HomeMy WebLinkAbout2707 OLYMPIA DR; ; 84-595; Permit~ 0 (.,)
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O I hereby affirm lhat I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is m
full force and effect. lie No ______ Class
I hereby affirm lhal I am exempt from the Contrac· IOf's License law for !he lollowmg reason (Sec 7031.5 Business and Professions Code Any cny or coun1y whteh re·
quires a permit lo cons1ruc1. alter, improve, demohsh. or repair any structure. prtor lo ,ts issuance also requires !heap·
pj1can1 for such permit to hie a s1qned statemenl that he !S
licensed pursuanl to lhe prov1st0ns of the t;onlrattOf s
license Law (Chapter 9 commencing w11h SecUon 7000 of Otvis,on 3 of lhe Busmess and Profess10ns Code) Of' lhat 1s ex·
empt lherefrom and !he basis tor the allegeo exemp110n Any vtOla11on of Sec11on 7031.5 by an apphcant lor a permit sub·
1ects the appl1canl to a CM) penalty of no! more than live hun•
dred dollars ($500)
fJ I. as owner ol the property. or my employees with wages
as their sole compensation, will do !he work. and the struc-
ture 1s not ,ntendeo or olfered for sale (Sec 7044, Busmess
and Proless,ons Code The Contraclor's Lteense Law does not appty 10 an owner of property who builds or Improves !hereon and who does such WOfk tumself or rhrough his own
employees, provided that such improvements are not mtend·
ed or offered for sale If, however. !he building or improve-ment 1s ~ within one year of completion. the owner-builder
will have the burden Of proving that he did nol build or im· prove tor the purpose of sale)
D I, as owner of the property. am exclusively contraclmg
with ltcensed contraclors to construct the prOject (Set 7044. Business and Profess10ns Code: The Contracldr's License
Law does 001 apply to an owner ol property who builds or im-proves !hereon. and who contracts 101 each projecls with a contraclor{s) license pursuant 10 the Contraclor's License Law).
D As a homeowner I am improving my home, and lhe lollow ing conditions exist:
1 The work is bemg per1oflned pnor to sate. 2. I have hved in my home for tw~ve months
pnor to complehon o1 this work 3. I have not claimed this exemptmn durmg the last three years.
D I am exempl under Sec ______ , B & P C
for lhis reason
□ I he,eby atftrm tl'lat I ha"'e a cer,,ticate of consent
to self insure, or a cert,t,cate ol Workers Compensation Insurance, or a certified copy thereot
(Sec 3800. l.abOr COde)
POLICY NO
COMPANY
□ Copy IS Med With lhe city
0 Cert1l1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Th,s s.ec11on need no1 1:>e completed 11 tne perm,1
1s to, one hundred dOll~CS 1001 Of tessJ
~
n:,ty that 1n me per1o nee-of the wor11 ror th,s pe.rm1t ,s issued I no1 employ any
!he wo::eisyco~';;e:~ ~ws ~?C!,,f~r~1~c, 10
NOTICE TO APPUCAN~I. 11,, mak,nJ lh,s Cer,1
hcate ot Exemption. you h kt; become sub1ect I".>
Ille Workers C.ompensal! prov1s1ons ol the Latx>r Coae you must tot1h'ft1lh comply with such
prov1s1ons or th,s perm11 shall be deeme<1 ,e .. oke<J
0 I hereby affum Iha! !here 1s a cons1ruc11on
1ena1nQ agency tor the performance ol !he wOfll to,
w,-oCh UltS perm1I 1S ISSue<1 !Sec X/37 C1v1I CO<JeJ
Lenae, s Name ___________ _
Lenders Aocress __________ _
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CARLSBAD BUILDING DEPARTMENT APPLICATION & PER~ITJ '
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ' JOB ADDRESS OLA.1n10/ ~T.RD.
NEAREST CROSS ST I DA1Et ;;;j;l BUSINESS LICENSE d-f/, j "V"l"\.UATION PERMIT NUMBER 12-,0, 1:Et..W ,tld ~s~ <:t;A-~S LOT I BLOCK I SUBOIVIStO/ , ASSESrt ~:E~93 1 _ 0 q CONTRACTOR I I CONTRACTORS PHONE • ZONE
/ooU lf?l-11, 1 OWNERS NAME
ll41eN6. s l 'f'J1=~~;H;NE /1'1 o ,!J £A.. Al I) fH-t;_, CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE
?qo 1\1. 6t ( Al1r1fb 11~_.I \.. L{t,, 897 ~OL-DWNE R'S MAI LI NG ADDRESS
DESIGNER A . -·-LICENSE,, STANDARD PLAN JI BUILDING SO. FOOTAGE y,~ -4olo_ID_ ~ DESCRIPT10 N OF WORK /4c) l 4() b _.¢ ~ lA.I 1/\'1 ... 1 r'\.t , DESIGNER'S ADDRESS DESIGNER'S PHONE
·12/03 /ti4:1Jlc! 102. ,___ ,:-·<i-rf·· J..;.--F/P FLA ELEV. NO OCC GP EDU onur~3~2 121031 84 !'02~ . STORIES
vO NO --
CE NSUS TRACT I GP LA ND USE I PA"RK .. NG SPACE RESUNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPA A REA CONST
y O N 0 vO NO vO NO Not Valid Unless M•chine Cemlied
QTY. PLUMBING PERMIT -ISSUE 7 ~;! QTY. MECHANICAL PERMIT -ISSUE -:7ro• SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTA LL FURN. DUCTS UP TO 100.000 BTU -BUILDING PERMIT 01-00-00-8220 "'14,2>0
EACH BUILDING SEWE-R ; OVER 100,000 BTU SIGN PERMIT 01 -00-00-8221
EACH WATER HEATER AND OR VENT ' BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK'yd, IH--.; ~1Lo1-00-00·8806 -o -EACH GAS SYSTEM 1 TO 4 OUTLETS "· 801 LER /COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 \?._S'n
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 J~ -I EACH INSTA~. ALTER, REPAIR WATER PIPE _?~ VENT FAN SINGLE 0 UCT MECHANICAL 01-00-00-8224 -r· I EACH VACUUM BREAKER "---~ MECH EXHAUST HO00 0UCTS MOBILEHOME 01 ·00-00-8225 . WATER S0FTNER -.
RELOCATION OF EA FURN ACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (11\JSIOE) SOLAR 01-(JQ-00-A??i;
TOT J;L MECHANICAL STRONG MOTION 80·92-33-0519 J'U O
TOT AL PLUMBING I 11-~ FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRIC AL P ERMIT -ISSUE ~O!,_ QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32-00-00·89l)
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 BLDG EA AMPISWT BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519 r;_ REM00E L ALTER PER CIRCUIT ID--PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01 -00-00-8162
TEMP OCCUPANCY (30 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TO TA L El E CTR !CAL I TOTAL SOLAR TOTAL FEES PAYABL E I ' 16 .-\O'Z . {oO
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMIT" AND DO HEREBY Exptrahon EYery permit issued by the Building Ofhc1a1 under 1he prov1s1ons ofth,s * AN ()SH.II PERMIT IS REOUIRE0 FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expne by ltm1tat1on and become null and void If the building or work 5· o·· rcfP ANO DEMOLITION OR CONSTRUCTION O~
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced w1th1n 180 days from the date ot such sr.....CTUR£s OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. C0UNlY AND STATE LAWS GOVERNING BUILDING CON ~~~::On°~ 1
~t ':~Y ~~~~,~~e~~h:~:,;~!~0~~~~Je~~~~ ;>8~~~'~,S~~"a~~ or STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPLICANT'~_S:~UR~ OWNER□ CONTRACT~' Ar nvVE0 St'.• DATE KEEP HARMLESS T!-iE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ---....... EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE n,J,f~-GRANTING OF THIS PERMIT BY PHONE .-:J ~--,~ ., ./ I I
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·,. TYPE DATE INSPECTOR -, I
BUILDING I ,. /-.
FOUNDATION I FIELD INSPECTION RECORD gt.l ... ~$"
REINFORCED STEEL I ,7.-,.rA -----.... __, REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . -MASONRY I REO IF INSPECTOR S DATE GUNITE OR GROUT I INSPECTION CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE SHEATHING D ROOF D SHeAR PRIOR TO
FOUNDATION I SP FRAME ' STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION PRESTRESSED I CONCRETE INTERIOR LATH & DRYWALL I
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO I HIGH STRENGTH V
BOLTS UNDERGROUND D WASTE D V11ATER
TOP OUT D WASTE D W~TER SPECIAL MASONRY
TUB AND SHOWER PAN '
GAS TEST I PILES CAISSOl'.S [,"
/ D WATER HEATER D SOLAR WATER / l
/ ELECTRICAL '
D ELECTRIC UNDERGROUND D WFFER / / I
I I .c,~ <c, " ROUGH ELECTRIC I~ / ~ ' ~ •-D ELECTRIC SERVICE D TEMPOlitARY
/ r{ IX POOL Ii. 7. YA' ~ . --D BONDING } ,-J .IL l I
I I " '\ MECHANICAL I J/ A\V I / D DUCT & PLEM., D REF. PIPING I \ 17
HEAT -AIR COND. SYSTEMS I I \ "\\ Iv. ' VENTILATING SYSTEMS I /J 1 tf I / I \ I\
I~ _l
CALL FOR FINAL INSPECTION WHEN ALL APPRyt:'R~ . ITEMS ABOVE HAV6 BEEN APPROVED. I \
I ' . FINAL I ... ~-' .. \ . \ "\ ' PLUMBING \ 7 ,t I ~ ...
/ ~ ..-: ELECTRICAL ' :, . -. ·<
I MECHANICAL / \ ' I
GAS I / ,_ . :.. n.. C
BUILDING I /
~ CONDITIONS I
( USE --B.4u ,,,,,.,~ ~-..