HomeMy WebLinkAbout2704 OLYMPIA DR; ; 84-336; Permit.,, z 0 .::: C cc C .... u ..,
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"-<eby affirm that I am llcensed un~r
talons of Chapter 9 (commencing with
tlon 7000) of Division 3 of the Business
and Prole■alons Code. ancl my llcense ts In
lull force and effect.
Lie No _____ ct,ss
)<. I hereby alfirm that I am exempl lrom lhe eonuac·
to<'s License L>w tor the lotlowmg ruson (Sec 7031 5 Business and Protess.ons Cade Any city 0f county wheth re• quires a petrnd to construci alte,. wnp,oi,e oemotish. «
repa11 any structure. pro to ,ts Issuarice also requires !heap· prteanl tor sucn perrrwt to Ille a s1qned statement lhat he 1s licensed pursuanl to the prov1s1ons of lhe Contracror·s
License Law (Chapter 9 com-nencmg with Section 7000 at OrYISIOO 3 at the Business and Pro!eSS1011s Code) or that" ex•
empt therelrorn and the basis tor the allegea exemptJ011 Arr,
Y101at,on ot Sect,on 7031 5 by in apptant lor • perm.I sub· iects the applicant to a CMI penalty o! not more than ,,.,. hun-
dred dollars ($5001
0 I. as owner at the property. or my employees with wages
as lhetr sole cornpens,t,on. "111 do the -k. and the struc-
ture ts not intended or ohered lor sa" (Sec 704.C, Busmess •
and Pro!esS1011s Code· The Contractor·, License Law does
not appty 10 an owner ol p,aperty whO bu1kls or ,mprOYes thereon and who does such work h,msetf or through h,s own
employees, provided that such improvements afe not intend·
ed or ottered tor sa'9 If, however, lhe burkhng or Impr0Ye· ment Is sold w1thm one year of completlOn. lhe ovwner-bui'der w,11 have the burden ot prc,,1119 that he did not build or .,,.
prove tor the purpose ot sate)
D I. as owner of lhe property, am exclusrvely contractmg
wllh licensed contractors to construct the pro,ect {Sec 7044, Busmess and Prof~s Code The COn!rac.to,'s License
law does not apply to an OWnet' or property who buikls or im-proves lhereon. and who contracts lor uch prQfeCts wJttt a
eontractor(s) license pursuant to the Contrac1or·s Lanse Law).
D As a llorneowner I am ,mpro,lng my llome. and the totlow ing conchhons must:
1 The work is betng pertormed pr101 to sale 2 I have lived 1n my home tor twelvo months
3. r:: =~t::: .'~: =~ption during the lasl lhree years
D I hereby afhrm th.al I ha,e a. cert,hcate ot consent
to seU insure. Of a cer11ticate of Wo,kers Compensat10n lnsur~e. Of a cen,t1ed capy thereof
!Sec :ieoo. ut>o< Godel
POLICY NO
COMPANY
Q Copy IS hied With the City
0 Cert11ied copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need not oe completed 11 lhe permit
1s tor one hundred dollars (S 100) or less)
0 I certify that m the perto,mance ol 11'\e-w0t1t tor
wh1Ch thrs permit ,s issued. I s'°"111 not employ any
person 1n any mMtner $0 ~ lo beeome-sub,ect 10
lhe Wor1ilers Compensation Laws ot Cahtom,a
NOTICE TO APPLICANT II. a.tter makmJ this Cert1
tic.ate ot Exemptton. you should beeome sub1ec1 ,,,
lhe Workers Compen~hon provisions ol lhe L.abof Code. you mu.sl fortn"A1lh comply with such
provisions or U'us perm11 Sha.JI be deemed ,ev~f'O
0 I heteby aftum 1'°"11 there rs a con!lruclton
lending agency IOf tnf' performance ot lhe w~ 10,
wt11ch ttus perm,1 ,s ,ssued tSec )097 CMI cooe,
lenoe, s Name __________ _
Lenders AOd•ess _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT • 1200 Elm. Carlsbad. California 92008•1989 (619) 438-5525
JOB ADDRESS AV ST RD. NEAREST CROSS ST
D;:;~A~ONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
,;2.70L{-Cl-l-111 P1 A DR ~LM /S'bCJ ~ gt../,-3 3 (:;, LOT I BLOCK I SUBDIVISION j Ass;ssoR PARCEL NS., Qi) -r:-:NTRAC~ 1-/ot..S~ CONTRACTORS PHONE • ZONE I C,"1 4~~ -:i,. 7 29--$-b.3<)
OR;:;;::., I+ ,~3';:;;;H;2E Hoc..sTe?I/ -I
CONTRACTOR"$ ADDRESS 012 LICENSE NO r PLAN 1.0 . Ii BLOG USE CODE
2-70 'f 0-""1 P1A
OW;,_R;;:;NGO~Et'/t;/ p I A De.. tfNA-t+t<)LS ye,J LICENSE • STANDARD PLAN # BUILDING SO FOOTAGE
DESC~ION Of WORK ~ ...... i/-1~ ,~ 7/'J ;:;~AD~P/Pl/r f)12 OESIGNE R"S PHONE
I . ~ --¥~2-)()st= 7/02/ 4E:, uO 3.7 ---f /P F LR ELEV. NO STORIES OCC GP EDU 00 16 0 71 21 84 IJ3 .7
YO NO ---
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not Valid Unl~s M1chine CmiliM
QTY. PLUMBING PERMIT • ISSUE 'l.~ QTY. MECHANICAL PERMIT · ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00·00·8220 .:J... ""• !::>C,
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221
EACH WA TEA HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 0 Hl0.00·8806 I 7.;l5-
EACH GAS SYSTEM I TO 4 OUTLETS 80ILER/C0MPRESS0R 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00· 8224
EACH VACUUM BREAKER MECH EXHAUST H000IOUCTS M0BILEH0ME 0Hl0·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN IINSI0E) SOLAR 01.M.M.R??~
TOTt;L MECHANICAL STRONG MOTION 80·92·33-0519 ---TOT AL PLUMBING I FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 -~-BRIDGE FEE
NEW CONST EA AMP 'SWT BK R COLLECTORS SCHOOL FEE · DISTRICT
I PH ✓ 3 PH STORAGE TANKS Carlsbad 80-92·21·0519
EXIST BLOG EA AMP/SWT SKA ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Dieguilo 80·92-23-0519
REMO0EL'ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00·8162
TEMP OCCUPAN CY 130 DAYSI m~P
CREDIT DEPOSIT
TOTAL ELEl:TRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I '-/3. 75 -
I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT ANO 00 HEREBY E_.ac,n Ewrfpenllil-t,rllle&nldingOIIIClelun-theprov,s,onsolthra * AN OSHA P£RMIT IS AEOUIAED FOR EXCAVAT~ OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code --by --_,,. null and YOld If the bu1'd,ng or wor~ s· 0" DEEP ANO DEMOLITION 0A CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS autllorlZ8CI by IUCII perm,c • ---,n 180 days from lhe date of such STRUCTUMS OYER 3 STOAIES IN HEIGHT · permfl. or rl Ille lluildi:K;' -aulllor-by auch permit 11 suspended or ISSUED TO COMPLY WITH ALL CITY COUNl Y ANO STATE LAWS GOVERNING BUILDING CON alllndcNied at am, -Ille -• C-...0 to, a """od of 180 "••• STRUCTION WHETHER SPECIFIED HEREIN OR t,IOT I ALSO AGREE TO SAVE INDEMNIFY AND
OWNE~ CONTRACT6R ~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS COSTS ANO ~TUii£ X
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE ·--.. --_//._ ~ BY PHO~E Q -.-kr I 1--.;2 ?1 GRANTINGOFTHISPERMIT ~ -~ "IA.~
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TYPE I DATE INSPECTOR -·-BUILDING I
I f(C4.,~3(,..,
FOUNDATION J I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTION S INSPECTOR'S NOTES
REO IF INSPECTORS -.
INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I
I
SHEATHING □ ROOF D SH$R
FRAME I
SOILS COMPLIANCE I J H--PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION : PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED I
I CONCRETE
PLUMBING I FIELD WELDIN_§,
SEWER AND BUCO □I P UCO I
UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
' , ..
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
□ WATER HEATER □ SOLAR WA'rER •
I
ELECTRICAL I
I -' D ELECTRIC UNDERGROUND □ t!J FFER '
ROUGH ELECTRrC I '
□ ELECTRIC SERVICE □ TEMPO~ARY
□ BONDING □ POOL I
, -.
\_ . . <' ---
' MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I -
'
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
ITEMS ABOVE HAVEi BEEN APPROVED. ~
FINAL
PLUMBING '
ELECTRICAL . .
MECHANICAL .
GAS " .~. t·, c-'
BUILDING \ ·-~ ' ..
SPECIAL CONDITIONS
vf-3~~ ,1 ~-PLAN CHECK NUMBER _O ___ ADDRESS~d_7..;__0_---r __ v...;..._~--,tf--'--~----DATE _____ _
PLANNING:
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ZONE: ------TYPE OF STRUCTURE ~ ~ --7.e:::....=.=------=--___:_ ______ _
SCHOOL FEES: SAN DIEGuno ENcr rRE CE I VE D
CARLSBAD SAN MARCOS J ...... □~L-2-1-9a_4 __ _
REQUIRED SETBACKS ____ _
FR~ Of,JMLS~ h!tg~7' rt
FENCES/WALLS ___ """--------SIDE ------~---
TWO CAR GARAGE. __________ _ RE AR ----------
;: ~ COMMENTS: ____________________________ _
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u,o:z □ REDEVELOP~tENT APPROVAL REQUIRED: 6 ~ □ ------------------=---~;; □ c::: 0 8~ LANDSCAPE PLAN COMMENTS:
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ENVIRONMENTAL REQUIREP.:....: ____________________ _
ADDITIONAL COMMENTS: -------------------------
OK TO ISSUE:~ DATE:_W,,r OK TO FINAL: ____ DATE: ____ _
**********************************************************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? __
P.F.F. _______ PARK IN LIEU ________________ _
R.O.W: IMPROVEMENTS: _______________ _
SE~/ER: -----1-..µ.-1--./----1---------------------
LATERAL: ----r---1--------DRIVEWAY: ____________ _
G RAD ING PERMIT:
DRAINAGE:
EASEMENTS: _ __...tP~iC_..;;;;,.___ _____ ADDITIONAL COMMENTS:
OK TO ISSUE: __ .._~ __ _::_::_::-_::-_::_::~---DATE: --z;/2;// f/
* ENGINEERING INSPECTION REQUIRED: __________________ _
PUBLIC ~IORKS INSPECTOR: _____________________ _
FINAL OK: -----------DATE: ______________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)~