HomeMy WebLinkAbout2708 Olympia Dr; ; 84-333; PermitII) z 0 .::: C ac C ~ u Ill 0
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O I hereby affirm that I am licensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is in
full force and effect. L,c No ______ Class
I hereby affirm lhJI I am exempt t,om the Contrac·
tor s Lanse Law tor the to,tow,ng reason (Sec 7031 ~
Busmess and Profess10ns COde Any city°' county wtuch re-qUlres: a perm.I 10 construct. a1ter ,mprOYe demolish. or repair any structure. prior to 11s issuance atso reqUlfes :heap·
phcant tor such perm.I to Me a s,Qned statemen1 th.al he 1s
hcensect pursuant 10 the prOVJsions of lhe eon1rac1« s license Law (Chapter 9 cnmmenong w,1h Secl<>n 7000 ol
Ol\lls,on 3 ot lhe Business and ProtesslOfls COdeJ Of thal 1s ex· tmpl therefrom and lhe ba$1s for lhe anegeo exemp110n Any
VIOl.lhon ot Section 7031 5 by an applicant to, a perm,1 sub-1ec1s the app:1cant to a CMI penalty of not more than !we hun-
dred do<1ars ($500)
1. as owner of lhe property. OI my employees with wages
as ltteir SOie compensahon. will do lhe work. and lhe s1ruc-
1ure Is not intended or offered lor siie: (Sec 70'4. Busmess
and Proless1on~ Code TM Contractor s Lteense Law does no1 apply to an owner of proptrty who bu1kts or tmproves thereon and who dOeS such WO(k h,msell or through his own
employees provided 11\at such improvements a,e not intend·
ed or oflered lor sate II, however. tile building Of improve-
ment 1s sok1 w1th1n one year ol comptet1on. lhe owner-bu1k2er Wlfl ha,e the burden of p«Mng lhal he did not bulkl or ,.,,.
prove 101 the purpose of sale)
O I, as owner of the property. am ex.clus1ve1y contracting
w11h ocenseo eontrxtors to construct the prOJect (Sec 704,
Business and Proless1ons Code lhe Contrac1or' s License
Law does not apply to an owner of property who bl.wds OJ un-
proves lhefeon aod who contracis tor NCh proiec1s wtth a
conlractor(s) lteense pur~nl 10 the Contractor's License Law)
a As a homeowner I am lmpr<Mng "'I home. ana Ille lollow
mg condtllons ex.1st
1 The work 1s being performed prlOf 10 sate 2 I have loved In "'I home lor twelve months
oriOr to compte11on o1 this work I have not claimed lhts exemphOl'I during the las! three years
~ ih~~r=I under Sec ______ , B & P C -------------
~ I hereby attum that I ha-1e a cen,t1caIe ot consenI 7o' self insure o, a cert1f1catj OI Wotk.ers
Compens.a11on Insurance, or a CFnl 1ed copy !hereof 1s« 3800 Lal>Or Code)
POLICY NO
COMPANY "l. Copy IS ftled wttri lhe city'
0 Certified copy ,sJhereby tLrn,shed
CERTIFICATL OF EX~MPTION FROM
WORKERS COMPENSATION INSURANCE
(This secl+on need not be completed ,1 lhe perm11
Is to, one hundre<I OOllars \$100) or 1essI
0 I cen1ly Iha! in the per1o,mance ot ine wOf'k '°'
which 1h15 permI1 IS ISSue<J I shall not employ a.ny
oe<son •n any manner so as to beeome suoIec1 10 the Wor\ers Compens.i1,on l..lws or Ca11torn1a
NOTICE TO APPLICANT II at1er malt.in~ lh1S Cert,
lic~te of Eaemp11on you snould beCOme sut>t&t ,,,
!he Wot1ters Compensa,1ton p,ov1s1ons ol me Labor
Code you mus! lorthvr.11h compty w,th such
prov1sIons or 1h1s permit shall be oeemed ,e..,01o.eo
D I hereby iflum lhal the,e 1s a cons1,uc110n
Iend1no i1gency to, lhf' oertormance at the won-. tor
wh•Ch this perm11 IS •ss"eo 1Sec m 1 c, ... ,1 Cade
l enoe, s Name ___________ _
Lenoe(s AOdress __________ _
1 USE BALL POINT PEN ONLY & PRESS HARD "'-rrL1'-'"'•, , -, •----... --_ CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
~
JOB ADDRESS AV ST RO VALUATION PERMIT NUMBER
L"".
LOT BlOCK suBo st N Ass1sio..EJ ~R':;~o ~ G)U CONTRACTORS PHONE.
J./f!O -<t 'I qV
~768 CJlub\O~A l~~G
ZONE 84-3S3
'-llll~'.c! PLAN 1.0. I' r , V'
OWNER·s MAIL NG aRESS I o,Pe29o~, ~-N~ j-Z) ,< tJ ,_ 6 ~ STANDARD PLAN I/
BLOG USE CODE ~.~
B~O~OOTAGE
DE SIGNE R'S PHONE
F/P FLA ELEV OCC GP EDU
CENSUS TAACl I GP LANO use I PARKING SPACE 1~ GRADING PERMIT ISSUED
YO ND
vO NO
REDEVELOPMENT AREA
NO
STORIES
TYPE
CONST
OCC LOAO Fl RE SPR
TI /02l-tl(l/05ib
Ol'lll I 7rJ?~ -f ')IJ 22;5
76~
vO NO
QTY. PLUMBING PERMIT · ISSUE ~!!-QTY. MECHANICAL PERMIT · ISSUE
EACH FIXTURE TRAP I --, I I INSTALL FURN DUCTS UP TO 100.000 BTU
EACH BUI LO ING SEWER I OVER 100,000 BTU
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP
.3-
YO NO Nor Valid Unless Machine Ctrtll1ed
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220 r -zz,, o o
SIGN PERMIT 01·00·00·8221
PLAN CHECK J,f, ';(} J!:lL. /dl•&6™ -
EACH GAS SYSTEM 1 T04 OUTLETS . BOILER/COMPRESSOR 3 15 HP . TOTAL PLUMBING 01·00·00·8222 -r -------~ EACH GAS SYSTEM 5 0 R MORE . METAL FIREPLACE . ELECTRICAL 01·00·00·8223
EACH INST Al . ALTER, REPAIR WAT ER PIPE . VENT FAN SINGLE DUCT . MECHANICAL 01·00·00-8224 --EACH VACUUM BREAKER . MECH EXHAUST HOOO OUCTS J • ft MOBILEHOME 01-Cl0-00·8225
WATER SOFTNER I ! I RELOCATION OF EA FURNACE1HEATER I H MOBILEHOME PARK INSP
I I EACH ROOF ORA,N 1 "JSlOE1 I I ! ! I SOLAR _ ----.J)l·QO·OJ!:.ll.22.6-1---------i
TOTI.L MECHANICAL 80·92·33-0519 I , 5-0 __
101 Al PLUMBING I
QTY. ELECTRICAL PERMIT · ISSUE _.-r-QTY.! SOLAR · ISSUE
NEW CONST EA AMP SWl BK R COLLECTORS
I PH 3 PH STORAGt TANKS
EXIST BLOG EA AMP SWT BKR ROCK STORAGE
I PH 3 PH PUMP
AEMOOEL AL Tt:R PER CIRCUl l PLAN CHECK FEE
TE MP PO l E 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSI
TOlAL ELELTRICAL 1 TOTAL SOLAR
~RONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad
Enc,rntas
San D1eguI10
San Marcos
L1JPF
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519
CREDIT DEPOSIT
TOT AL FEES PAYABLE
01:00~00·8_227
32·00·00·893)
80·92-21-0519
80·92· 22·0519
80·92·23-0519
80·92·24-0519
' ,Z!,,50
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMlr AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TQ'COMPLY WITH ALL CITY, COUNTY ANO STATE LAW~ GOVERNING BUILDING CON
STRUCTION'WHETHER SPECIFIED HEREIN OR NOT I ALSO AGHEE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY or CARLSBAD AGAINST All. LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
EJl{p1r1t1on. Every permit issued by the Bu,lding OU1c111 under lhe provisions of th,s
Code snail expire by hm•tahon and become null and vo,d If the building or work
authorized by such permit is not commenced w,thm 180 days from the date of such
permit. or 1f the budding or work autho,,zed by such permit Is suspended o,
abandoned_at any 'time after the work ,~ommeoced tor a period of 1 &O days
* AN OSHA PEFW:T IS REQUIRED FOR EXCAVATIONS OVER
5 O" DEEP AND DEMOLITION OR CONSTRUCTION 0 ~
STRUCT\JR£S OVER J STORIES IN HEIGHT
T SIGNATU_R~ •t~OWNER O CO~fRACTO~
CV, OY PHONE 0 ~ ~ DATE
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... ··,;. ;_: .. ~ '"'. .. ,-.\.:, .. ., _ ... -r ' TYPE DATE INSPECTOR ' ' •. . I ' <# ·• ' ·x4'...,s°!>~ BUILDING I ' -FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES MASONRY I REO IF INSPECTOR S
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 PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO I HIGH STRENGTH
D IJYATER BOLTS UNDERGROUND D WASTE
SPECIAL MASONRY ' TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
0 WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D WFFER '.i; ' ' I\' \ -. . ' -
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY .. .:. ' •.
D POOL I ~ -D BONDING I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING -/ ,.
HEAT -AIR COND. SYSTEMS I ---/ VENTILATING SYSTEMS I --/ /2 I / ., Vd ~ ,.,
CALL FOR FINAL INSPECTION WHEN ALL APPROPA_'f T8;.._ .,_
.. ..l ...... ,,,_.
ITEMS ABOVE HAV6 BEEN APPROVED. · . · / . /If' FINAL I . -~x . I //\, I '•, -
L ,, l '. ' ' . . '' I • j PLUMBING \ . v·.\ -.. I ~//. \ -..-. . . ·" ~-I . . <.,,. .... • ":. .. , ...
ELECTRICAL I "'Jt\ A }J \ u ,.\ .• ~ f I ; • ' !! < •• , -. a ~ • • \ \·-~•,-
MECHANICAL I ,\l "l Iv/ \. .
\ '--Y' ~. -' • GAS I ,,.,.-./ . ._ .. ' .
BUILDING I \ r ,
\
SPECIAL CONDITIONS I \v I
' I
' ,,.,...
~ ~~-333
PLAN CHECK NUMBER ____ ADDRESS ;J 70 g 0~ DATE
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PLANNING:
0:::
LI.J
3 LI.J
------
TYPE OF STRUCTURE_--F~_..c.,._ __ · --~-------!
ZONE:
SCHOOL FEES: SAN DIEGUITO ENCINITAS --------
CARLSBAD SAN MARCOS ----------------
REQU IJr Ee ~~f---+r-~-
FRONT --+--1-~1-1-----
FENCES/WALLS ------IT-1'--t------S IDE ---;---r-~,,........___,'-:::::=--
T WO CAR GARAGE -----------
;: ~ COMMENTS: ___________________________ _
LI.J c:c
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~ □ ►-8 □ (..) 0:::
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0::: :::::> □ 0::: 0 0 LI.J u 0:::
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REDEVELOPMENT APPROVAL REQUIRED: ___ ,._ff\) ___ 8 __________ ~--
LANDSCAPE PLAN COMMENTS: ______ N....,_ ...... fl _____________ _
ENVIRONMENTAL REQUIRE~_: ___ µ-+-"""--"-......,;..._---------------
ADDITIONAL COMMENTS: -------------------------
OK TO ISSUE: ~ t'
**********************************************************************************
ENG I NEER ING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? __
P.F.F. PARK IN LIEU -------------------------
R.O.W: IMPROVEMENTS:
SE~IER: -------IU-..:::.....,.t--~-1----------------------i
LATERAL: DRIVEWAY: ------------a GRADING PERMIT: -----------------------------1
-LI.J ~ ~ DRAINAGE:-------------------------------, 0::: 0
~ □ ...,Cl □ I-LI.J u 0:::
~;;□ 0:::0 0 LI.J u 0:::
EASEMENTS: ___________ ADDITIONAL COMMENTS: ----------J
OK TO ISSUE: ~ -...,;»'---"'""-'~=-----
* 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 .)