HomeMy WebLinkAbout2702 OLYMPIA DR; ; CB991514; PermitCity of Carlsbad
04/20/1999 Plumbing Permit Permit No:CB991514
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
2702 OLYMPIA DR CBAD
PLUM Status: ISSUED
04/20/1999
DT
04/20/1999
04/20/1999
Parcel No: 1674411400 Lot#: 0 Applied:
Construction Type: IIN Entered By:
Reference #: Plan Approved:
Issued:
Project Title: WATER HEATER REPLACEMENT Inspect Area:
Applicant:
A&J FOSTER, INC.
STEB
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
Total Fees: $27.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
TOTAL PERMIT FEES
Inspector:
Owner:
SOHLAFER ELIZABETH M
2702 OLYMPIA DR
CARLSBAD CA
92008
Total Payments To Dale: $0.00
0
0
0
0
1
0
0
Balance Due:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
[APIRED F ~ " _ , d $27.00
?ERMIT HAS EXPIRED IN ACCORDANCE WITH U B C SECTION 106.4.4 · · ·
DAlE SIGNAME
$27.00
·ons hereafter collectively
referred to as "fees/exa · ns." You have 90 days from the date this perm' as issued to protest imposition of these fees/ex ns. If you protest them, you must
follow the protest procedures set forth in Government Code Section 660 (a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specme<I fees/exact~ns DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other simllar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
/-
PERMIT APPLICATION
FoR OFFICE u sl oNBa , c:
PLAN CHtCK r~ _'-f_u_5_' 4
EST.V/._ CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619)4 38-1161
Plan Cl-LJci.ios1t4t -1'--___ _
V e lidot c.J By~ tv' \,
i1 :.JelP.ROJect INF.0 RJMiio.~~~~~tiFtgj,ffl]ll'VWZ!IIIM ma wa..::rmm
2702 Olympia Dr
Dote ______ _
Add••u linclud, Bldg/Suho I ) Bulln1&1 Nam, (al lhJa addrouJ
l •o•I Ou c,ipuon Loi No. sf1t'bdlvlalon N1m1/Nu'!'b" Unit No. Ph u,',
A.uu sor'1 Parcel I Exlallng Utt Propo,,cJ u,,
SO. FT. lol Sl01l11 Io( 0,d,ooms
• 'Jt II / ~ I
I •' ~a"
Nam, Addrou · City St111/Zlp Te1•:1hone , : , -
-~-~7~HEf'.f~:5-oi9if6w,~~m.~~~~i"~~omY~~1r;am1·; ·'.~~,~il.9 r.J90-44 77
N,mo Add1111 Chy Stall/Zip T 1le,,11on1 ,-----
IY:ifi'..{CDN1RAC.TOR~C.O.Me.e.NID.w,i~diilliWDilTfiP'tfMJl@BFfW/P9tff l&El#lfltSSl1$fSta\lUQ&Wtiltii'r{lillrn,i:1~.~,n•~
!Sec. 7031 .5 Ousinoss end Prof11aloru Code: Any City or County which 11qulr11 • ptrmll lo oonalruct, alter, lmp1ov1, domoll>h or rop,u , ,v ,1,.,c1t,11. ~,.0 ,.
1ssu1nc1, 11,o reuuu u tho applicant lo, auch permh lo Illa • algnod 1t1t1m1nt thot hi la Uc:,nttd pureuant to th• prov,11on, ol th, C ·1tr,c1,,r , licen u
IChapt,1 9, commending with Sactlon 7000 of Dlvlalon 3 ol Iha Bu,ln,u ind P1ol111lona Coda! or that he la ax1mpt 11>010/rom, and , • ll,1,'" '"' .. ,. , ... ft'it J A'ffo§'!ffi opt0013flli·5 by a'!:3~!!.'J!Oti,wym~a~a. th, a~pllc,nt ~~ ~y of not €1\, ... , .. a~o~ fa'.lJ..9.),39P':'44 77
N am e 630120 Add11u C-36 Clly Stato/Zl1> 12t}tl~5~1-;;-, --
Sutt License '----------Ucon11 Cius _________ _ .Clly Bu,ln,11 Llconu, ______ _
Ou rgntl Nam, N/A
S1111 Ucoru, I _________ _
Add11u City Stile/Zip T 11,oht 1e
:e:ii{WORK.EAS:•.COMP~S-,(l'ION.Jil\'i.'ll.u').~~l~~J~flU,Ati~Uli.~~~~Il{ffiiJSt:N:!:t~t3.m~·1~j,;• .. :;i';;~ :::·:L,,. ,
Wo1k110' Comp1n11tlon Docluatlon: I ha11by 1111/m under penalty ol p11Jury on, ol lht loUowlng,d1cler1tlon1:
0 I hava end will maintain I cartlllcata of consanl to 11ll•ln1u11 lor wo1k111' c:ompenullon •• p1ovld1d by Sactlon 3700 ,,1 111a Lotlo• Le • lur '"• 0 ,11,,·,,
of th, w01k 101 which 1h11 permit 11 l11u1d.
~ I hav, and will maintain wo1k111' comp1n11tlon, .. 11qul11d by s,c:llon 3700 ol'tht Lalior Cod,, lor th, 1111fo1ma11c, ol tha wn1k ' "''"cbffl'fOOOUS
lu uod . My w01k11'1 comp~•t~JQ~®EJ policy m.imtitr 111: N2007-56-51
lru u11nc1 Company ____________________ PoUc:y No. ___________ _ Explretion D• ,
(THIS SECTIO N NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLl.ARI U1001 OR LESB)
0 CERTIFICATE OF EXEMPTION: I certify th1t In Iha p1rlo1manc1 ol th, work for whlc:h thl1 permit 11 l11u1d, I 1hall not omploy any ,,.,,1n In •"Y m,nnor ,o ,.
10 bacom, ,ub)ect to tho Wo1kare' Compensation Law• of C,lllornla. ·
WARNING: Fanu,a to 11cu11 •w01ku1• comp,naatlon coverage 11 unlawful, and ahall aubjeot 1n amploytr \o criminal p1nal1lo1 and civil f;nes up to one hunare
thousand dolla11 ft 100,000), I tlo Iha cost ompa , d, 1g11 II provided lodn Stetlon 3708 ol th, Labqi code, lntuut 011d atlurnoy', J,u
SIGNATURE ~J DATE ~-~-~ '\
7, . ··owNER-BUILOEJI DE<;L:AR,\TIOij~t~'J,W7tl.Qi;f/f~' :~t . :l?.~~ .... ~~~Ilr.&.1'1J1~»..~~'Wib'.tl1:\\'i,'. '(iv'.1 .... ,Y/.:'.' ... ,.
I h11aby atrl,m that I 1m oxampt from th, Cont11c1or'1 c1n11 Law lot tha following tHlont
0 I. u owne, ol the proparty 01 my 1mploy111 with wagu II their 1011 c:omp1n11tlon, will do th, wo1k and tho &tructuro Is not 1111c Jed u• 0111110 101 ,. .
!Sac. 7044, Businoss and Prol111lon1 Code; Th, Cont11cto1'1 Uetnaa Law doH not apply to an ownlf of ptoper1y who build, 01 lmp1ovo, ·hereon. and who ao,,
such work him11II or through his own amployau, p1ovldad that 1uch lmp1ov,m,nt1 "' not lnltndtd or olf111d for 1111. II, h >wev11, the b,. ;11111 u• 1mpro.11non· ,
,old wlthln on, y .. , of complotlon. the own11•bulld11 will have the butdon ol p1ovlng that he did not build 01 tmprov1 lot th, p,11po11 ol o,I,
0 I, 11 own or o f th, p1op1rty, •m exclualvaly contrectlng wllh llc1ns1d cont11ctor1 lo conattuct' th, proJ1C1 (Sac. 7044. Ou1ln111 i nd "rol, u •oni Ceo ,
Conll1c101'1 Uconu Law do11 not apply to 1n ownll of property who bulld1. or lmplOVH lh111on, ind conltacll 101 ,uch orol1c11 ... ,. c011:•,e10,t o1 :,--,.
puu uant lo tho Con111cto1'1 Ucanu L■wl. ·
0 I am ox1mp1 und11 Sactlon ______ Bualnu, and Prol1ulon1 Cod• lor thl111110n:
I. I po110n,lly 111,n lo p1ovido the nu jo1 labor end m1tarlal1 lot con1t1ucllon of \he p1opo11d p,operty lmp1ov1m1nt, 0 YE!, ONO
2. I (hava / have notl 1lgn1d on appllcetlon lot , building parmlt lor th, p1opo11d wo,k;
J. I h1v1 con111c11d with the following P•"on lflrml ti:, p1ovld1 Iha p1opo11d con1t1uc:1lon Uncluda nam, / add1111 / pho11, 11umb11 / co· • ,ct,,, 1,c,nu n,_ ..
4. I pl,n to provldo portlona of tho wo1k, bul I have hl11d th, lollowlng peraon lo c;oordlntlt, 1up11vl11 ind p1ovld1 th, ma1or work linclud• nome I 11c,.,,
numbet / contractofl lic1n11 numb11J: ____________________________________ _
5. I will prov,do ,omo ol the work, but I hav, cont11ct1d lhi11d) the following p111on1 to p,ovldt \ht work lndlettod lincluo, rum, I 1ddrc,s I p110111 "~"'~•·
ol wo1kl: __________________ -'-~----------------------------______ _
PROPERTY OWNER SIGNATURE----------------,-----------DATE _________ _
·_co~JHIS:'SEClJON.f.OR.iJ.ON"'1£SlQP1.~:IUJH:.wRA1i'.ts.MliiitiNifflamrnwt&m:m~~;;!~'.:.~~1: ,.:;;,~_~:: :·,
IJ th• oppllcant 01 lututa building occup1nt 11qul11d to aubmll I bualnau plan, 1cu11ly ~11dou1 m1terlal1 11gl1111tlon for m or tlok mane~ ,me111 and p1 e ,er
prog11m und11 Soctloru. 26606, 25633 or 2663-4 ol lh, Prul,y-TaMtr H,nrdou1 &ub1tanc1 Ac:c:ount AC11 0 YES O NO . .
Is tt-. appllc,nt o< lutu1 0 building occupant 11qul11d to obtain a ptrmlt lrom \ht all poUullon conlrol dlatrlc:t o, all qu,llly mana01m1nt d1ttrlc1 I O YES O r.
Is I.he teclllty to b, corutruct,d within 1,000 1111 ol th, ou111 bound11y ol ■ ac:hool ah,l O VU O NO
IF A>lY OF THE ANSWERS ARE YES,,. FINAi. CERTll'ICATE OF OCCUPANCY MAY NOT 11 tllUW UNLESS THE APPLICANT HAS MET on IS MEETIIIG THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
8 .: ··: CONSTRUCTION LENDING 'AGEN cv,·~w,111ttmiJJt~Bm~mu...~~l¥:ifrJ'!ifS'~\'lii'rl\~· ..
I horoby affirm 1h11 1hora 11, conatructlon londino 101ncy, lor tha p11lo1m1nc:1 ol lht work lo, which thl• p11mlt la luuod tS,c 3097111 Clv,1 t ·J,1
LENDER'S NAME______________ LENOEl\'S AOOI\ESS ________________ _
9: ' APPLICANT CERllFICA,T161iJ,1~,:.jltt\\'1 -~~i/?Jiiil..l.Ji\-cµ,i~?'W2;~.,;yli,<?J.®'~¥'.Jil-~m.1iffifmifllk;~.'.;';:\;•1,:\·,
1 certlly thot I have ru d th, 1pplic,1lon ,nd 1tat1 that th• above Information l1 c:orttct and that lht Information on th, plan, 1, 1ccu111e. 1 •·:•oe 10 como1 , •··
City o1din1ncu and Stall l1w1 ralatlng to building c:on1truc:1lon, I h111by 1uthCKIU repr111nt1llv11 ol th, City ol Carlobad to ontor upo, the •bovo ""'"
property for inspection purpo111. I ALSO AGREE TO SAVE, INDEMNIFY ANO KW .HARMLESS THE CITY OF CAf\LSBI\D AG/\1•:sT ALL LIAB1~ .
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN A.NY WAY ACCRUE AGAINST SAlO CITY IN CONSEQUENCE OF THE Gf\ANTING UI THIS PERMIT
OSHA: An OSHA porrnlt 11 11qul11d for axc1v1tlon1 ovtr fi'O• d11p end domoUtlon or c:onalrucllon of 11tuctu111 OYII 3 otorlu In halgllt.
E.XPIRATION· Every pllmlt lu u,d by th, Building Olllcl1I undar the ptovlalona ol thll Code ah.U oplrt by llmltotlon ond becomo null 1111· •o•1 •1 the b~ o,·
,' db h I I t~•d • n 86 d1y1 lrom lht det1 ol auch p11mlt or II the bulldl.ng 01 work 1vtllom 1d by ,c ., I'""'"''' ,.,c• work authome y ouc ptlm I I no com :,, 1 .
Of 1b1ndontd at IOY tlrn, ,ru, th, WOJ , C . 1,r,1ill-7g,~uo.n 108,4,4 Uniform Bulldin'O ~od,I. C ,.,,. ·r . "---' ..., ':)JD --y-.. OAT " ________ _
_.\efLI.CANJ'S .SIGfJAUJJ.l