol trie property. 0< my t'l'ployees ~ th woges
as their so'e compensation, will do lhe work. and lhe slruc· ture ,s not mteooed or offered lor sale (Sec 7044 Bu~ness
and Prolessions Code The Conuacror's License Law does "°' apoty to an owner of property who builds or Imp,OYtS
thereon and who does sueh wor~ h1msell or throogh his own employees, p,ovlded lhat such amprovements ~e not intend·
ed or offered tor sale If. however, !he building or 1mprove-men1 Is sokl 'ff1lhen one year ot comp6ehon. the owner·bu•lder
will have the burden of proving that he did nol build or 1m-pr0Ye lo, the purpose ol sale)
D I. as owner of the property. am exclus1veIy contracrIng wnh hcensed contractors 10 construct the proiect (Sec 7044
Busmess and Prolesst0ns Code. The ContractOf''s Ucense Ltw does not appty to an owner of property who builds OJ 1m-p,oves thereon. and v.,ho coruracls fOf each pn'lects with a con1racl0<(s) l,cense pursuant to the Controc10<·s Lianse Law)
D As a homeowner I am ImprovIng my home_ and the !~low
tng cond,t,ons exist 1 The work is being performed pncx to saie
2 I have lived •• my home to, rwe!Ye month1 prior to complelion of lhts work 3 I have not claJmed lttts exemphon dunng Ille
tast lhcee years
D I am exernpl under Sec _____ _ B&PC for this reason ____________ _
0 I hereby alfnm rhat I nave a cert1hcate ol consenI
to sell insure or a cer11t1caIe ot WOfkers
CompensaI1on Insurance. or a cen,t1ed cooy thereol
!Sec 3800 UIOO< Godel
POLICY NO
COMPANY ''1-1 t.) C I ,N s . ,.a Coc,y Is hied w,ttl lhe city
O Cert,fted copy Is hereby tu,n,shed
CERTIFICA Tl OF EXlMPTION FROM WORKERS COMPENSATION INSURANCE
(Th,s section need no! be compteled ,t the oerm,1
Is IOf one hundred dollars {S 1001 or 1essI
0 I cer11ty thal "' lhe performance 01 lhe •on-. l()f .rucn Itus permII Is issued I shall nol emplOy an.,,
person in any manner so as to bee~ sub1ect 10
the WOf'kers Compensation U ws ot CaI1forn,a
NOTICE TO APPLICANT 11. after makm~ lhtS Cert,
he.ate ot Exemp11on you shoulO oecome su0IecI t'J
lhe WM.ers Compensation provIsIons of the Labof
Cade you musl torth'llt1th comply w1lh sucn
plO'1ISIons Of !his pe,m,I shall be deemed reVO,.,ed
O , hereoy affirm lhal thtlft ,s a COOSlhJ(t,on
Ieno1no ~ency to, lhe performance ot !he .,,.on,. tor
wh1Ch 1h15 permit •S •ssued 1Sec X)97 C,v, Coc:Je
t enders NtVne ___________ _
Lende, .s AOctress __________ _
I
1 USE BALL POINT PEN ONLY & PRESS HARD 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 •
: ,08 ~O;EbD ol 't tn r>, A AV ST RO. NEAREEC~~;s1T Io:;::; ~P~t:iTvNI BUSINESS LICENSE ff 1;zi;;ON 8 t--PERMIT NUM:ER
I ,r, I BLOCK I SUB01v,s1oili I ASr~~'l+t'.ffLts-ou • ~ONTRACTOR • CONTRACTORS PHONE. zor:IE +o I
1 OYVNERS .... AME I OYVNER SPHONE v,'l\Pt ~,\J e-e +PA..J..,o 9'{/-Jb J-9' : m·1 v v. , , . 113 ,, J., . 0 CONTRACTOR'S AOOAESS • _ . LICENSE NO PLAN ,.o. Ii BLOG USE CODE
f-., -,',lfpl{_ 'I-..,-~J/7 /90'"'1 S=--S<1J i-,-J {f 2::C y :""\rl ~ L\V'\.,...._ ' ow,-,.EA'S MA'LiNG ADDRESS lo< U 1 1 1 • .:x:I I LJ ~ F-0..;7 r:::f.lJ,_,,
I ~70C G{\.... • DES '.;NER LICENSE,, STANOAAOPLAN. BUILDING SO FOOTAGE
I 0( 1,,,-DJ ,.:\ i'tV-t:.. .5 !'l '7'r-,nt
I OESCA),l'T<ON OF YV0 RK1 1 Q , rf tll e V-./ ~ ~
1 D--<e,y .,:,i,t t 'A\..,'D t .'0-.../t'•l oEs,GNERsAooAEss 0Es1GNfR'SPHONE
I I I
: >--l ,Z,,, JO'l.,I, F1P FLA ELEV. NO occ GP EDU
1 STORIES
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1 CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVE LOPMENT TYPE occ LOAD FIRE SPR -o-4-AREA CONST /
I C:i' 74 YON D v □ "-0 v□ NO r N01ili1idun1es1AhchineCtr1if1ed .36,
! ,,,.,
: QTY. PLUMBING PERMIT-ISSUE l'J,~ QTY. MECHANICAL PERMIT -ISSUE ~-SUMMARY/ACCOUNT NUMBER -
EACH FIXTURE TRAP INSTALL f URN DUCTS UP TO 100,000 BTU BUILDING PERMIT 01·00-00-8220 •/ .ff-LJ(J
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01·00·00-8221 •
EACH WATER HEATER ANO OR VENT BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 J,4. 7,..-,-
, EACH GAS SYSTEM 1 TO 4 OUTLETS ----t-BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING 01·00-00-8222 • ·-
EACH GAS SYSTEM 5 OR MORE MUAL FIREPLACE ELECTRICAL 01·00·00-8223
: EACH INSTAl ~TER. REPAIR WAT~R PIPE -4 VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
1 EACH VACUUM BREA KER MECH EX HAUS! HOOD DUCTS MOBILEHOME 01·00·00·8225
GRANTING OF THIS PERM ff -----,---.i._ -----+----i--...,-..,.., ·--" I I , I.A, I -
1 WATER SOFTNER RELOCATION OF EA FURNACE HEATER MOBILEHOME PARK INSP
EACH ROOF ORM, fl"lSIOEI SOLA_!L _J)l·OO·QO·A??~
_ __:__ TOT f.L MECHANICAL STRONG MOTION 80•9q3-0519 ,SO _
TO I AL PLUMBING I FIRE SPRINi<LERS 01·00·00·8227
PUBLIC FACILITIES FEE 32·00·00-893'.) QTY. ELECTRICAL PERMIT · ISSUE -QTY. SOLAR · ISSUE L-, -BRIDGE FEE
NEW CONST EA AMP SW! BKR COLLECTORS SCHOOL FEE. DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EX IS I BLOG EA AMP SW T BK R ROCK STORAGE Encinitas 80·92-22-0519
I PH 3 PH PUMP San 01egu110 80·92·23·0519
REMODEL AlltR PER CI RCUIT PLA"l CHECK FEE San Marcos 80-92-24-0519
TE MP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELELTRILAL , TOTAL SOLAR TOTAL FEES PAYABLE
1
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I HAVE CAREFULLY EXAMINED THE COMPLETED ' APPLICATION <IND PERMIT ANO DO HEREBY Exp,rahon Everyperm,tcssuedbylheBuildingOtt,c,alundertheprov,s,onsollh,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tat,on 1nd become null •nd vo,c ,If lhe bu,ld,ng or wor• 5 o· DEEP ANO DEMOLITION OR CONSTRUCTION OF authorized by such permit 1s not commenced within 180 days from the date Qf such OECLAPATIONS ARE TRUE ANO .CORRECT AND. I FURTHER CERTI FY ANO AGREE IF A PERMIT lli permit. or ,I the building or wor• author.Zed by such perm,t is suspended or STRUCT\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned 11 any lime after the work ,5 commenced tor a oenod of 180 davs
STRUCT•ON l'IHHHEA SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APP VEO Jl, ,
KEEP HARMLESS THE_ CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO APPLICJNT'S 5!_GNATUR~ OWNER D CONTRACTOR [j /~ ~ DATE M'
EXPENSES WHICH M,> Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ""'",.,, ~ _J' BY PHONE O ~ /J J l l'1} -f' lf"1
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TYPE DATE INSPECTOR . --I + ..... -..
' ~Lf,L{{) J BUILDING I '
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE
SHEATHING D ROOF D SH~AR PRIOR TO
FOUNDATION INSP FRAME I
I STRUCTURAL CONCRETE EXTERIOR LA TH OVER 2000 PSI
INSULATION i PRES TRESSED
CONCRETE INTERIOR LATH & DRYWALL I
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO I HIGH STRENGTH
UNDERGROUND D WASTE D \/YATER BOLTS
TOP OUT D WASTE D W~TER SPECIAL MASONRY . .
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSOl\,S
D WATER HEATER D SOLAR WAlER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D lJFFER "-1 r ' ~~ . ~ ..
ROUGH ELECTRIC I -
D ELECTRIC SERVICE D TEMPORARY .
... '··
D BONDING D POOL I
i
MECHANICAL I '
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I ' e •
I i/ .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE_/ ~-. ;:. '" --ITEMS ABOVE HAVE BEEN APPROVED. ~ 'T-
FINAL I ,{ I I \
' ?' i.i ' . ' . . . PLUMBING ' \J .J 0;, /. I .' I
ELECTRICAL I
I J~ r'{ , C I , -MECHANICAL I LI"\ I ' ~ \ " ~ . t -I ' , GAS I XJ '4 1 -, .
< • . r
BUILDING I \"
I \ ' SPECIAL CONDITIONS \ \
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PLAN CHECK NUMBER ~DDRESS ;:l 7 O O ~. {L,.,,_ DATE ____ _
PLANNING: TYPE OF STRUCTURE ~ ~ ZONE: ·___J.:C., -~-...::::..=.:::---=.::....:;... ___ R_E C E_I_V_E_D_
SCHOOL FEES : SAN DIEGUITO ENCINITAS --------
SAN MARCOS JUb 2 '1 .1984
FENCES/WALLS ___ __,,..,_,,. _____ _ SIDE __ _.___,.-'-------· TWO CAR GARAGE ·-----------REAR _________ _
a:: u.J
:J: u.J ;: ~ COMMENTS: ___________________________ _
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~ □ REDEVELOP'1ENT APPROVAL REQUIRED: _ ____..;v _ _./----1 __________ .,:_ __
s~□ ~;;□ J) 8~ LANDSCAPE PLAN Cat,t1ENTS: ____ _.! __ I.__I _____________ _
.J I J: ENVIRONMENTAL REQUI REP~: ------1---l'-,.;,;....;-14'~J ___________ _ I ~
ADDITIONAL COMMENTS: ------------------------
OK TO ISSUE:
I f 18'11 d,.----DATE: 1(J-1 ·-~K ro FINAL : ___ DATE: ____ _
**********************************************************************************
ENGINEERING_ LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? __
P.F.F. ______ PARK IN LIEU ________________ _
R.0.W: ______ IMPROVEMENTS: _______________ _
________________ E.D.U: ____________ _
SEWER:
LATERAL: DRIVEWAY:
0:: u.J GRADING PERMIT: :J: La.I -u.J > ~ DRAINAGE: La.I < 0:: C
EASEMENTS: / ADDITIONAL COMMENTS: ~ □ -c □ ~u.J u a::
i...i-
a:: ~ □ a:: O' 0 u.J u a:: 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.)